Notes Flashcards

1
Q

Explain the concept of steric hindrance?

A

No free rotation around peptide bond.
C=O and N-H are in the same plane and the other 2 bonds in the peptide backbone can rotate.
This only allows for confirmations where the side chains don’t clash with the main chain.

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2
Q

How is DNA packaged?

A

Human genome consists of 3 x 10^9 base pairs of DNA with 23000 genes.
Nucleosomes are the lowest level of packaging and it causes 7 fold condensing of DNA - octamer wrapped by DNA in a left handed superhelix with linker DNA between histones.
Further packaging into 30nm fibre which creates 40 fold condensing of DNA.
In total, there is 10000 fold condensation.

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3
Q

How do enzymes work?

A

Substrate binds to active site, enzymes arrange substrates so bonds are strained via oxidation and reduction reactions.
Substrate is bent so it resembles the transition state - atoms rearranged geometrically and electronically so the reaction can proceed.

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4
Q

Replication fork proteins

A

Single strand DNA binding protein - prevents single stranded DNA from locally folding.
Sliding clamp - ensures DNA polymerase is in the correct place and prevents it from falling off.

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5
Q

DNA error frequency?

A

1 change per 10^9 base pairs.

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6
Q

Features of thalassemia?

A

Darkening of skin due to melanin overproduction and overstimulation.
Hemosiderosis (elevated iron absorption due to chronic anaemia).
Extramedullary haematopoiesis.
Hepatosplenomegaly/hepatomegaly.
Associated with endocrinopathies e.g. diabetes and thyroid disorders.

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7
Q

Gene knockdown

A

Decreasing amount of protein you get from a gene.

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8
Q

HDL vs LDL

A
HDL = good cholesterol, peripheral tissues to liver so lowers total serum cholesterol.
LDL = bad cholesterol, prolonged levels leads to atherosclerosis, liver to peripheral tissues, 40% of weight made up of cholesteryl esters.
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9
Q

Cholesterol in its storage form?

A

Acylated at Carbon-3.

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10
Q

Wobble base?

A

3rd base in a codon is highly variable so it’s called the wobble base.

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11
Q

Types of intracellular transport

A

Gated transport - e.g. nuclear transport through nuclear pores.
Transport across membranes - e.g. importing newly synthesised proteins into ER.
Vesicular transport - e.g. inter-organellar transport.

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12
Q

Define the 7 types of congenital abnormalities

A
Malformation = primary structural defect, usually involves a single organ showing multifactorial inheritance.
Disruption = secondary abnormal structure of an organ or tissue, caused by ischaemia/infection/trauma - not genetic although factors can predispose.
Deformation = abnormal mechanical force distorting a structure, occurs late in pregnancy, has a good prognosis because the underlying structure is normal.
Syndrome = consistent pattern of abnormalities with a specific underlying cause.
Dysplasia = abnormal organisation of cells into tissue, caused by a single gene defect.
Sequence = multiple abnormalities initiated by a primary factor.
Association = non-random occurrence of abnormalities but the cause is typically unknown, e.g. VACTERL association.
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13
Q

Features of Patau and Edwards syndromes

A
Patau = holoprosencephaly, heart defects, mental retardation.
Edwards = kidney malformation, digestive tract defects, heart defects, mental retardation.
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14
Q

Features of the genomic disorders

A

Di George syndrome = chromosome 22 TBX1 gene, most common microdeletion, cardiac abnormalities, thymic hypoplasia, hypocalcaemia.
Cri du Chat syndrome = microcephaly.
Charcot-Marie-Tooth disease Type 1A = microduplication of chromosome 17 PMP22 gene, muscle weakness, hypotonia, missing reflexes, foot deformities, lack of sensation in feet and arms.

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15
Q

What is Mendelian inheritance?

A

Process whereby individuals inherit and transmit to their offspring 1 out of 2 alleles present in homologous chromosomes.

