Molecular Basis of Neurodegenerative Disorders Flashcards

1
Q

Name examples of diseases that can arise from unstable trinucleotide repeat disorders

A

Fragile X syndrome, Huntington’s disease, spinobulbar muscular atrophy, spinocerebellar ataxia

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2
Q

Describe features of Huntington’s disease

A

Autosomal dominant condition that presents midlife with motor abnormalities (chorea and dystonia), behavioural and psychiatric changes, gradual loss of cognition and ultimately death. Areas of brain affected are; striatum (most seriously) with atrophy of the caudate nucleus and putamen

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3
Q

What is the trinucleotide repeat in Huntington’s Disease?

A

CAG repeats which causes a protein with extra glutamine present. (polyglutamine in coding region) This results in protein misfolding, formation of aggregates and inclusion bodies.

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4
Q

What occurs with complete lack of the Huntington protein?

A

It is also harmful for health it is thought the role of the huntington protein is to transport proteins along the cytoskeleton

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5
Q

What is Fragile X syndrome and its phenotype?

A

Leading cause of mental impairment. It is a single gene disorder on the X chromosome. It presents with long faces (prominent forehead and jaw), mitral valve prolapse, mental impairment (IQ of 20-60), attention deficit/hyperactivity disorder and autism like behaviours.

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6
Q

What is the molecular basis behind fragile X?

A

Trinucleotide repeat (CGG) in the 5 prime non-coding region which causes transcriptional silencing and a reduction in the Fragile X Mental Retardation gene 1 (FMR1)

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7
Q

What is the function of FMR1?

A

Highly expressed in neurons and it regulates mRNA translation in dendrites. Normally supresses translation of proteins however in Fragile X it doesn’t supress the translation and so it results in increased protein synthesis. Pathway is initiated by signalling from glutamate

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8
Q

Describe the expansion mechanisms

A

The triple repeats can develop hairpin conformations which is where there is base pairing between pairs on the same DNA strand.

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9
Q

What is genetic anticipation?

A

A phenomenon in which the signs and symptoms of a genetic condition tend to become more severe and/or present at an earlier age as the genetic condition is passed down generations

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10
Q

What is the molecular basis for Alzheimer’s disease?

A
  • (FAMILIAL) APP mutations resulting in increased beta secretase cleavage and increased A beta peptides.
  • (FAMILIAL) Mutations in Presenilin 1 and 2 is also associated with early onset AD as they affect the activity of gamma-secretase enzymes.
  • In sporadic AD mutations in APOE, especially APOE4. Other genes involved are CLU, PICALM and CR1
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11
Q

What is the normal function of ApoE?

A

It is a cholesterol transport and clears Amyloid beta

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12
Q

What is the significance of TAU?

A

Tau stabilizes microtubules however in Alzheimer’s if becomes phosphorylated forming neurofibrillar tangles

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13
Q

What are Prion Diseases?

A
  • Transmissible spongiform encephalopathy; eg Creutzfeld-Jacob disease, fatal familial insomnia and kuru.
    • They are proteinaceous infectious diseases, an example of an infectious neuropathy
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14
Q

What is the molecular basis of prion diseases?

A

Conformational change of the bodys normal prion protein which will interact with the normal folded prion proteins and cause them to change conformation. There can then be neuron-to-neuron transmission of these mutated proteins.

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15
Q

What is the normal function of the prion protein?

A

Not sure but seen in synaptic membranes of neurons

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