Molecular Medicine and Diagnostics
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Questions and Answers

What is a primary step in the proteomics workflow?

  • Isolation of proteins (correct)
  • Sanger sequencing
  • Extraction of metabolites
  • Sequence alignment

Which technique is NOT commonly used in transcriptomics?

  • Nuclear magnetic resonance (NMR)
  • Liquid chromatography (LC)
  • Mass spectrometry (MS)
  • Gas chromatography (GC) (correct)

What is a key advantage of Next Generation Sequencing (NGS) compared to traditional methods?

  • Lower cost for small sample sizes
  • Higher accuracy in base calling
  • Simpler data analysis
  • Ability to sequence large genomes rapidly (correct)

Which of the following describes a limitation of Next Generation Sequencing (NGS)?

<p>Requires expensive equipment and reagents (B)</p> Signup and view all the answers

In the human metabolome, how many metabolites are estimated to exist?

<p>Approx. 5,000 (D)</p> Signup and view all the answers

Which of the following best describes targeted therapy in gastric cancer?

<p>Employment of small molecules that penetrate the cell membrane to target enzymatic activity. (C)</p> Signup and view all the answers

What is the primary focus of medical biotechnology?

<p>Creating new diagnostic and therapeutic procedures. (C)</p> Signup and view all the answers

Which of the following organisms is NOT typically involved in biotechnological processes?

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

What type of products are categorized as biopharmaceuticals?

<p>Vaccines and hormones produced through biotechnology. (D)</p> Signup and view all the answers

Which statement correctly describes small molecule targeted agents in cancer treatment?

<p>They are designed to interfere with specific enzymatic activities within the cell. (B)</p> Signup and view all the answers

What is the first step in the Sanger sequencing workflow?

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

Which of the following is a major advantage of Next Generation Sequencing (NGS) over traditional Sanger sequencing?

<p>Much cheaper and higher-throughput (C)</p> Signup and view all the answers

What is one limitation of NGS?

<p>Data analysis can be time-consuming and complex (B)</p> Signup and view all the answers

What technique is used for mRNA detection and quantitation in transcriptomics?

<p>Reverse transcription PCR (RT-PCR) (A)</p> Signup and view all the answers

In which portion of the workflow is capillary electrophoresis used in Sanger sequencing?

<p>Prior to data analysis (A)</p> Signup and view all the answers

Which component is essential for the process of Real-time quantitative PCR (qPCR)?

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

What is a significant drawback of using NGS for genomic sequencing?

<p>Inaccurate sequencing of repeated nucleotide regions (B)</p> Signup and view all the answers

Which of the following describes an application of PCR in diagnostics?

<p>Detection of allelic variants (A)</p> Signup and view all the answers

What do proteomics and metabolomics primarily aim to analyze?

<p>Protein structures and metabolites (B)</p> Signup and view all the answers

Which allelic variant is the most common cause of cystic fibrosis?

<p>p.Phe508del (B)</p> Signup and view all the answers

Which processing step directly follows the isolation of mRNA in transcriptomics?

<p>Reverse transcription PCR (RT-PCR) (D)</p> Signup and view all the answers

What is the resolution capacity of agarose gel electrophoresis for DNA separation?

<p>50 – 30000 bp (C)</p> Signup and view all the answers

Which gene is associated with Long chain 3-hydroxyacyl-Co-A dehydrogenase deficiency?

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

Which technique allows for deeper coverage of genomic regions of interest?

<p>Next Generation Sequencing (NGS) (A)</p> Signup and view all the answers

What is the total estimated number of protein-coding genes in the human genome?

<p>22000 - 250000 (C)</p> Signup and view all the answers

Which technique is primarily used for detection in the proteomics workflow?

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

In the context of personalized medicine, what does 'precision medicine' refer to?

<p>Tailoring medical treatment to individual patient characteristics (D)</p> Signup and view all the answers

What is a primary method used for confirming a diagnosis in the case of Organic acids analysis?

