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Questions and Answers
What is the primary consequence of having a pseudodeficiency allele in screening tests?
What is the primary consequence of having a pseudodeficiency allele in screening tests?
- Prevention of GM2 ganglioside accumulation.
- High levels of hex A activity.
- Correct diagnosis of Tay-Sachs disease.
- Incorrect diagnosis of being affected. (correct)
Which type of disease is I-cell disease classified as?
Which type of disease is I-cell disease classified as?
- Autosomal recessive lysosomal storage disease. (correct)
- Autosomal dominant disorder.
- X-linked hereditary condition.
- Mitochondrial genetic disorder.
What is one major effect of hex A pseudodeficiency alleles on prenatal diagnosis?
What is one major effect of hex A pseudodeficiency alleles on prenatal diagnosis?
- They allow for simpler genetic screening.
- They complicate prenatal diagnosis. (correct)
- They enhance accurate prenatal testing.
- They are always related to Tay-Sachs mutations.
What characterizes the lysosomal enzymes in the cytoplasm of cultured skin fibroblasts from I-cell patients?
What characterizes the lysosomal enzymes in the cytoplasm of cultured skin fibroblasts from I-cell patients?
What is the typical activity level of hex A in individuals with Tay-Sachs mutations?
What is the typical activity level of hex A in individuals with Tay-Sachs mutations?
What would be a potential supporting issue related to genetic screening programs for other diseases?
What would be a potential supporting issue related to genetic screening programs for other diseases?
What defines housekeeping proteins?
What defines housekeeping proteins?
Which of the following is true regarding the modification of hydrolases in I-cell disease patients?
Which of the following is true regarding the modification of hydrolases in I-cell disease patients?
Which of the following statements about tissue-specific specialty proteins is true?
Which of the following statements about tissue-specific specialty proteins is true?
What is the relationship between the expression of a protein and the site of disease?
What is the relationship between the expression of a protein and the site of disease?
What common feature is noted among many lysosomal acid hydrolases?
What common feature is noted among many lysosomal acid hydrolases?
Which of the following disorders is NOT mentioned as an example in the chapter?
Which of the following disorders is NOT mentioned as an example in the chapter?
Which general mechanism is discussed regarding how mutations cause genetic disease?
Which general mechanism is discussed regarding how mutations cause genetic disease?
How many protein-coding genes do most human cell types express?
How many protein-coding genes do most human cell types express?
What role do lesser-known disorders play in the understanding of genetic diseases?
What role do lesser-known disorders play in the understanding of genetic diseases?
Which statement describes the overall focus of the chapter?
Which statement describes the overall focus of the chapter?
What is the most common cause of familial hypercholesterolemia?
What is the most common cause of familial hypercholesterolemia?
How is familial hypercholesterolemia inherited?
How is familial hypercholesterolemia inherited?
What characterizes the homozygous form of familial hypercholesterolemia?
What characterizes the homozygous form of familial hypercholesterolemia?
What is a common physical manifestation of familial hypercholesterolemia?
What is a common physical manifestation of familial hypercholesterolemia?
The increase in plasma LDL cholesterol in homozygotes is attributed to what?
The increase in plasma LDL cholesterol in homozygotes is attributed to what?
What are arcus corneae indicative of?
What are arcus corneae indicative of?
What risk is associated with elevated levels of LDL cholesterol?
What risk is associated with elevated levels of LDL cholesterol?
What is the consequence for untreated homozygotes with familial hypercholesterolemia?
What is the consequence for untreated homozygotes with familial hypercholesterolemia?
What is a known consequence of structural changes in α1-antitrypsin (α1AT)?
What is a known consequence of structural changes in α1-antitrypsin (α1AT)?
What percentage of the population are carriers of α1-antitrypsin deficiency?
What percentage of the population are carriers of α1-antitrypsin deficiency?
How does smoking affect the survival of patients with α1-antitrypsin deficiency?
How does smoking affect the survival of patients with α1-antitrypsin deficiency?
What is the prevalence of α1-antitrypsin deficiency in the population?
What is the prevalence of α1-antitrypsin deficiency in the population?
Which group is likely to exhibit the worst survival rates with α1-antitrypsin deficiency?
Which group is likely to exhibit the worst survival rates with α1-antitrypsin deficiency?
What can be inferred about the α1AT alleles related to disease risk?
What can be inferred about the α1AT alleles related to disease risk?
What type of polymers does mutant α1-antitrypsin form due to structural changes?
What type of polymers does mutant α1-antitrypsin form due to structural changes?
Who are more likely to present with α1-antitrypsin deficiency?
Who are more likely to present with α1-antitrypsin deficiency?
What causes the clinical disease in patients with acute intermittent porphyria (AIP)?
What causes the clinical disease in patients with acute intermittent porphyria (AIP)?
