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Biochemistry USMLE Step 1 First Aid
Molecular Bio, Genetics & Metabolic Pathways
559
Medical
Graduate
04/21/2011

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Cards

Term
At which end of the tRNA is the aa bound?
Definition
The amino acid is covalently
bound to the 3' end of the tRNA.
Term
Can RNA polymerase initiate chains?
Definition
Yes.
Term
Define transition.
Definition
Substituting purine for purine
or pyrimidine for pyrimidine.
Term
Define transversion.
Definition
Substituting purine for
pyrimidine or vice versa.
Term
Define tRNA wobble.
Definition
Accurate base pairing is required only in the first 2 nucleotide positions of an mRNA codon, so codons differing in the 3rd 'wobble' position may code for the same tRNA/amino acid.
Term
Describe DNA replication.
Definition
Origin of replication: continuous DNA synthesis on leading strand and discontinuous (Okazaki fragments) on lagging strand. Primase makes an RNA primer on which DNA polymerase can initiate replication. DNA polymerase reaches primer of preceding fragment; 5'®3' exonuclease activity of DNA polymerase I degrades RNA primer; DNA ligase seals; 3'->5' exonuclease activity of DNA polymerase 'proofreads' each added nucleotide. DNA topoisomerases create a nick in the helix to relieve supercoils.
Term
Describe Euchromatin
Definition
Less condensed (vs.
Heterochromatin), transcriptionally active.
Term
Describe Heterochromatin
Definition
Condensed, transcriptionally
inactive
Term
Describe key structural
differences between nucleotides.
Definition
1)Purines (A,G) have 2 rings.
2)Pyrimidines (C,T,U) have 1 ring
3) Guanine has a ketone.
4) Thymine has a methyl
Term
Describe single-strand, excision repair.
Definition
Excision repair-specific glycosylase recognizes and removes damaged base. Endonuclease makes a break several bases to the 5' side.
Exonuclease removes short stretch of nucleotides.
DNA polymerase fills gap.
DNA ligase seals.
Term
Describe the difference between Eukaryotic Vs. Bacterial, viral and plasmid origin of replications
Definition
Eukaryotic genome has multiple origins of replication. Bacteria, viruses and plasmids have only one origin of replication.
Term
Describe the main difference in eukaryotic and prokaryotic synthesis of RNA.
Definition
Eukaryotes have 3 different RNA polymerases ('I, II, III synthesize RMT') and prokaryotes have 1 RNA polymerase (which makes all 3 kinds of RNA).
Term
Describe the method by which introns are removed from primary mRNA transcript.
Definition
Introns are precisely spliced out of primary mRNA transcripts. A lariat-shaped intermediate is formed. Small nuclear ribonucleoprotein particles (snRNP) facilitate splicing by binding to primary mRNA transcripts and forming
spliceosomes.
Term
Describe the number of bonds per purine-pyrimidine pair. Which is stronger?
Definition
G-C bond (3 H-bonds) A-T bond (2 H-bonds G-C bond is stronger
Term
Describe the structure of Chromatin.
Definition
Condensed by (-) charged DNA looped around (+)charged histones(nucleosome bead). H1 ties the nucleosome together in a string (30 nm fiber)
Term
Describe tRNA structure.
Definition
75-90 nucleotides, cloverleaf form, anticodon end is opposite 3' aminoacyl end. All tRNAs both eukaryotic and prokaryotic, have CCA at 3' end along with a high percentage of chemically
modified bases. The amino acid is covalently bound to the 3' end of the tRNA.
Term
Does RNA polymerase have a proof reading function?
Definition
No.
Term
How do purines and pyrimidines interact, molecularly?
Definition
Purines and pyrimidines pair (A-T, G-C) via H-bonds
Term
How does RNA polymerase II open DNA?
Definition
RNA polymerase II opens DNA at promoter site (A-T rich upstream sequence- TATA
and CAAT)
Term
How is the original RNA transcript processed in eukaryotes? (3)
Definition
1)Capping on 5' end (7- methyl G)
2)Polyadenylation on 3' end ( =200 As)
3)Splicing out of introns
Term
In eukaryotes, what must
occur before an newly synthesized RNA transcript leaves the nucleus?
Definition
Only processed RNA is transported out the nucleus of eukaryotes.
Term
Name 3 types of RNA
Definition
1) mRNA
2) rRNA
3) tRNA
Term
Name the charged histones around which (-) charged DNA loops (nucleosome
core).
Definition
H2A, H2B, H3, H4 histones
Term
Name the enzyme responsible for the synthesis of RNA in prokaryotes.
Definition
RNA polymerase
Term
Name the enzymes involved in ss-DNA repair. (5)
Definition
1) specific glycosylase.
2) endonuclease.
3) exonuclease.
4) DNA polymerase.
5) DNA ligase.
Term
Name the enzymes responsible for the synthesis of eukaryotic RNA.
Definition
RNA polymerase I
RNA polymerase II
RNA polymerase III
Term
What are exons?
Definition
Exons contain the actual genetic information coding for a protein
Term
What are four types of mutations that can occur in DNA?
Definition
1) Silent
2) Missense
3) Nonsense
4) Frame shift
Term
What are introns?
Definition
Introns are intervening noncoding segments of DNA
Term
What are the four features of the Genetic Code?
Definition
1) Unambiguous
2) Degenerate
3) Commaless, non-overlapping
4)Universal
Term
What atoms link aa in a protein chain?
Definition
Amino acids are linked N to C
Term
What changes occur in DNA structure during mitosis?
Definition
In mitosis, DNA condenses to form mitotic chromosomes
Term
What codon sequence is found at the 3' end of all tRNAs?
Definition
All tRNAs, both eukaryotic and prokaryotic, have CCA at 3' end.
Term
What direction is DNA synthesized in?
Definition
5' --> 3'.
Remember that the 5' of the incoming nucleotide bears the triphosphate (energy source for the bond).
The 3' hydroxyl of the nascent chain is the target.
Term
What direction is protein synthesized in?
Definition
Protein synthesis also proceed in the 5' to 3'
Term
What direction is RNA synthesized in?
Definition
5' --> 3'.
Remember that the 5' of the incoming nucleotide bears the triphosphate(energy source for the bond).
The 3' hydroxyl of the nascent chain is the target.
Term
What does the AUG mRNA sequence code for?
Definition
AUG codes for methionin, which may be removed before translation is completed. In prokaryotes the initial AUG codes for a formyl-methionin(f-met).
Term
What does the P in P-site stand for? What does the A in A-site stand for?
Definition
P-site: peptidyl;
A-site: aminoacyl;
Term
What does the statement, 'the genetic code is 'commaless' mean? What is the exception to this rule?
Definition
The code is non-overlapping.
The exception are some viruses.
Term
What does the statement, 'the genetic code is degenerate' mean?
Definition
More than one codon may code for the same amino acid
Term
What does the statement, 'the genetic code is unambiguous' mean?
Definition
Each codon specifies only one amino acid
Term
What does the statement, 'the
genetic code is 'universal' mean? What are the exceptions (4)?
Definition
The same code is used in all lifeforms. The exceptions are;
1. mitochondria,
2. archaeobacteria,
3. Mycoplasma,
4. some yeasts
Term
What enzyme is responsible for 'charging' tRNA? How does it work?
Definition
Aminoacyl-tRNA synthetase.
This enzyme (one per aa, uses
ATP) scrutinizes aa before and after it binds to tRNA. If incorrect, bond is hydrolyzed by synthetase. The aa-tRNA bond has energy for formation of peptide bond.
Term
What inhibits RNA polymerase II?
Definition
alpha-amanitin inhibits RNA polymerase II
Term
What is a conservative missense mutation?
Definition
Mutation results in a different aa encoded, but that new aa is similar in chemical structure to the original code
Term
What is a frameshift mutation? What is usually the effect on the encoded protein?
Definition
A change in DNA resulting in misreading of all nucleotides downstream. Usually results in a truncated protein.
Term
What is a missense mutation?
Definition
Mutation results in a different aa encoded.
Term
What is a nonsense mutation?
Definition
A change in DNA resulting in an early stop codon.
Term
What is a promoter?
Definition
Site where RNA polymerase and multiple other transcription factors bind to DNA upstream from gene locus.
Term
What is a nonsense mutation?
Definition
A change in DNA resulting in an early stop codon.
Term
What is a silent mutation?
What usually causes a silent mutation?
Definition
Mutation resulting in the same aa encoded. Often the base change is in the 3rd position of the codon.
Term
What is a snRNP?
What is its function?
Definition
snRNP = small nuclear ribonucleoprotein. snRNPs facilitate splicing by binding to primary mRNA transcripts and forming spliceosomes.
Term
What is an enhancer?
Definition
Stretch of DNA that alters gene expression by binding transcription facts. May be located close to, far from, or even within (an intron) the gene whose expression it regulates.
Term
What is an Okazaki fragment?
Definition
The discontinuous DNA synthesized on the lagging strand during DNA replication
Term
What is hnRNA?
Definition
hnRNA = heterogeneous nuclear RNA
The initial RNA transcript is called hnRNA
Term
What is responsible for the accuracy of amino acid selection during peptide synthesis?
