lecture 7 - redone Flashcards

1
Q

what is CFTR

A

an anion channel that controls the amount of epithelial secretions (e.g ASL)

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2
Q

what is the most common mutation

A

f508del

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3
Q

what is class 1 mutation

A

G542X - no protein

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4
Q

what does the X is G542X represent

A

a stop mutation

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5
Q

class II mutation

A

f508del - no traffic

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6
Q

why does class II mutation not processed to the membrane

A

as the protein is misfolded

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7
Q

class III mutation

A

G551D - no function

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8
Q

what does the no function mutation cause

A

the channel doesn’t respond to normal queues that activates it (gating mutation)

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9
Q

class IV mutation

A

R117H - less function
cant conduct chloride and bicarbonate as well as the wild type

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10
Q

class V mutation

A

A455E - less protein

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11
Q

class VI mutation

A

rF508del - less stable

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12
Q

class VI mutation has a shorter half life because

A

it gets retrieved from the membrane earlier

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13
Q

other factors that affect lung disease

A
  1. single nucleotide polymorphisms (SNPs)
  2. air pollution
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14
Q

SNPs

A

alter the activity and function of other genes which can modify the disease severity

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15
Q

ASL is made up of

A

mucus layer and periciliary liquid layer

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16
Q

what is the periciliary liquid layer

A

cilia in the salty solution

17
Q

proper hydration ensures efficient mucociliary clearance (MCC) which removes

A

pathogens

18
Q

in a healthy cell if theres too much fluid in ASL

A

ENaC is activated

19
Q

in a healthy cell if there isnt enough fluid in the ASL

A

CFTR is activated

20
Q

CFTR has a negative effect on ENaC so without CFTR, ENaC is

A

overactive, making dehydration worse

21
Q

in CF the pH of ASL is

A

more acidic

22
Q

consequences of more acidic pH

A
  1. increases ENaC activity
  2. decreased bacterial killing
  3. increased mucus viscosity
23
Q

how does acidic pH increase ENaC activity

A

increase CAP and decrease SPLUNC1 function

24
Q

how does acidic pH increase mucus viscosity

A

conformational changes in the mucins making them more rigid

25
Q

dysfunctional CFTR leads to decreased

A

Cl and HCO transport

26
Q

decreased Cl and HCO transport leads to decreased

A

ASL volume and pH

27
Q

decreased ASL volume and pH causes increased

A

ENaC function

28
Q

increased ENaC function leads to

A

increased mucus obstruction, decreased MCC and decreased antimicrobial activity

29
Q

all this causes increased bacteria infections and inflammation causing

A

destruction of the lung

30
Q

treatments for CF

A

mucus clogging
hypertonic saline (draws water from the body into airways improving hydration of ASL)