Final Exam Review

Lecture 4: ER and Golgi


Endomembrane System:

  • includes the nucleus, ER, golgi, perioxisomes, lysosoymes, endosomes, cell memrbane

  • ER Main function:

    • synthesis of most lipids, proteins which are distributed

  • Golgi: modification, sorting, and packaginging of proteins and lipids for secretion or delivery to another organelle


  • Smooth ER

    • lipid synthesis

  • Rough ER

    • Protein Synthesis

    • covered in ribosomes


  • Soluble Protein Synthesis

    • following synthesis of soluble protein, the protein is released into the lumen of the ER

    • the signal peptide is cleaved and remains in the ER membrane

    • Help of translocator channel

    • soluble protein → ER lumen

    • Signal peptide → remains ER membrane

  • Membrane protein synthesis

    • signal peptide is cleaved,

    • protein goes into the ER lumen where it stops going in at the stop-transfer sequence

      • protein remains growing on the outside (cytoplasmic side)

  • Post translational protein modification in ER

    • chemical modifications of the protein that isn’t coded by DNA or RNA happening inside the ER

    • Glycosylation: sugar attachment


  • Function of Golgi

    • synthesis of glycoproteins, proteoglycans, polysaccharides, sphingomyelin, glycosphingolipids

    • site of many post-translational modifications

      • ex: glycosylation and phosphorylation

    • flippase

    • proteins and membranes are sorted and packed

    • proteins enter golgi from cis side and leave to lysosome or cell surface through trans side

  • Role of ER in calcium signalling

    • sacroplasmic reticulum = ER in muscle

    • mucle action potention propagated into T-tubules

    • Calcium is released lateral sac → ryanoid receptor → binds to troponin to remove the block by tropomyosin allowing for action potential


Lecture 5: Mitochondria and Peroxisomes

  • Mitochondria

    • produce atp

    • calcium signaling and release of clacium

    • storage and release of apoptoic molecules

    • source of reactive oxygen species

  • Mitochondrial protein synthesis and import

    • maternally inherited

    • 20-30 proteins coded by mitohon. DNA

    • ~2000 proteins make proteome

    • most mitochondrial proteins are made in the cytoplasm and imported into the mitochondria

  • mitochondria density and organization depends on the cellular needs

  • coupling oxidation and phosphorylation

    • membrane potential of mitochondria contributes to

      • Heat generation

      • ion transport

      • membrane leak

        • movement of protons into matrix with out atp being produced

        • this is normal and contributes to heat generation, metabolism and reactive oxygen species re

  • Investivation of mitochondrial function (Respirometry)

    • Oligomycin

      • decreases oxygen cellular respiration (OCR) by blocking ATP production

    • FCCP

      • increases OCR by adding more protons to the ETC to promote oxidative phosphorylation which in turn increases oxygen consumption

    • Rotenone

      • poisons complex 1

      • prevents NADH from reaching electron transport chain

    • Antimycine

      • blocks electron flux of complex 3 from working [reducing OCR]

  • Investigation of the mitochondrial function

    • flavanoids (E + Q) improves mitochodnrial function by increasing the space respiratory capacity of the mitochondria

  • Perioxisomes

    • break down alcohol, toxins, and Fatty acids

    • involved in biosynthesis of lipids

    • Fatty acid hydrolysis (break down) creates FADH2 and NADH which are two energy rich molecules


Lecture 6: Endocytosis and Lysosomal System

  • pinocytosis = small cell drinking

  • macropinocytosis = larger vesicles

  • clathrin-associated receptor-mediated endocytosis

    • specific

    • wraps things in coat/cage structure

  • caveolae

    • little cave

    • 50-80 nm

  • phagocytosis

    • cell eating

    • cell receptor recognizes surface of bacteria

    • actin starts to push out forming the pseudopods that will wrap around the bacteria and engulf

    • after the psudopods wrap around the bacteria and forming the phagosome

    • actin is removed from phagosome since it acts like a barrier, this is to allow the lysosome.

