Module 1 Flashcards
Antiport
Na - K Movement of two different ions in opposite directions
Symport
sodium and glucose Carries two different ions in the same direction
Uniport
Lone glucose Carries one ion
Hyperpolarization
Movement further away from zero during after an action potential (overcorrection to a negative state). Protects the cell from stimulation during repolarization.
Gap Junctions
Form direct cytoplasmic junctions between cells
Contact Dependent Signals
e.g neurotransmitters and synapses
Contact Dependent Signals
e.g neurotransmitters and synapses
Autocrine Signals
Act on the cell that secreted them
Paracrine Signals
Secreted by one cells and diffuse to adjacent cells
Mendelson’s First Law
The Law of Segregation: Each gamete carries only one allele for each gene (egg has one, sperm has one)
Mendelson’s Second Law
Law of Independent Assortment: Genes for different alleles can segregate independently when gametes come together
Epistasis
A gene at one locus alters the expression of another gene at a second locus
Penetrance
The degree of display of a gene
Carcinoma
Ca arising from epithelial tissues
Adenocarcinomas
Arise from ductal or glandular tissues
(breast duct CA = mammary adenocarcinoma)
Sarcomas
Ca arisinf rom mesenchymal tissues (connective tissues, skeletal mm, bone)
Lymphomas
Ca arising from lymph cells
Leukemias
Blood Cancers
Carcinoma In Situ
preinvasive tumors (“In place”)
glandular or squamous cell origin
Neoplasm
Abnormal growth following uncontrolled cellular proliferation but NOT necessarily cancer
Cancer
disease in whcih abnormal cells dicide without control and are able to invade other tissues
Anaplasia
Hallmark of Ca
Loos of differenctiation
Pleomorphic
Hallmark of CA
cell with marked variability of size and shape
The hallmarks of Cancer
Sustaining proliferative signaling
Avoiding immune destruction
evading growth suppressors
enabling replicative immortality
tumor promoting inflammation
activating invasion and metastasis
genomic instability
inducing agiongenesis
resisting cell death
deregulating cellular energetics
driver mutations
drive the progression of cancer. A critical number of these drivers are required in order for a cell to become cancerous
passenger mutations
random events that do not contribute to malignancy
Stroma
The tumor microenvironment that surrounds and infiltrates the tumor
What are Receptor Tyrosine Kinases?
cell membrane receptors that initiate proliferation
mutations causing lung cancer are associated with activation of RTKs
Autocrine Stimulation
Ability of a cancer to create its own growth hormone
RAS
Protein on the membrane which is normally inactivated, but once activated in turns activates multiple signalling pathways that guide the cell into proliferation.
A point mutation in RAS converts it from an unregulated proto-oncogen to an unregulated oncogene
What kind of mutation is Burkitt Lymphoma an example of?
Example of a translocation which causes inappropriate production of a proliferative factor (in this case it produces a factor that leads to proliferation of B lymphocytes)
What mutation causes Chronic Myeloid Leukemia?
Example of a translocation leading to novel protein production with growth promoting properties
What is Translocation?
when a piece of one chromosome is swapped with a piece from another chromosome.
What are Tumor supressor genes
Anti-oncogenes
Retinoblastoma gene is an example of what kind of mutation?
Example of tumor supressor gene mutation
What is TP 53?
p53 Tumor supressor
“Guardian of the genome”
monitors cell stress and activates caretaker genes
What is unique about Tumor Suppressor Gene Inactivations?
REQUIRES TWO INACTIVATIONS BECAUSE A COPY IS RECEIVED FROM EACH PARENT
What is Genomic Instability?
When caretaker genes are mutated or silenced, more mutations occur and accumulate
Oncomirs
miRNA that stimulate cancer development by regulating pathways controlling stability
What are BRCA 1 and 2?
TSGs and caretaker genes that repair double stranded DNA breaks
Angiogenesis
Production of vasculature to support a tumor
What is HIF-1a?
regulator of angiogenesis in normal tissue
What is TSP-1?
Angiogenesis inhibitor
What are MMPs?
What do they do?