Definition
Aminoacyl-tRNA synthetase and binding of charged tRNA to the codon are responsible for accuracy of amino acid selection.
Term
What is the broad classification of nucleotides? (2)
Definition
Purines (A, G) and Pyrimidines (C, T, U)
Term
What is the difference between hnRNA and mRNA?
Definition
hnRNA = the initial RNA transcript
mRNA = capped and tailed transcript
Term
What is the difference between thymine and uracil?
Definition
Uracil found in RNA Thymine found in DNA
Term
What is the function of DNA ligase during DNA Replication?
Definition
DNA ligase seals synthesized DNA into a continuous strand
Term
What is the function of DNA polymerase during DNA Replication? (2)
Definition
5'®3' exonuclease activity of DNA polymerase I degrades RNA primer; 3'®5'exonuclease activity of DNA polymerase 'proofreads' each added nucleotide.
Term
What is the function of DNA topoisomerase during DNA Replication?
Definition
DNA topoisomerases create a nick in the helix to relieve supercoils
Term
What is the function of primase in DNA Replication?
Definition
Primase makes an RNA primer on which DNA polymerase can initiate replication.
Term
What is the function of RNA polymerase I?
Definition
RNA polymerase I makes rRNA
Term
What is the function of RNA polymerase II?
Definition
RNA polymerase II makes mRNA
Term
What is the function of RNA polymerase III?
Definition
RNA polymerase III makes tRNA
Term
What is the mRNA initiation codon?
Definition
AUG, or rarely GUG
Term
What is the mRNA stop codons? (3)
Definition
UGA (U Go Away)
UAA (U Are Away)
UAG (U Are Gone)
Term
What is the result of 'mischarged' tRNA?
Definition
A mischarged tRNA (bound to wrong aa) reads usual codon but inserts wrong amino acid.
Term
What is the role of endonuclease in ss-DNA repair?
Definition
Endonuclease makes a break several bases to the 5' side.
Term
What is the role of excision repair-specific glycosylase in ss-DNA repair?
Definition
Recognizes and removes damaged base.
Term
What is the role of exonuclease in ss-DNA repair?
Definition
Exonuclease removes short stretch of nucleotides.
Term
What prevents an incorrect aa-tRNA pairing?
Definition
If incorrect, the aa-tRNA bond is hydrolyzed by aminoacyl-tRNA synthetase.
Term
What prevents an incorrect aa-tRNA pairing?
Definition
If incorrect, the aa-tRNA bond is hydrolyzed by aminoacyl-tRNA synthetase.
Term
What role does histone H1 play in chromatin structure?
Definition
H1 ties the nucleosome together in a string (30nm fiber)
Term
What supplies the energy for formation of peptide bond?
Definition
The aa-tRNA bond has energy for formation of peptide bond.
Term
What would most likely be the result of a mutation of the promoter sequence?
Definition
Promoter mutation commonly results in dramatic decrease in amount of gene transcribed.
Term
When is ATP used in protein synthesis? When is GTP used in protein synthesis?
Definition
ATP is used in tRNA charging, whereas GTP is used in binding of tRNA ribosome and for translocations.
Term
When is recombination involved in DNA repair?
Definition
If both strands are damaged, repair may proceed via recombination with undamaged homologous chromosome.
Term
When is recombination involved in DNA repair?
Definition
If both strands are damaged, repair may proceed via recombination with undamaged homologous chromosome.
Term
Where does RNA processing occur in eukaryotes?
Definition
RNA processing occurs in the nucleus.
Term
Which is the largest type of RNA?
Definition
mRNA (massive)
Term
Which is the most abundant type of RNA?
Definition
rRNA (rampant)
Term
Which is the smallest type of RNA?
Definition
tRNA (tiny)
Term
Which nucleotide position in the codon has room for 'wobble'?
Definition
Codons differing in the 3rd 'wobble' position may code for the same tRNA/amino acid
Term
How do you do a Northern Blot?
Definition
Electrophorese RNA on a gel transfer to a filter expose filter to a labeled DNA probe visualize the DNA probe annealed to the desired RNA.
Term
How do you do a Southern Blot?
Definition
Electrophorese DNA on a gel transfer to a filter and denature the DNA expose to a labeled DNA probe visualize probe annealed to desired DNA fragment
Term
How do you do a Southwestern blot?
Definition
Separate protein by electrophoresis transfer to a filter expose to a labeled DNA probe visualize DNA bound to desired protein
Term
How do you do a Western Blot?
Definition
Separate protein by electrophoresis transfer to a filter expose to a labeled antibody visualize Ab bound to desired protein
Term
How do you do PCR? (4 steps)
Definition
1. Heat DNA to denature.
2. Cool DNA and let the primers aneal.
3. Heat-stable polymerase replicates DNA following each primer
4. Repeat
Term
What are some genetic diseases detectable by PCR? (11)
Definition
SCID, Lesh-Nyhan, CF, familial hypercholesterolemia retinoblastoma, sickle cell, Bthalassemia, hemophilia A and B, von Willebrand's dz, lysosomal dz, and glycogen storage dz
Term
What gene is involved in cystic fibrosis?
Definition
CFTR
Term
What gene is involved in familial hypercholesterolemia?
Definition
LDL-R
Term
What gene is involved in Lesh-Nyhan syndrome?
Definition
HGPRT
Term
What gene is involved in retinoblastoma?
Definition
Rb
Term
What gene/enz is involved in SCID?
Definition
adenosine deaminase
Term
What gene is involved in Sickle cell and ?-thal?
Definition
? globin gene
Term
What gene is involved in Sickle cell and ?-thal?
Definition
? globin gene
Term
What is an ELISA (enzyme linked immunosorbant assay)?
Definition
Rapid lab test in which an antibody or an antigen (usually collected from a patient) is exposed to an Ag or Ab liked to to an enzyme. A positive test results in a Ag-Ab match and is usually indicated by a color change
Term
What is PCR?
Definition
Lab procedure used to synthsize many copies of a desired fragment of DNA
Term
Von Geirke's disease is a result of?
Definition
Glucose-6-phosphatase deficiency; also known as Type I Glycogen Storage disease
Term
A build up of sphingomyelin and cholesterol in reticuloendothelial and parenchymal cells and tissues is found in what disease?
Definition
Niemann-Pick disease
Term
A child is born with multiple fractures and blue sclera what is the diagnosis?
Definition
Osteogenesis imperfecta; disease of abnormal collagen synthesis resulting in fractures and translucent conn tiss over chorioid causing the blue sclera
Term
A congenital deficiency of tyrosinase would lead to
Definition
Albinism, now can't synthesize
melanin from tyrosine
Term
A patient presents with cataracts, hepatosplenomegaly, and mental retardation, what is the Dx?
Definition
Galactosemia
Term
A patient presents with corneal clouding and mental retardation that is, based on family history, inherited in an Autosomal Recessive pattern, you impress your intern with a Dx of
Definition
Hurler's syndrome
Term
A patient presents with 1.Hyperextensible skin 2.Tendency to bleed 3.Hypermobile joints, you astutely Dx them with
Definition
Ehlers-Danlos syndrome
Term
Absence of Galactosylceramide Betagalactosidase leads to the build up of what compound in what disease
Definition
accumulation of galactocerebroside in the brain; Krabbe's disease
Term
Absence of hexosaminidase A results in the accumulation of what molecule that is characteristic of what disease
Definition
GM2-ganglioside accumulation; Tay-Sachs disease
Term
Albinism increase risk of developing what
Definition
skin cancer
Term
Autosomal dominant defects will effect what members of a family
Definition
male and female
Term
Autosomal recessive disorders often result in what kind of defect/deficiencie?
Definition
enzyme deficiencies
Term
Autosomal recessive disorders usually effect how many generations in a family?
Definition
usually only one generation
Term
Bloom's syndrome is characterized by sensitivity to what as a result of
Definition
sensitivity to radiation as a result of a DNA repair defect
Term
Creatine and Urea are both made from?
Definition
Arginine
Term
Defects in structural genes often follow what pattern of inheritance?
Definition
Autosomal dominant
Term
Defiency of arylsulfatase A results in the accumulation of what molecule where
Definition
sulfatide in the brain, kidney, liver, and peripheral nerves. Characteristic of Metachromatic Leukodystrophy
Term
define genetic imprinting
Definition
when differences in phenotype depend on whether the mutation is of paternal or maternal origin
Term
define incomplete penetrance
Definition
when not all individuals with a mutant genotype show the mutant phenotype
Term
define Linkage Disequilibrium
Definition
the tendency for certain alleles at two linked loci to occur together more often than expected by chance, as measured in a population
Term
define pleiotropy
Definition
one gene has more than one effect on an individual's phenotype, autosomal dominant defects are often pleiotropic
Term
Define variable expression
Definition
nature and severity of the phenotype varies from one individual to another
Term
Fanconi's anemia is caused by what type of agents
Definition
cross-linking agents
Term
Ganglioside is made up of what
Definition
Ceramide + oligosacharide + sialic acid
Term
Gaucher's disease is caused by a deficiency of
Definition
Beta-glucocerebrosidase
Term
Glucocerebroside accumulation in the brain, liver, spleen, and bone marrow are characteristic of
Definition
Gaucher's disease
Term
Hglycine is used to make what important compound
Definition
Porphyrin which is then used to make Heme
Term
Histamine is synthesized form what compound
Definition
Histidine
Term
How does adenosine deaminase defiency cause SCID
Definition
Purine salvage pathway. ADA normal converts adenosine to inosine without it ATP & dATP build up inhibiting ribonucleotide reductase which prevents DNA synthesis lowering lymphocyte production
Term
How does adenosine deaminase defiency cause SCID
Definition
Purine salvage pathway. ADA normal converts adenosine to inosine without it ATP & dATP build up inhibiting ribonucleotide reductase which prevents DNA synthesis lowering lymphocyte production
Term
How is Lesch-Nyhan syndrome inherited and what is the result and symptoms
Definition
X-linked recessive; increase in uric acid production.