    • the phagosome fuses with the endosome to get membrane parts from it while the endosome gets somethings to recycle

    • the primary lysosome from the golgi apparatus fuses with the phagosome to form the phagolysosome (highly acidic) → degredation of the bacteria by digestive enzymes

    • the secondary lysosome is where the remains of the bacteria are left, and this is where nutrients are absorbed and waste is prepared to be removed.


  • exocytosis adds to the membrane

  • endocytosis removes from the membrane

  • Dynamin is the “scissor” that cuts the vesicle from the membrane to separate it and allow the vesicle to travel through the cell.


  • Autophage: eating things that are already in the cell

    • 1. envelope

    • 2. seal

    • 3. merge with lysosme

    • 4. resulting residual body


Nucleus and Nucleolus: Lecture 7

  • 1-5 nucleolus in a nucleus

  • nuclear envelope has 2 layers inner and outer layer

    • nuclear lamina separates the outer and inner nuclear membranes

  • The EJC attaches to where the introns where cut out and where the exons were glued in place. it’s like a proof of mRNA having been edited correctly.

  • Intermediate Filaments   

    • tough rope like protein fibers that provide mechanical strength and structural support so that cells don’t tear under physical stress

    • Cytoplasmic Intermediate filaments

      • gives structural integrity to:

      • Keratins

      • Vimentin

      • Neurofilaments

  • Nucleolus

    • site of rRNA synthesis

    • dissolves during mitosis

    • made up of fibrillar centers or cores, dense fibrillar and granular components

  • Large 60S Subunit rRNA

    • has ~49 ribosomal proteins and 3 rRNA molecules

  • Small 40S Subunit rRNA

    • ~33 ribosomal proteins and 1 rRNA molecule

  • come together to form the complete eukaryotic ribosome

    • Molecular weight (MW) = 4,200,000


Cytosol and Cytoskeleton 1

  • Microfilaments

  • Microtubules: part of centrosome

  • Intermediate filament: provides structural support


  • Actin

    • Monomer = G actin (globular)

    • Polymer = F actin (filamentous chain)

      • Polarized molecule: has a growing plus end and a disassembling minus end

    • Microfilmaent: F-actin is stabilized by capping at both ends

    • 1. G active goes through polymerization to become F-actin

    • 2.Tropomyosin like a long rope, wraps around the F-actin helix to cover the myosin-binding sites during muscle rest

    • Troponin sits on tropomyosin and acts like a calcium-driven switch for muscle contraction

    • Cap z: protein that caps the plus end of the filament to stabilize

    • Tropomodulin: protein that caps the minus end of the filament to stabilize and prevent it from unraveling

    • alpha - actinin: binds the actin filament to the Z disk


  • Myosin 2 Thick Filaments

    • Energy-Dependent Movement of Thin filaments

      • 1. hydrolyze ATP so that ADP and Pi remain bound to myosin head

      • 2. Pi then releases tight binding of actin filament

      • 3. Incudes a conformation change the powerstroke

      • Release ADP binding of ATP , as we prepare for the new cycle (goes back to state of step one)


Cytosol and Cytoskeleton 2

  • Microtubules

    • composed of tubulin

      • heterodimer of alpha and beta tubulin

    • requires GTP to polymerize

    • Has a growing plus end and a disassembling minus end

    • Plus end: has GTP on its terminal dimer

    • Minus end: has microtubule organizing center

    • Microtubule function

      • transport and secretion of vesicular cargo

      • separation of chromoses during mitosis and mesiosis

      • structural stability of cilia and flagella

      • motion

      • Dynamic Instability

        • the constant contest between growth and degradation of microtubules

        • GTP bound plus end adds to it

        • GDP bound plus end adds at a slower rate, which makes the disassembly as the minus end faster, favoring degradation

      • Regulation of Microtubule Stability

        • Capping at + end by (microtubule associated proteins, MAPs) helps prevent disassembly

        • Chemical Modifications: removing the amino acid Tyrosine from the end of the alpha-tubulin subunit makes the microtubule tougher and more long-lived