Which agents are known to induce the synthesis of ALA and PBG in carriers of AIP?
Which agents are known to induce the synthesis of ALA and PBG in carriers of AIP?
What is the reduction level of PBG deaminase in patients affected by AIP?
What is the reduction level of PBG deaminase in patients affected by AIP?
In acute intermittent porphyria, which of the following is associated with clinically expressed symptoms?
In acute intermittent porphyria, which of the following is associated with clinically expressed symptoms?
What is the primary transport protein for cholesterol that is elevated in familial hypercholesterolemia?
What is the primary transport protein for cholesterol that is elevated in familial hypercholesterolemia?
Which nervous systems are affected by the pathogenesis of the nervous system disease discussed?
Which nervous systems are affected by the pathogenesis of the nervous system disease discussed?
What condition is characterized by a greatly increased risk for myocardial infarction due to the affected LDL receptor?
What condition is characterized by a greatly increased risk for myocardial infarction due to the affected LDL receptor?
What is one of the main neurological symptoms that manifests in patients with clinically expressed acute intermittent porphyria?
What is one of the main neurological symptoms that manifests in patients with clinically expressed acute intermittent porphyria?
What process is stimulated by the activation of acyl coenzyme A : cholesterol acyl-transferase (ACAT)?
What process is stimulated by the activation of acyl coenzyme A : cholesterol acyl-transferase (ACAT)?
What effect does an increase in intracellular cholesterol have on LDL receptors?
What effect does an increase in intracellular cholesterol have on LDL receptors?
How many different mutations have been identified in the LDLR gene?
How many different mutations have been identified in the LDLR gene?
What type of mutations accounts for 2% to 10% of LDLR alleles?
What type of mutations accounts for 2% to 10% of LDLR alleles?
What is the majority type of mutation reported in the LDLR gene?
What is the majority type of mutation reported in the LDLR gene?
What is a potential consequence of mutations in the LDLR gene?
What is a potential consequence of mutations in the LDLR gene?
Which of the following statements is NOT true regarding the LDL receptor mutations?
Which of the following statements is NOT true regarding the LDL receptor mutations?
How does excess plasma cholesterol influence LDL receptor levels?
How does excess plasma cholesterol influence LDL receptor levels?
Flashcards
Housekeeping Proteins
Housekeeping Proteins
Proteins that are essential for basic cellular processes and are found in almost every cell type.
Specialty Proteins
Specialty Proteins
Proteins that have specialized functions and are expressed in only certain cell types, contributing to their unique characteristics.
Housekeeping Protein Mutations
Housekeeping Protein Mutations
Mutations in housekeeping proteins can disrupt fundamental cellular processes and lead to widespread dysfunction.
Specialty Protein Mutations
Specialty Protein Mutations
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Protein Expression Patterns
Protein Expression Patterns
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Protein Function and Disease
Protein Function and Disease
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Human Protein Expression
Human Protein Expression
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Mutations and Protein Function
Mutations and Protein Function
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Hex A Pseudodeficiency
Hex A Pseudodeficiency
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I-Cell Disease
I-Cell Disease
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Mannose Residues
Mannose Residues
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Phosphorylation of Mannose Residues
Phosphorylation of Mannose Residues
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Post-translational Modification
Post-translational Modification
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Post-translational Targeting
Post-translational Targeting
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Lysosomes
Lysosomes
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Lysosomal Acid Hydrolases
Lysosomal Acid Hydrolases
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Acute Intermittent Porphyria (AIP)
Acute Intermittent Porphyria (AIP)
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Clinically Latent AIP
Clinically Latent AIP
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Clinically Expressed AIP
Clinically Expressed AIP
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Pathogenesis
Pathogenesis
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Porphobilinogen (PBG)
Porphobilinogen (PBG)
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δ-Aminolevulinic Acid (ALA)
δ-Aminolevulinic Acid (ALA)
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Porphobilinogen Deaminase
Porphobilinogen Deaminase
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Familial Hypercholesterolemia
Familial Hypercholesterolemia
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Alpha-1 Antitrypsin Deficiency
Alpha-1 Antitrypsin Deficiency
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Alpha-1 Antitrypsin (α1AT)
Alpha-1 Antitrypsin (α1AT)
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Mutant α1AT Polymers
Mutant α1AT Polymers
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Prevalence of α1AT Deficiency
Prevalence of α1AT Deficiency
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α1AT Alleles
α1AT Alleles
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Smoking and α1AT Deficiency
Smoking and α1AT Deficiency
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Protein Aggregation
Protein Aggregation
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Structural Changes in Proteins
Structural Changes in Proteins
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LDL Receptor Function
LDL Receptor Function
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Atherosclerosis
Atherosclerosis
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Xanthomas
Xanthomas
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Gene Dosage Effect
Gene Dosage Effect
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Heterozygous Familial Hypercholesterolemia
Heterozygous Familial Hypercholesterolemia
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Homozygous Familial Hypercholesterolemia
Homozygous Familial Hypercholesterolemia
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Symptoms of Familial Hypercholesterolemia
Symptoms of Familial Hypercholesterolemia
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Cholesteryl Esterification
Cholesteryl Esterification
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Acyl Coenzyme A : Cholesterol Acyltransferase (ACAT)
Acyl Coenzyme A : Cholesterol Acyltransferase (ACAT)
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Cholesteryl Esters
Cholesteryl Esters
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LDL Receptor
LDL Receptor
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Downregulation of LDL Receptor Synthesis
Downregulation of LDL Receptor Synthesis
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Familial Hypercholesterolemia (FH)
Familial Hypercholesterolemia (FH)
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Reverse Cholesterol Transport
Reverse Cholesterol Transport
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Apolipoprotein A-I (ApoA-I)
Apolipoprotein A-I (ApoA-I)
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Study Notes
Genetic Disease
- Genetic diseases are caused by abnormalities in gene and protein function.