Retardation, self mutalation, aggression, hyperuricemia, gout, and choreathetosis
Term
Hunter's syndrome is characterised by what biochemical problem and how is it inherited?
Definition
deficiency of iduronate sulfatase; X-linked recessive mild form of Hurler's
Term
In ataxia-telangiectasia DNA damage caused by what source cannot be repaired
Definition
X-rays
Term
in G6PD deficiency the decrease in NADPH can lead to _____ if exposed to _____
Definition
hemolytic anemia; oxidizing agents ( fava beans, sulfonamides, primaquine) and antituberculosis
Term
In PKU what builds up and what can be found in the urine?
Definition
phenyalanine builds up leading to phenylketones in the urine
Term
In PKU, what amino acid becomes essential
Definition
tyrosine.
Term
in the Hardy-Weinberg equation, what are the p and q and what is 2pq
Definition
p and q are each separate alleles; 2pq = heterozygote
Term
no male to male transmission is characteristic of what type of genetic disorders?
Definition
X-linked recessive
Term
Pompe's disease is caused by a defect in?
Definition
lysosomal alpha-1,4-glucosidase deficency
Term
Sickle cell anemia is caused by what defect and what is it's prevalence?
Definition
AR single missense mutation in the beta globin; 1:400 blacks
Term
Sickle cell anemia patients often present with
Definition
recurrent painful crisis and increased susceptibility to infections
Term
Skin sensitivity to UV light secondary to a DNA repair defect is characteristic of what?
Definition
xeroderma pigmentosum
Term
Sphingosine + fatty acid yields
Definition
ceramide
Term
the COL1A gene mutation is associated with what disease and what type of mutation is this
Definition
Osteogenesis imperfecta;dominant negitive mutation
Term
The main defect in Ataxiatelangiectasia is a ___
Definition
DNA repair defect
Term
The most common form of Osteogenesis imperfecta has what genetic problem and inheritance
Definition
abnormal Collagen Type I synthesis; Autosomal dominant
Term
the transporter for what amino acids is defective in cystinuria
Definition
COLA: Cys,Ornithine, Lysine and Arginine
Term
Thymidine dimers are formed by exposure of DNA to UV light, are the dimers formed on the opposing strands of a DNA molecule or on the same side?
Definition
dimers are on same side
Term
Thymidine dimers are formed by exposure of DNA to UV light, are the dimers formed on the opposing strands of a DNA molecule or on the same side?
Definition
dimers are on same side
Term
Thymidine dimers are formed by exposure of DNA to UV light, are the dimers formed on the opposing strands of a DNA molecule or on the same side?
Definition
dimers are on same side
Term
Thymidine dimers are formed by exposure of DNA to UV light, are the dimers formed on the opposing strands of a DNA molecule or on the same side?
Definition
dimers are on same side
Term
Tryptophan can be used to make what three chemicals
Definition
Niacin, Serotonin, melatonin
Term
Type III Glycogen storage disease is a deficency of ?
Definition
deficiency of debranching enzyme alpha-1,6-glucosidase
Term
What is the cause Tx and symptoms of Lactase intolerance?
Definition
Lactase deficency; avoid diary products or add lactase pills to diet symptoms bloating, cramps, osmotic diarrhea
Term
What % of kids born to father with mitochondrial myopathy will be effected
Definition
none! mitochondrial myopathies are inherited from mitochondria which is only inherited from the mother
Term
What are the clinical signs of Krabbe's disease?
Definition
optic atrophy, spasticity, early death
Term
What are the components of Cerebroside?
Definition
Ceramide + glucose/galactose
Term
What are the components of Sphingomyelin?
Definition
Ceramide + phosphorylcholine
Term
What are the components of sphingosine?
Definition
serine + palmitate
Term
What are the findings and treatment of pyruvate dehydrogenase defic?
Definition
neurologic defects; increase
intake of ketogenic nutrients
Term
What are the findings in
McArdles's disease and what is the problem?
Definition
increased glycogen in skeletal muscle due to a Glycogen phosphorylase deficency strenuous exercise cause myoglobinuria and painful cramps
Term
What are the findings in PKU and what is the treatment?
Definition
Mental retardation, fair skin, eczema, musty body odor Tx. Decrease phenylalanin (nutrasweet) and increase tyrosine
Term
What are the findings in Pompe's disease and what is it alternate name?
Definition
Cardiomegaly and systemic findings, leading to early death. Pompe's trashes the Pump. (Heart, Liver and muscle) Type II Glycogen storage disease
Term
What are the findings in Von Gierke's disease?
Definition
severe fasting hypoglycemia, increased glycogen in the liver
Term
What are the four assumptions of the Hardy-Weinberg equilibrium?
Definition
1.There's no mutation occurring at locus
2. There's no selection for any of genotypes at locus
3. Random mating
4. No migration in or out
Term
What are the purely ketogenic amino acids?
Definition
lysine and leucine
Term
What are the signs and symptoms of essential fructosuria?
Definition
asymptomatic, benign; Fructose appears in blood and urine
Term
what are the signs and symptoms of Homocystinuria?
Definition
Homocysteine accumulates in urine and cystine becomes essential. Methionine and it's metabolites build up in blood. Mental retardation, osteoporosis, dislocation of the lens
Term
What are the symptoms of Alkaptonuria?
Definition
Dark Urine from alkapton bodies; also connective tissue is dark, may have arthralgias.
Bengin disease
Term
What are the symptoms of Fructose intolerance?
Definition
hypoglycmeia, jaundice, cirrhosis
Term
What are the symptoms of Maple syrup Urine disease?
Definition
CNS defects, mental retardation and death. Urine smells like maple syrup
Term
What biological chemicals are derived form phenylalanine?
Definition
tyrosine; thyroxine, Dopa; dopamine NE, Epinephrine and Melanin
Term
What causes Essential Fructosuria?
Definition
defect in fructokinase
Term
What causes Lesch-Nyhan syndrome?
Definition
Absence of HGPRTase,(normally converts hypoxanthine to IMP and guanine to GMP) Lacks Nucleotide Salvage (LNS)- purines
Term
What do melanin and norepinephrine have in common?
Definition
both derived directly from dopamine. Phenylalanine to tyrosine to Dopa to Dopamin
Term
What does the term 'loss of heterozygosity' mean?
Definition
when one allele of an allele pair is lost. An example is when a patient inherits or develops a mutation in a tumor suppressor gene and the complimentary allele is then lost to deletion/ mutation. The patient would not develop the cancer until the loss of the normal allele.
Term
What enzyme defiencies are associated with hemolytic anemia?
Definition
Glycolytic enzyme deficiencies;
1. Hexokinase
2. glucose-phosphate isomerase
3. aldolase
4. triose-phosphate isomerase
5. phosphate-glycerate kinase enolase pyruvate
kinase
Term
What event in embryology can cause albinism?
Definition
lack of migration of neural crest cells to skin (form melanocytes)
Term
What event in embryology can cause albinism?
Definition
lack of migration of neural crest cells to skin (form melanocytes)
Term
What genetic error can cause Severe Combined Immnuodeficiency (SCID)?
Definition
Adenosine deaminase deficiency
Term
what group of people can be seen with pyruvate dehydrognease deficiency
Definition
alcoholics due to B1 deficiency
Term
What is a complication of cystinuria?
Definition
cystine kidney stones
Term
What is a dominant negative mutation?
Definition
a mutation that exerts a dominant effect because the body cannot produce enough of the normal gene product with only one allele functioning normally
Term
What is a good mnuemonic for the four glycogen storage diseases?
Definition
Very-Von Gierke's
Poor-Pompes
Carbohydrate-Cori's
Metabolism-McArdles
Term
What is commonly associated with xeroderma pigementosa?
Definition
dry skin, melanoma and other cancers
Term
What is crucial to the diagnosis of an Autosomal dominant disease?
Definition
Family history
Term
What is genetic anticipation?
Definition
the severity of the disease worsens or age of onset of disease is earlier in succeeding generations
Term
What is inheritance of G6PD deficiency and what population is effected more often?
Definition
X-linked recessive; blacks
Term
What is NAD/NADP made from?
Definition
Niacin, Serotonin, melatonin
Term
What is osteogenesis imperfecta often confused with?
Definition
child abuse
Term
What is the biochemical defect in Metachromatic leukodystrophy and what is the inheritance pattern?