        • Tau and High Mr MAPs bind to the side to help the microtubues bundle together and stay anchored

        • Stathmin and Katamin are MAPs that favor slicing and disassembly of microtubules when the cell needs to tear down its network

      • Mediated Transport of Cargo

        • mediated by motor proteins

        • plus end is the axon terminal (outward transport)

          • N-terminal motor domain

            • typically members of the kinesin family

            • Kinesin plays no role in flagellar bending or beating

            • Kinesin is for intraflagellar transport to deliver fresh building material for ciliary maintenance

        • minus end is the nerve cell body ( backward transport)

          • C-terminal motor domain

            • typically members of the dynein family

            • Dynein does the motions

    • Centrosome

      • composed of 2 centrioles with each composed of 9 triplets of microtubules in a circle

      • centrioles are perpendicular to each other

      • which are surrounded by a cloud of microtubule binding proteins in which microtubule centers bind their minus end to the nucleating site(the pore structures of the centrosome matrix)

  • Intermediate Filaments (IFs)

    • composed of heterogenous groups of fibrous proteins

    • Main function: To provide structural Stability that maintains the integrity of cells and tissues

    • their formation doesn’t require the breakdown or input of chemical energy like ATP

    • No polarity within the filaments (Both ends of the intermediate filament are structurally Identical) They lack the plus and minus end as we saw with microfilaments and microtubules

    • Primary functions are structural

    • 2 dimers then line up with opposite ends to create a balance and symmetry



Cell Adhesion and Motility

  • anchoring of cells within tissues

  • adhesion is important for cell migration and motility

  • Homophilic binding

    • same binding

    • ex: cadherin and cadherin

    • Ig-like

  • Heterophilic binding

    • different: example: carbohydrate binding to selectin

  • Integrins

    • heterodimers of alpha and beta chains

    • cell adhesion to ECM and some cells

    • role in cell motility

  • Intercellular Junctions

    • Tight Junction

      • seals neighboring cells to prevent leakage

      • claudin of one cell binds to the claudin of another cell

      • occludins of one cell binds to the occludins of another cell

    • Adherens Junction

      • joins actin bundles between neighboring cells

      • spot and zonula

      • Cadherin mediated (Ca2+ dependent binding)

    • Desmosome

      • joins intermediate filaments of one cell with another

      • intermediate filament → intermediate filament

      • many together impart great tensile strength to epithelial cells

    • Gap junction

      • forms channel to allow small-water soluble molecules, ions

      • cell to cell channel

      • communication junction

      • homophilic binding

      • connexon-mediated

    • hemidesmosome

      • anchors intermediate filaments in a cell to the basal lamina

      • intermediate filament → basal lamina

      • contains keratin filaments

  • Junction morphology

    • Zonula: belt, that wraps around the entire perimeter of the cell

      • Tight and Adherens junctions

    • Macula: spot

      • adherens

      • desmosomes

      • hemidesmosomes

  • Process Protrusion

    • Contractile Bundle

      • stress fibers

      • parallel filaments going in opposite directions

      • allowing motor proteins like myosin to bind and pull

    • Lamellipodium

      • Dense, cross-linked, branched network of actin filaments

      • forms flat, sheet like protrusion at the leading edge to push the cell membrane forward

    • Filopodium

      • Tight, parallel, unbranched bundles of actin filaments all pointing in the same direction

  • chemotaxis

    • movement of a cell/organism in response to a chemical stimulus



The Cell Cycle and Mitosis Lecture

  • Cell cycle → replication and division of cell

    • 2 daughter cells inherit same genetic info from mother

  • Cell division is needed

    • repair/regeneration

    • (s)exual reproduction (mesiosis)

    • asexual reproduction (mitosis)

    • growth

  • Labile cells

    • contanstly dividing, ex: skin, oral mucosa, hematopoietic cells

  • Stable Cells

    • only divide when needed, liver, replaces lost tissue

  • Permanent cells

    • never divide, neurons, cardiac myocytes

  • Senescence: biological process of getting old

  • Cyclosporine: immunosuppresent to preven organs rejecting a transplant

  • Phases in cell cycle

    • G1

      • preparing to divide

      • increasing cell size, RNA and protein synthesis

      • 5 hours

    • G0 phase

      • cells exit G1 and enter resting state (G0)

