Molecular basis of human disease Flashcards

1
Q

Do genetics have a role in all diseases?

A

Genetics plays a role, to a greater or lesser extent, in all diseases.

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2
Q

What is the nature vs nurture arguement?

A

What you are depends on your nature (biological or genetic predisposition that impacts ones traits) or nurture (how you were brought up)

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3
Q

What contributes to disease processes?

A

Variations in our DNA and differences in how that DNA functions (alone or in combinations), alongside the environment contribute to disease processes.

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4
Q

Define nature

A

“nature” refers to the biological/genetic predispositions that impact one’s human traits — physical, emotional, and intellectual.

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5
Q

Define nurture.

A

Nurture,” in contrast, describes the influence of learning and other “environmental” factors on these traits. eg: your upbringing.

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6
Q

Define disease.

A

A disease is a disorder of structure or function in a human, animal, or plant, especially one that produces specific symptoms or that affects a specific location and is not simply a direct result of physical injury

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7
Q

Give some examples of diseases.

A
  • Infectious diseases (common cold)
  • Deficiency diseases (scurvy)
  • Mendelian hereditary diseases (sickle cell disease)
  • Non-Mendelian hereditary diseases (anxiety, depression, Cardiovascular disease risk)
  • Physiological diseases – including autoimmune diseases
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8
Q

Define mendelian hereditary disease

A

Disorders which occur when specific mutations in single genes — called germline mutations — are inherited from either of one’s two parents.

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9
Q

Examples of mendelian hereditary diseases.

A

cystic fibrosis, sickle cell disease, and Duchenne muscular dystrophy.

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10
Q

Define non-mendelian hereditary diseases.

A

conditions that are caused by factors other than changes in DNA sequence, such as environmental exposures or errors during embryonic development.

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11
Q

Define Deficiency diseases

A

diseases caused by a deficiency of nutrients. E.g. vitamin deficiency. E.g. rickets caused by lack for vitamins + lack of sunlight.

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12
Q

Define epigenetics

A

Epigenetics is the study of how your behaviours and environment can cause changes that affect the way your genes work.

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13
Q

What may happen if parent individuals have a poor diet?

A

Parent individuals with a nutrient-poor, high-fat, or high-sugar diet may transmit altered
DNA methylation states to offspring that result in metabolic or developmental disorders

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14
Q

What is dna bound to?

A

DNA is bound to histones, look slike beans on a string.

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15
Q

How are methol groups added to dna?

A

DNA can be methylated. Methol groups are added to Cs.

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16
Q

What has an effect on the expression of genes?

A

both epigenetics and dna changes.

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17
Q

Define genetic disorder.

A

Agenetic disorderis adiseasethat is caused by a change, or mutation, in an individual’s DNA sequence

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18
Q

What are the 3 types of genetic disorder?

A
  • Single-gene disorders
  • Chromosomal disorders
  • Complex disorders
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19
Q

WHat are single-gene disorders?

A

Single-gene disorders, where a mutation affects one gene: sickle cell anaemia, cystic fibrosis

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20
Q

What are chromosomal disorders?

A

Chromosomal disorders, where chromosomes (or parts of chromosomes) are missing/changed/imbalanced - Down syndrome is a chromosomal disorder

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21
Q

What are complex disorders?

A

Complex disorders, where there are mutations in two or more genes. Often lifestyle and environment play a role. Colon cancer is an example but so are potentially cardiovascular disease, schizophrenia, depression, bipolar disorder

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22
Q

What diseases/disorders are predictable?

A
  • Mendelian (single gene) disorders can be predicted
    • In contrast, infectious diseases are less predictable
  • Risk of recurrence is also predictable
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23
Q

What diseases can be predicted before symptoms even begin?

A

Pre-symptomatic testing is possible
- Some inherited illnesses can be predicted before symptoms start – genes present in every cell. e.g. cystic fibrosis

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24
Q

What techniques are used to predict diseases before they begin?

A

antenatal testing
newborn screening, heel prick blood test (plasma IRT), carrier testing, cheek cells or blood test

