Microbiome and Gut-Brain Axis

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Questions and Answers

What is the approximate number of genes in the human genome?

  • 24,000 (correct)
  • 50,000
  • 35,000
  • 70,000

What can significantly influence the brain's physiology and pathology?

  • Ageing process
  • Genetic mutations
  • Dietary factors
  • Gut microbiome (correct)

Which process allows a single gene to produce multiple proteins?

  • Protein degradation
  • DNA replication
  • Alternative splicing (correct)
  • Gene amplification

How many proteins can potentially be produced from the estimated 24,000 genes?

<p>More than the number of genes (D)</p> Signup and view all the answers

What characterizes the relationship between genes and proteins?

<p>Genes can produce multiple proteins (D)</p> Signup and view all the answers

What is a critical requirement for treating a CCM surgically?

<p>The CCM must be located in an accessible area for neurosurgery. (B)</p> Signup and view all the answers

What role do cells play in the human body?

<p>They cooperate to form a functioning organism (C)</p> Signup and view all the answers

What is a fundamental reason for studying cell biology?

<p>Cells are integral to all biological processes (A)</p> Signup and view all the answers

Which gene associated with CCM was identified first?

<p>CCM1 (B)</p> Signup and view all the answers

On which chromosome are two of the three identified CCM genes located?

<p>Chromosome 7 (A)</p> Signup and view all the answers

What is an implication of the findings from the Human Genome Project regarding the number of genes?

<p>Genes are much more complex than predicted (D)</p> Signup and view all the answers

What is a significant challenge in understanding CCM pathogenesis?

<p>The unpredictability of its formation. (A)</p> Signup and view all the answers

What clinical approaches are currently being explored for CCM?

<p>Pharmacological candidates are under investigation. (D)</p> Signup and view all the answers

What is the primary cause of the severe clinical symptoms associated with Cerebral Cavernous Malformation?

<p>Intracerebral hemorrhages (D)</p> Signup and view all the answers

How does Cerebral Cavernous Malformation differ from a haemangioma?

<p>CCM is a malformation and not a tumor, while haemangiomas can be tumor-like. (B)</p> Signup and view all the answers

Which symptom is NOT typically associated with Cerebral Cavernous Malformation?

<p>Bright red birthmarks (C)</p> Signup and view all the answers

Cerebral Cavernous Malformation is primarily classified as what type of disorder?

<p>Congenital malformation (B)</p> Signup and view all the answers

What term is used most frequently to refer to Cerebral Cavernous Malformation?

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

Which statement about congenital disorders is correct?

<p>Congenital disorders include both inherited and environmentally caused conditions. (A)</p> Signup and view all the answers

What is the main risk associated with untreated Cerebral Cavernous Malformation?

<p>Potential for fatal hemorrhages (A)</p> Signup and view all the answers

What might trigger the development of Cerebral Cavernous Malformation in adults?

<p>Environmental factors during adult life (B)</p> Signup and view all the answers

Why is it important to differentiate between Cerebral Cavernous Malformation and other vascular diseases?

<p>The underlying mechanisms and symptoms vary significantly. (C)</p> Signup and view all the answers

What percentage of the funding for researchers is still related to the second step of studies?

<p>50% (C)</p> Signup and view all the answers

Which imaging technique is considered the most effective for diagnosing cerebral cavernous malformation (CCM)?

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

What characteristic of abnormal capillaries in CCM leads to the potential for hemorrhages?

<p>Enhanced permeability (D)</p> Signup and view all the answers

In cases of cerebral cavernous malformation, which area is most severely affected by symptoms?

<p>Central Nervous System (C)</p> Signup and view all the answers

What do black rings around lesions in MRI images indicate in patients with CCM?

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

Before the 1980s, why was it difficult to diagnose cerebral cavernous malformation?

<p>Absence of effective imaging techniques (D)</p> Signup and view all the answers

In addition to the brain, which other organ can be affected by cerebral cavernous malformation?

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

The lesions observed in CCM primarily contribute to what complication?

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

What development has allowed for precise diagnosis of cerebral cavernous malformation since the 1980s?

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

Which of these statements about the symptoms of CCM in different organs is true?

<p>Symptoms are more severe in the brain than other organs. (D)</p> Signup and view all the answers

At what age does symptomatic disease typically occur?

<p>Between the third and fourth decade of life (A)</p> Signup and view all the answers

What is a common symptom of symptomatic Central Cavernous Malformation (CCM)?

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

How many lesions can a patient with symptomatic CCM have?

<p>From 1 to 700 lesions (D)</p> Signup and view all the answers

What significantly increases the probability of developing symptoms in CCM patients?

<p>The size of the lesions (A)</p> Signup and view all the answers

Which of the following treatments is currently available for patients with CCM?

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

What type of hemorrhage is considered a severe clinical symptom of CCM?

<p>Cerebral hemorrhage (B)</p> Signup and view all the answers

What can influence the clinical symptoms in patients with CCM?

<p>Presence of hemorrhage (D)</p> Signup and view all the answers

Why is surgical intervention risky when removing cavernous malformations in the brain stem?

<p>The risk of further neurological deficits (C)</p> Signup and view all the answers

What is a characteristic feature of lesions in patients identified with high numbers of lesions?

<p>Some patients remain asymptomatic (A)</p> Signup and view all the answers

What aspect is considered when assessing the localization of lesions in CCM?

<p>The potential for symptomatic development (B)</p> Signup and view all the answers

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Study Notes

Gut-Brain Axis

  • The gut-brain axis highlights the connection between the gut microbiome and brain function.
  • The microbiome influences both physiological and pathological processes in the brain.
  • Alterations in the microbiome can lead to various diseases.

Importance of Cell Biology

  • Understanding cell biology is crucial to comprehend how human bodies function.
  • Human body comprises approximately 37 trillion cells, collaborating rather than competing.

Genetic Diseases

  • There are roughly 24,000 genes in the human genome, fewer than previously estimated.
  • Alternative splicing allows one gene to produce multiple proteins.
  • Genetic diseases, such as Cerebral Cavernous Malformation (CCM), arise from gene mutations.

Cerebral Cavernous Malformation (CCM)

  • CCM is a cerebrovascular disease affecting brain capillaries, leading to serious clinical symptoms.
  • Symptoms may include seizures, neurological deficits, and intracerebral hemorrhages (ICH).
  • The capillaries in CCM are enlarged, leaky, and vulnerable to hemorrhage.

Diagnostics and Clinical Symptoms

  • MRI is the primary diagnostic tool for CCM, effective since the 1980s.
  • Lesions are categorized by size and can vary from one to multiple (up to 700).
  • Symptoms can range from headaches to severe neurological deficits, depending on lesion location.

Treatment Approaches

  • Current treatment options include neurosurgery to remove cavernous malformations.
  • Pharmacological treatments are still under development, with clinical trials ongoing.

Pathogenesis of CCM

  • CCM can develop dynamically, and its occurrence may be congenital or acquired in adulthood.
  • Key questions in understanding CCM are its formation, localization, and timing during an individual's life.

Genetic Factors

  • Three genes associated with CCM have been identified: CCM1, CCM2, and CCM3.
  • CCM1 (KRIT1) is the most commonly mutated gene linked to this condition.
  • Genetic mapping has shown the location of these genes on chromosomes 3 and 7.

Funding and Research

  • A significant portion of funding for research supports studies on genetic and molecular bases of diseases.
  • Promising therapeutic approaches are emerging as knowledge of these bases increases.

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