Week 2 Flashcards

1
Q

• Outline the processes involved in DNA replication

A

• Enzymes that use DNA as a template move in 5’ to 3’ direction
• DNA strand opens up to form bubble, DNA polymerase comes in and forms a DNA strand from 5’ to 3’ direction toward fork (Y fork=tip where bubble ends)
• One one side it makes dna strand continuously (linking strand)and on other side it is done in pieces (lagging strand)
• Enzyme helicase opens dna strand by disccosiateidn gh bonds, primer synthesises a short piece of RNA that hydrolises onto strand of DNA to initiate synthesis as DNA polymerase needs double strand
• Primer also add hydroxyl group at 3’ as DNA polymerase can only elongate
• Exonuclause removes rna primer and DNA polymerase fills it in
DNA ligase joins -lagging strand- to form long piece of DNA

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2
Q

Describe the sequence of events that occur in transcription.

A
  • Gene expression is specific to a cell type via transcription profiles
    • DNA uncoils forming bubble where RNA polymerase uses DNA as a template to make complementary RNA strand
    • RNA has promoter region and coding region
    • Promotor region/transcription factor binding site where transcription factors bind which enables RNA polymerase to bind to TATA box start making RNA
    • 3 types of RNA polymerase I-rRNA, II-mRNA, III-tRNA
    • Once RNA polymerase is activated it makes a large amount
    • Processing RNA starts with addition of a 5’ CAP which protects RNA from being degraded from exonuclaese and important for translational initiation and then a 3’ poly A tail polyadenylation for export into cytoplasm and RNA stability
    • RNA Splicing introns are spliced out
    • Alternative splicing where whole exons may be spliced out which forms smaller protein due to cell deciding a certain domain isnt needed or it needs to form an inhibitor
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3
Q

Describe the sequence of events that occur in translation.

A

○ Occurs in cytoplasm
○ 3 parts
○ Initiation
§ mRNA enters and ribosome finds 5’ CAP and reads 3 nucleotides at a time-codon
§ Every RNA molecule starts with AUG-first aa is methionine- and tRNA binds via complementary pairing
○ Elongation
§ Amino acids link together via peptide bonds
○ Termination
§ Proteins released and further modified

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4
Q

• Outline the processes involved in DNA damage, proofing and repair

A

• Environmental factors resulting in mutations
○ UV-non ionsiing
○ Cross links T-C
○ Phosphate backbone breaks and results in translocation
○ Heat stress
○ Loss of purine bases-G/A
○ Mutagenic chemicals
○ Alkylation, hydrolysis, crosslinking, oxidation
○ DNA replication
○ Nucleotide Excision Repair=whole region is cut out and new dna is formed
○ Base Excision Repair =single base is removed and new one is ligated
○ Non homologus rejoining repairs via direct ligation
Homologous recombination is where undamaged strand is template to correct damage

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5
Q

• Summarise four levels of protein structure (1st)

A

○ Primary
§ Sequence of aa
§ Sense of direction with amino terminus and end with carboxyl terminus
§ Aa can be hydrophobic, hydrophilic or non charged influnces structure

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6
Q

Summarise four levels of protein structure (2nd)

A

Secondary
Protein folding involving h bonds
Form either alpha helices or beta pleated sheets
Alpha helices forms when H of carbonyl group bonds with h of amine grop and all side chains face outwards free to interact with other proteins
Beta pleated sheets form when 2 or more segments of polypeptide line up forming a sheet-like structure forming H bonds between carbonyl and amine group of backbone while side chains are exposed on both side of polypeptide

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7
Q

Summarise four levels of protein structure (3rd)

A

Tertiary
3d spatial organisation of proteins
Formed via itneractions of side chains (R groups)
H bonds with interactions of partial positive and negative charges,
ionic bonds of interactions between opposite charged side chains,
hydrophobic interactions which include non polar side chains clusters on the inside of protein and polar clusters of side chains on the outside
Disulfide bonds (special type of bond) covalent links between sulphur groups of cystein amino acids forming strong bonds usually safety pin-like structure

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8
Q

Summarise four levels of protein structure (4th)

A

Quaternary
For proteins with multiple polypeptide
Held together by non-covalent bonds, hydrogen bonds oor Vand der Waals forces all sub units cooperate to form final shape of protein and enable activity of protein

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9
Q

(STRUCTURE) Define the different types of proteins according to their structure and/or function.

A

§ Structural proteins
□ Make framework for cell shape and structure
□ Muscle proteins
® Form thick and thin filaments
® Their interaction form basis of contraction in presence of calcium and ATP
® Actin and myosin proteins important for contracting and relaxing
® Actin has helical secondary structures
® Trypomyosin (helicals structure forming a coiled domain) assists in actin contractions and troponin b
® Inds to tropomyosin and can form helical structures

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10
Q

(COLLAGEN) Define the different types of proteins according to their structure and/or function.

A

® Main structural proteins in Extracellular matrix
® 25% of toal protein
® Provide strength support and shape to tissues
® Mineralised as bone or non-mineralsied as cartilage or tendons
® 3 polypeptide chains forming triple superhelix structure stabilsied by hydrogen bonding
® More than 1000 mutations associated with disease
Eg osteogenesis imperfect (weak bones, irregular connective tissue)

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11
Q

(Cytoskeletal proteins) Define the different types of proteins according to their structure and/or function.

A

® Cytoskeleton, cilia, flagella
® Continually changing dynamic polymer structure
® Assmebles and disassmbles
® Important for cytokinesis, cell protection, motility, transport molecules, cell division, give cell shape, organelle organisation
® 3 types of main proteins actin filaments, microtubules, intermediate filaments
◊ Microfilaments made of actin monoers in doble helice structure
} In charge of movement, cell chape, transport, cytokinesis
◊ Intermediate filaments intermediate size
} In charge of cell shape, anchor organelles, nuclear lamina, cell-cell junctions
◊ Microtubule are largest of the filaments
} Made of tubilin
in charge of cell division, centrosomes transport of organelles and chromosomes and formation of flagella and cillia

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12
Q

(Histone in nucleus) Define the different types of proteins according to their structure and/or function.

