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Cytogenetic analysis of cells from retinoblastomas showed that the region around
chromosome _____ often had an abnormal structure
13q14
The Rb protein is ______ in rapidly proliferating cells at S or
G2 of the cell cycle, but is _________ in non-proliferating cells in G0 of G1 of the cell
cycle.
b
hyperphosphorylated
hypophosphorylated
The hypophosyphorylated form of the RB protein functions to ____
repress cells into the S phase
RB protein is an oncogene or tumor suppressor?
TS
What phosphorylates the RB protein?
CDKs
The RB protein is a target for many animal tumor viruses such as
SV40 and HPV
viruses drive a quiescent cell into the S phase
of the cell cycle and to proliferate by producing a viral protein(s), SV40 T antigen (T stands for
transforming) or HPV E7 protein, that binds to and inactivate the RB protein.
The ____ gene is a tumor surpessor in Familial Adenomatous Polyposis (FAP)
APC
Incidence of FAP
1/10,000
The APC gene is on chromosome ___
5q
The APC gene encodes a cytoplasmic protein that regulates the localization of ____-
beta catenin
beta catenin is kept at the plasma membrane by being bound to ___ in normal cells
E-cadherin
When the APC is lost in FAP patients, ________________.
Beta-catenin goes to the
nucleus to produce transcription of oncogenes like c-myc
ICF and ECF: Na+
ICF: 14 mM
ECF: 140 mM
ICF and ECF: K+
ICF: 145 mM
ECF: 5 mM
ICF and ECF: Cl-
ICF: 5 mM
ECF: 145 mM
ICF and ECF: A-n
ICF: 126
ECF: 0
ICF and ECF: H20
ICF and ECF: 55,000 mM
Osmolarity
the total concentration of solute particles: for example, a 1 M solution of CaCl2 gives a 3 osM solution (3 solute particles/molecule dissolved).
Nernst equation
E=-60/(valence elections)*log([ ]o/[ ]i)
Driving force of an ion
difference between Vm and Eion
3 SNARE proteins
VAMPs
Syntaxin
SNAP25
Structure of VAMPs
transmembrane domain at one end with a helical domain in it
Structure of Syntaxin
transmembrane domain with helical domain
Structure of SNAP25
No TM domain, two helical domain, fatty acid binding region that acts like a membrane binding domain
All vesicles contain _____, while all target membranes contain _______ and ______.
VAMPs
Syntaxin and SNAP25
Enzyme that regulates dissociation of SNARE proteins
NSF protein (hexamer that uses 6 ATP to for a barrel and twist)
Refolding of syntaxin is mediated by ____
Sec1
Main primary active transporters
NA/K
CA++
H+
Two basic types of secondary active transporters
Cotransporters- same direction
Antiport or exchange- opposite direction
Examples of cancers inherited in autosomal dominant fashion
Familial adenomatous polyposis
familial retinoblastoma
Familial breast and ovarian cancer
Wilms tumor syndromes
Examples of cancers inherited in autosomal recessive fashion
xeroderma pigmentosa
ataxia-telangiectasia
bloom’s syndrome
Fanconi’s anemia
Function of HPV E7 protein
bind and inactivate the RB protein
Sporadic cases of retinoblastoma are usually ______
unilateral
unlikely to occur in both retinas
BRCA2 is allelic with _____
the Fanconi’s anemia D1 gene, FANCD1
“Hotspots” in p53 mutations
Certain p53 point mutations are found more frequently than others in human cancers. These mutations are called “hotspots
Viruses that inactivate p53 (and also Rb)
Adenovirus E1B
HPV E6
The retroviral RNA genome consists of ______
two identical strands held together by a tRNA molecule
In a retrovirus: gag encodes for \_\_\_ env for \_\_\_\_ pol for \_\_\_\_\_ v-onc
internal virion proteins
virus membrane glycoproteins
virus polymerase
v-onc gives ability ro rapidly proliferate and form tumors
4 examples of v-onc’s
v-src: rous sarcoma virus
v-erb: avian erythroblastosis virus
v-abl: Abelson leukemia virus
v-myc: usually fused to gag gene, neoplastic transformation of cells
The products of oncogenes typically mimic
hormones or growth stimulating factor
The proto-onc or c-onc genes are involved in _______. What type of changes are responsible for these effects?
The proto-onc or c-onc genes are involved in spontaneous malignancies that have nothing to do with a retrovirus.
Either quantitative changes (too much protein) or qualitative changes (overactive or unregulated protein) in the proto-oncogene are responsible for these effects.
