MCQs Flashcards
Xenobiotic mechanism
- Hydrolysis, reduction, oxidation occur at phase 1
- Cytochrome P450 is involved in phase 1
- Conjugation occurs at phase 2
- Some drugs came directly go to phase 2
- Excretion is facilitated by phase 1
Cytochrome P450 enzymes
- Uses NADPH
- Inducible (xenobiotics can increase production of enzymes)
- Various isoforms present (superfamily = cyt. P450 enzymes)
- Haem proteins, haem as prosthetic group
- Present in SER (liver & most other tissues)
- Present in mitochondria + ER in adrenals
- Acst on steroid hormones
Postnatal growth
- GH promotes linear growth
- IGF-1 are involved
- Thyroxine is important in duration of infancy
- Insulin is a major determinant of fetal growth
Serum total alkaline phosphatase level is increased in
- Fractures
- Bone metastasis
- Osteomalacia
- Hyperparathyroidism
- Paget’s disease
Thyroid gland
- Iodine is absorbed by Na+/I- symporter & Na+/K+ ATPase
- Removal leads to hypercholesterolemia
- Contains thyroid peroxidase which is responsible for oxidation, iodination, coupling
- Secretes higher concentration of T4 than T3
- Increases in size if iodine is deficient
Adrenal medullary hormones
- Has 4 corresponding receptors at the nucleus
- Shows different affinities to different receptor subtypes
- Involved in vasoconstriction
- Increases glycogenolysis in skeletal muscle + liver
- Increases lipolysis
Pancreatic polypeptide
- Secreted by F cells of pancreatic islets
- Regulates pancreatic exocrine secretions
- Regulates pancreatic endocrine secretions
- Stimulated by exercise and fasting
- Inhibits gallbladder contraction
Insulin resistance leads to
- Uncontrolled haptic glucose production
- Decreased glucose uptake by adipose tissue
- Increased insulin level in circulation
- Excessive lipolysis
- Hypertriglyceridemia
Consequences of hyperglycemia
- Increased plasma osmolarity
- Polyuria
- Loss of calories
- Foot ulcer
- Glomerular dysfunction
- Non-enzymatic glycosylation of protein
- LDL oxidation (atherosclerosis)
- Sorbitol synthesis (cataracts)
- Protein kinase C activity
- Decreased myoinositol synthesis
Apo-lipoproteins
- Cofactors
- Ligands
- Co-enzymes
- Structural components of lipoproteins
- Antioxidants
Brown adipose tissue
- Secretes leptin (mostly from WAT)
- Both store triglycerides
- Contains large number of mitochondria
- Produces heat
Eukaryotic DNA replication
- Produces 2 identical DNA molecules
- Occurs @ S phase by mitosis
- Forms multiple replication bubbles at one end
- Shows polarity
- Forms Okazaki fragments
- Multiple sites of replication in one chromosome
- DNA polymerase needs an RNA primer
- Follows Watson-Crick model base complementary rules
- Daughter strand synthesis is from 5’ to 3’
- Mutations are repaired immediately
Eukaryotic gene expression
- Monocystronic
- Includes tRNA synthesis
- Not regulated by operons
- Regulated at the post transcriptional level
- Regulated by polypeptide hormone
Carcinogenesis
- Decreased P53 activity
- Decreased PDH complex activity
- Increased GF concentration
- Increase glucose uptake
- Increased biosynthetic activity
Blood brain barrier
- Endothelial cells are interconnected through tight junctions
- Active transport contributes to its function
- Permeable to immunoglobulin
- Dopamine cannot enter but L-dopa can
- Regulates transportation of many cancer therapy drugs
- Transports water through specific carrier protein
Southern blotting
- Technique used to analyze DNA
- Involves alkaline denaturation & transfer
Requirements of PCR
- Target DNA
- Heat stable DNA polymerase
- dNTPs
- Buffers
- Oligonucleotide primers
- Reverse transcriptase
Neurotransmitter concentration at synaptic cleft depends on
- Synthesis of the neurotransmitter at the presynaptic neuron
- Re-uptake by presynaptic neuron
- Degradation in synaptic cleft
- Uptake by postsynaptic nerve
RFLP
- Needs southern blotting
- Influenced by restriction endonuclease
- Involves chromatography