A

Basic proteins rich in ammonia acids and arginine
Histone 2a and histone 2b link and H3 and H4 link forming a tetramers structure
In cells 2 tetramers structures get together and form an octamer structure
Around an octamer is 146 bases of DNA forming the nucleosome
Nucleosomes fold onto one another to form highly compact chromatin structure which folds again to form chromosome
2m of DNA in each cell
Histones maintain a + charge and basic, as DNA has - charge the electrostatic force attraction enables formation of nucleosome
Important for all DNA processes
Histones have the helix-turn-helix which is essential for binding to DNA

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13
Q

(immunity proteins) Define the different types of proteins according to their structure and/or function.

A
◊ Immunity proteins
						◊ Anitgens
							} Polypeptide, protein, polysaccharatides
							} Essential to activate antibody response
							} Types include (exogenous from outside, endogenous from inside due to metabolism or infection, autoantigen is self hurting-autoimmune tumour antigen and native antigen that is not processed)
						◊ Complement
							} Over 30 proteins
							} Involved in clearing invading pathogens
							} Activation cascade forming membrane attack complex
							} Results in cell lisis
						◊ Anitbodies
							} Identify and neutralise foriegn particles
							} 2 polpeptide chains form Y protein
							} Has carbohydrate attached
							} Trunk portion never changes but tip is variable that binds to antigen 
							} Vairable part has beta sheet structure
							} Different class of antibodies had different function (IgG, IgM, IgA, IgD and IgE)
						◊ Cytokines
							} Small proteins/peptides
							} Regulate immunity and inflammation and haemopoiesis
							} Made by helpatitit cells and macrophages
							} Generally act by binding to receptors
							} Associated with cancer and arthritis
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14
Q

(Transcription factors) Define the different types of proteins according to their structure and/or function.

A

◊ Sequence-specific DNA binding proteins that control transcription
◊ 1600 proteins for transcription factors
◊ Control activation or repression of genes
◊ As a dna binding domain and an activation domain that interacts with co factors that assist bringing rna polymerase to the dna repssors stop rna polymerase from coming
◊ All different shapes and sizes mostly helical structures
◊ Zinc finger structure-speicifc protein fold that has a finger like shape held via a Zn ion
◊ Many mutations in transcription factors eg diabetes, developmental disease and cancer

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15
Q

(coagulation proteins) Define the different types of proteins according to their structure and/or function.

A

Clotting factors=inactive zymogens
They are serine proteases that become activated and catalyse the next reaction in the cascate resulting in fibrin plug containing lots of enzymes with calcium

Coagulation protein types
Thrombin
Fibrinogen

Anticoagulations-prevent blood clots
Given to patients pron to clots and thus pron to strokes and heart attacks
These include warfarin, heparin and thrombin inhibitors
Coagulation and anticoagulation maintain homeostasis

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16
Q

CARRIER Describe the structure and list the functions of the cell membrane

A

Carrier protein
Only open to one side of membrane at once and move against concentration gradient using energy to change shape
It binds to substrate and undergoes reversible confromational change opening up to one side of cell to transport the molecule out

Channel protein-opens up hole of the membrane so it mayu transverse through membrane and enable a continuous opening
They allow polar molecules and lines to travel
They are gated and open in response to electrochemical gradient changes

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17
Q

ALBUMIN Describe the structure and list the functions of the cell membrane

A

Albumin is a transporter protein that maintains oncotic pressure (form of osmotic pressure) of plasma
Key carrier protein in the serum and most abundant in blood
It carries negative charge and combined cations and hydrophobic molecules such as steriod hormones and fatty acids
Has 3 large domains held together by disulfide bonds that from heart shape and mainly comprised of alpha helicals structures

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18
Q

CHANNEL Describe the structure and list the functions of the cell membrane

A

Channel protein-opens up hole of the membrane so it mayu transverse through membrane and enable a continuous opening
They allow polar molecules and lines to travel
They are gated and open in response to electrochemical gradient changes

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19
Q

PASSIVE Describe the active and passive processes that transport substances across the cell membrane.

A

• Passive transport-no ATP
○ Follow concentration gradient
○ Facilitated (carrier mediated)
○ The natural tendency of substances to move from high concentration to low concentration to maintain equal distributiuon
○ Simple Diffusion
§ Molecules pass through plasma membrane
§ Membrane has no influence of direction
§ Concentration gradient detect this
○ Facilitated diffusion
§ Large or charged molecules moved via membrane channel (water, water soluble molecules, ions) or carrier molecule (hydrophillic molecules, large molecules)
§ Concentration gradient determines the direction
§ No energy required
○ Osmosis
§ Diffusion of water across membrane
§ Maintain similar solute concentrations in ICF and ECF
§ Can simply diffuse or enter via aquaporins
Can pass at very high speeds up to 100,000,000 molecules per second in single file

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20
Q

ACTIVE Describe the active and passive processes that transport substances across the cell membrane.

A

○ Carrier mediated
○ Against concentration gradient
○ Primary active transport
○ Against concentration gradient
§ Phagocytosis (large particles engulfed)
Pinocytosis (ECF engulfed)
§ Exocytosis
Endocytosis (receptor mediated sometimes)
§ Transmembrane pumps using ATP to transport substances against concentration gradient
§ Eg proton pumps that moves protons against concentration gradient for ATP synthesis and Na+/K+ pump which drives action potential formation in nervous system
○ Secondary active transport
§ Not requiring ATP
§ Concentration gradient of one molecule provides energy for the transport of another against its concentration gradient
§ Transports 2 different molecules at once
§ Na/glucose cotransporter-transports free glucose in kidney
□ Exocytosis
® Release of digestive enzymes by the pancreas
® Movement of substances out of cell
® Transport vesicles in the cell migrate to the membrane, fuse with it and release contents to ECF
Examples include the release of neurotransmitters, secretion of enzymes and hormones and secretion of antibodies from plasma cells

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21
Q

Describe the events and processes of cell cycle in somatic cells.

