LASHA OI Flashcards

1
Q

What happened to Lasha

A
  • He fractured his arm
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2
Q

What are the parents of him conerned abt

A
  • That this isnt the first time their son has gotten a fracture as over the year he has had 4 differnet fractures
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3
Q

What are the signs and symptoms that Lasha has

A

Blue sclera
Joint hyperflexibility
Corssbite

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4
Q

What did the doctors find prior to the final diagnosis of OI

A

lasha had low bone mineral density, which was the reason for his multiple fractures

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5
Q

mutant collagen

Explain the connection between ERAD and OI

A

mutant collagen from COL1A1 is misfolded and degraded by ERAD, reducing funtional collagen

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6
Q

What is the function of RER

A
  • Contains ribisomes that syntheise proteins
  • And folds newlwey synthesised proteins into their functional shape
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7
Q

proteins folded

Describe quality control during protein production in the RER and explain functioning of ERAD

A
  • QUality controld
  • Proteins are folded in the RER with the help from chaperones
  • The modified proteins are detected and retained to prevent transport

ERAD
-wHERE THE misfolded proteins are identifed and transferred to te cytoplasm and then degraded by proteasome.

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8
Q

What are the classification of bones

A

long
flat
short
irregular

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9
Q

What is the anatomy of long bones

A
  • Long and thin in shape
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10
Q

What skeleteal deformities are common in patients with OI

A
  • Bone deformities
    -Spinal deformities
    -Short stature
    Dental issues
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11
Q

What areas are most affected by fractires in OI

A
  • long bones
    ribs
    spine
    pelvis
    hip
    skull
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12
Q

Why do patients w OI have blue sclera

A
  • As the type 1 collagen defects weaken and thin the sclera
  • The thin sclera then allows the underlying blue colourred layer to become visible
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13
Q

Why do patients w OI have lower bone density

A

Due to the defective type 1 collagen in the bone which provides structural support

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14
Q

What is the role of Type 1 collagen

A
  • Provides strength and flexibility
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15
Q

How many types of OI are there
and which is the most sevre

A

4 and 2 is the most svere

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16
Q

How is the diagnosis of OI made

A
  • Xrays- identifying bone structures
  • Genetic Testing-identifying the mutations
    Physical examinations- looking for blue sclera
17
Q

What are the treatment options for OI

A
  • Physcial therapy
    surgery
    Bisphosphates - medications that increase bone density