Respiratory Channelopathies Flashcards

1
Q

How is cystic fibrosis inherited

A

autosomal recessive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What tissue does cystic fibrosis impact

A

epithelial tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What channels does cystic fibrosis affect

A

chloride ion transport channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is cystic fibrosis a disease of

A

electrolyte transport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where is the main impact of cystic fibrosis

A

airways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the most common symptom of cystic fibrosis

A

BLOCKAGE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a good marker for cystic fibrosis

A

salty sweat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Do carriers for cystic fibrosis exhibit symptoms

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What gene is mutated in cystic fibrosis

A

Cf gene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does the Cf gene code for

A

cystic fibrosis transmembrane conductance regulator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How many transmembrane spanning domains does the CFTR channel have

A

12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where does the regulatory domain of the CFTR channel sit

A

intracellularly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is located on the structure of the CFTR channel

A

2 nucleotide binding domains, regulatory domain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the importance of the nucleotide binding domains on CFTR

A

important for function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why are the nucleotide domains important for function

A

bind to ATP which regulates function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the most common mutation for cystic fibrosis

A

F508 - deletion mutation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the effect of class I mutations in cystic fibrosis

A

null production due to unstable mRNA

18
Q

Describe the effect of Class IV mutations in cystic fibrosis

A

conduction issue

19
Q

Describe the effect of Class III mutations in cystic fibrosis

A

Regulation issue

20
Q

Describe the effect of Class VI mutations in cystic fibrosis

A

High turnover of CFTR

21
Q

Describe the effect of Class II mutations in cystic fibrosis

A

trafficking issues

22
Q

Describe the effect of Class V mutations in cystic fibrosis

A

partial reduction in mRNA

23
Q

What are the effects of cystic fibrosis on the lungs

A

Mucous cant be cleared easily, bacterial infections are frequent

24
Q

What happens when cystic fibrosis patients have severe lung infections

A

inflammation, tissue degeneration

25
Describe the intracellular chloride concentration
high
26
Which membrane does CFTR sit on
apical
27
What does CFTR inhibit normally
ENaC
28
What is the effect of a CFTR mutation on ENaC
ENaC function increases
29
What is the effect of increased ENaC function
increased sodium absorption, sodium and water move into the cell
30
What happens when water is lost from the liquid layer on the apical membrane in the lungs
cilia bend, lose function, infections occur
31
Why is it thought that cystic fibrosis have a high prevalence in the population
protection against cholera
32
What are mucolytics
enzymatic drugs, break down mucous
33
What are the current treatments for cystic fibrosis
physio, bronchodilators, antibiotic steroids, mucolytics
34
What are the disadvantages of gene therapy as a treatment
challenging, poor success rate, expensive
35
Describe how gene therapy would work for cystic fibrosis
delivery of CFTR DNA to target cells, DNA transcribed into mRNA -> protein
36
What is a new approach for cystic fibrosis treatment
small molecule treatments
37
How do corrector treatments for cystic fibrosis work
force mutant CFTR proteins to the membrane
38
How do potentiator treatments work to treat cystic fibrosis
increase the open probability of CFTR channels
39
Example of a potentiator
Ivacaftor
40
When patients with cystic fibrosis were treated with Ivacaftor what was the effect on their symptoms
NO symptoms exhibited