Lecture 3 - phospholipidosis Flashcards

1
Q

What is phospholipidosis?

A

its a lysosomal storage disorder characterized by excess accumulation of lipids

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2
Q

What are lamellar bodies?

A

histological hallmark of phospholipidosis and mostly reflect a disease or a toxicity

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3
Q

What are the basics of lysosomes?

A

exist in all cells except erthyrocytes. pH is around 4.5-4.8 kept in check by H+ pumps (ABC transporter) and contain many enzymes (proteases, lipases etc)

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4
Q

What are lysosomes function

A

Autophagy and heterophagy

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5
Q

What are the types of heterophagy (2)

A

Phagocytosis and endocytosis

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6
Q

What are the 3 types of autophagy?

A

macrophagy, microphagy and chaperon-mediated autophagy

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7
Q

What is the role of lysosomes in recycling the LDL-receptor

A

When LDL receptors are not bound they are recycled. When LDL are bound to PCSK9 (through autolytic cleavage or proPCSK9) they are shuttled to a lysosome for degradation

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8
Q

What are the roles of lysosomes in mitophagy?

A

They destroy trapped mitochondria (phagophore membrane formation from PINK1/Parkin or BNIP3/NIX)

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9
Q

How do lysosomes play a role in cell death?

A

LMP leading to acidification of cytoplasm and caspase activation from cathepsin (in cytosol)

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10
Q

Examples of lysosomal storage diseases.

A

Niemann Pick, Tay-Sachs and Fabry disease

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11
Q

Why can cationic amphiphilic drugs enter lysosomes?

A

CAD structure is lipophilic ring structure with a polar side chain. Is uncharge when entering lysosome but in acidic pH it becomes protonated (taking a H+) and is now trapped.

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12
Q

How do CADS increase phospholipidosis?

A

CADs can bind to phospholipids and render then indigestible for phospholipases.
They can also prevent enzymes such as LPLA2 from binding to the lysosome membrane by altering its charge.

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13
Q

How do you detect phospholipidosis?

A

Electron microscopy (gold std.)
In silic
fluorescent phospholipids in vitro
BMP accumulation in vivo

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14
Q

How do aminoglycosides cause phospholipidosis?

A

by interfering with megalin/cubilin system and preventing lysosomal degradation of megalin/cubilin-substance complexes

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