      • cell performs function without actively preparing to divide

      • permanent state for some cells, temporary for others if they get the right signal

    • S

      • 2n to 4n dna content, duplication of centrosomes (centrioles)

      • DNA is replicated

      • 7 hours

    • G2

      • synthesis of proteins

      • tubuiln for mitotic spindles

      • synthesis of maturation promotiong factors

      • increase cell size and organelles

      • 3 hours

    • M

      • nuclear division (mitosis) and cytokinesis (cell cytoplasm division)

      • 1 hour

      • 1. Prophase

        • chromosomes condense

        • centrosomes separate and spindles start to assemble

      • 2. Prometaphase

        • breakdown of nuclear envelope

        • chromosomes attach to spindle via kinetochore

      • 3. Metaphase

        • line up at equator (metaphase plate)

        • sister chromatids of chromosome attached to spindle on opposite poles

      • 4. Anaphase

        • centromere is broken as sister chromatids go to opposite poles.

        • anaphase promoting complex (APC) triggers chromatid separation

        • degrades cyclin b through ubiquitination (tagging) to turn off Cdk1 so the cell can finish dividing

      • 5. Telophase

        • chromosomes arrive at poles

        • nuclear envelope reassembles

        • chromosome de-condenses

        • division of cytoplasm with formation of contractile ring

      • 6. Cytokinesis

        • cell is divided in half by contractile ring

  • Cell Cycle control system

    • proteins the ensure the cell cycle runs smoothly

    • each process has to be completed before the next one begins

    • regulated at critical points of the cycle by feedback from the process

    • G1 checkpoint

      • size, nutrients, growth factors, DNA damage

    • G2 checkpoint

      • is all DNA replicated

      • is all DNA damage repaired

    • Checkpoint in Mitosis

      • are all chromosomes properly attached to the mitotic spindle?

    • Cyclins

      • trigger kinase activity (there is not enzymatic activity on their own.

      • Cyclin dependent protein kinases (CDKs)

      • Cyclin dependent protein kinases inhibitors (CDKIs)

        • suppresses CDKs

        • bind directly to cyclin-CDK complex

        • regulation of the G1-S phase transition

        • 7 types: p15, p16, p18, p19, p21, p27, p57

      • Cyclin D: activates CDK4 and CDK6 which function in Progression past G1 and into S phase

      • Cyclin E & A: CDK2 initiate DNA synthesis in S phase

      • Cyclin B: initiates CDK1 G2 → M phase

      • CDK-activating kinase (CAK)

        • constant throughout the cell cycle and phosphorylates the CDK as soon as the cyclin and CDK complex is formed

        • think of the CDK as the car, cyclin is the key to unlock, and CAK is the ignition to get the car started.

    • Regulation of CDK activities

      • Inhibitory kinases

        • wee1, wee2

      • Phosphatase

        • enzymes that remove phosphate groups, refersing the effects of kinases

          • ex: Cdc25

    • Regulation of Cyclin

      • Anaphase-promoting complex (APC): A ubiquitin ligase that degrades cyclin B to separate sister chromatids

  • G1/S phase control by p53 and Rb

    • p53 and Rb are tumor suppressor genes (anti-oncogenes)

    • p53 = guardian of the genome

      • activates p21

    • involved in DNA repair, cell cycle control, and cell death

    • prevent entry of cells into S phase

      • DNA damage arrest in G1

      • Activate p53

      • Transcription factor for p21

      • p21 inhibits cyclin-cdks

      • cell repairs damage (to go on to S phase) or cell dies

    • Rb tumor suppressor

      • Rb gene mutation causes malignancies

        • small-cell carcinoma of lung, breast cancer, bladder cancer

  • p16 Tumor Suppressor

    • CDK inhibitor that binds to the cyclin D and CDK4 combo

  • Mitogens

    • growth factors that bind to its receptor on the cell membrane ultimately leading to mitosis