A
Cell cycle
	• Interphase (¾ of cycle)
		○ Cell mainly exists here
		○ This is where it performs normal function
		○ Prepares if it wants to divide
		○ Can be indefinite
		○ Not actively focused on division
	• G1
		○ STEP BETWEEN DIVISION AND S phase
		○ Normal cell function 
		○ Generates organelles
		○ 8-12 hours
	• S
		○ Duplication
		○ Dna rpelication
		○ Histones and nuclear proteins
		○ 6-8 hours
	• G2 phase
		○ 2-5 hours
		○ Final protein synthesis
		○ Centriole replicates
	• G0
		○ Normal cell function 
		○ Not prepping for division
	• Mitosis
	• Prophase
		○ Early-DNA condolences, nuclaer membranes disapper
		○ Late-centrosome migrate to ends of cell
	• Metaphase
		○ Chromosomes align in centre
		○ Attach to microtubules by cetrosome
	• Anaphase
		○ Mucrotubules pull sister chromatids apart
	• Twlophase
		○ Nuclear membrane reform
		○ DNA uncoils
	• Cytokinesis
		○ Cytoplasmic division of daughter cells
	• Checkpoints
		○ G1-is DNA intact
G2-is replication of DNA properly
Ana and metaphase-spindle fibres properly attached
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22
Q

• Describe the events and processes of cell division in somatic cells MEIOSIS

A

• Meiosis 1
○ Prophase 1
§ Leptonema: diploid chromosome condense forming long thin threads, attach to nuclear envelope and individual chromatids not visiple
§ Zygonema: synapsis occurs as mother and father DNA line up and zip together to form tetrad
§ Pachynema: all chromosomes align and recombination of non sister chromatids align and exchanged material
§ Diplonema sister chromatids move away from each another and visible

		§ Diakinesis: condense chromosome, nuclear membrane detached, nuclear envoelpe disintregreates, sister chromatids join at centromere, non sister chromatids join at chiasmate
	○ Metaphase 1
		§ Spindle fiblres form
		§ Tertads line up on spindles on metaphase plate
		§ Centromeres from homolgous chrosms on opposite ends
		§ Random assortment iintroduces diversity (random ordered line up)
	○ Anaphase 1
		§ Chromosomes pulled apared
		§ Each cell has 1 of a pair of chromosomes with crossed material
	○ Telophase 1
		§ Nuclear division
		§ Cytoplasmic division
		§ Males it is equal
		§ Femal what larger cell becomes egg the smaller is a polar body and then is disintegrates
	○ Prophase 11
		§ Envelop disintegrages
	○ Metaphase 11
		§ Spindle fibres line up to chromosomes at plate
	○ Anaphase11
		§ Centroemeres split
		§ Sister chromatids pulled to opposite pulses
		§ Daughters not identical
	○ Telophase11
		§ Nuclear membrane forms around each set
		§ Ends with males-haploid cells with 22 chromosomes and X or Y
		§ Females 22 chromosomes and X and X
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23
Q

outline the processes of cell cycle regulation.

A

• Cyclins
○ Cyclin D levels increase at transcription so more protein is made
○ It triggers transition from G0 to G1
○ Cyclin E triggers S phase
○ Cyclin A increase from S to G2
○ Cyclin B increase from G2 TO M
○ Degrade after phase
○ Bind to cyclin dependent kinase to activate it
○ Levels of cyclin dependent kinase is constant but cyclin levels that bind to it that fluctuate
○ Cyclin dependent kinase inhibitors bind to kinases and stop cell division if something is wrong with cell to give it time to repair
○ Lots of deletions of these inhibitors in cancers that means problematic cells keep dividing eg p16 and p21 genes
• P53-protein 53 kiladotans
• Transcription factor that activate transcription
• Found to be produced by DNA damage
• It scans DNA and if it sees issues it tries to repair it
• Causes cell cycle arrest by activating p21 which inhibits CDK2 and CDK4
• Activates repair pathway to maintain genomic stability
• If too many errors it cativates apoptosis which is cell suicide
• It inhibits angiogensis (forming new blood vessels)

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24
Q

Outline the differences between embryonic and adult stem cells

A

Embryonic stem cells (ESCs) result from the early divisions of a fertilized egg. These undifferentiated cells. ESCs are pluripotent, meaning they
have the potential to generate any of the more than 200 cell types in
the body

Adult stem cell usually multipotent-can only make cells type related to mother cell type

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25
Q

Explain the mechanism of cell differentiation.

A

○ Stem cells in development-zygote-forms blastocyst that forms embryo that can be 3 types ectoderm, mesoderm, endoderm
○ Changes in size, shape membrane potential, metabolic activity

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26
Q

Describe the molecular and cellular hallmarks of ageing cellular changes that occur with ageing.

A
  • Cell senescence-proliferation block
  • telomere shortening-telomerase caps that stop chromosomes breaking get smaller
  • epigenetic drift-
  • stem cell exhaustion-low amount of STEM cells available to maintain tissue
  • inflammaging-Innate immunity increases increasing pro inflammatory cytokines, low grade chronic inflammation and natural killer cells
  • DNA damage to genome-errors in DNA code due to UV, chemicals, pollution, infection etc, more low density nucleosome structures meaning to more DNA exposed
  • mitochondrial dysfunction-less respiration more Reactive O2 Species increase apoptosis, changed metabolites that change chromatin
  • Deregulated nutrient sensing-stimulate Gfs increasing proliferation and cell damage
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27
Q

• Compare and contrast the processes of apoptosis and necrosis within a cell.