Difference between c-src and v-src
c-src has a different carboxy-terminal amino acid sequence that v-src and has numerous introns that do not exist in v-src
Difference between c-myc and v-myc
c-myc also has many introns not present in v-myc, although the coding sequences are nearly identical (7 amino acid changes
Human bladder cancer mutation
c-ras
Oncogene found in neuroblastomas
N-myc
Oncogene that codes for an integral membrane protein kinase that is amplified in about 20% of breast cancers
erbBw or HER2/neu
monoclonal antibodies specific for the protein product of the HER2/neu/erbB2 oncogene
Herceptin
Why do drugs that inhibit “normal” cellular proteins (c-myc, c-abl, etc.) kill only the cancer cells?
cancer cells but not normal cells have become dependent or “addicted” to the overexpressed oncogene. This referred to as “oncogene addiction
Diagnostic criteria for LFS (3)
- A probandwith a sarcoma diagnosed before 45 years of age AND
- A first-degree relative with any cancer under 45 years of age AND
- A first-or second-degree relative with any cancer under 45 years of age or a sarcoma at any age
How do you test for LFS?
Direct sequencing of p53 (either only hotspots or entire gene)
The major causes of death in patients with VHL are_______ and________
Metastatic RCC
CNS hemangioblastomas
Von Hippel-Lindau disease is classified based on presence or absence of _________ and type of ___________.
Pheochromocytoma (adrenal gland tumor)
VHL mutation
Type 1 VHL disease is due to ____
total or partial loss of VHL
Type II VHL disease is due to
VHL missense mutation
VHL chromosomal location
short arm of chromosome 3
Actions of VHL protein
Regulation of HIF
suppression of aneuploidy
maintenance of primary cilia
stabilization of macrotubules
HIF-alpha is hydroxylated by
proline and asparagine hydroxlase
Hydroxylated HIF-alpha is___
ubiquinated by WT VHL and undergoes proteosomal degredation
When VHL is mutated HIF ____ and activates ____ (4)
accumulates
VEGF, PDGF, TGF alpha and Beta
3 classes of lipids in a membrane
phospholipids
sphingolipids
cholesterol
Two important properties of channels
- most are selective
2. some channels contain molecular gates
The “patch clamp” technique is used to _____
see individual ion channels at work
molecules can cross membranes through _____ or ______
channels or transporters
3 mechanisms to solve problem of volume contro (due to movement of water)
- make cell impermeable to water
- build a strong wall around cell
- balance the osmotic force osmotically
What does the Van’t Hoff equation tell you?
quantitative relationship between osmotic suction and the pressure one has to exert in order to balance it
Solution that makes a cell shrink
hypertonic
Solution that makes a cell swell
hypotonic
Time course of volume change when immersed in 600 mosM glycerol (+) with 300 Anion in cell
Cell will initially shrink but will later fill with water and burst
What does the Nernst equation tell you?
Equilibrium potential
What does the membrane potential depend on?
Relative permeability
What is the driving force of a cell?
the difference between Vm and Eion
Causes of hyperkalemia
Injuries that disrpt cell membranes
attack of red blood cells
Diagnosis of hyperkalemia
EKG to detect arrhythmias
Treatment of acute hyperkalemia
C BIG K
Calcium, Bicarbonate, Insulin + Glucose, Kayexalate
What does Kayexalate do?
Ion exchanger- gives up sodium for potassium ions
In regards to Inflammatory Bowel disease, smokers are at increased risk for ______
Crohn’s disease
In regards to IBD, former smokers and nonsmokers are at increased risk for_____
ulcerative colitis
Fistulas are ____ in Crohns but ____ in UC
common
rare
Inflammation is _____ in Crohn’s and _____ in UC
transmural
mucosal
Pattern in Crohn’s vs. UC
discontinuous vs continuous
Hematochezia (blood in stool) is ____ in Crohn’s but ____ in UC
rare
common
Location of Crohn’s vs. UC
Ileum vs Rectum
Mechanism of insulin release
: glucose enters the cell through the GLUT2 transporter, undergoes glycolysis, leading to an increase in the intracellular ATP to ADP ratio. This change closes the ATP-sensitive potassium channel, preventing outward leak of potassium ions. The resultant buildup of intracellular potassium (because there are other sodium/potassium channels actively antiporting against the gradient) depolarizes the membrane, activating a voltage-gated calcium channel and leading to calcium influx. The increased intracellular calcium ion concentration leads to exocytosis of preformed insulin-containing secretory granules
Half life of insulin
5 minutes
Two cardinal sins of DKA management
Prematurely stopping insulin infusion
Failing to use enough dextrose
How does dehydration occur in DKA?
Excess glucose in filtrate-> kidney cannot absorb as much water
Mechanism of potassium depletion in DKA
aldosterone released in response to dehydration-> sodium is retained at the expense of potassium ions