  • Oral cancer is 3% of yearly cancer diagnosis

    • Increase mitogens

    • increase cyclin D1

    • decrease in p16, p53, Rb


Meiosis Lecture

  • Somatic cells

    • diploid, one set from each parent

    • somatic mutations impact the individual, but cannot be passed down to offspring

  • Germ Line Cells = gametes, sperm and eggs

    • sex cells

    • sperm or eggs (haploid)

    • combine during fertilization to make new individual (diploid)

    • mutations can be passed down to offspring

  • Mitosis = asexual reproduction

    • offspring identical

  • Meiosis = sexual reproduction

    • offspring: diversity

    • Reshufflying the genes to help a species sruvive in an unpredictable environment

    • 2N → 4N → 2N → N

    • one doubling of DNA, followed by 2 cell divisions

    • Crossing over during prophase 1 leads to exchange of DNA = diversity

    • Chromosomes are randomly sorted due to independent segregation or independent assortment

      • metaphase 1

  • Meiosis 1: Prophase 1

    • bivalent (tetrad) forms when 2 homologous chromosomes come together

      • synapsis is when they come together and align along their lengths

        • Synaptonemal complex: the fibers that connect the 2 homolgous chromoomes when they long against one another

    • Cohesion Rings

      • found around the 2 sister chromatids of one homologous chromosome

      • generates tension around the centromere

    • Crossing Over: point is called chiasmata

      • helps position and stabilize bivalent

    • The farther the distance between 2 genes = greater chance of recombination

  • Prometaphase 1

    • Synaptonemal complex breaks down at late prophase 1, even though the chiasmata is still connected, even after crossing over occurred

    • nuclear envelope breaks down

    • microtubules move towards the center attaching to the kinetochores, with one homologous chromosome facing each pole

  • Metaphase 1

    • line up via independent assortment

  • Anaphase 1

    • chiasmata is broken

    • centromeres are still in place holding the sister chromatids to each other

    • the 2 homologous chromoosmes now move to opposite poles of the cell

  • telophase 1

    • chromosomes gather into nuclei, and the original cell divides

  • Prophase 2

    • chromosome condenses again, after a brief interphase (interkinesis) in which DNA is not replicated

  • metaphase 2 - anaphase 2

    • chohesions in centromere degrade, sister chromatids separate

  • Telophase 2   

    • 4 haploid cells


Aneuploidy

  • Abnormal # of chromosomes

  • caused by nondisjunction

  • Amphitelic: normal

  • Monotelic: only one spindle attaches to one of the sister chromatids, none of the other

  • Syntelic

    • both sister chromatids attach to the same microtubule pole

  • Merotelic: Most dangeorus error

    • a single sister kinetochore connects to one pole, but its companion kinetochoresi s pulled inboth directions at once, catching microtubules from both the left and right

    • This can trick and bypass the cell’s safety checkpoint

    • leads to stuck tug-of-war in anaphase leading to lagging chromosome that leads to severe DNA damage or cancer


Chromosomes

  • Chromosome = a centromere, 2 telomeres, an origin of DNA replication for every 100,000 base pairs

  • P arm is the short arm

  • Q Arm is the long arm


  • DNA is first orgnaized into chromatin by nucleosmes

    • nucleosome = beads on a string

  • Chromatin = DNA + nucleosomes(8 histone proteins)

    • histones are basic (positively charged)

  • Euchchromatin = 11 nm fibers

  • Heterochromatin = 30 nm fibers


  • Karyotype = display of full set of chromosomes of cell

    • Giemsa-banded karyotype

      • Red knobs: genes that econde for large rRNA

  • Aneuploidy: Trisomy 21

    • Oral and craniofacial findings

      • periodontal disease

      • low caries rate

      • delayed tooth eruption

      • hypodontia

      • microdontia

      • midflash hypoplasia

  • Reciprocal chromosomal translocation

    • large sections of chromosomes swap locations

    • example: philadelphia translocation causes leukemia

      • chromosome9 and 22

  • Centromeric Chromatin (center that hold the sister chromatids together) is in the form of consistutive heterochromatin which has little or no genes expressed

