mechanisms of disease I Flashcards

1
Q

3 groups of disease related cell growth differentiation

A

developmental conditions = can be related to cell growth or differentiation

neoplasia = cancer and tumours

others = cardiac hypertrophy

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2
Q

two forms of cell growth

A

hypertrophy = bigger cells

hyperplasia = more cells, most common

  • cell growth is balanced by cell death
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3
Q

hypertrophy

A
  • cells growing bigger
  • more proteins = more membranes. elevated protein synthesis = big driver of increased cell size

heart is an example

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4
Q

hyperplasia

A

more cells , caused by cell division or proliferation

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5
Q

differentiation explained

A
  • exiting from the cell cycle
  • program of cell type-specific gene expression
  • cell morphology and function changes
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6
Q

similarities

A

cell growth and differentiation governed by integration of multiple signals

  • intra and extracellular signals

signals converge on promoters of key genes = promoters act as co-incidence detectors

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7
Q

extracellular signals (recap)

A

ligand - receptor - intracellular cascade

3 broad classes:

  1. paracrine = produced locally to stimulate proliferation of diff cell type that has appropriate cell surface receptor
  2. autocrine = produced by cell that expresses appropriate cell surface receptor
  3. endocrine = released systemically for distant effects
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8
Q

extracellular signals in cell growth and differentiation

A

proteins that:
stimulate proliferation and promote survival
- mitogens e.g. growth factors and interleukins

  • induce differentiation and inhibit proliferation
  • induce apoptosis
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9
Q

face analysis of cell DNA content

A

if DNA stain is applied, FACs can measure DNA content of every cell in a population

data used to plot a graph

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10
Q

mitosis steps RECAP

A
  1. prophase
    - nucleus becomes less definite
    - micro tubular spindle apparatus assembles
    - centrioles migrate to poles

pro metaphase

  • nuclear membrane breaks down
  • kinetochores attach to spindle in nuclear region
  1. metaphase
    - chromosomes align in equatorial plane
  2. anaphase
    - chromatids separate and migrate to opposite poles
  3. telophase
    - daughter nuclei form

cytokinesis

  • division of cytoplasm
  • chromosomes decondense
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11
Q

what do the cell cycle checkpoints do

A

control (involving specific protein kinases and phosphates) and ensure strict alteration of mitosis and DNA replication

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12
Q

cyclin-dependent kinases

A

CDK = catalytic subunit, 10 genes

cyclin = regulatory subunit = 20 genes. expression induced by growth factors

active cyclin-CDK complex = phosphorylates specific substrates

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13
Q

regulation of cyclin-CDK activity

A
  • cycles of synthesis and destruction
  • post transitional modification by phosphorylation = may result in activation, inhibition or destruction

dephosphorylation

binding of cyclin-dependent kinase inhibitors

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14
Q

retinoblastoma protein

A
  • RB = key substrate of G1 and G1/S cyclin dependent kinases
  • unphosphorylated RB binds E2F transcription factor preventing its stimulation of S-phase protein expression
  • released E2F stimulates expression of more cyclin E and S-phase proteins e.g. DNA polymerase, thymidine kinase, PCNA etc
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15
Q

describe how DNA damage triggers cell cycle arrest or apoptosis

A

the DNA completely replicated, not damaged
chromosomes aligned on the spindle
DNA not damaged, cell size, metabolite/nutrient stores

= stop the cycle with CDK inhibitors
attempt DNA repair with nucleotide or base excision enzymes
programmed cell death, if repair is impossible

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16
Q

what is the role of TP53

A

DNA repair e.g. excision repair

kinase activation

repair not possible, apoptosis

expression of CKI, cell cycle arrest

17
Q

relationship between TP53 and cancer

A

TP53 loss-of-function mutations are amongst the most frequent in cancer

  • prevent cell cycle arrest = faster growth
  • prevent apoptosis
  • prevent DNA repair = more mutations
18
Q

describe chemotherapy

A

traditional chemotherapeutic drugs act on cell cycle

  • stop proliferation, induce apoptosis
  • S phase drugs cause DNA damage. 5-fluorouracil = prevents synthesis of thymidine
  • cisplatin = binds to DNA causing damage and blocking repair
19
Q

describe chemotherapy p2

A

M-phase drugs target mitotic spindle

  • vinca alkaloids = stabilise free tubules, prevent microtubule polymerisation, arrest cells in mitosis

Paclitaxel = stabilise microtubules, prevent de-polymerization, arrest cells in mitosis

  • not just cancer: colchicine used for immune-suppression.