Special Topics Flashcards
GAGs are made of alternating
Acidic sugar (glucuronic acid/iduronic acid) Amino sugar (n-acetylglucosamine/galactosamine)
All GAG are covalently attached to proteins to form proteoglycans except
Hyaluronic acid
GAG linked to proteins via?
Trihexoside serine-o-glycosidic bonds
GAGs
With structural role in sclera
Dermatan sulfate
GAGs
Role in corneal transparency
Keratan sulfate and dermatan sulfate
Glycoproteins: Major classes (3)
O linked
N linked
GPI linked
Glycoproteins:
Bound to serine and threonine
Golgi
Hydroxyl group
O-linked
Glycoproteins:
Bound to asparagine
Amide group
ER
N-linked
Glycoproteins:
O-linked in fertilization
ZP3
Deficient phosphorylation of mannose residues in N-linked glycoprotein enzymes –> no labelling of pre-enzymes so that they can be transported to lysosomes
Presents with coarse facial features, skeletal abnormalities, severe psychomotor impairment
I-cell disease
Glycoproteins:
In influenza virus, these allows new viruses to exit the cell
Neuraminidase
Glycoproteins:
HIV type 1:
Used to attach to cell?
Used to fuse with the host?
GP 120
GP 41
Glycoproteins:
Disease associated with an altercation in the glycosylation of IgG; no galactose in Fc; ends in GlcNAc; IgM attacks IgG
Rheumatoid arthritis
Attachment is mediated by a GPI present on the surface of its parasite
Malaria
GAG found in synovial fluid, vitreous humor, and loose connective tissue
Hyaluronic acid
Sugars in Hyaluronic acid
GlcNAc, GlcUA
GAG found in cartilage, bone and cornea
Chondroitin sulfate
Sugars found in Chondroitin sulfate
GalNAc, GlcUA
GAG in cornea and loose connective tissue
Keratan sulfate
Sugars in Keratan sulfate
GlcNAc, Gal
GAG in mast cells
Heparin
Sugars in Heparin
GlcN, IduA
GAG in skin and aortic wall
Heparan sulfate
Sugars in Heparan sulfate
GlcN, GlcUA
GAG found in wide distribution
Dermatan sulfate
Sugars in dermatan sulfate
GalNAc, IdUA
MPS Disease:
Deficiency and findings:
Alpha l iduronase
Corneal clouding
Type I H
Hurler’s
MPS Disease:
Deficiency and findings:
Alpha l iduronase
Cardiomyopathy
Mental retardation
Type I S
Scheie’s
MPS Disease:
Findings:
Spasticity then loss of motor function
Mental retardation
Hyperactivity
Type III
San Filippo syndrome
4 enzymes in San filippo syndrome?
Heparan sulfamidase
N-acetylglucosaminidase
N-acetylglucosamine sulfatase
N-acetylglucosamine
MPS Disease:
Deficiency and findings:
Iduronate sulfatase
NO corneal clouding
Cardiomyopathy
Mental retardation
Type II
Hunter syndrome
MPS Disease:
Deficiency and findings:
Galactose 6 sulfatase
No CNS involevement
Skeletal dysplasia and short stature
Type IV
Morquio’s syndrome
MPS Disease:
Deficiency and findings:
B-glucuronidase
Corneal clouding
Hepatomegaly
Skeletal dysplasia and short stature
Mental retardation
Type VII
Sly syndrome
Glycoprotein vs proteoglycan
Which is longer, linear and with repeating sugar units?
Proteoglycans
Glycoprotein vs proteoglycan
Which is shorter, branched, with no repeating sugar?
Glycoprotein
Average daily nutrient intake level estimated to meet the requirement of 50% of healthy individuals in a particular life stage and gender group
Estimated average requirement
Average daily dietary intake level that is sufficient to meet the requirements of 95% of all individuals in a life stage and gender group
Recommended dietary allowance
Set in the absence of scientific evidence to compute for EAR or RDA
Adequate intake
Highest average nutrient intake level to pose no risk of adverse health effects
Tolerated upper intake level
Estimated energy requirement:
Sedentary?
Moderately active?
Very active?
30-35-40 kcal/kg/day
Energy requirement:
Fat?
CHO?
Protein?
Energy requirement:
Fat? 20-35%
CHO? 45-65%
Protein? 10-35%
Energy content:
Fats?
CHO/Proteins/Ketones?
Alcohol?
Energy content:
Fats? 9 kcal/g
CHO/Proteins/Ketones? 4 kcal/g
Alcohol? 7 kcal/g
How is energy used?
BMR?
Diet induced thermogenesis?
Exercise?
How energy is used?
BMR? 60%
Diet induced thermogenesis? 10%
Exercise? 30%
Kwashiorkor vs Marasmus >1 year old Stunting With edema Very low plasma protein With fatty liver, skin lesions and depigmented hair
Kwashiorkor
Kwashiorkor vs Marasmus <1 year old Stunting and extreme wasting Without edema Normal plasma protein With anemia
Marasmus
Vitamin A
3 forms?
Retinoic acid
Retinol
Retinol
Vitamin A Functions? Retinoic acid Retinol Retinol
Retinoic acid - epithelial growth regulators
Retinol - gametogenesis in gonads
Retinol - rod and cone cells for vision
Vitamin A
Storage form?
Transport form?
Vitamin A
Storage form? Retinyl ester
Transport form? Retinol binding protein
Vitamin D
3 forms
Ergocalciferol (D2) - plant, milk
Cholecalciferol (D3) -animal, skin
Calcitriol
Vitamin D
Precursor?