  • Telomeres

    • keep normal chromosome ends from arresting cell cycle

    • keep ends from being joined by repair mechanisms

    • contain high G-C content

    • must be replaced each cell division by telomerase in germ cells and stem cells

      • Telomerase uses RNA as a template for DNA synthesis (reverse transcriptase)

      • Telomerase is inactive in most cells of the body (cells that have a limited number of divisions, in post mitotic cells, and permanent cells (neurons that never replicate)

    • Hayflick Limit

      • number of time somatic cell population can divide before cell division stops


Genes and Non-Genes Lecture

  • mendelian definition: a gene is heritable trait

  • Modern definition: a gene encodes a functional product (either protein or RNA)

  • Alleles: variations in DNa sequence among copies of a gene

  • Genome: sequence of all the DNA

  • The modern gene

    • Coding Region: opening reading frames are the coding sequence

      • Exons contain ORF and any untranslated regions (UTRs)

  • Simple genes: have one version of their mRNA

    • no introns to splice out

  • Complex genes: have their RNA psliced into variant mRNAs by removing introns and linking different exons to make different versions = Protein Isoforms


  • Solitary Genes

    • only one copy of a gene

    • if there are multiple copies of the same exact gene, then it’s for the purpose of increasing the total output of that product (protein or RNA)

    • found in tandem array that are separated by spacer to act as a insulator preventing read thorugh


  • Gene Families

    • Have more than one member

    • are duplication of a gene

    • the genes started out identical but diverged over time to yield variants that perform different tasks

    • some family members don’t have functions = Psudogenes


Types of RNA

  • hnRNA is the precursor for m, t, r, sn, and mi RNA


98.5% of the genome is non-coding

  • 50% of DNA is unique

  • 50% repeated seqneces

    • 45% transposons (mobile DNA)

      • genome tries to make these elements transcriptionally silent

      • DNA and histone methylation are installed on them

      • 2 types

        • DNA transposons

          • move as DNA, leave one site and enter another. “cut and paste”

          • proteins (transposase) are needed to cut the DNA sequence out and move it to another site

        • Retrotransposons

          • move like a retrovirus with an RNA intermediate using reverse transcriptase.

            • RNA template converted to DNA

            • then integrate into the host genome

          • They replicate themselves, thus creating a new copy but remaining in their oringial location

          • “copy and paste

          • Endogenous retrovirus    

            • ancient viral DNA that is embedded in humans

            • can make RNA and also make proteins that are not useful to the cell or could cause problems

            • DNA methylation keeps them “off”

        • Non-retrovirus-like retrotransposons

          • are the most abundant mobile DNA elements in mammals

          • 34% on human DNA

          • LINE: Long interspersed elements (6 kb)

          • SINE: Short interspersed elements (100-400 bp each)

      • Simple Sequence Repeats

        • Microsatellite DNA

          • 1-13 bp reapeated less than 150 times that are cuased by backward slippage during DNA replication

          • They don’t move around in the genome: they expand or contract in one place

        • Satellite DNA

          • mostly repeats of 14-500 bp

          • often at centromeres and telomeres

        • Telomeres

  • DNA fingerprinting

    • identify individuals based on their qunite pattern of Satellite or Microsatellite DNA

  • NIH ENCODE Project

    • seeks to map non-coding gene elements, the regulatory seqeunces - exons, introns, promotes, enhancers, transcription binding sites

  • CRISPR-Cas9


Eukaryotic Gene Regulation and Epigenetic Lecture

  • main function of gene is to make RNA → to make proteins

  • Gene expression: the production of RNAs and proteins from a DNA blueprint

  • RNA Polymerase 1: large precursor of the rRNAs (5.8S, 18S, 28S)

  • RNA Polymerase 2: heterogenous nuclear RNAs (hnRNAs) which are precursors to mRNAs, miRNA, and most snRNA

