Cell Biology and Pathophysiology Quiz

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Questions and Answers

What is the most common cause of x-linked SCID?

  • BTK
  • Common-gamma chain (correct)
  • PNP
  • ZAP-70

What primarily distinguishes the HLA alleles HLA-A*02 01 and HLA-A 02 02?

  • Synonymous polymorphism(s) of the non-coding regions
  • Non-synonymous polymorphism(s) of the coding region (correct)
  • Non-synonymous polymorphism(s) that determine the serotype
  • Synonymous polymorphism(s) of the coding regions

What is one of the first indicators of cell injury?

  • Na/K ATPase impairment
  • Loss of DNA integrity
  • Loss of membrane integrity (correct)
  • Decrease protein synthesis

What is a main consequence of anaerobic glycolysis?

<p>Lactate accumulation (D)</p> Signup and view all the answers

Which cell type is known for producing large amounts of reactive oxygen species (ROS)?

<p>Phagocytes (C)</p> Signup and view all the answers

What is autophagy responsible for?

<p>Degrading unwanted cell components (B)</p> Signup and view all the answers

What consequence does the DNA Damage Response have on cells?

<p>Repairing DNA damage (B)</p> Signup and view all the answers

Which enzyme is not involved in phase I biotransformations?

<p>UDP glucuronyl-transferase (D)</p> Signup and view all the answers

Which of the following types of proteins is characteristic of Bcl-2 family proteins?

<p>Anti-apoptotic (A)</p> Signup and view all the answers

What components make up the apoptosome?

<p>Cytochrome c and Apaf-1 (A)</p> Signup and view all the answers

Which type of cancer was the leading cause of death in the early 1930s?

<p>Stomach cancer (D)</p> Signup and view all the answers

What best defines an oncogene?

<p>A dominantly expressed mutated gene giving growth/survival advantage (A)</p> Signup and view all the answers

Which type of protein could be coded by a tumor-suppressor gene?

<p>A protein that helps repair DNA (C)</p> Signup and view all the answers

Which property of p53 allows it to inhibit cancer development?

<p>Induces apoptosis in damaged cells (A)</p> Signup and view all the answers

Which gene is NOT commonly mutated in colorectal cancer?

<p>HER2 (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of cancer stem cells?

<p>Strict requirement for symmetric division (A)</p> Signup and view all the answers

What feature distinguishes malignant tumors from benign tumors?

<p>Ability to undergo metastasis (D)</p> Signup and view all the answers

Which statement regarding exosomes is incorrect?

<p>Exosomes originate from the endoplasmic reticulum (D)</p> Signup and view all the answers

Which type of immune cell does NOT promote tumor progression?

<p>M1 macrophages (B)</p> Signup and view all the answers

Which gene alteration is currently deemed not directly targetable by cancer therapy?

<p>KRAS mutation (A)</p> Signup and view all the answers

Which of the following cancer types has a very high number of non-synonymous mutations?

<p>Melanoma (A)</p> Signup and view all the answers

Which breast tumor subtype typically has the worst prognosis?

<p>Basal-like breast cancer (B)</p> Signup and view all the answers

Flashcards

ADA Deficiency SCID

A recessive genetic disorder caused by a mutation in the gene encoding the enzyme adenosine deaminase (ADA), resulting in a deficiency of ADA activity. ADA is essential for the purine salvage pathway, which breaks down and recycles purines.

Non-synonymous Polymorphism

A type of polymorphism that changes the amino acid sequence of a protein. These changes can affect the protein's function, leading to different phenotypes.

Cellular Swelling

One of the first signs of cell injury, characterized by an influx of water and ions into the cell, causing the cell to swell.

Lactate Accumulation

The accumulation of lactate in the body as a result of anaerobic glycolysis. This process is used by cells to produce energy when oxygen is limited.

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Apoptosis

A type of cell death that involves an orderly and controlled dismantling of the cell. The process requires the activation of a cascade of enzymes called caspases.

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Autophagy

The process by which cells degrade unwanted or damaged components through the formation of double-membrane vesicles called autophagosomes. These autophagosomes fuse with lysosomes, where the contents are broken down.

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DNA Damage Response

A cellular response to DNA damage. It involves the activation of various signaling pathways that can lead to DNA repair, cell cycle arrest, or apoptosis.

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Steatosis

The accumulation of triglycerides within the liver cells. This can be caused by various factors, including obesity, diabetes, and alcohol consumption.

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Bcl-2 family proteins

A family of proteins that regulate apoptosis. Bcl-2 proteins can be either pro-apoptotic (promoting cell death) or anti-apoptotic (inhibiting cell death).

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Oncogene

A gene that when mutated or overexpressed can contribute to the development of cancer. Oncogenes often promote cell growth, survival, or proliferation.

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Tumor suppressor gene

A gene that normally suppresses tumor formation. When these genes are mutated or inactivated, cancer is more likely to develop.

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p53

A protein that plays a crucial role in preventing cancer by stopping the cell cycle when DNA damage is detected. It helps to ensure that damaged DNA is repaired before the cell divides.

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Rb protein

A protein that helps regulate the cell cycle and is frequently mutated in cancer. It acts as a 'gatekeeper' preventing cells from dividing when they shouldn't.

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Cancer stem cell

A type of cancer cell that possesses the ability to self-renew and differentiate, giving rise to the heterogeneity of the tumor.