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

Which processes are involved in the separation step of transcriptomics workflow?

<p>Electrophoresis, liquid chromatography, and gas chromatography (A)</p> Signup and view all the answers

What is the primary issue caused by the pPHE508del allelic variant in cystic fibrosis?

<p>The CFTR protein is misfolded and degraded by the proteasome (C)</p> Signup and view all the answers

Which treatment aims to correct the misprocessing of Phe508del CFTR in cystic fibrosis patients?

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

What role does Ivacaftor play in treating cystic fibrosis?

<p>It increases chloride channel opening in specific allelic variants (A)</p> Signup and view all the answers

Which gene alteration is commonly associated with somatic changes in cancer cells?

<p>Amplification of kRAS (A)</p> Signup and view all the answers

What is the expected effect of corrector molecules on the pPHE508del CFTR?

<p>They promote the protein's functionality through proper folding (C)</p> Signup and view all the answers

What is a characteristic of therapeutic monoclonal antibodies used in targeted therapy?

<p>They target specific antigens found on the cell surface. (B)</p> Signup and view all the answers

Which statement best describes the primary focus of medical biotechnology?

<p>To create new diagnostic and therapeutic procedures. (B)</p> Signup and view all the answers

Which group of organisms is NOT typically involved in biotechnological processes?

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

Which of the following is an example of a product categorized as a biopharmaceutical?

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

What is the main purpose of small molecules in targeted therapy?

<p>To interfere with the enzymatic activity of target proteins. (B)</p> Signup and view all the answers

What distinguishes E.coli as a preferred microorganism for large-scale production of recombinant proteins?

<p>E.coli does not undergo post-translational modifications. (A)</p> Signup and view all the answers

What is a key step in the biosynthesis of proinsulin in pancreatic beta cells?

<p>Preproinsulin undergoes cleavage of the signal peptide. (A)</p> Signup and view all the answers

Which of the following is an example of a recombinant human insulin brand?

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

What role do cellular endopeptidases play in the processing of proinsulin?

<p>They convert proinsulin into active insulin. (D)</p> Signup and view all the answers

How is recombinant human insulin primarily produced?

<p>Using the E.coli and Saccharomyces cerevisiae expression systems. (C)</p> Signup and view all the answers

Which of the following best describes the role of polymerase chain reaction (PCR)?

<p>To amplify specific regions of DNA (B)</p> Signup and view all the answers

What is the primary purpose of gel electrophoresis?

<p>To separate DNA fragments based on size (D)</p> Signup and view all the answers

Which technique allows for the direct analysis of allelic variants?

<p>Restriction Fragment Length Polymorphism (RFLP) (C)</p> Signup and view all the answers

What clinical symptoms are associated with Long chain 3-hydroxyacyl-Co-A dehydrogenase deficiency?

<p>Neuropathy and sudden death (C)</p> Signup and view all the answers

What is a significant advantage of using Next Generation Sequencing (NGS) over traditional methods?

<p>Cheaper and more efficient high-throughput sequencing (C)</p> Signup and view all the answers

What is the key feature of quantitative PCR (qPCR)?

<p>It uses fluorescent dyes to measure accumulation during amplification (B)</p> Signup and view all the answers

Which of the following is true regarding Sanger sequencing?

<p>It requires several days to complete sequencing (B)</p> Signup and view all the answers

Which component is essential for PCR to function?

<p>Primers that target specific DNA regions (C)</p> Signup and view all the answers

What is a common limitation of Next Generation Sequencing (NGS)?

<p>It may produce inaccurate sequences in repetitive regions (C)</p> Signup and view all the answers

What is a primary focus of metabolomics?

<p>To identify and quantify metabolites in biological samples (B)</p> Signup and view all the answers

Which allelic variant commonly causes cystic fibrosis?

<p>p.Phe508del (D)</p> Signup and view all the answers

What notable feature distinguishes polyacrylamide gel electrophoresis from agarose gel electrophoresis?