  • RNA Polymerase 3: precursor to 5S rRNA, tRNAs

  • Promoter

    • region of DNA upstream of a gene where proteins like RNA polymerase and transcription factors bind to initiate transcription

    • Class 1-3

    • Class 2 Promoters are recognized by RNA Polymerase 2 and are the most complex and best studied (transcription)

  • Enhancers and Silencers are DNA elements that stimulate or depress transcription of associated genes

  • Transcription factors

    • Euk. RNA polymerases are unable to bind to promoter by themselves like bacteria. So they rely on the transcription factor to guide them to the promoter

    • General Transcription Factors

      • weak extent, basal level of transcription

      • ex: skin cell nucleus

    • Gene-specific transcription factors (activators)   

      • help cells exert fine control over transcription.

      • ex: liver cells nucleus

    • repressor proteins

      • brain cell nucleus

  • Chromatin

    • fold DNA into the small volume of a cell’s nucleus

    • Histones

      • carry a positive charge which binds tightly to the negatively charged DNA

      • Nucleosome: first order of chromatin folding, core of histones which DNA winds around

  • Epigenetics

    • chemical changes in DNA or histones that regulates gene expression without altering the DNA sequence

    • Histone Tail modifications: Reversible

      • Acetylation

        • opens up chromatin to allow transcription

        • provides rapid control of gene expression in response to external stimuli

        • Performed by Histone Acetyltransferases (HATs)

        • Removed by histone deacetylases (HDACs)

      • Methylation

        • Can be used for both chromatin condensation (repress transcription) and open chromatin (promoting transcription)

        • Performed by histone methylatransferases (HMT)

        • Removed by histone demethylases (HDM)

      • Phosphorylation

      • Ubiquitination

      • SUMOylating

    • DNA Methylation

      • the most STABLE of epigenetic modifications

      • strongly repress transcription by blocking transcription factors

      • contritubtes to the formation of Heterochromatin for long term repression of transcription

  • Euchromatin

    • 11nM fibers

    • transcription activated

    • light-stained on electron micrograph

    • Histone tails acetylated

    • Histone tails methylated in ways that factor transcriptoin

    • DNA not methylated

  • Heterochromatin

    • 30 nM strands

    • transcription repressed

    • dark-stained on electron micrograph

    • Histone tails deacetylated

    • histone tails methylated in a way that represses transcription

    • DNA methylated


Genetic and Obesity

  • 1/3 adults and 1/5 children in US are obese

  • Obesity = BMI ≥ 30

    • monogenic Obesity: single gene mutation, rare, onset early childhood

      • caused by loss-of-function mutations in a single gene

      • often inherited autosomal r or Dominant

      • typically involves genes in the leptin-melanocortin pathway

    • Common Obesity: polygenic + environment, very common, childhood/adulthood

  • Genome Wide Association studies (GWAS) to understand genetic basis of obesity

    • FTO Locus is the first GWAS locus to be associated with obesity

      • codes for alpha-ketoglutarate dependent dioxygenase

      • enzyme found on chromosome 16

      • Non-coding intronic variants within FTO are strongly associated with BMI

        • where people homozygous for the top risk vairant weigh ~3kg more than non-carriers

    • FTO region directly interacts with the promoters of IRX3

      • IRX3 is a functional long-ranged target of obesity-associated variants with FTO

  • Epigenome-wide association study (EWAS) of DNA methylation

    • shows that variation in epigenetic modifications (dna methylation) is associated with BMI and metabolic diseases


Genetics 1: Genes and Alleles

  • Monogenetic Disorder

    • inherited single gene disorder

    • ex: hypodontia, amelogenesis imperfecta, epidermolysis bullosa (extreme canker sores), gingival fibromatosis, enlargement of gingival tissues

  • Hemizygous

    • having a single copy of a gene in an otherwise diploid cell

    • x-linked genes in men

  • Complete (classic) dominance

    • when heterozygous is indistinguishable from homozygous dominant

  • Incomplete (partial) domiance

    • one allele is not completely dominant over the other

    • results in blending or expression of both alleles in the phenotype

    • red plus white = pink

  • Co-dominance

    • contributiosn of both alles are visible

      • both black and white spots visible

    • Blood type

  • D or d display classic dominance

    • ONly D allele confers Rh+ blood


Genetics 2: Genes and Alleles

  • Pea plants are a good model  

    • could get “true breeding plants”