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Malignant tumor

A tumor that has the ability to invade surrounding tissues and spread to distant sites in the body.

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Exosomes

Small vesicles released by cells that carry molecules, such as proteins and RNA, to other cells. They play a role in cell-to-cell communication and can contribute to cancer progression.

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M2 macrophages

A type of macrophage that promotes tumor growth and suppresses anti-tumor immune responses.

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Targeted therapy

A type of targeted therapy that uses antibodies or other molecules to block the activity of specific proteins involved in cancer growth and survival.

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CAR T cell therapy

A type of immunotherapy that uses engineered T cells to recognize and kill cancer cells. These T cells express chimeric antigen receptors (CARs) that specifically target tumor antigens.

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Checkpoint inhibitor therapy

A type of immunotherapy that stimulates the immune system to fight cancer. It works by blocking checkpoints on immune cells, allowing them to attack tumor cells more effectively.

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RECIST criteria

A set of criteria used to assess the response of cancer to treatment. It evaluates the size and number of tumors over time.

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Antigen presenting cells (APCs)

Cells that express both Class I and Class II MHC (Major Histocompatibility Complex) molecules.

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Th17 cells

A type of T helper cell that secretes cytokines like IL-17, promoting inflammation and tissue damage. They play a role in autoimmune diseases.

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Autoimmune disease

A disease where the immune system mistakenly attacks the body's own tissues.

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Study Notes

X-Linked SCID

  • Most common X-linked SCID is caused by a deficiency in the common-gamma chain.

HLA Alleles

  • HLA-A02:01 and HLA-A02:02 differ due to non-synonymous polymorphisms in the coding region, which determine the serotype.

Cell Injury

  • One of the earliest signs of cell injury is loss of membrane integrity.

Anaerobic Glycolysis

  • The main consequence of anaerobic glycolysis is lactate accumulation.

Hypoxic Injury

  • One of the first cellular signs of mild hypoxic injury is swelling.

Protease Activation

  • Protease activation is triggered by increased cytosolic calcium.

ROS Production

  • Phagocytes produce large amounts of reactive oxygen species (ROS).

Autophagy

  • Autophagy degrades unwanted cellular components and is associated with aging.

DNA Damage Response

  • The DNA damage response allows cells to repair DNA damage and induce apoptosis.

Biotransformations Enzymes

  • UDP glucuronyl-transferase is not involved in phase I biotransformations.

Steatosis

  • Steatosis involves intracellular accumulation of triglycerides.

Pneumoconiosis

  • Pneumoconiosis involves lung accumulation of carbon particles, silica fibers, and asbestos fibers.

Hemosiderosis

  • Hemosiderosis reflects iron accumulation.

Non-Alcoholic Fatty Liver Disease (NAFLD)

  • NAFLD is associated with obesity.

Extrinsic Apoptosis Pathway

  • Perforin does not trigger the extrinsic apoptosis pathway.

Bcl-2 Family Proteins

  • Bcl-2 family proteins are primarily anti-apoptotic.

Apoptosome

  • The apoptosome is composed of cytochrome c and Apaf-1.

Leading Cause of Death (1930s)

  • Stomach cancer was the leading cause of death around 1930.

Oncogene Definition

  • An oncogene is a dominantly expressed mutated gene giving a growth/survival advantage.

Tumor Suppressor Gene Products

  • A tumor suppressor gene can code for a protein that controls progression through the cell cycle.

p53 Function

  • P53 prevents the replication of cells with damaged DNA.

Colorectal Cancer Genes

  • The gene SMAD4 is not commonly mutated in colorectal cancer.

Cancer Stem Cells

  • Cancer stem cells are characterized by an inability to undergo symmetric division.

Malignant vs. Benign Tumors

  • A malignant tumor undergoes metastasis.

Exosomes

  • Exosomes are not the same size as microvesicles.

Tumor Progression Effectors

  • M1 macrophages do not generally favor tumor progression.

Targetable Gene Alterations in Cancer Therapy

  • KRAS mutations are not directly targetable by current cancer therapies.

Cancer Types with High Non-Synonymous Mutations

  • Melanoma has a high number of non-synonymous mutations.

Breast Cancer Prognosis

  • Basal-like breast cancer has the worst prognosis.

Chimeric Antigen Receptor (CAR) T Cells

  • CAR T cells do not recognize native tumor antigens in their first generation.

Active Tumor Immunotherapy

  • Anti-CTLA4 is generally more toxic than anti-PD1.

RECIST Criteria

  • Absence of change is not a defined RECIST term.

HLA Class I & II Expression

  • Dendritic cells express both Class I and Class II HLA molecules.

Th Cells

  • TLRs on APCs influence Th cell priming.

Autoimmune Disease Pathogenesis

  • Autoimmune diseases are not always driven by autoantibodies.

Systemic Autoimmune Diseases

  • Systemic autoimmune diseases are not primarily due to type I hypersensitivity.

Live Attenuated Vaccines

  • Oral administration is associated with polio vaccine.

HIV POL Gene Product

  • HIV POL encodes for reverse transcriptase.

HLA-DRB1*03:01

  • HLA-DRB1*03:01 is a genotypic class II designation.

HIV Long-Term Non-Progressors

  • Long-term non-progressors avoid AIDS for 20 years without therapy.

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