Mitochondrial Diseases Overview
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Questions and Answers

Which statement is NOT true regarding Leber disease?

  • Leber disease is primarily caused by point mutations in mtDNA.
  • Leber disease is triggered by exposure to carbon monoxide, including smoking.
  • Leber disease can lead to blindness due to atrophy of the optic nerve.
  • Leber disease is characterized by mitochondrial encephalomyopathy, lactic acidosis, and stroke episodes. (correct)
  • Which of the following is NOT a key factor contributing to the involvement of mitochondria in disease pathogenesis?

  • The presence of mitochondrial DNA within the protected environment of the cell nucleus. (correct)
  • The proven involvement of mitochondria in the process of programmed cell death (apoptosis).
  • The susceptibility of mitochondrial DNA to damage by reactive oxygen species (ROS).
  • Mitochondria's role in cellular energy production, making them vulnerable to dysfunction.
  • Which of the following is the main difference between Leber disease and MELAS syndrome, according to the provided content?

  • Leber disease primarily affects the optic nerve, while MELAS syndrome affects the brain and muscles. (correct)
  • Leber disease is characterized by lactic acidosis, while MELAS syndrome is not.
  • Leber disease is triggered by carbon monoxide exposure, while MELAS syndrome is caused by environmental factors.
  • Leber disease is caused by point mutations in mtDNA, while MELAS syndrome is caused by mutations in nuclear DNA.
  • Based on the information provided, which of the following statements is NOT accurate regarding the central dogma of molecular biology (CDMB)?

    <p>The CDMB explains how DNA directly translates into a functional protein. (C)</p> Signup and view all the answers

    Which of the following is NOT mentioned in the provided information as a consequence of mitochondrial dysfunction?

    <p>Increased susceptibility to infection. (D)</p> Signup and view all the answers

    What is the primary reason why mitochondrial diseases affect muscles and the brain the most?

    <p>These organs rely heavily on ATP production for their functions. (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of mitochondrial diseases?

    <p>They always involve enlarged mitochondria with impaired ATP production. (D)</p> Signup and view all the answers

    What makes the diagnosis of mitochondrial diseases challenging and complex?

    <p>All of the above. (D)</p> Signup and view all the answers

    What is heteroplasmy in the context of mitochondrial diseases?

    <p>The uneven distribution of mutant mitochondrial DNA among daughter cells during cell division. (C)</p> Signup and view all the answers

    Flashcards

    Mitochondrial genetic diseases

    Diseases caused by mutations in mitochondrial proteins affecting ATP production.

    Mitochondrial DNA

    DNA located in mitochondria, inherited only from the mother.

    Mitochondrial cytopathies

    Diseases manifesting at birth or childhood due to mitochondrial dysfunction.

    Mitochondrial encephalomyopathies

    Mitochondrial diseases that begin in adulthood, affecting brain and muscle.

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    Heteroplasmy

    Presence of both normal and mutant mitochondrial DNA in a cell.

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    Leber's Hereditary Optic Neuropathy (LHON)

    A mitochondrial genetic disease causing optic nerve atrophy, potentially leading to blindness, often triggered by carbon monoxide exposure.

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    MELAS syndrome

    Caused by mitochondrial DNA mutations, characterized by mitochondrial encephalomyopathy, lactic acidosis, and stroke episodes.

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    Role of mitochondria in diseases

    Mitochondria are involved in various diseases due to energy deficits and oxidative damage to mitochondrial DNA.

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    Reactive Oxygen Species (ROS)

    Highly reactive molecules that can damage mitochondrial DNA and proteins, contributing to disease pathogenesis.

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    Central Dogma of Molecular Biology

    Describes the flow of genetic information from DNA to RNA to protein, proposed by Francis Crick.

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    Study Notes

    Mitochondrial Diseases

    • Two categories of mitochondrial pathologies: mitochondrial genetic diseases and other pathological processes.
    • Mitochondrial genetic diseases result from mutations in mitochondrial proteins (like respiratory chain complexes) or nuclear genes.
    • These mitochondrial diseases often cause enlarged mitochondria inefficient in ATP production, affecting muscles (e.g., ptosis) and brain (frequent seizures).
    • Mitochondrial diseases can manifest at any age (infant to adulthood) and can impact other organs (liver, glands, kidneys) .
    • Diagnostic methods include plasma component analysis, muscle mitochondrial studies, and mitochondrial DNA sequencing.
    • Mitochondrial inheritance is maternal; genetic mutations are not equally distributed in all mitochondrial copies (heteroplasmy).
    • Leber's Hereditary Optic Neuropathy (LHON) is a mitochondrial disease caused by mtDNA mutations in complex I, resulting in optic nerve atrophy and potential blindness.
    • Exposure to carbon monoxide might trigger LHON.
    • MELAS syndrome is caused by mitochondrial DNA mutations, featuring mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes.