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16
Q

Examples of autosomal dominant inheritance

A

Huntington’s Disease, Osteogenesis imperfecta, Familial hypercholesterolaemia, Achondroplasia.

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17
Q

Complications to simple Mendelian inheritance

A

Incomplete penetrance = symptoms not always present on individuals with the disease-causing mutation.
Variable expressivity = disease severity may vary between individuals with the same disease-causing mutation.
Phenocopy = same disease but different underlying cause.
Epistasis = interactions between disease gene mutations and other modifier genes can affect the phenotype.
Consanguinity = union between 2 individuals who are related as second cousins or closer.

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18
Q

How can cancer-causing agents affect oncogenes?

A

They can turn proto-oncogenes into activated oncogenes which override apoptosis.

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19
Q

Examples of pharmacogenomics

A

KRAs test for cetuximab with colorectal cancer (KRAs mutation means you’re less likely to respond).
EGFR test with gefitinib for non-small cell lung cancer (EGFR mutations means you’re more likely to respond).

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20
Q

Maternal serum screening markers

A

Serum unconjugated oestriol levels are used to assess Down’s risk.
Low alpha fetoprotein suggests Down’s, high alpha fetoprotein suggests neural tube defects.

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21
Q

What are gap junctions made up of?

A

They’re made up of clusters of pores formed from 6 identical subunits in the membrane.

22
Q

What is a polyp?

A

Adenoma which is formed when a cell in the colon mutates and causes dysregulated proliferation.

23
Q

What makes up the alpha helical regions of elastin?

A

Alanine and Lysine.

24
Q

What is the basement membrane?

A

Flexible and thin mats of ECM underlying epithelial sheets and tubes.

25
Q

Functions of the brain’s lobes

A
Frontal = executive functions e.g. personality.
Parietal = contains somatic sensory cortex so it processes tactile information.
Temporal = contains hippocampus (short term memory), amygdala (behaviour), Wernicke's Area (auditory perception and speech).
Occipital = processing visual information.
26
Q

Are action potentials decremental?

A

No, they are non-decremental so the size of the action potential is maintained throughout transmission.

27
Q

Sodium-potassium pump

A

Resting configuration - sodium enters vestibule and is transported through the protein upon phosphorylation.
Active configuration - sodium is removed from the cell and potassium enters vestibule.
Pump returns to resting configuration and potassium is transported back into the cell.

28
Q

4 families of proteoglycans

A
Basement membrane (e.g. perlecan).
Aggregating (interact with hyaluronan e.g. aggrecan).
Small leucine-rich (e.g. decorin).
Cell surface (e.g. syndecans 1-4).
29
Q

Motor unit and recruitment

A

1 motor unit = single motor neurone and all of its muscle fibres.
Recruitment = increasing the number of active motor units.

30
Q

Process of analysing bacteria

A

Stain with violet dye and iodine, rinse with alcohol and then stain with red dye.
Culture and microscopy, biochemical and serological tests, DNA techniques like PCR, sensitivities to antibiotics.

31
Q

CD

A

Clusters of differentiation markers for discrimination between lymphocytes.

32
Q

Effects of antibiotic resistance

A

Increased morbidity, mortality, length of hospital stay and cost.
This is due to requirement of additional approaches like surgery, expensive drugs, toxic drugs and less effective 2nd choice drugs.

33
Q

Examples of antibiotic resistance

A

Altered target site - Quinolones, Beta-Lactams (changing the PBP).
Inactivation - Beta-Lactams (acquiring gene for beta-lactamase).
Altered metabolism - Metronidazole (resistance associated with target amplification).
Decreased drug accumulation (Sulfonamide, Tetracycline).

34
Q

What is a transposon?

A

DNA sequence that can change position within the genome.

35
Q

How is melanin produced?

A

Melanocytes produce melanin in melanosomes which are packaged into granules, move down dendritic processed and are transferred to adjacent keratinocytes by phagocytosis. Melanin granules form a protective cap around keratinocyte nuclei to protect the DNA from UV damage.