- Mutations can disrupt protein synthesis or function, leading to various diseases.
- Proteins can be categorized as housekeeping proteins (expressed in all cells) or specialty proteins (expressed in specific cell types).
- Mutations in tissue-specific proteins often result in tissue-specific diseases.
- Mutations in housekeeping proteins can have limited tissue-specific effects.
- Genetic redundancy, where an overlapping protein function exists in unaffected tissues, can minimize the impact of a mutated protein.
Enzymopathies
- Enzymes are biological catalysts that convert substrates to products.
- Hyperphenylalaninemias are inborn errors of metabolism that affect phenylalanine metabolism.
- Phenylketonuria (PKU) is a severe form of hyperphenylalaninemia.
- PKU results from mutations in the PAH gene.
- PAH converts phenylalanine to tyrosine.
- A diet low in phenylalanine is crucial for treating PKU.
- Other hyperphenylalaninemias may result from defects in BH4 metabolism.
- BH4 is a necessary cofactor for PAH activity.
- Enzyme variants with residual activity cause milder hyperphenylalaninemia forms.
- Loss-of-function mutations result in substrate accumulation or product deficiency.
- Accumulated substrate or its derivatives may damage organs unrelated to the mutated enzyme.
Lysosomal Storage Diseases
- Lysosomes contain hydrolytic enzymes that break down macromolecules.
- Mutations in lysosomal enzymes cause a buildup of undegraded substrates within the cell.
- Accumulating substrates disrupt normal cell function.
- Tay-Sachs disease, a GM2 gangliosidosis, is a result of hexosaminidase A deficiency.
- GM2 gangliosides accumulate in neurons causing neurodegeneration.
- Clinical symptoms appear gradually in infancy.
- Other lysosomal storage diseases have unique enzyme defects and varying clinical manifestations.
- Some mutations lead to hypoglycosylation, resulting in defects in protein trafficking or structure.
Disorders of Structural Proteins
- Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked disorders involving dystrophin mutations.
- Dystrophin is a structural protein essential for maintaining muscle membrane integrity.
- Absence of dystrophin leads to progressive muscle damage and weakness.
- DMD is typically severe with early onset and severe muscle weakness, unlike BMD which progresses more slowly.
- Most DMD cases are due to deletions or point mutations in the dystrophin gene.
- Genetic testing and carrier/prenatal genetic diagnosis are available for DMD.
Mitochondrial Diseases
- Mitochondrial diseases can affect various organs, especially those with high energy demands.
- Mutations in mitochondrial DNA (mtDNA) can cause these diseases.
- mtDNA is maternally inherited, often resulting in heterogeneous presentations.
- Heteroplasmy, the presence of both normal and mutated mtDNA, influences the clinical severity of symptoms.
- Deletions/duplications are another source of mtDNA-linked disease.
- Various clinical phenotypes reflect impacts on organs, tissues, etc.
Diseases Due to Repeat Expansions
- Polyglutamine expansion in Huntington's disease leads to motor dysfunction or neurodegeneration.
- Trinucleotide or tetranucleotide repeat expansions in other genes cause various neurological disorders (e.g., fragile X syndrome, Friedreich ataxia, myotonic dystrophy).
- These disorders often exhibit anticipation, where symptoms appear earlier and/or are more severe in subsequent generations.
Other Disorders
- Osteogenesis imperfecta is a group of genetic disorders causing skeletal fragility and abnormal bone development.
- The disorders result from mutations in collagen genes, impacting normal collagen synthesis or structure.
- Cystic fibrosis (CF), resulting from mutations in the CFTR gene, leads to thick mucus buildup in various organs, typically lungs and/or pancreas.
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