A

• Apoptosis
○ Programmed cell death
○ Suicide by coordinated intraceelular processes
○ No inflammation
○ Enzymes (caspcases) and phagocytes do this
○ Cell membrane blebbing
○ Cell becomes fragmented forming apoptici bodies Phagocytes eat the bodies

• NECROSIS
• Death on large scale
• Due to Mechanical, chemical, infection, immune response, injury
• Cell swells as it cannot keep homeostasis due ti influx of water and ions leading to cytoplasmic vacuoles forming
• Nucleus shrinks 
• Cell ruptures and contents spew out ot ECF 
• Leads to recruitment and inflammation of neighbouring immune cells and causes destruction and inflammation to surrounding tissues UNCONTROLLED
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28
Q

Describe the main categories of cell surface and intracellular receptors that are the targets of chemical signalling molecules.

A

• Modes of signalling
○ Contact dependent signalling-direct communication usually via adjacent cells talk with molecules on surface of call-juxtaicrine signalling
○ Autocrine signalling- cell releases molecules that bind to receptor expressed by same cell that results in signal transduction and response within came cell
○ Paracrine signalling-signals another cell locally and mediates physiological response
○ Endocrine signalling-signal released from cell, enter circulatory system and bind to another receptor in a cell in another area or tissue to instigate a physiological response

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29
Q

(hydrophobic ligand) Define the different types of ligands and their mechanisms of action.

A

• Hydrophobic ligand
○ Lipid soluble
○ Cross membrane
○ Mainly sex steroids (oestrogen, andorgens progesterone), corticosteroids (aldosterone, cortisol) eicosanoid hormones (prostaglandins, leukotrienes)
○ Transported through circulation bound to carrier or transport proteins
○ When released they can diffuse via capillaries and bind to receptor on surface or target cell

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30
Q

(Water soluble) Define the different types of ligands and their mechanisms of action.

A

• Water soluble ligand
○ React with ECF receptors
○ Peptides and small proteins
○ Cytokines (peptides), growth factors (proteins)
○ ECM components
○ Integrin receptors interact with cohesion complexes that result in intracellular signal transduction

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31
Q

Intracellular receptors-Explain how membrane receptors and downstream pathways can produce amplification of a signal.

A

Intracellular receptors
SLOW
receptors binds lipid soluble ligands-can diffuse through membrane to bind in cell form a receptor ligand complex, and it moves into the nucleus, and then binds to DNA, interacting with the hormone response elements or zinc fingers. Interaction then
influences gene transcription, either enhancing or inhibiting gene transcription and translation into a protein

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32
Q

receptor ion channels-Explain how membrane receptors and downstream pathways can produce amplification of a signal.

A

Receptor ion channel
FAST
cell surface receptors have a specific site where a ligand can bind-the N-terminal- and when the ligand binds to the binding site, this changes the shape of that ion channel.
The ion channel is now able to open and the ion-specific for that channel is able to move through the water-filled pore from this extracellular space into the cytosol, where it’s then able to alter the intracellular response and the activity of the cell.

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33
Q

other ion receptors-Explain how membrane receptors and downstream pathways can produce amplification of a signal.

A

glutamate receptors, GABA receptors, glycine receptors and serotonin receptors composed of different combinations of subunits. There are four types of subunits, so there’s alpha, beta, gamma and Delta, they’re fast-acting and the ligand can vary considerably between these.

34
Q

kinase-linked receptors-Explain how membrane receptors and downstream pathways can produce amplification of a signal.

A

Transmembrane proteins with one transmembrane domain for each of these subunits.
These are cell surface receptors with an extracellular ligand-binding domain. This protein comprises an enzymatic catalytic site. So the ligand-binding domain of
these receptors is specific for ligands binding. Upon ligand binding, the receptor
subunits, dimerize and undergo a conformational change and allowing for that catalytic activity to take place. This results in the phosphorylation of the receptor at specific sites within the intracellular portion of the receptor which means inside of the cell, and this message is relayed to other molecules or other proteins or enzymes via the phosphorylation

35
Q

G protein coupled receptors-Explain how membrane receptors and downstream pathways can produce amplification of a signal.

A

Cell surface receptors where receptor activation response occurs in a range of 100 milliseconds to seconds. They also interact with and bind with guanidine diphosphate, as can see here in GDP, and also guanidine triphosphate, GTP The alpha, beta and gamma subunits. In its inactive state, the three subunits are together and the alpha subunit is bound to GDP. When a signalling molecule binds the receptor, this results in a conformational change of the receptor, which is now able to activate the G protein, with the assistance of guanine nucleotide exchange factors or GEFs they’re able to replace this GDP with GTP on this alpha subunit, and G protein is able to dissociate into the alpha subunit and the beta plus gamma subunit, They’re now able to move around the cell and interact with other molecules, such as enzymes or ion channels, contributing to that signalling transduction that we keep referring to.

36
Q

MAIN ONE how membrane receptors and downstream pathways can produce amplification of a signal.

A

Ligands that bind to these transmembrane receptors and instigate intracellular signaling are referred to as first messengers. These first messengers activate the second messenger response. This is initiated by the activation of amplifier enzymes and we also referred to these as the effector system a little bit earlier on. So these amplifier enzymes activate a signaling molecule, which then activates several second messengers, which subsequently result in a cellular response.

37
Q

Describe and contrast the main local and long-distance modes of cell-to-cell communication: gap-junctions

A

§ Gap junctions
□ Communication junctions
□ Intraceelulllar space forming channels using proteins with 6 individual compartments connexins that form connections
□ Open channel enable small ions and molecules to move through
□ Not unidirectional can go both ways
Eg-in cardiac tissue-cardiomycite fibres

38
Q

Describe and contrast the main local and long-distance modes of cell-to-cell communication: contact dependent

A

• Contact dependent signalling
○ Touching cells
○ Cells recombine via transmembrane molecules
○ Juxtacrine signalling
§ Cells directly interact
§ Receptor expressed on surface of one cells
§ Ligand expressed on neighbouring cell
§ Receptor logan interactions resulting downstream signal transduction

39
Q

Describe and contrast the main local and long-distance modes of cell-to-cell communication: neural,