Matrix Metaloproteinases
Break down ECM to release/activate stored angiogenesis factors
What does OXPHOS stand for?
mitochondrial oxidative phosphorulation AKA normal cellular aerobic respiration
Warburg Effect
When cancer cells reprogram to glycolysis instead of OXPHOS
AKA “Aerobic glycolysis”
Beneficial shift that creates more products of glycolysis which are then used for more efficient production of proteins etc
reverse Walburg Effect
when cancer cells use OXPHOS but manipulate the cancer associated fibroblasts to undergo aerobic glycolysis, increasing byproduct availability for production
How is GLUT1 used by cancers?
upregulated by oncogenes etc to increase tranpsort of glucose into the cytoplasm
What is the Mitochondrial Pathway for Apoptosis
In normal cells, when DNA damage is irreparable T53 is activated and induces transcriprtion of pro-apoptotic factors which lead to cell death
What is the “Death Receptor”
Fas, Fas associated death domain (FADD)
When activated on the cell membrane, triggers internal apoptosis via caspases
What is the role of TAM in protecting cancer?
Tumor Associated Macrophage
Tumor cells secrete factors (CCL2, CSF1, MCP1) that draw immature monocytes into the tumor, and alter their development into TAMs that mimic M2 versions of macrophages (which produce anti-inflammatory mediators)
This protects the tumor from the immune systems
What is a CAF? What does it do?
Cancer associated fibroblasts
synthesize the extracellular matrix surounding and permeating the tumor
Growth factors, MMPs etc secreted by them to aid the cell
Tumor Associated Antigens
Products of oncogenes, antigens from oncogenic viruses oncofetal antigens etc
Should attract T lymphocyte and NK cells to attack
Most malignancies are suppressed by efficient immune response against these tumor antigens
What are TILS?
Tumor infiltrating lymphocytes
Treg cells that ordinarily promote wound healing by limiting autoimmune reastions
Tumors actively recruit these and alter them to precent destructive antitumore immune responses
Epithelial-mesenchymal Transition (EMT)
Transition to metastasis
Anoikis
When normal cells are separated from their extracellular matrix, they undero anoikis (a form of apoptosis)
In order to metastasize, CA cells have to overcome this via changes in their membrane similar to hypoxic states
What are Paraneoplastic Syndromes?
Examples?
Caused by cancer, but not directly linked
E.g. hormones released from a tumor or an immune response triggered by the tumor that attacks the nervous system
May be the earliest symptoms of an unknown cancer
Cancer Cachexia
Caused by muscle wasting 2/2 ca deregulation
white adipose tissue (WAT) loss 2/2 thermogenesis
Appetite pathways (orexigenic and anexorgenic) pathways altered
What are the hallmarks that guide Cancer Staging
I-IV?
1: confined to orginal organ
2: locally invasive
3: spread to regional structures (lymph nodes)
4: spread to distant sites
Multigenerational Phenotype
Direct exposure of multiple generations to the same environmental factors
Transgenerational Phenotype
Transmitted to future generations through germline inheritance
Myokines
proteins release from skeletal mm during exercise that increase insulin sensitivity and can induce apoptosis in breast and colon CA cells
What are the Non-targeted Effects (NTEs) of Ionizing Radiation?
cells not directly exposed to radiation but descended from cells that are
Bystander effects
Genomic Instability
Most common cancers in early childhood
Brain Tumors
Leukemias
Most common cancers in adolescents
lymphomas
Most childhood cancers originate from the _____
mesodermal germ layer
gives rise to connective tissue, bone, etc
Embryonal Tumors
Originate during intrauterine development
These cancers often include blast cell in their name
Most common childhood cancer
ALL
Acute lymphoblastic leukemia (75% of children, 67% of adolescents)
What is MYCN? What type of cancer is it associated with?
An oncogen identified in pediatric cancer
Neuroblastoma and glioblastoma
What is Genomic Imprinting? Is it common?