Storage form?
Transport form?
Vitamin D
Precursor? 7 dehydrocholesterol
Storage form? 25 OH D3
Transport form? 1,25 OH D3
PTH vs Vitamin D:
Increases PO4
Increases intestinal absorption of calcium
Vitamin D
PTH vs Vitamin D:
Decreases PO4
Indirectly Increases intestinal absorption of calcium
PTH
Vitamin Deficiency in:
RBC fragility
Neurologic dysfunction
Vitamin E
Vitamin toxicity in: Hyperkeratosis Hepatomegaly Pseudotumor cerebri Fractures Teratogenicity
Vitamin A
Vitamin K
3 forms
Phylloquinone (K1)
Menaquinone (K2)
Menadione (Synthetic)
Vitamin K toxicity?
Jaundice + hemolytic anemia
Vitamin K deficiency?
Rare
Hemorrhagic disease of the newborn
Water soluble vitamins generally nontoxic except:
B6
B12
Glycosphingolipids in ABO system?
A: N-acetylgalactosamine
B: Galactose
AB:Both
Cofactor in:
Proline and lysine hydroxylation (collagen synthesis)
Dopamine B hydroxyoase (dopa to norepi)
Fe3+ to Fe2+
Vit C
Biotin Carboxylation reactions
Pyruvate - gluconeogenesis
Acetyl coa - FA synthase
Propionyl coa - FA
Vitamin Def:
Avidin in eggwhites
Dermatitis
Enteritis
Biotin
Vit Def:
Megaloboastic anemia with no neuro symptoms
Neural tube defects
Folic acid (B9)
Folic acid (B9) supplementation in pregnant mothers
400 mcg daily
Folic acid structure:
Pterin ring + PABA + glutamate residues
Folic acid:
Active form:
THF
Folic acid:
Enzymes:
PABA to DHF
DHF to THF
Dihydropteroate synthase
Dihydrofolate reductase
Vitamin functions as: Coenzyme for 1-carbon transfer Methylation reaction (purine and thymine synthesis)
Folic acid (B9)
Vitamin B12 active forms:
For methionine synthesis?
For isomerization reactions?
5-deoxyadenosylcobalamin
Methylcobalamin
Vitamin deficiency in: Pernicious anemia Neuropsychiatric sx Schillin test as Dx Anti IF as Dx
Cobalamin
Active form of B6
Pyridoxal phosphate
Vitamin as coenzyme for:
AA transamination Glycogen phosphorylase Cystathione synthase ALA synthase Niacin synthesis from tryptophan
Pyridoxine (B6)
Vit def in:
Isoniazid toxicity
Pyridoxine
Pyridoxine toxicity
2g/day
Vitamin as constituent of Coenzyme A
Acyl transfer & FA synthase
Panthothenic acid
Vit def sx:
Dermatitis
Enteritis
Alopecia
Panthothenate
Riboflavin active forms
FMN
FAD
Vitamin as cofactors in redox reactions as electron carrier
Riboflavin
Deficiency symptoms: Stomatitis Cheilosis Dermatitis Corneal revascularization
Riboflavin
Niacin active forms
NAD
NADP
Vitamin as coenzymes in redox reactions, as electron carriers
Niacin
Derived from tryptophan using B6
Niacin
Niacin deficiency
Pellagra Hartnup (dec tryptophan absorption) Carcinoid syndrome (inc tryptophan metabolism) Isoniazid use (dec vit b6)
Cofactor in pyruvate, alpha ketoglutarate and branched chain AA dehydrogenase
Cofactor in transketolase reactions in the HMP shunt
Thiamine
Dry vs wet beriberi:
No heart failure, polyneuritis, symmetrical muscle wasting
Dry
Wet beriberi
High output cardiac failure
Grams of iron in the body
3-4 g
2/3 of iron in:
Hemoglobin
Grams of zinc
1.5 to 2.5 g
Constituent of: Carbonic anhydrase Cytoplasmic superoxide dismutase Alcohol dehydrogenase Carboxypeptidases DNA and RNA polymerase
Zinc!
Diet: meats, nuts, beans, wheat germ
Zinc!
Dermatitis, diarrhea, alopecia secondary to zinc malabsorption
Acrodermatitis enteropathica
Grams of copper
80-110 g
Enzyme cofactor: Cytochrome oxidase Dopamine b hydroxylase Monoamine oxidase Tyrosinase Delta 9 desaturase Lysyl oxidase Cytoplasmic superoxide dismutase
COPPER!
Microcytic hypochromic anemia Leukopenia Hemorrhagic vascular changes Bone demineralization Hypercholesterolemia Neurologic problems
COPPER!
TPN and infants
Vit def?
COPPER!
X linked recessive
Deficiency of ATP dependent membrane transporter for copper
Growth retardation, mental deficiency, seizures, arterial aneurysm, bone demineralization, brittle hair
Menkes Syndrome
Hepatolenticular degeneration
Biliary excretion of copper is blocked, with accumulation at liver and brain
Wilson Disease
Found in Wilson disease
Kayser fleischer rings
Tx for Wilson disease
D-penicillamine
Trace element which causes madness (psychosis, parkinsonism)
Manganese
Occurs in few oxidase enzymes like xanthine oxidase
Molybdenum
Def causes cardiomyopathy (endemic in china)
Selenium (Kashan disease)
Trace element in glutathione peroxidase
Selenium
Xenobiotics
Phase 1
Hydroxylation
Xenobiotics
Phase 2
Conjugation