Ocular Enzymes Flashcards

midterm 1

1
Q

ocular enzyme properties

A
  1. generates IOP
  2. maintenance of a clear cornea
  3. destruction of bacteria in precorneal tear film
  4. important in visual transduction process
  5. many other functions that support vision
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2
Q

Lysozyme

A

an enzyme located in the precorneal tear film, that breaks down the peptidoglycan layer of gram positive bacteria, causing the cell to lyse

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3
Q

lysozyme indicator

A

is an indicator of tear dysfunction, and can be indicative of dry eye

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4
Q

Lactoferrin

A

iron-binding glycoprotein, has a variety of antimicrobial activity

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5
Q

Na,K ATPase pump function for the eye

A

regulates corneal hydration, and a part of aqueous humor production

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6
Q

Na,K ATPase pump properties

A

coupled to ATP, pumps 3Na+ out, and 2K+ in, 2 beta and 2 alpha subunits, alpha is structural, alpha is channel and beta is structural

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7
Q

Ouabain

A

inhibitor of Na,K ATPase pump

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8
Q

Corneal Deturgescence

A

stroma receives water from GAGs, leading to excess water in the stroma, and then Na,K ATPase pumps out Na+ and water follows

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9
Q

edematous cornea

A

a Na,K ATPase dysfunction

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10
Q

Fuch’s endothelial dystrophy

A

decreased endothelial function, due to decreased number of Na,K ATPase pump sites, leads to corneal edema

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11
Q

Aqueous formation

A

aqueous humor is formed by the ciliary body and reaches the posterior chamber

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12
Q

Na,K ATPase: aqueous formation

A

in nonpigmented epithelial cells of the CB, a surplus of Na+ ions are pumped into the posterior chamber, causing water to flow with it

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13
Q

carbonic anhydrase: aqueous formation

A

bicarbonate aids in active ion transport to the posterior chamber

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14
Q

CAI drops

A

inhibits carbonic anhydrase, leading to less aqueous humor production and lower IOP

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15
Q

MMPs functions

A

growth and development, tissue maintenance, tissue reformation/deterioration

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16
Q

MMPs effect on ECM breakdown

A

determined by MMP:TIMP ratio

17
Q

MMP clinical presentations

A
  1. biomarker for DES
  2. remodeling of axial length in myopia
  3. destruction of corneal collagen following chemical burns
  4. glaucoma
18
Q

prostaglandin

A

common glaucoma drops, increase drainage from anterior chamber