-
ATP is produced in the respiratory chain by
oxidative phosphorylation
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Mitochondrial defects may cause decreased _____.
Result =
- energy production
- Result= "any sign in any tissue or organ at any age"
-
Mitochondrion contains its own genome.
DNA self-replicates within mitochondria.
Each mitochondria has several copies of mtDNA (5-10)
Each cell has many mitochondria
-
Mitochondria are abundant in oocyte.
How many mitochondria are found in sperm?
4, located at the neck, typically do not enter the ovum
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mtDNA codes for __ genes
rRNA's?
tRNA's?
Oxphos polypeptides?
- mtDNA = 37 genes
- 2 rRNAs
- 22 tRNAs
- 13 Oxphos polypeptides
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What has a higher mutation rate, mtDNA or nuclear DNA?
mtDNA has a mutation rate that is 10x higher than nuclear DNA
-
Mitochondrial mutations accumulate as we age; therefore, mtDNA mutations are found even in healthy individuals
-
A cell may have a mixture of normal and mutant mitochondria. This is referred to as?
Heteroplasmy and is due to replicative segregation of mitocondria during mitosis.
-
Which organs or tissue are the most vulnerable to mitochondrial disorders?
Tissues that have high energy requirements.
-
Defective OxPhos causes an increase in _______ in mitochondria and the cytoplasm.
reducing equivalents
-
Elevated NADH/NAD ratio leads to elevation of ?
Leads to impaired function of?
- elevation of Plasma lactate
- impaired function of TCA
-
Provocative tests for mitochondrial disorder
- Glucose tolerance test
- Measure CSF lactate, pyruvate if plasma values are normal
- Plasma lactate and pyruvate after exercise
-
Progressive adult muscle weakness.
Fatal infantile myopathy
-
How to diagnose a mitochondrial myopathy diagnosis
- Muscle biopsy
- Light microscopy
- Electron microscopy
-
MERRF
- Myocloniec Epilepsy
- Ragged Red Fibers
- Generalized muscle weakness
-
80% of MERRF mutation people have a mtDNA mutation in what gene?
tRNA-lysine
-
MELAS
- Mitochondrial Encephalomyopathy
- Lactic Acidosis
- Stroke-Like episodes, recurrent
-
MERRF have mutation in
MELAS have mutation in
- MERFF= tRNA-lysine gene
- MELAS= tRNA-leucine gene
-
Kearns-Sayre Syndrome's symptoms are referred to as
- "Opthalmoplegia Plus"
- Ptosis, strabismus, pigmentary retinopathy, hearing deficit, ragged red fiber
-
8993T>G in the ATP6 gene most common mutation for mitochondria encephalomyopathy _____
NARP
-
Diabetes mellitus shows some evidence of follwing a maternal inheritance pattern. Mutation is in?
3243 [tRNA9leu0]
-
Subacute necorizing encepalomyopathy:
Lactic acidosis
Bilateral symmetrical focal regions of necrosis in the thalamus, pons, inferior olives (brain) and spinal cord
Most cases are due to mutations in nuclear genes for ____
Leigh disease
Mutations in genes for OxPhos (Complex I, II, IV)
-
•Skewed X chromosome inactivation can result
in females manifesting signs of X-linked recessive disorders that are typically seen in affected malesExample:girls with Duchenne
muscular dystrophy or with hemophilia A
•Females with Turner syndrome and a 45,X
chromosome constitution also manifest the clinical signs of an X-linked recessive disorder if their single X chromosome carries a mutant allele.
•Females with an X-autosome
translocation have preferential inactivation of their normal X chromosome (to
maintain activity in the autosomal fragment), sometimes resulting in
manifestations of an X-linked recessive disorder.
•The union between an affected father and a
carrier mother can produce a daughter affected with an X-linked disorder;
always consider possible consanguinity/incest.
Atypical X-Linked Effects
-
EEC Syndrome (AD Inheritance)
- Ectrodactyly
- Ectodermal dysplasia
- Clefting
-
Isolated defects are the presentation of
Multifactorial Inheritance
-
Familial clustering of a trait with no distinctive Mendelian inheritance pattern.
Recurrence risks are _____, not Mendelian
- Multifactorial Inheritance
- Empiric
-
Multifactorial inheritance has much higher risk for ____
Recurrence risks increase with the severity of the disorder
Ex.
- first-degree relatives
- Ex. cleft-lip and palate
-
Malformation Sequence
Defect in neural groove closure prior to __ days
Folate-sensitive
- Neural tube defects (developmental pathogenesis)
- Defect in neural groove closure prior to 28 days
-
Neural Tube: Anterior closure defect
Anencephaly
-
Neural Tube Defects: Cervical and upper thoracic defect
Iniencephaly
-
Neural Tube Defects: Mid-to-caudal neural groove defect
Meningomyelocele
-
Myotonic Dystrophy is a repeat expansion mutation of
- CTG (5-35 repeats)
- Muscle weakness and wasting, facial wekaness, voluntary and percussion myotonia
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