Mod 9 - Effects of mutations, cystic fibrosis Flashcards

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1
Q

monogenic disorders

A

inhered diseases caused by defects in individual genes

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2
Q

how many monogenic disease are there

A

~6000 known
~10,000 estimated total

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3
Q

most common monogenic disorder

A

cystic fibrosis

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4
Q

what number chromosome is the CFTR gene found

A

chromosome 7

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5
Q

what does CFTR stand for

A

cystic fibrosis transmembrane regulator

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6
Q

what does CFTR gene do

A

directs synthesis of CFTR protein

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7
Q

what does CFTR protein do

A

sits on surface of cells
regulates balance of salt and water inside and outside the cell

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8
Q

what does mutation in CFTR cause

A

dysfunction of salt and water balance
so thick mucous results
and exessive loss of salt in sweat

susceptible to lung bacterial infection

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9
Q

what is the most common mutation for cystic fibrosis

A

deltaF508 or F508del

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10
Q

what does delta mean in mutation

A

deletion

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11
Q

how many nucleotides are deleted in this mutation

A

3

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12
Q

what AA would the removed codon have coded for

A

phenylalanine (hence the F)
and it’s the 508th amino acid in the chain

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13
Q

what happens because of the lack of phenylalanine in the chain

A

the CFTR protein still made but cant get to the cell surface

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14
Q

what is 2nd most common mutation of cystic fibrosis

A

G542X

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15
Q

what type of mutation is the G542X mutation and what amino acid does it affect

A

glycine at position 542
turns it into a stop codon (hence the X)

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16
Q

what is the effect of the G542X in the functionality of the CFTR protein

A

abnormal position of the stop codon causes the mRNA to be degraded
protein isnt made

17
Q

3rd most comon mutation for CF

A

G551D
occurs at position 551
changes the glycine AA to the aspartic acid AA

so a non-synonymous (missence) mutation

18
Q

whats the effect on functionality for the CFTR protein

A

only works at 4% of normal rate
so not efficient

19
Q

whats the name of the drug for CF and what 2 things is it made up of

A

Orkambi
made of Ivacaftor and Lumacaftor

20
Q

whats the ability of Lumacaftor

A

improves stabilty of F508del-CFTR (which usually means they cant get to the surface) but it allows increased processing of the protein to the surface

21
Q

what is the ability of ivacaftor

A

increases chloride ion transoport
basically just makes the protein better when it’s at the surface