- Used in crime investigations
- Used in diagnosis of dengue
Enzymes used for recombinant proteins
- Reverse transcriptase
- DNA ligase
- RNA polymerase
Estrogen synthesis
- Mainly depends on LDL as a source of cholesterol
- Influenced by cytochrome P450 SCC enzyme
- Increased by LH
- Occurs in both theca and granulosa cells
- Involves StAR protein
Insulin receptors
- Has an intrinsic tyrosine kinase activity
- Phosphorylates insulin receptor substrates
- Increases translocation of GLUT4
- Synthesized as a single polypeptide
- Beta subunit spans plasma membrane
Bile acid sequestrate
- Activates HMG CoA reductase
- Inhibits bile acid absorption
- Up-regulates 7 alpha hydroxylase
- Leads to decreased plasma cholesterol concentration
- Associated with vitamin K deficiency
Addison’s disease
- Hyponatremia
- Hypokalemia
- Reduced extracellular fluid volume
- Hyperpigmentation
- Impairs gluconeogenesis between meals
In aging general decline is seen in
- Bone mineral density
- Muscle mass
- Body water content
- Total energy expenditure
- Appetite
Apoptosis
- Energy dependent
- Strictly regulated
- Helps maintain cell number
- Occurs in wound healing
- Used in cancer chemotherapy
- Occurs during embryogenesis
- Involved in capes cascade
- Results from DNA damage
- No inflammation
- Cancer cells do not show apoptosis
Causes of hypoglycemia
- Ethanol
- Renal impairment
- Reduced food intake
- Diabetic ketoacidosis
- Irregular meals
- Overdose of insulin
- Alcohol consumption
- Hyperthyroidism
Ammonia
- Produced by enteric bacteria
- High level causes neurotoxicity
- Symptoms are due to impaired TCA cycle
- Transferred in the form of glutamine
Obesity
- Defined as BMI>30kg/m2
- Is a considerable feature in Cushing syndrome
- Risk factor for gallstones
- Feature of metabolic syndrome
- Can be treated by lifestyle modifications
Acetylcholine esterase
- Inhibited by organophosphate
- Acetylcholine is degraded to inactive metabolites
- Essential for termination of skeletal muscle contraction
- Present in synaptic cleft
- Not inhibited by atropine
Hormones and their second messenger system
- cAMP = epinephrine, norepinephrine, glucagon LH, FSH, TSH, calcitonin, PTH, ADH
- Tyrosine kinase = insulin, GH, prolactin, IGF, oxytocin
Synthesis of catecholamines depend on
- Conc. of catecholamines
- Alpha-methyl tyrosine
- Glucocorticoids
Epinephrine
- Synthesised by using tyrosine as a precursor
- Decreases insulin secretion + Increases blood glucose levels
- G protein coupled receptor pathway
- Act as a vasodilator
- Increases glycogenolysis in liver
Synthesis of cortisol depends on
- Circulatory LDL level
- Adrenocorticotropic hormone
- Cholesterol desmolase
- Infection
Tumor suppressor genes
- P53
- BRCA gene
- Mismatch repair gene
- Retinoblastoma gene
Markers of bone resorption
- Hydroxylysine glycosides
- Pyridinaline cross links
Familial hypercholesterolemia
- Autosomal dominant
- Found in 1 in 500 of a population
- Characterized by accumulation of excessive LDL
- Does not affect plasma triglyceride level
- Associated with cutaneous xanthomas
Factors affecting intra-uterine growth
- Chromosomal abnormalities of the fetus
- Insulin levels of the fetus
- Placental function
- Height of parents
Theories of cellular aging
- Somatic cells can undergo cell division only a limited number of genes
- Telomerase enzyme leads to regrowth of telomeres
- Modifications of histone proteins occur with aging
- Mitochondrial DNA is damaged by free radicals
- Advanced glycosylated end products can affect the protein function
Somatostatin
- Inhibits GH
- Secreted by D cells
- Secreted in response to high amount of AAs in blood
- Inhibits synthesis of insulin & glucagon
- Decreases acid secretion of stomach
Hormones in hunger & satiety
- Hunger = ghrelin, motilin, orexin, agouti
- Satiety = leptin, CCK, insulin, glucose, FAs, AAs, amylin, GIP, GLP
Proto-oncogenes
- Epidermal growth factor gene
- Chromatin remodeler gene
- Beta-catenine gene