A
§ Neural signalling
			§ Electrical
				□ Direct communication
					® Gap junctions
				□ Fast synchronised communication
				□ Eg retinal internuerons
			§ Chemical
				□ Indirect communication
				□ Across synaptic cleft
				□ Neurotransmitters
				□ Neural signalling
					® Presynaptic neuron nerve impulse results in release of neurotransmitters that diffuse across clreft and bind to and interact with ligand gated ion channels that open to allo the transfer of the ion to continue into post synaptic neuron to continue response
Also can happen between nerves and target cells
40
Q

Describe and contrast the main local and long-distance modes of cell-to-cell communication: paracrine

A

• Paracrine signalling
○ Short distance communication
○ Ligand released by secretort cell
○ Ligans diffuse across ecm and affect nearby target cell might be same or different cell types
○ Signal binds to receptor that recognises it can be a hormone (local batting
Quick and short lasting

41
Q

Describe and contrast the main local and long-distance modes of cell-to-cell communication: endocrine

A

• Endocrine signalling
○ Over long distances
○ Messenger molecules are released into circulation enter the blood and move through circulatory system and diffuse out at specific areas to interact with target cells with receptor for particular hormones for a response
○ Slower response and long-lasting
○ Hormones-any type fo chemical message that goes into blood and activates cell downstream of it
○ Not local

42
Q

Compare and contrast neural versus hormonal communication

A
  • Neural=FAST, endo=SLOW
  • endo=hormones via blood, neural=electrical or chemical
  • neural=immediate response, endo=long lasting response
43
Q

ATROPHY Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A
○ Atrophy
			§ Decrease in cell size or organ 
			§ Poor nutrition
			§ Hormones
			§ Loss of nerves
			§ Lack of exercise
			§ Apoptosis
			§ Eliminates organelles in cell to decreaxe protein synthesis
			§ Decrease in size
			§ To conserve energy
			§ Eg: muscle atrophy if not used, brain atrophy if motor neuron disease, breast tissue atrophy due to oestrogen decrease
44
Q

HYPERTROPHY Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A

○ Hypertrophy
§ Increase in cell size when lots of blood size
§ Increase ograneels and protein content
§ Caused mechanicalla nd pathologically
§ Eg, body building via exercise, uterus hormones, hypertophic cardiomyopathy

45
Q

HYPERPLASIA Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A

○ Hyperplasia
§ Increase in cell number
§ Increase tissue size
§ Due to hormone changes, inflammatory response, developmental state
§ Eg gingival tissue, inflammation, endometrium estrogen stimulating, breast tissue in lactating

46
Q

METAPLASIA Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A

○ Metaplasia
§ Transform one to another
§ Happens when the tissue environment chances and is reversible if original environment restored
§ Intestinal metaplasia gastric caid
§ Bronchial squamous metaplasia if exposed to smoking it forms mulilayered squamous cell that no longer secretes mucus but protects base membrane and underlying tissue, squamous metaplasia of the bladder

47
Q

DYSPLASIA Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A

○ Dysplasia
§ Dysplasia is when cell reverts back to immature state
§ They become disorganised and losenes borders with unequal size and abnormal shape early form of pre cancerous state
§ Eg-epithelieal dysplasia abnormal outgrowth of immature cells, myelodysplastic syndrome-presence of immature blood cells, fibrous bone dysplasia formation of fibrous bone tissue

48
Q

NEOPLASIA Describe the cellular adaptations that occur as a result of varied stimuli or changes in the environment.

A

○ Neoplasia is NOT REVERSIBLE-new formation
§ Has so many mutations it is cancerous
§ Uncontrolled proliferation due to chromosomal and dna mutations
§ Can be benign (local) or malignant (can spread)
§ Impaired differentiation
§ Increase size and DNA content
§ Original function lost
§ Immortal
Persistent after cessation of stimuli

49
Q

GENOMIC INSTABILITY Describe mechanisms of cellular dysregulation.

A

○ Genomic instability
§ Mutation and inactivation of the genomic maintenance (DNA repair enzymes that find and repair mutations) and surveillance (enzymes or factors that scan and find mutations) machinarey
§ Random mutations and chromosomal rearrangements generated
§ Double stranded DNA break, single strand break, nicks in dna and mutations in base pairs
§ In cancer repair enzymes are mutated or inactivated so more mutations occur which leads to rearrangement or deletion of chromosomal DNA
§ Some mutations provide a selective advantage as tumour suppressors are deleted (dna repair enzymes, cell cycle inhibitors, or gennes that program cell death)
§ Oncogenes are amplified or activated (genes that promote cell survival via cell migration or proliferation) this leads to metastasis
§ P53 most common tumour suppressor genes §

50
Q

PROLIFERATIVE SIGNALLING • Describe mechanisms of cellular dysregulation.

A

○ Sustaining proliferative signalling
§ Excessive binding to growth factors to cellular receptors
§ Hyper-responsive
§ Usually Growth factors that bind to cell surface receptors on either same or other cells that transmits signal to activate signalling molecules to initiate cell division
§ Ability to divide uncontrollably by making up-regulation of cell surface receptors so they are hyper responsive to growth factors
§ Activating mutations inr receptor can make it more active even without binding to logan so it becomes growth factor independent
§ Activating mutations in signalling molecule menas when logan binds to receptor the signalling activation is enhanced leading to chronic hyper proliferation
§ Cancer cells can also produce growth factors and stimulate themselves in an autocrine manner

51
Q

REPLICATIVE IMMORTALITY • Describe mechanisms of cellular dysregulation.

A

§
○ Replicative immortality
§ Tumorigenicity requires unlimited replicative potential
§ As cells divide they have a natural error rate of mutation as they accumulate they undergo senescence
§ Once cell stops dividing it is indefinite
§ Chromosomes have caps known as telomeres that protect dna from damage
§ As cell divides these ends erode and at a point this triggers sensecence or apoptosis
§ Telomerase maintains telomere length in cancer cells meaning cells are immortal
§ Cancer cells have mechanisms to maintain length
§

52
Q

RESISTING CELL DEATH • Describe mechanisms of cellular dysregulation.