<p>It provides higher resolution for shorter DNA fragments (D)</p> Signup and view all the answers

Which step follows the isolation of DNA in the Restriction Fragment Length Polymorphism (RFLP) workflow?

<p>Incubation with restriction enzymes (B)</p> Signup and view all the answers

What is the function of reverse transcription PCR (RT-PCR)?

<p>To convert mRNA into DNA for analysis (D)</p> Signup and view all the answers

Flashcards

Molecular Medicine

Understanding the cellular and molecular aspects of disease to improve diagnosis, treatment, and prevention.

Omics

The study of multiple biological molecules at once, encompassing genomics, transcriptomics, proteomics, and metabolomics.

Genomics

The study of the entire genome, including genes and their interactions.

Polymerase Chain Reaction (PCR)

A technique to copy specific DNA sequences many times.

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Gel Electrophoresis

Separating DNA fragments based on size.

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Restriction Fragment Length Polymorphism (RFLP)

A method to analyze DNA variations using restriction enzymes.

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Restriction Enzymes

Enzymes that cut DNA at specific sequences.

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Sanger Sequencing

Method for determining the order of nucleotides in a DNA segment.

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Next Generation Sequencing (NGS)

High-throughput DNA sequencing method.

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Transcriptomics

Study of all RNA molecules (mRNA) in a cell or organism.

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Quantitative PCR (qPCR)

A technique to measure the amount of DNA/RNA amplified during PCR.

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Reverse Transcription PCR (RT-PCR)

A PCR method used to detect and quantify mRNA.

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Metabolomics

Study of all small molecules (metabolites) in a cell or organism.

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Proteomics

Study of all proteins in a cell or organism.

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Cystic Fibrosis (CF)

Genetic disorder caused by mutations in the CFTR gene.

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Long Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency (LCHADD)

Genetic disorder affecting fatty acid metabolism.

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Protein coding genes in humans

Approximately 22,000 to 25,000 genes code for proteins responsible for various human functions.

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Proteomics workflow

A process to study proteins, involving isolation, separation (electrophoresis, LC), detection (mass spectrometry), identification (database), and analyzing differential protein concentrations.

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Precision medicine

Tailoring medical treatment based on individual patient characteristics, to predict disease susceptibility or treatment response better.

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Genotype 1528G>C/1528G>C

A genetic variation (mutation) likely causing a disease. (Specific to the case description)

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Organic acid analysis

Method (GC/MS) used to analyze organic acids to confirm the diagnosis (in the case description).

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Targeted therapy in gastric cancer

Uses drugs that specifically target cancer cells by interacting with proteins or receptors on their surface or inside the cell.

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Monoclonal antibodies

Antibodies that are identical and target a specific antigen on a cell.

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Small molecules

Molecules that pass into the cancer cells and disrupt their function on the inside of the cell.

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Biotechnology

Using living organisms or biological processes to make useful products.

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Biopharmaceuticals

Medicines and medical products made using biotechnology.

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Human Metabolome

The complete set of small molecules (metabolites) found in a human, including sugars, amino acids, and fatty acids.

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Transcriptomics Workflow

The process of studying all RNA molecules in a sample, including isolating RNA, separating it, detecting and identifying it.

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RFLP Diagnosis

Using Restriction Fragment Length Polymorphism (RFLP) to identify genetic variations (mutations) that cause disease.

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CFTR Protein: pPHE508del Variant

This CFTR variant results in a partially unfolded protein trapped in the endoplasmic reticulum and prematurely degraded by the proteasome.

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CFTR Protein: G551D Variant

This variant allows the CFTR protein to reach the cell surface but impairs its ability to open and function properly.

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Corrector Molecules for CF

These molecules help to increase the surface expression of the pPHE508del CFTR protein by aiding in its proper folding and trafficking.

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Potentiator Molecules for CF

These molecules help to enhance channel opening in the G551D variant of the CFTR protein.