Definition
deficiency of arylsulfatase A;
Autosomal recessive
Term
What is the biochemical defect in Nieman-Pick disease and how is it inherited
Definition
deficiency of Betaglucocerebrosidase;
autosomal recessive
Term
What is the biochemical effect of G6PD deficiency?
Definition
decrease in NADPH which is necessary to reduce glutathione which in turn detoxifies free radicals and peroxides
Term
What is the cause of Cystinuria and what are the signs/symptoms?
Definition
inheritied defect o the tubular amino acid transporter for Cystine, ornithine, Lysine and Arginine in kidneys excess cystine in urine
Term
What is the cause of Fabry's disease and what is the common clinical problem
Definition
Alpha-galactosidase A deficiency; gives accumulation of ceramide trihexoside causing renal failure
Term
What is the cause of Fabry's disease and what is the common clinical problem
Definition
Alpha-galactosidase A deficiency; gives accumulation of ceramide trihexoside causing renal failure
Term
What is the cause of galactosemia?
Definition
Absence of galactose-1-phosphate uridyltransferase; accumualtion of toxic substances (galactitol)
Term
What is the cause of Fabry's disease and what is the common clinical problem
Definition
Alpha-galactosidase A deficiency; gives accumulation of ceramide trihexoside causing renal failure
Term
What is the characteristic defect in Hurler's syndrome?
Definition
Alpha-L-iduronidase deficiency leads to corneal clouding and mental retardation
Term
What is the characteristic findings in Neurofibromatosis?
Definition
Multiple café-au-lait spots, neurofibromas, increased tumor susceptibilty
Term
What is the clinical picture of a patient with cystic fibrosis?
Definition
pulmonary infections, exocrine pancreatic insufficiency, infertility in men
Term
What is the clinical picture of Duchenne's muscular dystrophy?
Definition
muscular weakness and degeneration
Term
What is the defect in Maple Syrup Urine disease?
Definition
decreased Alpha-ketoacid dehydrogenase. blocks degradation of branched amino acids; Ile. Val. Leu
Term
What is the epidemiology of lactose intolerance?
Definition
Age-dependent and/or hereditary (blacks and Asians)
Term
What is the etiology of Homocystinuria?
Definition
defect in cystathionine synthase.
Two forms:
1. deficiency
2. decreased affinity of synthase for pyridoxal phosphate (cofactor)
Term
What is the finding of Hunter's syndrome on H&P
Definition
mild mental retardation but no corneal clouding
Term
What is the formula for Hardy-Weinberg equilibrium?
Definition
p^2 +2pq + q^2 =1 and
p+q=1
Term
What is the genetic mech. of Cystic fibrosis and it's inheritance?
Definition
AR; multiple loss-of-function mutations in a chloride channel
Term
What is the genetic mechanism of Duchenne's muscular dystrophy?
Definition
X-linked recessive; caused by multiple loss-of-function mutations in a muscle protein
Term
What is the genetic mechanism of Fragile X MR?
Definition
X-linked; progressive expansion of unstable DNA causes failure to express gene-encoding RNA-binding protein
Term
what is the genetic mechanism of Neurofibromatosis
Definition
AD, multiple loss-of function mutations in a signaling molecule
Term
What is the genetic problem in Down's Syndrome?
Definition
trisomy 21 chromosomal imbalance
Term
What is the inheritance of Krabbe's disease?
Definition
Autosomal recessive
Term
what is the inheritance pattern and carrier frequency in Tay-Sach's?
Definition
Autosomal recessive; 1:30 in
Jews of European descent and 1:300 in the general populaition
Term
What is the inheritance pattern of Ehlers-Danlos syndrome?
Definition
10 types of this syndrome:
Type IV; Auto Dominant
Type VI; Auto Recessive
Type IX; X-linked recessive
Term
What is the inheritance pattern of Gaucher's disease?
Definition
Autosomal recessive
Term
What is the inheritance pattern of xeroderma pigmentosa?
Definition
autosomal recessive
Term
What is the inheritiance pattern of Fabry's disease?
Definition
X-linked recessive
Term
What is the lab symptoms of G6PD deficiency?
Definition
Heinz Bodies: altered hemoglobin precipitate in RBC
Term
What is the most distinguishing finding in Tay-Sach's disease on Physical exam
Definition
cherry red Macula; these patients die by 3
Term
What is the pathogneumonic cell type founde in Gaucher's disease?
Definition
Gaucher's cells with the characteristic 'crinkled paper' appearance of enlarged cytoplasm
Term
What is the pattern of inheritance of Leber's hereditary optic neuropathy?
Definition
mitochondrial inheritance
Term
What is the phenotype in Osteogenesis imperfecta?
Definition
increased susceptibility to fractures; connective tissue fragility
Term
What is the phenotype of Down's syndrome?
Definition
Mental and growth retardation, dysmorphic features, internal organ anomalies especially heart problems
Term
What is the phenotype of Fragile X?
Definition
mental retardation, characteristic facial features, large testes
Term
What is the predominant problem in Ehlers-Danlos syndrome?
Definition
Faulty collagen synthesis
Term
What is the prevalance of cystic fibrosis?
Definition
1:2000 whites; very rare among Asians
Term
What is the prevalance of Neurofibromatosis?
Definition
1:3000 with 50% being new mutations
Term
What is the prevalence of Down's syndrome and what are the risk factors?
Definition
1:800; increased risk with advanced maternal age
Term
What is the prevalence of Duchenne's musc. dys.
Definition
1:300; 33% new mutations
Term
What is the prevalence of Fragile X- associated mental retardation?
Definition
1:1500 males: can be in females, is a multi-step process
Term
What is the prevalence of osteogenesis imperfecta?
Definition
1:10,000
Term
What is the prevalence of Phenylketonuria?
Definition
1:10,000
Term
What is the priamry defect in Fructose intolerance and how is it inherited?
Definition
defiency of aldolase B,
autosomal recessive
Term
What is the primary defect in Alkaptonuria?
Definition
congenital defiency of homogentisic acid oxidase in the degradative pathway of tyrosine
Term
What is the primary defect(s) found in Phenylketoneuria?
Definition
either
1.decreased phenylalanine hydroxylase
or
2. decreased tetrahydrobiopterin cofactor
Term
What is the rate-limiting enzyme in the Hexose- Monophosphate shunt?
Definition
Glucose-6-phosphate dehydrogenase
Term
What is the result of pyruvate dehydrognease deficiency?
Definition
backup of substrate (pyruvate and alanine) resulting in lactic acidosis
Term
What is the specific defect in Xeroderma pigmentosa?
Definition
defective excision repair such as uvr ABC exonuclease;
have inability to repair thymidine dimer formed by UV light
Term
What is the treament of Cystinuria and what is a possible consequence of not treating?
Definition
Acetazolide to alkalinize the urine cystine kidney stones due to excess cysteine
Term
What is the treatment of fructose intolerance?
Definition
decrease intake of both fructose and sucrose (glucose + fructose)
Term
What is the treatment of Homocystinuria?
Definition
1. For a defiency in cystathionine synthase tx by decrease Met and increase Cys in diet
2. for decreased affinity of synthase Tx by decrease vitamin B6 in diet
Term
What is the Tx of galactosemia?
Definition
Exclude galactose and lactose (galactose + glucose) from diet
Term
what offspring of females affected with a mitochondrial inherited disease will be effected?
Definition
all offspring can be effected
Term
what percent of offspring
from two autosomal recessive
carrier parents will be
effected?
Definition
25%
Term
what percent of sons of a
heterazygous mother carrying
an x-linked disease will be
effected?
Definition
50%
Term
What period of life do
autosomal dominant defects
present in?
Definition
often present clinically after
puberty
Term
What three phenyl ketones
build up in the urine of PKU
patients?
Definition
phenyl-acetate,
phenyl-lactate,
phenyl-pyruvate
Term
What to thyroxine and Dopa
have in common
Definition
both derived form tyrosine
Term
What type of genetic error is
usually more severe
autosomal recessive or
dominant?
Definition
AR disorders are often more
severe
Term
AR disorders are often more
severe
Definition
mitochondrial
Term
When do patients usually
present with autosomal
recessive disorders?
Definition
present in childhood
Term
Why are RBC so susceptible to
Glycolytic enzyme def.
Definition
RBC's metabolize glucose
anaerobically (no
mitochondria) and depends
on glycolysis
Term
Why do people with fructose
intolerance become
hypoglycemic?
Definition
deficent aldolase B causes the accumulation of Fructose 1- phosphate which acts as a phosphate sink and traps the phosphate.
Decreased phosphate availability inhibits glycogenolysis and
gluconeogenesis
Term
X-linked recessive disease is
aften more severe in
Definition
males
Term
1,3-BPG to 2,3-BPG via..
Definition
bisphosphoglycerate mutase
Term
Acyl
Definition
coenzyme A, lipoamide
Term
aldehydes
Definition
TPP
Term
Arachidonate
Definition
prostaglandins,
thromboxanes,
leukotrienes
Term
Associate the following signal
molecule precursors.
Definition
j
Term
At body pH, what AA are
negatively charged?
