The molecular basis of some neurodegenerative diseases Flashcards

1
Q

what is genetic anticipation

A

for familial diseases, the disease onset become earlier with each generation and the symptoms become more severe. Found in neurological diseases with common in trinucleotide repeats

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2
Q

name some trinucleotide repeat disorders

A
fragile X
huntingtons
spinobulbar muscular atrophy 
spinocerebellar ataxia
myotonic dystrophy
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3
Q

what parts of the brain are most affected in huntingtons

A

striatum

caudate and putamen

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4
Q

what is the genetic repeat in huntingtons

A

CAG, which codes for glutamine, hence a polyglutamine tract in the coding region causes an altered protein

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5
Q

what is the effect of polyglutamine tracts in Huntington gene

A

protein misfolds and aggregates, creating inclusion bodies

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6
Q

what are the features of fragile X

A

mild to moderate learning disability
single gene disorder on X chromosome
males twice as likely as females (x linked dominant)

Long face - prominent forehead & jaw
Mitral valve prolapse
ADD
autistic like behaviours

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7
Q

what are the inheritance features of fragile X

A
FMR1 CGG repeat 
trinucleotide expansion 
involves 'premutations'
found in non coding region 
transcriptional silencing (down regulation of a gene)
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8
Q

describe the FMR1 protein

A

highly expressed in neurons

regulates mRNA translation in dendrites

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9
Q

what are the features of myotonic dystrophy

A
gradually worsening muscle loss and weakness. Muscles often contract and are unable to relax. 
cataracts, 
intellectual disability,
heart conduction problems.
autosomal dominant 

displays genetic anticipation (classical and congenital forms, depending on number of repeats)

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10
Q

describe the implications of amyloid precursor protein in alzeimers

A

abnormal cleavage of amyloid precursor protein leads to excess amyloid accumulation

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11
Q

what disease are presenilin 1 and 2 associated with

A

early onset Alzheimer’s disease

affects gamma secretase enzyme complex

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12
Q

what is the function of apolipoprotein E

A

cholesterol transport and clears amyloid B

break down might generate toxic products

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13
Q

what possible treatments could be used for alzeimer’s in the future

A
secretatse inhibitors
prevents phosphorylation of tau
aggregation inhibitors
statins 
immunisation
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14
Q

name some prion diseases (transmissible spongiform encephalopathy)

A

creutzfeld jakob disease
kuru
fatal familial insomnia

may be inherited, sporadic or acquired

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15
Q

what is variant CJD

A

CJD from eating infected beef

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