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25
Certain diseases are more prevalent in...
Certain diseases are more prevalent in certain populations. Eg Tay-Sachs diseases in eastern and central European Ashkenazi jewish ancestry.
26
What happens in Tay-Sachs disease?
neurons destroyed (brain/spinal cord)
27
What therapy can be used to cure genetic diseases?
Gene therapy
28
What disease can be cured with viral vector gene therapy?
Adenosine deaminase deficiency
29
WHat are the ethical concerns of gene therapy?
- toxicity - inflammation - cancer
30
Whats CFTR stand for?
CFTR = Cystic fibrosis transmembrane conductance regulator
31
Why is the name of a gene italicized?
When talking about a gene we italicize the name. When talking about a protein, we do not.
32
What causes Cystic Fibrosis?
Cystic fibrosis is caused by mutations in the CFTR gene, which encodes a chloride channel located on the surface of certain epithelial cells
33
Describe the process causing cystic fibrosis?
1) Child inherits one chromosome from mother and one father 2) CFTR gene contains code to create CFTR chloride channel 3) Chloride transport in and out of cell.
34
How many amino acids make up the CFTR protein?
1,480 amino acids
35
Where is CFTR protein located?
Located on the surface of many cells in the body
36
How many chains of amino acids does a CFTR protein contain?
CFTR protein contains a single chain of amino acids
37
How many functional regions/domains does CFTR have?
5 functional regions/domains.
38
What are the 5 functional regions of CFTR protein?
2 transmembrane domains 2 cytoplasmic nucleotide-binding domains 1 regulatory domain
39
Whats the role of each domain of CFTR?
Each domain has a special function - transporting chloride through the cell surface.
40
What do mutations cause?
Mutations cause a range of cystic fibrosis symptoms – Cl- transport
41
How do mutations affect the protein?
Mutations often affect the three-dimensional structure of the protein
42
WHat do mutations prevent CFTR from doing?
Prevents CFTR from reaching the membrane.
43
How does cystic fibrosis affect the lungs?
- Decreased chloride transport coupled with excess sodium reabsorption - Dehydration of airway surface liquid and mucus gel layer - Risk of infection
44
How does cystic fibrosis affect the pancreas?
Lack of pancreatic enzymes and bicarbonate secretion – digestive malabsorption.
45
What is cancer?
Cancer – a group of disorders caused by gene alterations
46
What percentage of cancers are environmentally induced?
90% are environmentally induced (smoking, UV sun rays)
47
Are cancer hereditary or not?
Most cancers not obviously hereditary (susceptibility)
48
How are some cancers more hereditarily based than others?
Hereditary component / susceptibility to some cancers (breast)
49
How long does cancer take to develop?
Often takes years to develop (sequence / combination of gene mutations)
50
Are all cancers genetic?
All cancers are genetic (unnatural function 1 or more genes) - Genetic changes affect cell cycle control
51
What is the cell cycle in simple terms?
The cell cycle is how cells decide they are going to divide. There are proteins which slow down / speed up the cell cycle.
52
Why must cell cycle be controlled?
Cell cycle must be controlled, otherwise, cancer begins.
53
What do cell cycle checkpoints do?
Cell cycle checkpoints ensure events occur in the correct sequence.
54
How is cell cycle controlled / how is rate of cell division controlled?
There are proteins which slow down / speed up the cell cycle.
55
What happens if the gene for a protein meant to slow or step the cell cycle mutates?
- cells divide uncontrollably - cells do not differentiate correctly
56
Where is telomerase active?
Active in germ cells (the cells that make sperm and eggs) and some adult stem cells.
57
What do telomerase and other similar cells need to do?
These are cell types that need to undergo many divisions, or, in the case of germ cells, give rise to a new organism with its telomeric “clock” reset.
58
Describe the role of telomeres?
To prevent the loss of genes as chromosome ends wear down, the tips of eukaryotic chromosomes have specialized DNA “caps” called telomeres.
59
At which end does DNA begin replicating?
DNA replicates by polymerising at the 3 prime end. Replication BEGINS AT THE 3 PRIME END.
60
WHere are telomeres located?
At the end of chromosomes
61
What are telomeres?
Telomeres are repeats of sequences of bases, and can be syntheised by telomerase.
62
What happens if telomeres die?
If telomeres die, they are resynthesized by telomerase.
63
When do cancer cells mutate?
Random spontaneous mutation
64
Give an example of environmental cause of cancer?
e.g. carcinogens, some viruses
65
How are genes responsible for cancer?
Genes – cell cycle progression, cell growth, cellular adhesion.
66
What does a proto-oncogene do?
help cells grow and divide to make new cells, or to help cells stay alive
67
What does a protooncogene become once it mutates?
an oncogene.
68
What do tumour-suppressor genes do?
halt uncontrolled cell growth Responsible for: DNA repair, cellular adhesion, cell cycle control, cell death
69
How do oncogenes cause cancer?
amplify the signalling roles of proto-oncogenes
70
What is p53 and what does it do?
a barrier to cell cycle progression until certain events are completed. It does this by apoptosis.
71
What happens to p53 in cancer?
In cancer, P53 is not active, so cells cant die, since they don’t go through apoptosis.
72
What type of study is used to compare nature vs nurture?
Twin studies are used to compare nature vs nurture
73
How are twins used to determine nature vs nurture?
You can compare disease in separate twins. You can work out what proportion is nature and what proportion is nurture.
74
What is a meta-analysis?
A meta-analysis is combing a bunch of previously found research data .
75
What did a meta-analysis on twins conclude on the argument of nature vs nurture?
A meta-analysis of twin studies (14 million pairs of twins), 17804 traits, 2748 published papers – finds that genetics accounts for 50% of differences and the environment also 50%