S3) DNA Repair & Cancer Flashcards

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1
Q

What is DNA Replication stress?

A

DNA replication stress is inefficient replication that leads to replication fork slowing, stalling &/or breakage

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2
Q

Identify 3 causes of DNA replication stress

A
  • Replication machinery defects
  • Factors hindering replication fork progression
  • Defects in response pathways e.g. helicases
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3
Q

Nucleotide misincorporation is a replication machinery defect.

What causes it?

A

Defects in 3’ to 5’ exonuclease capacity of DNA polymerases

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4
Q

Repetitive DNA is a replication fork hindrance.

What causes it?

A

Replication fork slippage:

  • Resulting in insertion
  • Resulting in deletion
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5
Q

The effects of replication fork slippage can be seen in trinucleotide repeat disorders.

Identify and describe and example of this

A

Huntington’s disease where triplet repeat expansion leads to neurodegeneration

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6
Q

What is Huntington’s disease?

A

Huntington’s disease is an inherited neurodegenerative disease, affecting mostly basal ganglia and leading to the degeneration of voluntary motor functions, procedural learning, routines, cognition and emotions

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7
Q

What is significant about the CAG repeats in Huntington’s disease?

A
  • Normal gene: 6–39 repeats
  • Disease gene: 35–121 repeats
  • Number of repeats is inversely correlated with age of onset
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8
Q

State the pattern of inheritance of Huntington’s disease

A
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9
Q

Describe the molecular basis for Huntington’s disease

A
  • Mutant protein accumulates and aggregates in neurons
  • Mutant protein disrupts various cellular processes & functions, leading to cell dysfunction and death
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10
Q

In Huntington’s disease, death usually occurs 15-20 years after symptoms begin.

Identify 5 symptoms

A
  • Irritability
  • Depression
  • Small involuntary movements
  • Poor coordination
  • Difficulties speaking/swallowing
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11
Q

What is the Werner protein?

A

The Werner protein is a helicase that is important during DNA replication

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12
Q

What is Werner Syndrome?

A

Werner syndrome is a clinical condition involving mutations in the WRN gene leading to DNA replication defects, DNA damage and ultimately, cell growth defects

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13
Q

State the pattern of inheritance of Werner Syndrome

A
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14
Q

In Werner Syndrome, patients prematurely display features associated with normal ageing.

Identify 5 other symptoms

A
  • Cataracts
  • Skin ulcers
  • Type II diabetes
  • Atherosclerosis
  • Osteoporosis
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15
Q

Identify the two main forms of DNA damage and their resulting effects

A
  • Genomic mutations: Huntington’s disease & cancer
  • Cell growth inhibition: ageing
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16
Q

Identify 5 ways in which cells can respond to DNA damage

A
  • Apoptosis
  • Senescence
  • Cell death
  • Cell cycle transitions
  • Transcription
17
Q

Identify 4 exogenous forms of DNA damage

A
  • Ionising radiation
  • Anti-cancer agents
  • Alkylating agents
  • UV light
18
Q

Identify 2 endogenous forms of DNA damage

A
  • Free radicals
  • DNA replication erros