Definition
Arg and Lys

(His is neutral at pH 7.4)
Term
At body pH, what AA are
positvely charged?
Definition
Asp and Glu
Term
ATP to cAMP via
Definition
adenylate cyclase
Term
By what rxn order kinetics
does alcohol dehydrogenase
operate?
Definition
zero order kinetics
Term
CH(3) groups
Definition
SAM
Term
Choline
Definition
CDP-choline
Term
Choline
ACh via
Definition
choline
acetyltransferase
Term
CO(2)
Definition
biotin
Term
Contrast glucagon and
insulin.
Definition
glucagon phosphorylates stuff;
-turns glycogen synthase off and
phosphorylase on
Term
Contrast hexokinase and
glucokinase.
Definition
hexokinase throughout the
body, -GK in liver and has
lower affinity but higher
capacity for glucose
Term
Contrast hexokinase and
glucokinase.
Definition
only HK is feedback inhibited
by G6P
Term
Does insulin affect glucose
uptake of brain, RBC's and
liver?
Definition
No
Term
Does insulin inhibit glucagon
release by alpha cells of
pancreas?
Definition
yes
Term
electrons
Definition
NADH, NADPH, FADH(2)
Term
Fructose-6-phosphate
Definition
fructose-1,6-bis-P via PFK
(rate limiting step of glycolysis)
Term
Glucose
Definition
Glucose UDP-Glucose
Term
glutamate to GABA via
Definition
glutamate decarboxylase (requires vit. B6)
Term
GTP to cGMP via
Definition
guanylate cyclase
Term
How are ketone bodies
excreted?
Definition
in urine
Term
How are ketone bodies
formed?
Definition
FA and AA converted to
acetoacetate and B-hydroxybutyrate
Term
How do the statin drugs
work?
Definition
they inhibit HMG-CoA
reductase
Term
How does disulfiram work?
Definition
inhibits acetylaldehyde dehydrogenase
Term
How does FA enter the
cytosol?
Definition
via citrate shuttle
Term
How does FA enter the
mitochondria?
Definition
via the carnitine shuttle
Term
How does lead affect heme
synthesis?
Definition
inhibits
ALA dehydratase and
ferrochelatase
prevents incorporation of Fe
Term
How does the brain
metabolize ketone bodies?
Definition
to 2 molecules of acetyl coA
Term
How is bilirubin removed
from the body?
Definition
collected by liver,
conjugated with glucuronate,
excreted in bile
Term
How is ethanol metabolized?
Definition
ethanol oxidized to acetylaldehyde by alcohol dehyd and NAD+

acetalaldehyde ox to acetate by acetylaldehyde and NAD+
Term
How is FA entering the
mitochondria inhibited?
Definition
by cytoplasmic malonyl-CoA
Term
How is glutamate converted
to a-ketogluturate
Definition
By the loss of amonium and
reduction of NADP
Term
How is glutamine converted
to glutamate?
Definition
By the loss of amonium
Term
How is heme catabolized?
Definition
scavenged from RBC's and Fe+2 is reused
Term
How is LDL uptake
undergone?
Definition
by target cells through
receptor-mediated
endocytosis
Term
How is most plasma
cholesterol esterfied?
Definition
LCAT(lecethin-cholesterol acyltransferase)
Term
How is NAD+ generally used
metabolically?
Definition
catabolic processes
Term
How is NADPH generally used
metabolically?
Definition
anabolic processes (steroid and FA synthesis),
respiratory burst,
P-450
Term
How is TCA regulated?
Definition
by need for ATP and supply of
NAD+
Term
How many ATP's per acetyl
CoA?
Definition
12
Term
How many ATP equivalants
are needed to generate
glucose from pyruvate?
Definition
6
Term
How many enzyme activities
does pyruvate dehydrognase
possess
Definition
3
Term
How many moles of ATP are
generated aerobically through
G3P shuttle?
Definition
36
Term
How many moles of ATP are
generated aerobically through
malate shuttle?
Definition
38
Term
How many moles of ATP are
generated anaerobically?
Definition
2
Term
In what tissue does heme
synthesis occur (2)?
Definition
liver and bone marrow
Term
Insulin mneumonic
Definition
insulin moves glucose into
cells
Term
Is Serum C peptide present
with exogenous insulin
intake?
Definition
No
Term
Kwashikor results from a
protein deficient MEAL
(mneumonic)
Definition
Malabsorption, Edema,
Anemia, Liver (fatty)
Term
Mnemonic for
gluconeogenesis irreversible
enzymes?
Definition
Pathway
Produces
Fresh
Glucose
Term
Mnemonic for SAM.
Definition
SAM the methyl donor man
Term
Name 6 common products of
pyruvate metabolism?
Definition
glucose, lactate,
Acetyl CoA, CO2,
OAA, Alanine
Term
Name the activated carriers
with associated moleclues
(one carbon units).
Definition
tetrahydrofolates
Term
phosphoryl
Definition
ATP
Term
Uncouplers stop ATP
production? T/F.
Definition
False
Term
Underproduction of heme
causes what anemia?
Definition
microcytic hypochromic anemia
Term
What AA are required during
periods of growth?
Definition
Arg and His
Term
What are clincial syndromes
of this disorder?
Definition
xanthomas, atherosclerosis
homozygotes = MI by age 30
Term
What are major pathways
occur in the liver (8)?
Definition
most including
gluconeogenesis, etc.
Term
What are the activators of
glycgenolysis?
Definition
cAMP, and calcium ion (Sk.Ms.)
Term
What are the cofactors of
pyruvate dehydrogenase (5)?
Definition
pyrophosphate, lipoic acid,
CoA, FAD and NAD
Term
What are the components of a
cholymicron remnant?
Definition
TG, FFA and apo E
Term
What are the components of a
cholymicron?
Definition
TG, apo C-II, apo E, B-48, apo A
Term
What are the components of
IDL?
Definition
less TG, CE, B-100 and E
Term
What are the components of
LDL?
Definition
CE and B-100
Term
What are the components of
VLDL?
Definition
TG, Cholesterol ester, B-100,
CII and E
Term
What are the degradation
product steps (3)?
Definition
heme to biliverdin to bilirubin
Term
What are the effector
hormones of cholesterol
synthesis?
Definition
insulin increases, glucagon
decreases
Term
What are the effector
hormones of glyc and pyr ox?
Definition
decreased glucagon and
increased insulin
Term
What are the effector
hormones of glycogenolysis?
Definition
insulin decreases, epi and
glucagon increases
Term
What are the effector
hormones of lipogenesis (2)?
Definition
insulin increases, glucagon
decreases
Term
What are the electron
transport chain inhibitors?
Definition
rotenone, antimycin A, CN-, CO
Term
What are the essential
glucogenic/ketogenic AA?
Definition
Ile, Phe, Try
Term
What are the essential
gluconeogenic AA?
Definition
Met, Thr, Val, Arg, His
Term
What are the essential
ketogenic AA?
Definition
Leu and Lys
Term
What are the irreversible
enzymes of gluconeogenesis
(4)?
Definition
pyruvate carboxylase,
PEP carboxykinase,
fructose-1,6 bisphosphotase,
glu-6-phosphotase
Term
What are the irreversible
enzymes of glycolysis (4)?
Definition
glucokinase/hexokinase,
PFK,
pyruvate kinase,
pyruvate dehdrogenase
Term
What are the main substrates
used by adipose tissue (2)?
Definition
-glucose, -lipoprotein
triacylglycerol
Term
What are the main substrates
used by brain?
Definition
-glucose, -aa and ketone
bodies when starved, -
polyunsat FA in neonates
Term
What are the main substrates
used by heart?
Definition
FFA, -some glucose, -lactate,
-ketone bodies, VLDL and
cholymicrom triacylglycerol
Term
What are the main substrates
used by liver?
Definition
FFA, -glucose, -lactate, -
glycerol, fructose, -AA
Term
What are the major activators
of gluconeogenesis?
Definition
Acetyl CoA for pyruvate
carboxylase and cAMP for PEP
carboxykinase and F-1,6-
bis-P
Term
What are the major activators
of glycolysis and pyruvate
oxidation?
Definition
AMP, fructose2,6-bis-P,
fructose 1,6-bis-P in muscle,
CoA, NAD, ADP and pyruvate
Term
What are the major metabolic
pathways of the adipose
tissue (2)?
Definition
- esterfication of FA's -
lipolysis
Term
What are the major metabolic
pathways of the brain (2)?
Definition
-glycolysis,-aa metabolism
Term
What are the major metabolic
pathways of the heart?
Definition
Aerobic pathways like B
oxidation and TCA cycle
Term
What are the major products
of the adipose tissue (2)?
Definition
-FFA, -glycerol
Term
What are the major products
of the brain?
Definition
lactate
Term
What are the major products
of the liver (10)?
Definition
glucose,-VLDL,-HDL,-ketone
bodies,-urea,-uric acid, -bile
acids, -plasma proteins
Term
What are the major regulatory
enzymes of gluconeogenesis
(3)?
Definition
pyruvate carboxylase, PEP
carboxykinase and F-1,6-
bis-P
Term
What are the major regulatory
enzymes of glycolysis and
pyruvate oxidation?