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DNA Alterations in Cancer Treatment

Targeted therapies aim to alter the DNA sequence in cancer cells by affecting gene expression or protein function.

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PCR Applications

PCR is used in various fields, including genetic research, medicine, microbiology, forensic science, and environmental science.

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Agarose Gel Electrophoresis

A technique separating DNA fragments based on size using agarose gel, a complex sugar derivative.

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Polyacrylamide Gel Electrophoresis (PAGE)

Used for separating shorter DNA fragments with high resolution using a polyacrylamide gel made by crosslinking acrylamide.

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Cystic Fibrosis (CF) Diagnosis

CF is caused by mutations in the CFTR gene. PCR and gel electrophoresis detect the most common mutation, a 3 nucleotide deletion leading to a missing phenylalanine.

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LCHADD Diagnosis

LCHADD is caused by mutations in the HADHa gene, affecting fatty acid metabolism. RFLP analyzes the most common mutation leading to a Glu to Gln substitution.

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Sanger Sequencing: Purpose

Determines the sequence of nucleotides in a DNA fragment up to 800-900 bp long.

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NGS Limitations

Despite multiple advantages, NGS might have limitations such as high cost, potential errors in repeated sequences, and complex data analysis.

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Transcriptomics: Why Study mRNA?

Transcriptomics analyzes the complete set of mRNA molecules in a cell, providing insights into gene expression and regulation.

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Metabolomics and Proteomics: Why Study Them?

These 'omics' study all metabolites (small molecules) and proteins respectively, offering a deeper understanding of cellular functions and responses.

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Precision Medicine: Tailor-Made Treatment

Precision medicine uses individual patient characteristics, like genetics, to personalize treatment plans.

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Biotechnology: Impact on Medicine

Biotechnology leverages biological processes to develop medical products and therapies, bringing innovative solutions to healthcare.

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CHO Cells

Chinese hamster ovary cells are widely used in biopharmaceutical production as a host system for expressing recombinant proteins, particularly for therapeutic antibodies.

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Recombinant Human Insulin

This is a synthetically produced version of human insulin using DNA technology. It's a key example of a successful biopharmaceutical produced using recombinant DNA techniques.

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E. coli

E. coli bacteria are commonly used in recombinant protein production due to their fast growth rate and ability to produce large amounts of protein.

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Proinsulin

This is a precursor protein that's synthesized before being processed into active insulin.

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Humulin, Novolin, Velosulin

These are different brand names for recombinant human insulin, available in various concentrations and formulations to meet different therapeutic needs.

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Targeted Therapy

Treatment specifically targeting cancer cells using drugs that interact with specific proteins or receptors on their surface or inside the cell.

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Therapeutic Monoclonal Antibodies

Antibodies specifically designed to latch onto specific antigens on the surface of cancer cells, like transmembrane receptors or growth factors, disrupting their function.

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Study Notes

Molecular Medicine

  • Promotes understanding of normal body function and disease pathogenesis at cellular and molecular levels.
  • Allows researchers and physicians to apply this knowledge for disease diagnosis, treatment, prognosis, and prevention.

In Vitro Methods in Diagnostics

  • Omics is a method in diagnostics.
  • Genomics: DNA analysis.
  • Transcriptomics: mRNA analysis.
  • Proteomics: Protein analysis.
  • Metabolomics: Metabolite analysis (amino acids, organic acids, carbohydrates, etc.).

Genomics

  • Polymerase Chain Reaction (PCR) is used for amplifying DNA regions.
  • It's a widely used method in molecular biology.

Gel Electrophoresis

  • Agarose gel electrophoresis uses agarose, a complex sugar derivative from seaweed, to separate DNA fragments based on size.
  • Resolution ranges from 50 to 30,000 bp, dependent on agarose concentration.
  • Polyacrylamide gel electrophoresis (PAGE) is used for higher resolution and shorter DNA fragments (5-500 bp).

PCR Applications

  • Used in genetic research, medicine diagnostics, microbiology, mycology, parasitology, forensic science, and environmental science.