Only occurs in 1% of autosomal cells
Only one allele (either the sperm of egg version) is active. The other is inactivated in ALL OF THE BODY’S SOMATIC CELLS
Biallelic
The vast majority of autosomal genes have both a maternal and paternal allele expressed
Diseases Related to Genomic Imprinting
Prader-Willi and Angelman
Beckwith - Wiedmann
Russel-Silver
Prader - Willi Syndrome
GENOMIC IMPRINTING
Inherited from Father
Short stature, truncal obesity, mental retardation, small hands and feet, small upper lip
Angelman
GENOMIC IMPRINTING
Same chromosome (15) as Prader Willi
Mother’s gene is effected
Severe ID, bouts of laughter, ataxic gait
Beckwith-Wiedmann Syndrome
GENOMIC IMPRINTING
Associated with Wilms Tumors
Caused by IGF2 Overgrowth
Identifiable at birth
Russel Silver Syndrom
GENOMIC IMPRINTING
IGF2 Undergrowth (opposite of Beckwith)
Growth retardation, small face
What is the Basic Model of Multifactorial Inheritance
Degrees of Expression
E.g. Height
Multifactorial, and tend to follow a bell curve
Threshold Model of Multifactorial Inheritance
Diseases that are BINARY but do not follow the inheritance pattern of single-gene diseases
People either have the disease or don’t, but there’s a threshold of liability, meaning the more risk factors the person has the more likely the are to express the disease
Pyloric Stenosis: Girls require more risk factors in order for the disease to be displayed than boys, so their Liability threshold is higher than for boys
Liability Threshold
Applies to Threshold model of inheritance
female babies have carry genetic markers for pyloric stenosis have a higher threshold of liability for developing the stenosis. This means they have to be exposed to more disease-causing factors to actually develop the disease. That’s why if you have a baby girl born with pyloric stenosis, there’s higher concern that future children will have it than if you had a boy and they displayed the disease.
Recurrence Risk
If my mom has it, how likely am I to get it?
E.g. heart disease: recurrence risk higher if affected relative was female and less than 55
What inherited defects play a role in colorectal CA
APC gene mutations play a role
DM1 Inheritance
Incidence higher in offspring if Father is diabetic
BMI Calculation
Weight/Height-sq
Genetic Mutations associated with early onset Alzheimer’s
Mutations that affect amyloid-beta precursor deposits
Most common is amyloid precursor protein (APP) abnormality
Mutations associated with late onset Alzheimer’s
APOE
Fragile X Syndrome
Both genetic and epigenetic
More severe in Males
ID, delyed talking, anxiety, hyperactivity, seizures
large ears, long face, prominent jaw, flat peak
Glutathione - S- Transferase
Enzyme housekeepers
Reactive to ROS to prevent damage
What is the resting potentional of nerve fibers?
-70
What is the resting potential of skeletal muscle cells?
-90
What occurs during depolarization of a nerve cell?
The cell membrane suddenly becomes permeable to sodium ions and sodium pours into the cell, reducing its negative charge
What occurs during repolarization of a cell?
Sodium channels close
Potassium channels open wide, spewing potassium out of the cell and re-establishing a negative potential
What causes activation and inactivation of the voltage gated Na channel?
When the membrane potential climbs above -55, it actually both activates AND inactivates the NA channel. The inactivation process just takes slightly longer so the gate only stays open for 1/10,000th of a second
What activates the voltage gated K channel?
K channel are actually activated when the cell membrane potential dips above -55 (just like the Na channels) but it takes slightly longer in opening, so that the K channel is opening around the same time that the Na channel is closing
What is the role of Ca ions in action potentials?
Ca serves along with (or instead of) Na in creating the membrane potential
Ca ion concentration is 10,000x greater in the ECF
What are the “fast” and “slow” channels of membrane depolarization?
Na voltage gates are “fast channels”
Ca voltage gates are “slow channels”
Sodium channels initiate action potentials
Ca channels sustain them
In what types of cells are calcium channels numerous?
Cardiac and smooth muscle
How does a decrease of extracellular calcium concentration effect nerve fibers?
Sodium channels have calcium ions attached to them. The ca’s positive charge makes the channel slightly less receptive. When calcium levels are low, the sodium channels become activated at lower thresholds, and the nerve fiber becomes “irritable”.
Only a 50% reduction in ECF Ca causes tetany!
What is the threshold of stimulation in action potentials?
-55
What is a nerve or muscle impulse?
