Lecture 1 Flashcards
Result of certain pathogenic process that disrupts well-being of organism
Disease
Disease process could be
Infectious
Noninfectious
Example of pathogenic process
Aging
Not spreading means
Noninfectious disease
What are the stages to disability?
Well Being
Dis-ease
Disease
Disability
Disease that lasts longer than 3 months
Chronic Disease
Disease that last less than 3 months
Acute Disease
Causes inflammation in the mucous lining in the nose and throate
Cold Virus/Adenovirus
Viral Infection of respiratory tract
Influenza
Kissing Disease
Mononucleosis
Virus that multiplies in the lymphocytes
Mononucleosis
Epstein-Barr Virus
Mononucleosis
Infection with virus is not equal to having a disease
True
In children infected with EBV, no symptoms or disease is indistinguishable from the other illness in childhood
True
EBV Latency Infects which type of cells
B Cells
Epithelial Cells
EBV resides in ____ & _____ for the rest of your life.
B cells, remains latent
EBV is able to reactivate a virus and shed viral particles
True
What is the difference between latent and persistent infections?
Latent -> Rhinovirus, Rotavirus, Influenze Virus
Persistent -> Lymphocytic choriomeningitis virus
EBNA-1
Involved in promoting viral DNA replication
EBNA-2
Transcription factor with viral and host cell targets
LMP1
Expression in rodent cell lines results in transformation
LMP2
Associates with src and several other tyrosine kinases
What are immunosupressin treatments?
Suppress EBC when it takes over the B lymphocyte
Child or rare adult who was never infected before onset immuno suppression lacks prior immunity, placing the patient at high risk for active viral infection and progression to neoplasia.
True
Does the risk of tumors increase post-transplant?
Yes; True
How are normal cells different from latent EBV infected cells?
Expresses a number of alien genes and some host genes are expressed stronger than they should.
EBV’s apoptotic viral genes provide a survival advantage to the lymphocyte that carries EBV
Expression leads to B cell lymphoma; expression in fibroblasts leads to tumors in nude mice
LMP1
accelerates B Cell Proliferation
LMP1
Does LMP1 inhibit apoptosis
Yes
Normal Cells infected with certain viruses can be transformed into cancer cells due to expression or activation of
Viral Oncogenes
Human Diseases are classified by
Chromosomal Disorders
Single-gene Disorders (Mendelian)
Polygenic (complex/multifactorial)
Single-Gene Disorders are typically found at
Birth
Multifactorial Diseases are typically found at
Adulthood
can also be found at Single-Gene Disorders
How to find whether certain disease has a genetic component?
- Classic Family Study
- Twin studies
- Adoption studies
Classical Family Study
Identify the family
Determine the proportion of the relatives affected
Calculate the lifetime risk
- Ascertain all affected individuals
2. Sometimes difficult due to non-disclosure
Identify the family
Why do you calculate the lifetime risk?
For morbidity for various relatives.
Not mendelian but appear to cluster in families
Complex Diseases
Why are complex disease just that?
You share more genes with your relatives.
Predisposition means you have a higher chance of being affected.
True
Mild Genetic Predisposition means
Environmental Factors plan a huge role in being affected
Share 100% of their genes
Identical Twins
Share only 50% of their genes
Dizygotic/Fraternal Twins
Both twins carry the diseae
Concordant
Only one twin carries the disease
Discordant
Rate of concordance in identical twins is an important indicator of
Heritability
Exclusive genetic conditions
Concordance is near 100%
Exclusive environmental conditions
Never 0% as twins also share environment
MZ concordance > DZ Concordance
Multi-factorial conditions
Middle ground
Oligogenic inheritance; between monogenic and polygenic inheritance
Assumes that condition is defined by relatively small number of loci
Oligogenic inheritance
Allos for some loci be more influential than others
Oligogenic inheritance
The proportion of phenotypic variation in a population that is attributable to genetic variation among individuals
Heritability
Always a fraction of 100%
Heritability
Is Heritability the mode of inheritance?
No; MOI is a fixed property of a trait, but not heritability is not.
Huntington’s Disease caused by excess CAG repeats in Huntington’s protein gene
Highly penetrant, mendelian single gene diseases
Huntingtons Disease Autosomal Dominant?
Yes
Some genes lead to a predisposition to a disease
Reduced penetrance
BRCA1 & BRCA2 can lead to a familial breast or ovarian cancer what is its penetrance?
Reduced Penetrance
Requires multiple genes and alleles
Complex Disease
What is a complex disease caused by multiple pathways?
Type 2 Diabetes
Quantifies the correlation between the trait and the marker at family level
Linkage analysis
Quantifies the correlation between the trait and the marker at population level
Association study
Simple inheritance, single gene with major effect, variant rare in the populations, 600 short tandem repeat markers
Linkage Studies/ Families
Test whether single-locus alleles or genotype frequencies are different between 2 groups; genotypes can be compared directly using the sequences of actual genes
Association studies
Name 3 acute infectious diseases
- Cold Virus (Adenovirus)
- Influenze
- Mononucleosis
MONO is caused by which virus>
Epstein-Barr
T/F:
Infection with virus is not equal to having a disease
True
What is an example of a latent virus? And what is it?
Herpes simplex virus
Reactivating Infection
What are some slow virus infection?
Measles virus SSPE
HIV
What is a persistent infection?
Lymphocytic choroiomengitis virus
Are T-Cell involved in EBV? WHY?
No; instead immunosupression occurs.
T/F
A child or a rare adult who was never infected before onset immuno suppression lacks prior immunity placing the patient at high risk for active viral infection and progression to neoplasia
True
What is caused by numerous CAG repeats?
Huntington’s Disease