A

○ Resisting cell death
§ Hyperproliferation, abnormal signalling, cel stress and damage can trigger apoptosis
§ It us under control of pro survival genes stop apoptosis and pro apoptic genes induce it
§ Outcome determined by Accumulation of genetic abnormalities, mutations, deletions, duplications and epigenetic changes leading to cancer
§ In cancer cells result in upregulation of pro survival and down regulation of pro apoptotic genes
§ P53 induces apoptosis

53
Q

TUMOUR PROMOTION • Describe mechanisms of cellular dysregulation.

A

○ Tumour promoting
§ Every tumour has signs of infiltrating immune cells by mirroring localised infection
§ Although immune cells are important to eliminate cancerous cells, it was found they can promote tumour formation
§ Densely infiltrated by cells of innate and adaptive immune system
§ Inflammation provide growth factors and biactive molecules to promote proliferation, survival factors to inhibit apoptosis,
§ Inflammation also promotes reactive oxygen species (molecules with unpaired electron that are highly reactive which promote mutogensis, and promote factors to enable angiogensis (new blood vessel formation)
§ Inflammation promotes metastasis

54
Q

AVOID IMMUNE DESTRUCTION • Describe mechanisms of cellular dysregulation.

A

○ Avoiding immune destruction
§ Immune cells eliminate caner cells using tumour antigens using cytotoxic T cells and T helper cells that make interferons and cytotoxins to kill cancer cells
§ Cancer cells lay dormant thorugh genetic instability, reduce immunogenicity so immune system doesnt recognise them
§ immune suppression in tumour microenvironment where tumour cells secrete chemokines, specialised factors, to draw in immunosuppressive cells such as regulatory T cells (Tregs) is basis of immunotherapy looking at agents to target tumour associate regulatory T cells
§ Tumours can also make cytokines that inhibit immune cells
§ Tumoru cells normally targeted by T cells but have mechanisms to escape the response

55
Q

METASTASIS • Describe mechanisms of cellular dysregulation.

A

○ Metastasis
§ Most lethal stage
§ Healthy epithelial cells organised in sheets on the bottom surface to a basement membrane that provides nutrients via blood supply at basement membrane
§ Held together by adhesion moelecules that facilitate cell to cell interactions (tight junctions, adhesion junctions and gap junctions)
§ When downregulation of these adhesion molecules, one of them Ecadherin leads to migration of cells to distant sites
§ The up regulation of migration molecules using N-cadherin enables cancer cells to move to other sides
§ Epithelial-mesenchymal transition or EMT is also vital for metastasis
§ It is also featured in embryogenesis it is when epithelial cells change their adherence properties and mesenchymal stem cells do not attach to basement membrane
§ Whent his occurs the transformed cells break through basement membrane and invade distant sites and these are how transformed cells become metastatic

56
Q

DEREGULATED CELLULAR ENERGETIC • Describe mechanisms of cellular dysregulation.

A

§
○ Deregulated cellular energetics
§ Rpaid increase in proliferation, migration and others need energy and have a higher metabolism
§ Usually cells process glucose in cytoplasm via glycolosis and oxidative phosphrylation in mitochondria forming ATP
§ Otto walburg switch metabolism to mostly glycolosis,meaning more glucose as ATP si formed at a faster rate
§ Intermediates that form in glycolysis and go into Alternative biosynthestic pathways can be used to make biomolecules that promote proliferation such as lipids, nucleotides, NADPH and amino acids

57
Q

ANGIOGENESIS • Describe mechanisms of cellular dysregulation.

A

○ Angiogenesis
§ Process of new blood vessel formation
§ Tumour growth needs oxygen nutrients and removal of metabolic waste
§ Rapid expansion meands high metabolism means more need for removal
§ Secrete factors to neighbouring blood vessels to promote forming of new vessels as microvessels
§ Theyattach to the tumors and they go all around the tumors and they aid in the exchange of oxygen, nutrients and the removal of metabolic waste

58
Q

• Briefly outline how p53 and other proto-oncogenes are involved in the development of cancer.

A

○ P53
§ Scans dna for anomalies
§ If detected it stops dna replication dn division by activating cell cycle inhibitors it then activates dna repairing machinery and re activates cell cycle if cannot be repair apoptosis or senscene activated
§ Any signal mutating dna such as UV light, X rays, chemicals or toxins aleads ot activation of signalling molecules in cells leading to activation of trasncirption factor p53 which binds to dna and activates genes that inhibit cell cycle and stop cell division and activate dna repair and activate dna
§ In cancer it can no lonber bind dna or activate transcription
§ If this happens cell cycle cannot be inhibited and dna cannot be repaired
§ Results in accumulation of more and more mutations

59
Q

• Explain the link between receptors and drug action.

A

different types of drugs and different types of ligands that bind to different types of
receptors have different effects, and as a result, they act over different time scales. Some receptors have many different ligands with different responses meaning that drugs may elicit a variety of responses once binding depending on concentration

60
Q

Define potency and efficacy.

.

A

§ Potency
□ Concentration which produces 50% of max effect (EC 50)
§ Efficacy
The maximum effect we can expect to see (E max)

61
Q

• Apply the concepts of tolerance and withdrawal.

A

Tolerance is a person’s diminished response to a drug, which occurs when the drug is used repeatedly and the body adapts to the continued presence of the drug.

Withdrawal is also known as detoxification or detox. It’s when you quit , or cut back, on using alcohol or other drugs. You may have developed a physical or psychological dependence on a drug, or both.

62
Q

• Explain the concepts of agonist, antagonist and partial agonist.

A

Agonist- A drug or substance that binds to a receptor inside a cell or on its surface and causes the same action as the substance that normally binds to the receptor.
Antagonism-one drug interferes with the action of either a ligand or another drug at a receptor.
Partial Antagonism- less potent causes 50% of its maximum effect, with high concentrations. So it’s less potent, but also because it causes less effective overall.

63
Q

• Outline the nature of competitive antagonism and antagonism.