36
Q

Important cytokines secreted by activated macrophages

A
IL-1 = alarm cytokine, fever.
TNF-alpha = alarm cytokine.
IL-6 = acute phase proteins, long distances.
IL-8 = chemotactic for neutrophils.
IL-12 = directs adaptive immunity and activates NK cells.
37
Q

Which complement component is the principle opsonin?

A

C3b

38
Q

How is the complement system controlled?

A

Components have very short half-lives.
Dilution of components in bodily fluids.
Specific regulatory proteins (C1 = circulating inhibitor, CD59 = membrane bound which interferes with MAC insertion).

39
Q

Types of T cell memory

A

Effector memory = memory local to the site of infection (CCR7- CD45RA-).
Central memory = go back to the spleen or lymph nodes, longer lasting but slower to activate response (CCR7+ CD45RA-).

40
Q

T cell exhaustion

A

CD8 pool exhausts over time to prevent excess damage but it can be a problem when the infection isn’t cleared e.g. HIV.
Cells start to activate PD1 programmed death receptors which makes it much harder to activate T cells.

41
Q

What are coagulative and caseous necrosis associated with?

A

Coagulative necrosis is associated with myocardial infarction - tissue retains structure but the substance changes (no nuclei).
Caseous necrosis is associated with pulmonary TB - necrotic area is granular.

42
Q

Causes of sudden unexpected death

A

Congenital disease, drugs, alcohol, trauma.
Cardiovascular disease.
Hypertensive heart disease and other cardiac causes (cardiomyopathy and structural/conducting abnormalities).
Vascular system.
Central nervous system.
Respiratory system (pulmonary embolus, asthma).

43
Q

Which parts of the HIV life cycle are targeted by treatment?

A

Nucleoside Reverse Transcriptase Inhibition = Zidovudine, Stavudine
Non-Nucleoside Reverse Transcriptase Inhibition (binds away from the active site of the enzyme) = Efavirenz, Viramune
Integrase Inhibition = Raltegravir
Entry Inhibition = Maraviroc, Enfuvirtide
Protease Inhibition = Atazanavir with Ritonavir

44
Q

What are Quasispecies?

A

Within a single infected person, you get slightly different genomes of a virus because they evolve whilst in the host.

45
Q

Antigenic drift and antigenic shift

A
Drift = gradual change in antigens over a period of time due to selection pressures exerted by antibodies, process of subtle changes.
Shift = new virus displaces previously circulating viruses, drastic changes.
46
Q

What are arboviruses?

A

Class of viruses transmitted to humans by arthropods e.g. Yellow Fever, Dengue, West Nile, Zika, Chikungunya.

47
Q

What are the three types of constituents in vaccines?

A

Antigen - stimulates immune response to target disease.
Adjuvant - enhances and modulates immune response.
Excipients - buffers, salts and proteins which maintain pH, osmolarity and stability of the vaccine.

48
Q

How have pathogenic bacteria evolved to avoid host defences?

A
Resist complement (by having a thick cell wall and capsule).
Resist antibodies (antibody protease and antigenic variation).
Resist phagocytosis (polysaccharide capsule, debilitate phagocytes, hide inside other cells).
Inhibit intracellular killing (escape from phagosome, block phagosome maturation).
49
Q

What does elevated LDH indicate?

A

Stroke, heart attack, liver disease, muscular injury, muscular dystrophy, pulmonary infarction.

50
Q

Examples of Zoonosis

A

MERS (Middle Eastern Respiratory Syndrome)
SARS (Severe Acute Respiratory Syndrome)
Both caused by coronavirus from bats

51
Q

How are T cells and macrophages activated?

A

T cell activation - requires antigen presented on MHC, costimulation (CD28-B7) and cytokine release.
Macrophage activation - via CD4+TCR, costimulation (CD40) and IFN gamma cytokine stimulation secreted from Th1.