Definition
PFK and pyruvate
dehydrogenase
Term
What are the major regulatory
enzymes of cholesterol
synthesis?
Definition
HMG-CoA reductase
Term
What are the products of the
liver in the fasting state?
Definition
glucose and ketone bodies
Term
What are the products of the
liver in the fed state?
Definition
glycogen and fats/VLDL
Term
What are the products of the
TCA cycle?
Definition
3NADH, 1FADH2, 2CO2,
1GTP per Acetyl CoA
Term
What are the some causes of
hyperbilirubinemia (4)?
Definition
massive hemolysis, -block in
catabolism, -displaced from
binding sites on albumin,
decreased excretion
Term
What are the sources of
hyperbilirubinemia (2)?
Definition
conjugated (direct/
glucuronidated) and
unconjugated(indirect/
insoluble)
Term
What are the specialist
enzymes of muscle (2)?
Definition
-lipoprotein lipase, and well
developed resp chain
Term
What are the specialist
enzymes of the adipose
tissue (2)?
Definition
-lipoprotein lipase,-hormone
sensitive lipase
Term
What are the specialist
enzymes of the heart (2)?
Definition
-lipoprotein lipase, -
respiratory chain welldeveloped
Term
What are the specialist
enzymes of the liver?
Definition
-glucokinase,-glu-6-
phosphotase,-glycerol
kinase, -PEP carboxykinase, -
fructokinase,-arginase,-HMG
coA synthase and lyase, -7ahydroxylase
Term
What are the three sites in the
electron transport chain for
active proton transfer?
Definition
NADH dehydrogenase,
Cyt b/c1, and
cytochrome oxidase aa3
Term
What can occur as an excess
of cholymicrons (3)?
Definition
pancreatitis, lipemia retinalis
and eruptive xanthomas
Term
What can occur as an excess
of VLDL?
Definition
pancreatitis
Term
What catalyzes cholymicron
to cholymicron remnant?
Definition
lipoprotein lipase
Term
What catalyzes IDL to LDL?
Definition
hepatic TG lipase
Term
What catalyzes VLDL to IDL?
Definition
lipoprotein lipase
Term
What causes a hangover?
Definition
acetylaldehyde accumulates
Term
What color is bilirubin and
what is the condition of
excess?
Definition
yellow, jaundice
Term
What complex is pyruvate
dehydrogenase similar to?
Definition
a-ketogluturate
dehydrogenase complex
Term
What do LT c4, D4 and E4 do
(4)?
Definition
bronchconstriction,
vasoconstriction, contract
smooth muscle, increase
vascular permeability
Term
What does breath smell like
during ketoacidosis?
Definition
fruity (acetone)
Term
What does excess LDL cause
(3)?
Definition
atherosclerosis, xanthomas,
and arcus corneae
Term
What does oligomycin do to
ETC?
Definition
ATPase inhibitor that
increases proton gradient but
not ATP production
Term
What does PGI stand for?
Definition
platelet gathering inhibitor
Term
What does the COX pathway
yield?
Definition
thromboxanes,
prostaglandins and
prostacyclin
Term
What does the lipooxygenase
pathway yield?
Definition
leukotrienes
Term
What does this stand for?
Definition
Ornithine, citrulline,
carbamoyl-p, aspartate,
arginosuccinate, fumurate,
arginine, urea
Term
What enzyme catalyzes the
rate limiting step of
cholesterol syn.?
Definition
HMG-CoA reductase
Term
What induces the PPP?
Definition
insulin
Term
What is a major component of
atherosclerotic plaque?
Definition
modified LDL
Term
What is an uncoupling agent
to the ETC?
Definition
2,4 DNP (dynamite)
Term
What is cofactor required for
methionine (SAM)
regeneration?
Definition
vit B12
Term
What is does PGI 2 inhibit (2)?
Definition
platelet aggregation and
vasodilation
Term
What is familial hypercholesteremia?
Definition
AD genetic defect in LDL
receptor
Term
What is Kwashikor?
Definition
protein malnutrition
Term
What is LT B4?
Definition
neutrophil chemotactic agent
Term
What is Marasmus?
Definition
Protein-calorie malnutrition
resulting in tissue wasting
Term
What is the activator of
lipogenesis?
Definition
Citrate
Term
What is the activator of PPP?
Definition
NADP+
Term
What is the clinical picture of
Kwashikor?
Definition
small child with swollen belly
Term
What is the committed step of
heme synthesis?
Definition
glycine + succ CoA to deltaaminolevulinate
Term
What is the composition of
ATP?
Definition
Base(adenine), ribose, 3
phosphoryls
Term
What is the consequence of
accumulated intermediates of
heme synthesis?
Definition
porphyrias
Term
What is the easy way to
remember the cofactors of
PDH complex?
Definition
First 4 B vitamins + lipoic
acid
Term
What is the effector hormone
for glycogenesis?
Definition
Glucagon
Term
What is the energy content of
the 2 phosphoanhydride
bonds?
Definition
7 kcal/mol each
Term
What is the functiion of HDL
(2)?
Definition
transfers cholesterol from
periphery to liver acts as a
repository for apoC and apoE
Term
What is the functioin of
lipoprotein lipase?
Definition
FA uptake to cells from
choly's and VLDL's
Term
What is the function of
aminolevulinate (ALA)
synthase ?
Definition
rate limiting step of heme
synthesis converts succinyl
CoA and glycine to ALA
Term
What is the function of
cholymicrons (2)?
Definition
delivers dietary TG to
peripheral tissues delivers
dietary cholesterol to liver
Term
What is the function of
hormone sensitive lipase?
Definition
degradation of stored TG's
Term
What is the function of LDL?
Definition
delivers hepatic cholesterol to
peripheral tissues
Term
What is the function of
phospholipase A2?
Definition
liberates arachidonic acid
from cell membrane
Term
What is the function of PPP
(3)?
Definition
-produces ribose-5-P from G6P for nucleotide synthesis,
-produces NADPH,
-part of HMP shunt
Term
What is the function of SAM?
Definition
transfers methyl units to wide
variety of receptors
Term
What is the function of the
Cori Cycle?
Definition
transfers excess reducing
equivalants from RBC's and
muscle to liver to allow
muscle to function
anaerobically
Term
What is the function of Tx A2
(2)?
Definition
platelet aggregation and
vasoconstriction
Term
What is the function of VLDL?
Definition
Delivers hepatic TG to
peripheral tisssue
Term
What is the inhibitor of
lipogenesis (2)?
Definition
long-chain acyl-CoA, -cAMP
Term
What is the inhibitor of PPP?
Definition
NADPH
Term
What is the limiting reagent
of ethanol metabolism?
Definition
NAD+
Term
What is the main substrate of
fast twitch muscle?
Definition
glucose
Term
What is the main substrate of
slow twitch muscle?
Definition
ketone bodies, FFA, triacylglycerol
Term
What is the major function of
fast twitch muscle?
Definition
rapid movement
Term
What is the major function of
slow twitch muscle?
Definition
sustained movement
Term
What is the major function of
the a1 receptor?
Definition
increase vascular smooth
muscle contraction
Term
What is the major function of
the a2 receptor (2)?
Definition
-decrease sympathetic outflow,
-decrease insulin
release
Term
What is the major function of
the B1 receptor (5)?
Definition
increase HR,
-inc. contractility,
-inc. renin release,
-inc. lipolysis,
-inc. aq. Humor formation
Term
What is the major function of
the B2 receptor (3)?
Definition
vasodilation, bronchodilation,
inc. glucagon release
Term
What is the major function of
the D1 receptor?
Definition
relax renal vascular smooth
muscle
Term
What is the major function of
the D2 receptor?
Definition
modulate transmitter release,
esp. in brain
Term
What is the major function of
the H1 receptor (4)?
Definition
-increase mucous production,
-contract bronchioles,
-pruritis,
-pain
Term
What is the major function of
the H2 receptor (4)?
Definition
increase gastric acid secretion
Term
What is the major function of
the liver?
Definition
service for the other organs
and tissues
Term
What is the major function of
the M1 receptor?
Definition
CNS
Term
What is the major function of
the M2 receptor?
Definition
decrease heart rate
Term
What is the major function of
the M3 receptor?
Definition
increase exocrine gland
secretions
Term
What is the major function of
the V1 receptor?
Definition
increase vascular smooth
muscle contraction
Term
What is the major function of
the V2 receptor?
Definition
increase water permeability
and reabsorption in the renal
collecting tubules
Term
What is the major inhibitor of
glyc and pyr ox?
Definition
citrate (FA and ketone bodies)
ATP and cAMP, -acetyl CoA,
NADH, ATP
Term
What is the major inhibitor of
TCA?
Definition
ATP, long-chain acyl-coA
Term
What is the major inhibitor of
cholesterol synthesis (2)?
Definition
cholesterol and cAMP
Term
What is the major inhibitor of
glycogenesis?
Definition
ADP and AMP and F-2,6-bis-P
Term
What is the major metabolic
pathway of fast twitch
muscle?
Definition
glycolysis
Term
What is the major metabolic
pathway of slow twitch
muscle?
Definition
Aerobic pathways like B oxidation and
TCA cycle
Term
What is the major product of
fast twitch muscle?