A

Competitive antagoism-as we add different amounts of drug 1, then normal curve gets shifted to the right, and so now what we find is that we actually have to give much larger amounts of another drug in order to get the exact same effect that we had previously with much smaller amounts, and so what we can say here is that drug 1 is antagonizing the effects of drug 2. If you give enough drug 2, still get the same effect. So the efficacy is not affected and that’s why this is called a competitive antagonist.

Noncompetitive antagonism=So this is where the full effect of the drug can’t be restored, no matter how high the concentration, and this occurs, for example, with the irreversible inactivation of a target, and you can also get potentiation. So this is where drug B may potentiate drug A by increasing the receptors affinity for A, and results in the shift to the left of the concentration response curve.

64
Q

• Explain the relationship between efficacy and adverse effects.

A

Efficacy of drug and adverse effects must be considered in usage to optimise treatment
For the vast majority, high efficacy and low adverse effects is ideal
More common is concentration has most beneficial but less adverse but many benefits have higher adverse effects
Some patients see the more adverse effects at lower concentrations than efficacy concentrations making them intolerant to medication

65
Q

Identify the four main tissue types and discuss their role in the human body.

A
4 tissue types
	• Epithelial tissue
		○ In skin lines external and internals tructures
		○ ectoderm
	• Connective
		○ All structures
		○ Acts as support
		○ mesoderm
	• Muscle
		○ Skeletal
		○ Cardiac
		○ Smooth
		○ mesoderm
	• Nervous tissue
		○ In brain
		○ ectoderm
66
Q

• Identify the four types of tissue membranes and their functional characteristics.

A

Mucuous membrane in the epithelium=[protection and lining, cutaneous membrane in the epithelium=protection, serous membrane the epithelium= lubrication

synovial membrane in CT=lubrication and nourishment

67
Q

TIGHT JUNCTIONS- Describe the structure and function of the five main types of cell junctions.

A

§ Tight junctions
□ Tightest fusion stitching of membranes proteins of adjacent cells
□ No free space
□ Water proof seal
□ Strict passage control
□ Force substance to pass through embraen
□ Located apcially
□ Blood brain barrier, stomach, bladder

68
Q

ADHEREN- Describe the structure and function of the five main types of cell junctions.

A

§ Adherens junctions
□ Membrane proeeins zipping up adjacent cells
□ Junctions connected to inside via cytoskeleton
□ Hooklike manner
□ Regulate cell shape
□ Stabilies cell contact
□ Bound to intracellular scaffolding
□ Hold tissue together
□ Located midway down cell wall below tight junctions

69
Q

DESMOSOMES- Describe the structure and function of the five main types of cell junctions.

A

§ Desmosomes
□ Protein fibers linking adjacent cells into cytoskeleton
□ Provide mechanical strength and stability
□ Connect protein filaments of cytoskeleton
□ In tissues sustaining mechanical stress such as skin, myocardium, bladder

70
Q

HEMIDESMOSOMES- Describe the structure and function of the five main types of cell junctions.

A

§ Hemidesmosomes
□ Half a desmosome
□ Protein fibres connect to basement membrane

Found on bottom of basement cells attaches cells to basement membrane

71
Q

• List the various epithelial tissue types.

A

Endothelium simple

Mesothelium simple

Cuboidal Simple

Columnar Simple

Squamous non keratinised stratified

Respiratory epithileum stratified

Transitional epithelium stratified

Glandular epithelium stratified

72
Q

SIMPLE Define the structure of different epithelial tissues and explain how their form enables function.

A

• Endothelium
○ Simple squamous epithelium
○ Thin smooth inside
○ The cardiovascular and lymphatic system
○ Continuous and untinterupted flow in blood and lymph and thin for efficient diffusion
• Mesothelium
○ Simple squamous epithelium
○ Slightly thick layer of underlying connective tissue
○ Lubricate and align organs
○ Pleura ling surface of lungs smooth moving of lungs and rib breathing,
• Simple
○ Cuboidal
§ Large cells
§ Spherical nuclei large
§ Protect and absorb and secrete
§ Lining of kidney tubules and small ducts salivary glands and liver
○ Columnar
§ Microvilli increase SA
§ Apbrsoption
§ Stomach
§ Surface faces lumen and where it absorbs nutrients which is processed and passed onto the connective tissue to enter blod stream
§ Intestines
§ Fallopian tubes

73
Q

STRATIFIED Define the structure of different epithelial tissues and explain how their form enables function.

A

○ Squamous keratinised
§ Anucleate cells superficial layers-layer of dead cells
§ Protective
§ Impermeable
§ Shield from external envronment
○ Squamous non keratinised
§ Nucleated squamous cells in superficial layers
§ Upper layers protect underlying tissue
§ Protection
§ Moist surfaces tubular systems open to outside
○ Cuboidal
○ Columnar
• Respiratory epithileum
○ Pseudostratified columnar ciliated epithelium with goblet cells
○ pseudostratified-=single layer appears to be more
○ Nuclei appear to be present at different levels but each cell attached to the basement membrane
○ Air filtration function
○ Epithelium forms mucociliary escalator traps and exports pathogens and dust
• Transitional epithelieum
○ Stretched appears squamous stratified Relaxed appear cuboidal stratified
○ Osmotic barrier
○ Allows for contraction and expansion
Glandular epithelium
• Epithelial cells that produce and release a secretion
○ Mucus, gastric secretions, sebum, milk, sweat
• Glandular cells with the epithelial surface
○ Goblet cells in epithelium lining

74
Q

• List the different types of connective tissue.

A
○ Dense regular CT
			§ Attachment of bone to bone
			§ Muscle to bone 
			§ Transmission of force
			§ Ligaments and tendon
		○ Dense irregular CT
			§ Protection of organs from injury
			§ Intervoen arrangement
			§ Encapsulation of organ
			§ Dermis of skin
			§ Capsules around liver, spelen and other organs
			§ Fibrous sheath around bones
		○ Loose CT
			§ High concente of ground substant
			§ Nuourishment and cushioning of epithelia
			§ Immune defence
			§ Passage of blood and nerve vessels
			§ Binding of orfans
			§ Underlying all epithelia
			§ Other sheath of blood vessels and nerves
			§ Pleural and pericardial sacs forns lining around heart
		○ Loose
			§ Fibres make loose framework
			§ Ground substance-fibres and cell 
			§ Areolar, adipose, reticular
		○ Dense
			§ Fibres densely packed
Dense regular, dense irregular, elastic
75
Q

• Describe the structural features and respective functions of the varied connective tissues types.