The propagation of the action potential along a nerve (moves in both directions from the original impulse)
What is the all-or-nothing principle?
If conditions are right, once initiated an action potential will span the entire fiber. But if conditions aren’t right, it won’t be propagated at all.
What is responsible for the plateau during depolarization seen in cardiac cells?
Slow ca voltage channels maintain a longer depolarization (like the purkinje fibers)
What are the three examples of spontaneous rhythmicity in the body?
- Heart Beat
- Rhythmic Breathing
- Peristalsis
Why doesn’t re-excitation occur immediately in cardiac cells?
Hyperpolarization from potassium conductance creates a period of 1 second in which repolarization is not possible
Node of Ranvier
In myelinated axon sheaths almost no ions can diffuse through, except at the node of ranvier. The nodes are where action potentials occur.
What is saltatory conduction?
In myelinated sheaths, action potentials take place at the Node of Ranvier and are conducted through the ECF and the axoplasm from node to node along the fiber
Jumping from node to node. Faster.
What are the benefits of saltatory conduction?
- MASSIVELY Increases velocity of transmission
- Conserves energy for the axon
What is an example of mechanical excitation of an action potential?
mechanical pressure exciting sensory nerves in the skin
What is an example of chemical excitation of nerves?
Neurotransmitters
What are some examples of electrical excitation in nerves?
Electrical signals between the cells of the heart and small intestines
What mechanism creates the absolute refractory period?
Once sodium channels are inactivated, nothing except a return to the resting negative potential can reactivate them
What happens to excitability when serum calcium levels are high?
membrane permeability to sodium is decreased, and excitability is reduced
Calcium is a stabilizer
Sarcolemma
Thin membrane enclosing enclosing a skeletal muscle fiber
Myofibrils
Building blocks of muscle fibers
What are miofibrils made of?
Actin filaments (about 3000)
Myosin Filaments (about 1500)
What are actin and Myosin
large proteins responsible for muscle contraction
What is the cross-bridge cycle?
Driving force behind contraction
Interaction of thick (myosin) and thin (actin/troponin) filaments
Titin
Maintains the side by side relationship of actin and myosin
One of the largest proteins in the body
Sarcoplasm
The Intracellular fluid between myofibrils
What is in the sarcoplasm?
Potassium, Magnesium, Phosphate
Protein enzymes
mitochondria
Sarcoplasmic reticulum
Sarcoplasmic Reticulum
Regulates calcium storage, reuptake, release
What is the resting length of a sarcomere?
2 micrometers
What are the three sources to reconstitute ATP during muscle contraction?
- Phosphocreatine
- Glycolysis
- Oxidative Metabolism
Phosphocreatine
Has a phosphate bond with higher energy than ATP, so it gets cleaved and the excess phosphate replenishes ADP to ATP
What is the most efficient velocity of contraction in muscle cells?
About 30% of maximum
Motor Unit
All the muscle fibers innervated by a single nerve fiber
What are the two ways of increasing muscle contraction intensity (summation)?
- Increasing the number of motor units contracting simultaneously (multiple fiber summation)
- Increasing the frequency of contraction (frequency summation)
What is the size principle?
When a weak signal is sent from the CNS, a smaller motor unit is stimulated. As the strength of the signal grows, so does the size of the motor unit stimulated.
Tetanization
The point at which muscle contraction is smooth and continuous
What causes contractures?
In the final stages of denervation atrophy, the muscle fibers are broken down and replaced with fibrous and fatty tissue. The fibrous tissue has a tendency to continue shrinking for several months. If it isn’t actively stretched, it will contort the joint into abnormal positions.
Macromotor Units
When some but not all nerve fibers to a muscle are destroyed, the remaining fibers will form new axons to the paralyzed fibers
Won’t regain the same level of control, but will be able to use the muscle
polio
Why does Rigor Mortis occur?
ATP is required to separate the cross bridge from the actin filament. After death the muscles contract without action potentials until the proteins deteriorate at 15-20 hours later
Mesenchymal Stem Cells
nonhematopoietic
bone, cartilage and fat cell production
Which bone marrow produces blood cells?
skull
vertebrae
ribs
sternum
shoulders
pelvis