Diagnostics of Cystic Fibrosis (CF)

  • Cystic fibrosis is caused by allelic variants in the CFTR gene.
  • The most common variant is p.Phe508del, found in approximately 75% of patients.
  • The p.Phe508del variant is a 3-nucleotide deletion.

Restriction Fragment Length Polymorphism (RFLP)

  • Used to analyze allelic variants.
  • Involves using restriction enzymes (DNA-cutting enzymes found in bacteria) to identify specific nucleotide sequences, with various restriction enzymes (AluI, HaeIII, BamHI, HindIII, EcoRI), each with distinct recognition sites.
  • The recognition sites for different enzymes are given.

Diagnostics of LCHADD

  • Long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency is caused by allelic variants in the HADHA gene (encoding a long-chain hydroxyacyl-CoA dehydrogenase enzyme).
  • This enzyme is involved in the mitochondrial beta-oxidation of fatty acids.
  • Common allelic variant: 1528G > C substitution, resulting in a Glu to Gln substitution at position 510, which affects the dehydrogenase activity.

Sanger Sequencing

  • Developed by Fred Sanger, who received the Nobel Prize in 1980 for it.
  • A DNA sequencing method to determine the DNA fragment sequence (up to 800-900 bp).

Next Generation Sequencing (NGS)

  • A high-throughput alternative to Sanger sequencing.
  • Facilitates gene and regulatory element discovery associated with diseases.
  • Allows targeted gene panel sequencing for disease diagnosis and allelic variant identification.
  • Provides deeper coverage of genomic regions of interest.

PCR Modifications

  • Reverse Transcription PCR (RT-PCR) is a technique to detect and quantify mRNA.

Quantitative PCR (qPCR)

  • Combines PCR amplification with detection in a single step.
  • Fluorescent dyes label PCR products during cycling.
  • Instruments measure fluorescent signal accumulation during the exponential phase of the reaction, providing real-time results.

Metabolomics and Proteomics

  • Proteomics analysis involve protein isolation, separation (electrophoresis, liquid chromatography), detection (mass spectrometry), identification by database search, and differential protein concentration analysis.
  • Metabolomics analysis involves extracting metabolites, separation using chromatography techniques (LC, GC), detection using mass spectrometry or NMR, and comparative differential metabolite concentration analysis,.

Personalized Medicine

  • Tailoring medical treatment to individual patient characteristics.
  • Improves disease classification and responsiveness to treatment.

Targeted Therapy in Gastric Cancer

  • Allele variant analysis and targeted therapy.
  • Monoclonal antibodies and small molecules are used to target specific antigens or enzymatic targets inside the cell.
  • Several therapeutic agents are mentioned for their roles in different steps of cancer pathophysiology in the context of gastric cancer, with several targeted agents listed.

Biotechnology

  • Uses living organisms or biological processes to develop useful agricultural, industrial, and medical products.
  • Also known as red biotechnology in medicine.
  • Many organisms, including bacteria, fungi, plants, insects, and mammals (such as CHO and BHK cells), are used for production-related processes.
  • Recombinant DNA technology is used to produce human insulin using E. coli and Saccharomyces cerevisiae.

Human Insulin Biosynthesis and Production

  • Human insulin is synthesized as preproinsulin in pancreatic beta cells
  • Preproinsulin contains a signal peptide that directs it to the endoplasmic reticulum (ER).
  • The signal peptide is cleaved, and the remaining proinsulin is folded in the ER with disulfide bonds.
  • Proinsulin is further processed in the trans-Golgi network to become active insulin.
  • E. coli is often used for large-scale recombinant protein production due to its ease of use, speed, and feasibility.

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Description

This quiz covers the fundamentals of molecular medicine, including the understanding of cellular functions, disease pathogenesis, and various diagnostic methods. Key topics include genomics, proteomics, and techniques like PCR and gel electrophoresis. Test your knowledge on how these techniques apply to disease diagnosis and treatment.

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