Trigger 10: Genetics and obesity diseases Flashcards

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1
Q

the human genome is made up of how many bases

A

3000 million

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2
Q

how many types of letters

A

4

A, T, C,G

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3
Q

variation is caused by the difference in

A

bases between person to person

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4
Q

Monogenic disease occur when one or two bases (in the same gene)

A

are mutated and inherited from one or both parents

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5
Q

inherited by one parents

A

heterozygous

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6
Q

inherited by both parents

A

homozygous

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7
Q

monogenic diseases are related to mutations in how many genes

A

1

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8
Q

morbidity and mortality in the 21st century is a results of

A

genetic and environmental factors

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9
Q

name an environmental factor

A

driving

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10
Q

name a genetic factor

A

cystic fibrosis

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11
Q

the majority of mortality and morbidity are

A

non-communicable diseases such as diabetes, heart disease and cancer which are caused by a mixture of genes and environment

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12
Q

single DNA change cause disease and result in a

A

mendelian pattern of inheritance

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13
Q

autosomal dominant disease

A

presence of one mutated allele is sufficing too cause disease (50% chance offspring will have disease too)

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14
Q

indel mutations lead to

A

frameshifts

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15
Q

framshifts

A

change the reading frame of codons, meaning codon sequences change

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16
Q

when codon sequences change

A

so do the amino acids which are coded–> deleterious effect on proteins

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17
Q

missense mutations

A

point mutations in which a single nucleotide change results in a codon that codes for another amino acid

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18
Q

changes ina mino acids

A

can change the structure of whole protein

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19
Q

change in amino acids can cause

A

disease e..g CF

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20
Q

CF is caused by a

A

sigle gene disorder, meaning inheritance follows a mendelian -recessive inheritance

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21
Q

recessive inheritance

A

causes disease when both alleles are mutated

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22
Q

who are at increased risk of autosomal recessive diseases

A

children from consanguineous marriages

- more recessive alleles in the population

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23
Q

what is associated with severe early -onset obesity

A

large, rare chromosomal deltetions

24
Q

give an example of a disease caused by large rare chromosomal deletion

A

Prader-Willi

25
Q

Prader- willi is a

A

rare disease- few children have it

26
Q

Prader- will causes

A

children to over eat

27
Q

16p.11.2

A

16p11. 2 deletion syndrome is a disorder caused by a deletion of a small piece of chromosome 16.
- The deletion occurs a location designated p11.2.

28
Q

where does the deletion occur on chromosome 16

A

p11.2

29
Q

large deletions at 16p.11.2 cause

A

children to have higher BMIs than their unaffected counterparts

30
Q

name some rate mutations which cause obesity (4)

A

1) Leptin
2) LEPR
3) POMC
4) MC4R

31
Q

LEPR

A

leptin receptor

32
Q

mutations in:

1) Leptin
2) LEPR
3) POMC
4) MC4R

cause…

A

changes in food intake and energy expenditure

33
Q

mutations in MC4R cause

A

changes in food intake and energy expenditure

- severe childhood obesity

34
Q

MC4R stands for

A

melanocortin 4 receptor

35
Q

what produces leptin

A

adipose tissue

36
Q

during periods of fasting

A

leptin levels fall

37
Q

release of leptin during fasting triggers

A

a set of responses in the brain which restore energy balance e.g. find food source

38
Q

where does leptin act

A

on neurones whiten the hypothalamic arcuate nucleus

39
Q

the hypothalamic arcuate nucleus

A

is a primary sensor of alteration in energy stores

40
Q

during fasting a fall in leptin causes

A

neurones expressing agouti related peptide (AgRP) to increase food intake

41
Q

at the same time as stimulating AgPR, leptin also

A

inhibits POMC

42
Q

POMC neurones

A

stop you form eating

43
Q

how do POMC neurones stop you from eating

A

by reducing the amount of a-MSH (melanocytes stimulating hormone)

44
Q

a-MSH

A

melanocytes stimulating hormone

45
Q

melanocytes stimulating hormone

A

apetite supressant

46
Q

POMC and AgRP neurones are

A

integrated by second order neurones which express melanocortin- 4 receptors

47
Q

fasting leads to an increase in

A

food intake which restore energy balance due to a decrease in leptin stimulating AGRP which increases appetites and inhibiting POMC which inhibits apppetite

48
Q

leptin mutations cause

A

severe obesity in children

49
Q

individuals with leptin mutations

A

live in a perceived state of starvation- so become fat

50
Q

low leptin inhibits

A

POMC which usually stops us eating

51
Q

low leptin stimulates

A

AGRP which increases appetite

52
Q

giving children leptin can

A

enhance weight loss

53
Q

high leptin stimulates

A

POMC- causes you to stop eating

54
Q

high leptin inhibit

A

AGRP- stop you from eating

55
Q

Leptin

A

Leptin suppresses food intake and thereby inducing weight loss.