A
○ Connective tissue constituents
			§ Made up of cells, ECM, ground substance fiberes and fibres
			§ Ground substance
					® Structural support and biochemical support
					® Allows exchange of nutrients and fluids through it
					® Amorphous-no shape
					® Should be clear, colourless and viscous fluid
					® Secreted by CT cells
				□ Collagen fibres
					® Main component in CT
					® Strong and tensile force
					® Provide strength and cushioning
					® Amount and arrangement vary depending on CT type
				□ Elastin fibres
					® Highly elastic
					® Elastin diminishes as we age
					® Allow for coil and recoil
					® Provide flexibility 
				□ Reticular fibres
					® Finer than collagen
					® Structural protein
					® Delicate, irregular, flexible framework
					® Inelastic
					® Support cellular structures
76
Q

• Describe the characteristics of muscle tissue and how these enable function.

A

○ 3 types of muscle tissue
§ Skeletal muscle
□ Large cylindrical, multinucleated cells
□ have multiple nuclei
□ Has visible striations (light and dark bands)-due to microfilaments line up to form light and dark bands that form layered structures
□ Under voluntary control
® Posture maintenance
® movement
§ Cardiac muscle
□ Only in heart walls
□ Smaller branching, 1 central nucleus
□ Intercalated discs connect the cells
□ Contain striations
□ Involuntary control
® Pumps blood through chambers of heart through contraction
® Circulates blood through body
§ Smooth muscle
□ Blood vessels, certain regions of the respiratory tract, GI tract
□ Small spindle-shaped cells, single nucleus
□ No striations
□ Smooth muscle coordinates food movement in the body
□ Involuntary control
® Constrict blood vessels, airways, Propulsion of food GI tract

77
Q

• Discuss the characteristics of nervous tissue and how these enable information processing and control of muscular and glandular activities.

A

○ Neurons (recieve, process and propagate information as electrical signal)
○ Cell body/soma (cell function)
○ Cytoplasmic extensions (axons, dendrites)
○ Neuroglia (support cells)-long ago thought to have glued cells together
§ Vary in CNS vs PNS
§ More in CNS than PNS
○ 3 properties
§ Excitable:sensitive to stimuli around them (brush against skin or pain-pick up and change stimulus to electrical activity
§ Conductivity: generate and propagate signals (action potentials)
§ Secretory:release chemicals to communicate with other cells
□ One neuron communicating with another-electrical signal converted to chemical then propagated as electrical
□ One neuron communicating with muscle-electrical signal converted to chemical =response
□ One neuron communicating with glandular cells-electrical signal converted to direct message for glandular cell=enable main secretion
c

78
Q

DRSABCD

A

Dangers
• Environment is safe for you, patient and others
• Manage hazards if possible
• PPE
Responsive
• Calm approach
• Talk and touch
• If no response call for help
• If resoponse continue assemsent
Send for help
• Get help by any means
• Shout CARDIAC ARREST and location
• Press emergency bell at head of hospital bed
• Call 000 or 112
• Dial 33# and say Code Blue and give location
Airways
• Leave patient on back unless patient’s airways are soiled
• Check mouth for foreign body and remove using finger sweep, suction under direct visualisation, turning the patient on side to drain airway
• Once clear use head tilt/chin lift or jaw thrust to open airways
• Objective is to ensure iar can pass through lungs to assess patient breathing and if in cardiac arrest, to maintain airway open to allow CPR
Breathing
• LOOK LISTEN FEEL for breath up to 10s in head tilt or chin lift
• Observe chest wall, listen for breath sounds and feel for air movement do not use stethoscope
• If patient not breathing or breathing abnormally that will not sustain life immediately proceed to CPR
• If patient breathing but unconscious, lay in recovery position, ensure to call for help, monitor patient closely for further detioiration requiring CPR and provide first aid to your skill level
CPR (30 compressions: 2 breaths)
• Do not delay CPR once cardiac arrest is confirmed (no response, absent or abnormal breathing) CPR must be commenced and interruptions minimised
• No need for pulse check
• Position heel of hand on lower half of sternum
• Commence compressions at a rate of 100-120 beats per minute
• Compressions to breaths is 30 to 2 breaths
• Compress to one third of the depth of the chest this will be 5-6 cm in adult
Defibrillator
• As soon as external defibrillator is available do not delay applying pads, turn on AED and follow prompts
• AED ask to stand clear of patient to analyse rhythm while CPR occurs
• All patients in cardiac arrest should have AED
• AED will advise if shock is to be delivered or if no shock needed
• AED will always ask you to continue compressions
• Only turn of AED if signs of life return

79
Q

Define public health.

A

• Public Health
○ Protect promote and restore people’s health
○ Combining science skills and beliefs
3PS-Disease prevention, Health promotion, Health protection (from exposure)

80
Q

Identify how public health is complementary to clinical medicine.

A

-looking at the epidemiology of disease may enable efficient diagnosis as we may know which diseases a certain patient of a specific demographic is more predisposed to statistically

81
Q

Identify major causes of death in Australia.

A
Top 10 mortality causes in australia
	• Ischemic heart disease
	• Dementia, Alzheimer’s disease
	• Cerebrovascular diseases
	• Lung, Trachea and bronchus cancer
	• Chronic lower respiratory diseases (bronchitis, emphysema, chronic obstructive pulmonary diseases, asthma, broncheictasis)
	• Colon, sigmoid, rectum or anus cancer
	• Diabetes
	•  Blood and lymphoid cancer
	• Disease of the urinary cancer
Prostrate cancer