Definition
lactate
Term
What is the major product of
slow twitch muscle?
Definition
lactate
Term
What is the major regulatory
enzyme of glycogenolysis?
Definition
glycogen synthase
Term
What is the major regulatory
enzyme of lipogenesis?
Definition
acetyl CoA carboxylase
Term
What is the major regulatory
enzyme of pentose
phosphate pathway (PPP)?
Definition
glucose-6-P dehydrogenase
Term
What is the major regulatory
enzyme of TCA?
Definition
citrate synthase
Term
What is the mechanism for
the ETC inhibitors?
Definition
directly block ETC, cause
decreased proton gradient
Term
What is the mechanism for
the ETC uncoupler?
Definition
inc. membrane permeability,
decreases proton gradient
and increases O2 consmption
Term
What is the mechanism of
ethanol hypoglycemia?
Definition
NADH/NAD increases in liver
causes diversion of pyruvate
to lactate and OAA to malate
inhibits gluconeogenesis and
thus leads to hypoglycemia
Term
What is the mnemonic for the
various substrates of the TCA
cycle?
Definition
Cindy Is Kinky So She
Fornicates More Often
Term
What is the mneumonic for
essential AA?
Definition
PriVaTe TIM HALL
Term
What is the mneumonic for
major apolipoproteins?
Definition
A-1 Activates LCAT B-100
Binds to receptor C-II is a
Cofactor for LPL E mediates
Extra (remnant) uptake
Term
What is the mneumonic for
the Urea cylce substrates?
Definition
Ordinarily, Careless Crappers
Are Also Frivolous About
Urination
Term
What is urobilinogen?
Definition
an intestinal intermediate
reabsorbed to blood and
excreted in urine as urobilin
Term
What other physiological side
affect occurs by this
hypoglycemia?
Definition
fatty liver seen in chronic
alcoholics
Term
What rxn does pyruvate
dehydrogenase catalyze?
Definition
pyruvate+NAD+CoA goes to
acetyl-CoA +CO2+NADH
Term
What second messenger
system does Gi work
through?
Definition
adenylcyclase reduces cAMP levels and protein kinase A is reduced
Term
What second messenger
system does Gq work
through?
Definition
phospholipase C,
PIP2 to IP3 and DAG.
DAG works through protein kinase C IP3 increases IC calcium ion
Term
What second messenger
system does Gs work
through?
Definition
adenylcyclase converts ATP to
cAMP to phosphorylate
protein kinase A
Term
What some properties of
bilirubin (3)?
Definition
sparingly water soluble toxic
to CNS transported by
albumin
Term
What step does this enzyme
work on?
Definition
HMG-CoA to mevalonate
Term
What suppresses
glycogenesis?
Definition
insulin
Term
What tissues require insulin
for glucose uptake?
Definition
adipose and skeletal muscle
Term
What type of metabolism
occurs in the both (3)?
Definition
-gluconeogenesis,
-urea cycle,
-heme synthesis
Term
What type of metabolism
occurs in the cytoplasm (5)?
Definition
glycolysis,
fatty acid synthesis,
HMP shunt,
protein synthesis (RER)
steroid synthesis (SER)
Term
What type of metabolism
occurs in the mitochondria
(3)?
Definition
Beta oxidation,
Acetyl-CoA production,
Kreb's cycle
Term
When are ketone bodies
formed (2)?
Definition
during prolonged starvation
diabetic ketoacidosis
Term
Where are basic AA found in
high amounts?
Definition
in Histones that bind to
negative DNA
Term
Where are cholymicrons
made?
Definition
small intestine
Term
Where are ketone bodies
made?
Definition
liver
Term
Where does FA degradation
occur?
Definition
mitochondria, where it will be used
Term
Where does FA synthesis
occur?
Definition
cytosol
Term
Where is ALA synthase found
and what inhibits it?
Definition
mitochondria, heme
Term
Where is HDL secreted from
(2)?
Definition
liver and small intestine
Term
Where is insulin made?
Definition
B cells of pancreas
Term
Where is NADPH generated?
Definition
is a product of HMP shunt
and the malate dehydrogenase rxn
Term
Where is SAM generated?
Definition
From ATP and methionine
Term
Where is VLDL made?
Definition
liver
Term
Which ketone body is
detected in urine test (1
only)?
Definition
acetoacetate
Term
Carbon monoxide has a
greater affinity for what
molecule?
Definition
CO has 200x greater affinity
for hemoglobin than for
oxygen
Term
Describe the subunits for
hemoglobin?
Definition
hemoglobin is composed of 4
polypeptide subunits (2 alpha
and 2 beta)
Term
During the cycle of the
sodium pump, it is __.
Definition
phosphorylated
Term
How are enzymes regulated?
Definition
1. enzyme concentration alteration (synthesis and/or destruction)
2. covalent modification (eg. phosphorylation)
3. proteolytic modification (zymogen)
4. allosteric regulation (eg. feedback
inhibition)
5. transcriptional regulation (eg. steroid hormones)
Term
How does calcium cause
skeletal muscle contraction?
Definition
Ca2+ ; activates troponin ;
moves tropomyosin ;
exposes actin-bining site ;
allows actin/myosin interaction
Term
How does calcium cause
smooth muscle contraction?
Definition
Ca2+ ; binds to calmodulin because smooth muscle doesn't have troponins!
Term
How does procollagen
molecules become collagen
fibrils?
Definition
procollagen molecules cleaved
at terminal regions by
peptidases to become insoluble
tropocollagen, which aggregates
to form fibrils procollagen
molecules are exocytosed into
extracellular space, where this
process occurs
Term
How is CO2 transported from
tissue to lungs?
Definition
- binds to amino acids in
globin chain (at N-terminus),
not to heme
- favors T form of Hb (thus promotes O2
unloading)
Term
How is collagen fibillar
structure reinforced?
Definition
by the formation of covalent
lysine-hydroxylysine
crosslinks between
tropocollagen molecules
Term
How is hemoglobin structure
regulated?
Definition
increased Cl-, H+, CO2, DPG,
and temperature favor T form
(low affinity of O2)--shifting
the dissociation curve to the
right, leading to increased O2
unloading
Term
Most cells are in which cell
cycle phase?
Definition
G0
Term
On what cellular stuctures are
microtubules found?
Definition
flagella, cilia, mitotic spindles
Term
On which cells is
phosphotidylcholine (lecithin)
a major component?
Definition
- RBC membranes
- myelin
- bile
- surfactant (DPPC-dipalmitoyl phosphatidylcholine)
- also used in the esterification of
cholesterol
Term
Only the cytoplasmic side of
membrane contains what?
Definition
glycosylated lipids or proteins
Term
The lower the Km, the
(higher/lower/remains same)
the affinity
Definition
higher
Term
What are the 2 forms of
hemoglobin?
Definition
- T (taut) form has low affinity for oxygen
- R (relaxed) form has 300x
higher affinity for oxygen Hb exerts
positive cooperativity and negative
allostery, accounting for the
sigmoid-shaped O2 disassociation
curve (which myoglobin doesn't have)

[Hint: When you're RELAXED, you do
your job better (carry more O2)]
Term
What are the cell cycle
phases?
Definition
Mitosis (Prophase- Metaphase-Anaphase-
Telophase)
G1 (Gap or Growth)
S (Synthesis of DNA)
G2 (Gap or Growth)
G0 (quiescent G1 phase)
Term
What are the characteristics
of a microtubule?
Definition
- cylindrical structure 24nm in
dia and variable length - helical
array of polymerized dimers of
alpha- and beta-tubulin (13 per
circumference) - each dimer has
2 GTP bound - grows slowly,
collapses quickly - involved in
slow axoplasmic transport in
neurons
Term
What are the characteristics
of competitive inhibitors?
Definition
- resemble substrates
- bind reversibly to active sites of
enzymes
- high substrate concentrations overcomes effect of inhibitors
- Vmax remains unchanges
- Km increases compared to uninhibited
Term
What are the characteristics
of noncompetitive inhibitors?
Definition
- doesn't resemble substrate
- bind to enzyme but not
necessarily at active site
- inhibition can't be overcome by
high substrate concentration
- Vmax decreases
- Km remains unchanged compared to
uninhibited
Term
What cell cycle phases are
variable in duration?
Definition
G1 and G0
Term
What drugs act on
microtubules?
Definition
mebendazole/
thiabendazole (antihelmintic)
-taxol (anti-breast cancer)
- griseofulvin (antifungal)
- cholichicine (anti-gout)
Term
What drugs inhibits the
sodium pump?
Definition
- Ouabain inhibits the pump
by binding to the K+ site -
cardiac glycosides (digoxin,
digitoxin) also inhibit the
pump, causing increased
cardiac contractility
Term
What is methemoglobinemia?
Definition
blood disorder where
methemoglobin, an oxidized
form of hemoglobin (ferric,
Fe3+) that does not bind O2
as readily. Iron in Hb is
normally in a reduced state
(ferrous, Fe2+)
Term
What is the difference
between collagen fibril and
collagen molecule?