    Other Pathological Processes Involving Mitochondria

    • Mitochondria are involved in all diseases due to their crucial role in cellular energy production.
    • Mitochondrial DNA is exposed in the matrix, making it susceptible to damage by reactive oxygen species (ROS), especially free radicals and singlet oxygen.
    • Damage from ROS can harm mitochondrial DNA and proteins.
    • ROS is linked to major diseases like cardiovascular issues, neurodegenerative conditions, cancer, and diabetes.
    • Mitochondrial involvement in apoptosis (programmed cell death) has been demonstrated.

    Central Dogma of Molecular Biology

    • The central dogma of molecular biology describes genetic information flow from DNA to RNA to protein.
    • DNA replication makes identical copies of DNA.
    • Transcription converts DNA to RNA.
    • Translation converts RNA to proteins.
    • This is fundamental in both prokaryotes and eukaryotes, differing in the location primarily.

    Genetic Material

    • Eukaryotic genetic material is comprised of linear DNA molecules in chromosomes and circular DNA molecules in organelles like mitochondria and chloroplasts.
    • The genome is the total number of genes.
    • Coding DNA translates into proteins; non coding makes up the majority and includes other regulatory elements, tRNA, rRNA, introns, mobile genetic elements.
    • Prokaryotes have a circular chromosome with numerous essential genes and smaller plasmids, crucial for survival in diverse circumstances.
    • Plasmids play a critical role in recombinant DNA technology, allowing for gene insertion and manipulation.

    DNA Replication

    • DNA replication is the process of producing two identical copies of a DNA molecule.
    • DNA replication is semi-conservative, meaning each new double helix contains one original strand and one new strand.
    • DNA polymerases are enzymes vital in DNA replication.
    • Replication forks are formed with leading and lagging strands.
    • Okazaki fragments are created on the lagging strands because synthesis proceeds 5' to 3', and DNA polymerases can only synthesize in that direction.
    • Eukaryotic replication is slower due to multiple origins of replication per chromosome compared to prokaryotes' single origin.

    Medical Implications of DNA Replication Errors

    • Mutations are changes in DNA sequence and can result in diseases.
    • Point mutations involve a single nucleotide substitution; larger mutations include deletions or insertions.
    • Several factors can cause mutations including deamination, depurination and chemical/physical mutagens (alkaline agents, intercalating drugs).
    • Understanding mutations guides approaches for disease detection, diagnosis, and treatment (particularly cancer).
    • Cellular mechanisms for repairing these mistakes are vital to the health of the organism.

    Transcription

    • Transcription is the process where genetic information is transcribed from DNA to RNA.
    • RNA polymerase enzymes carry out the transcription process.
    • mRNA (messenger RNA) is the primary RNA transcript involved in protein synthesis.
    • Eukaryotic transcription is complex, involving several RNA polymerases.
    • Introns and exons are important features of eukaryotic gene structure. Introns are non-coding regions and are removed from the pre-mRNA during splicing.
    • RNA splicing is critical for producing mature mRNA from the primary RNA transcript, which is unique to eukaryotic mRNA.

    Translation

    • Translation is the process where ribosomes use the genetic information in mRNA to assemble proteins.
    • Ribosomes are cellular structures essential for translation.
    • The genetic code determines the amino acid sequence of proteins.
    • The translation process is vital as proteins carry out diverse functions in all organisms.
    • This process can be inhibited by various chemical agents (e.g., antibiotics).

    Ribosomes

    • Ribosomes are the protein factories of the cell.
    • Eukaryotic ribosomes (80S) are distinct from prokaryotic (70S) ribosomes (differents sedimentation coefficients).
    • Ribosomes involve multiple rRNA and protein molecules for structure and function.
    • They play a role in translation using mRNA as a template to build proteins.

    Viral Genetic Material

    • Viruses can use DNA or RNA as genetic material.
    • Some viruses utilize reverse transcription to synthesize DNA from RNA.
    • Viral genetic material can be linear or circular and varies significantly in size.
    • Some oncornaviruses have RNA which can, under certain circumstances, transcribe from RNA to DNA.

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    Description

    Explore the complexities of mitochondrial diseases, including their genetic basis and effects on various organs. This quiz covers diagnostic methods, inheritance patterns, and specific conditions such as Leber's Hereditary Optic Neuropathy. Test your knowledge on this critical aspect of human health.

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