Definition
fibril is made of molecules
collagen fibril--many
staggered collagen molecules
linked by lysyl oxidase
collagen molecule--3
collagen alpha chains, usually
of Gly-x-y (x and y = pro,
OH-pro, or OH-lys)
Term
What is the first step in
forming collagen from prolyl
and lysyl residues? Where
does it occur? What nutrient
does it require?
Definition
hydroxylation endoplasmic
reticulum vitamin C
Term
What is the plasma
membrane composition?
Definition
- cholesterol (~50%, promotes membrane stability)
- phospholipids (~50%)
- sphingolipids
- glycolipids
- proteins
Term
What is the sodium pump?
Definition
Na-K ATPase
Term
What molecules, how many of
them, and in what direction
are moved across the
membrane by the sodium
pump?
Definition
3 Na go out and 2 K go in
Term
Where is the sodium pump?
Definition
on the membrane, with the
ATP site on the cytoplasmic
side of the pump
Term
Which cell cycle phase is
shorter in rapidly dividing
cells?
Definition
rapidly dividing cells have a
shorter G1 phase
Term
Which cell cycle phase is
usually shortest?
Definition
mitosis
Term
Arthralgia's, fatigue,
headaches, skin changes,
sore throat, alopecia are
symptoms foundin what
vitamin deficiency
Definition
Vit A (Retinal)
Term
How does sarcoidosis cause
hypercalcemia?
Definition
in sarcoid, epitheliod
macrophages convert vitamin
D into it's active form leading
to increased absorption of
calcium
Term
How many ATP are made
from Niacin
Definition
Niacin=NAD niacin is B3=3 ATP
Term
What are the characteristic
findings seen in Riboflavin
deficiencies
Definition
Riboflavin is B2 2
C's=cheilosis and Corneal
vascularization and also
Angular stomatitis
Term
What are the fat soluble
vitamins
Definition
D,A,K,E
Term
What are the findings in Vit D
excess?
Definition
Hypercalcemia, loss of
appetite, stupor
Term
What are the possible causes
of hypercalcemia?
Definition
1. Vit D intoxication 2.
Malignancy 3.
Hyperparathyroidism 4. Milkalkali
syndrome 5.
Sarcoidosis 6. Paget's disease
of bone
Term
What are the signs and
symptoms of vit B12
deficiency?
Definition
1. Macrocytic megaloblastic
anemia 2. Neurologic
symptoms-optic neuropathy,
subacute combined
degeneration 3. glossitis
Term
What are the signs of Biotin
deficiency and what are
possilble causes?
Definition
dermatitis, enteritis
antiobiotic use and ingestion
of raw eggs
Term
What are the signs of Folate
deficiency?
Definition
Macrocytic megaloblastic
anemia sprue
Term
What are the symptoms in Vit
B5 deficiency
Definition
dermatitis, enterititis,
alopecia, adrenal insufficiency
Term
What are the symptoms of
Pellagra
Definition
3 D's Diarrhea, Dermatitis,
Dementia, and also Beefy
glossitis
Term
What are the usual causes of
Vit B12 deficiency?
Definition
1. Malabsorption- Sprue,
enteritis, Diphyllobthrium
latum (Dr. Lohr's fish tapeworm)
2.lack of intrinsic factor (pernicious anemia)
3.Absence of the terminal ileum- Crohn's disease or surgery
Term
What are the water soluble
vitamins
Definition
B complex vitamins
(B1,2,3,5,6,12), Vit C, Biotin,
Folate
Term
What can induce pyridoxine
deficiency? Symptoms?
Definition
INH and oral contraceptives
convulsion, hyperirritability
Term
What clotting factors are Vit K
dependent and what anticlotting
drug acts as a Vit K
antagonist?
Definition
Factors II, VII, IX, X and
Protein C and S Warfarin
Term
what disease is characterized
by polyneuritis, cardiac
pathology and edema and
what is the cause
Definition
Beriberi (Ber1BerI), due to Vit
B1 deficiency
Term
What diseases conditions are
caused by Vitamin D
deficiency?
Definition
Rickets in kids Osteomalacia
in adults hypocalcemic tetany
Term
What diseases is caused by
Vit C deficiency and what are
the findings?
Definition
Scurvy swollen gums,
bruising, anemia, poor wound
healing
Term
What is B12 used for in the
body?
Definition
Cofactor for homocysteine
methylation and
methylmalonyl-CoA handling
Term
What is Niacin's function in
the body and from what can it
be derived
Definition
part of NAD, NADP and is
derived from tryptophan
Term
What is the active form of
Vitamin D?
Definition
1,25 (OH)2 D3 = active form
Term
What is the alternate name of
Vit B3, problems in
deficiency, common cause of
defieciency
Definition
niacin Pellagra Hartnup
disease, malignant carcinoid
syndrome, and INH
Term
What is the alternate name of
vitamin B1 and what are the
characteristic diseases of it's
deficiency
Definition
Beriberi and Wernicke-
Korsakoff syndrome
Term
What is the folic acid
precursor in bacteria and
what antibiotics exploit this
fact?
Definition
PABA is the precursor sulfa
drugs and dapsone are PABA
analogs
Term
What is the form of vitamin D
consumed in milk?
Definition
D2 = ergocalciferol
Term
What is the form of Vitamin D
found in sun-exposed skin?
Definition
D3 = cholecalciferol
Term
What is the function and
alternate name of Vit. B2
Definition
cofactor in oxidation and
reduction (FAD,FMN)
RiboFlavin
Term
What is the function of Biotin?
Definition
Cofactor for carboxylations
1. Pyruvate to oxaloacetate
2. Acetyl-CoA to malonyl Co-A
3. Prprionyl-CoA to methylmalonyl-CoA
Term
What is the function of folic
acid?
Definition
coenzyme for 1-carbon
transfer;methylation reactions
important for the synthesis of
nitrogenous bases in DNA
and RNA
Term
What is the function of Vit A,
it's alternate name, and
symptoms in deficiency
Definition
visual pigments (retinal)
retinol night blindness and
dry skin
Term
What is the function of Vit B1
Definition
it becomes Thiamine
Pyrophosphate (TPP) and is
used in: oxidative
decarboxylation of Alphaketo
acids (pyruvate, Alphaketoglutarate
cofactor for
tranketolase in the HMP shunt
Term
What is the function of Vit B6
Definition
B6 (pyridoxine) is converted
to pyridoxal phosphate a
cofactore in transamination
reactions (ALT & AST),
decarboxylation, and transsulfuration
Term
What is the function of Vit E?
Definition
antioxidant; especially in
Erythrocytes where it protects
them from hemolysis Vit E is
for Erythrocytes
Term
What is the function of
vitamin C?
Definition
1. Cross linking of collagen hydroxylation of proline and lysine in collagen synthesis keeping iron in the Fe2+ reduced state making it more absorbable
3. Cofactor for coverting dopamine to norepinephrine
Term
What is the function of
Vitamin D?
Definition
increase intestinal absorption
of Calcium and phosphate
Term
What is the function of
Vitamin K?
Definition
catalyzes gammacarboxylation
of glutamic
acid residues on various
proteins concerned with
clotting.
Term
What is the most common
vitamin deficiency in the
United States?
Definition
Foilic Acid
Term
What is the rule of 2's for Vit
B2
Definition
2 F's, 2C's and 2ATP 2
F's=FAD&FMN 2 C's =
signs of deficiency cheilosis
and corneal vascularization
oxidation of FADH2 leads to 2
ATP
Term
What is the sotrage form of
Vitamin D?
Definition
25-OH D3
Term
What is the source of Vit B12
and what is B12's other name
Definition
found only in animal products
cobalamin
Term
What is vit B5's function and
alternate name
Definition
constituent of CoA, part of
fatty acid synthase. Cofactor
for acyl transfers
Pantothenate (Pantothen-A is
in Co-A)
Term
What manifestation is specific
to wet beriberi?
Definition
high output cardiac failure
(dilated cardiomyopathy)
Term
What molecule in egg white
binds up Biotin and causes
deficiency
Definition
Avidin
Term
What problems do you see in
Vit K deficiency?
Definition
Neonatal hemorrhage with
increased PT increased aPTT,
but normal bleeding time in
general, mild vitamin k
deficiency will prolong PT and
have normal PTT severe
deficiency will prolong PT and
PTT
Term
What scenerios are vit B
defieciencies often seen in
Definition
alcholism and malnutrition
Term
What test is used to detect
B12 deficiency
Definition
Schilling test
Term
What two general types of
things will cause fat soluble
vitamin deficiency
Definition
Malabsorption syndromes
( cystic fibrosis and sprue)
and mineral oil intake
Term
What vitamins more
commonly cause toxicity and
why
Definition
fat soluble vitamins b/c these
accumulate in fat
Term
What water soluble vitamin
does not wash out easily from
the body
Definition
B12 which is stored in the
liver
Term
What will a defieciency in Vit E
lead to?
Definition
Increased fragility of
erythrocytes
Term
Where is B12 synthesized and
stored
Definition
synthesized only in
microorganisms stored
primarily in liver
Term
Where is Vit K synthesized
and what is one cause of Vit K
deficiency?
Definition
synthesized by ntestinal flora
prolonged broad spectrum
antibiotic use can kill off the
flora can cause a deficiency
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