    • reproduce quickly and sexually

      • gametes, make and female sex cells

    • self fertilizing

    • many traits that existed in only 2 forms

  • Unit Factors

    • basic unit of heredity

      • phenotype: expression of these traits

      • genes: unit factors

      • alleles: various versions of genes (unit factors)

  • Mendels first law: law of segregation

    • genes for a specific trait separate randomly into their 2 alleles, so that each gamete receives one or the other with equal chance.

  • Mendel’s second law: independent assortment

    • genes for different traits are inherited independently of each other if they are on different chromosomes

  • Linked Genes

    • are unable to assort independently

    • genes passed down together as a group

    • Linkage: when genes are located on the same chromosome, which results in their inheritance together, unless they are separated by crossing over during meiosis 1 prophase 1

  • The maximum rate of recombination for linked genes is 50%

  • Interference (I)

    • when a crossover event happens, it reduces the odds that another crossover will occur

    • Coefficient of coincidence (C) = observed double crossover/ expected double crossover

    • I = 1 - C


Genetics 3: Sex based genes

  • sex chromosomes are heteromorphic (dissimilar)

  • Barr body: highly condensed inactivated chromosome found by the nuclear envelope

  • Lyon hypothesis: a single X chr is randomly inactivated in early development   

    • passed down to all progenitor cells

  • Sex-linked disease

    • diseases on the X chromosome

    • Y linked inheritance - Holandric inheritance

      • only males affected and passed from father to all his sons

    • X linked alleles always appear in males since they only have 1 X chromosome

    • ex: Colorblindness

    • X-linked Dominant disorders

      • m and f are affected

      • higher frequency in female than male

      • affected males pass on gene to all their daughters

        • no male to male transmission

      • ex: fragile X syndrome, rickets

    • X-linked recessive disorders

      • affected individuals usually have unaffected (carrier) parents

      • usually only males are affected

      • affected males pass on genes to all daughters

      • daughters of female carriers have ½ chance to be carriers (no phenotype)

      • sons of female carriers have ½ chance to be affected

      • ex: hemophilia, Duchenne muscular dystrophy, Malaria

      • Duchenne Muscular Dystrophy

        • Normal at birth

        • slow progression of muscle weakness

        • male genetic fitness is zero

        • 1/10000

      • Hemophilia (royal disease)

        • inability to clot blood

  • Sex-influenced inheritance

    • when the sex of the individual influences the expression of a phenotype that is not limited to one sex or another

    • ex: pattern baldness

  • sex-limited

    • when the expression of a specific phenotype is absolutely limited to one sex

    • ex: plumage of domestic fowl

  • Monoallelic gene expression

    • only the maternal or paternal allele is expressed

    • Prader-Willi Syndrome

      • deletion on chromosome 15

      • paternal allele inherited and expressed

    • Angelman’s syndrome

      • only maternal inherited allele


  • Point Mutation

    • Transition

      • change of a pyrimidine to another pyrimidine. or purine to purine

    • Transversion

      • purine to pyrimidine and vice versa

    • Missense mutation

      • amino acid change does occur due to altered codon

      • sickle cell anemia: one nucleotide subsititon of glutamic acid is replaced by valine in the hemoeglobin gene

        • valine is hydrophobic

    • nonsense mutation

      • turns normal codon to a stop codon

  • Trinucleotie Repeats

    • tandem sequence of 3 nucleotides within a gene is repeated many times expanding the size of the gene

    • in people with TNRE disorders, the length of a trinucleotide repeat is increased above a certain ciritical size

    • this increase in size in future offspring is what causes earlier onset in future generations = genetic anticipation

    • If the repeats occur in the coding sequence of a gene

      • expansion of CAG = glutamine

      • protein aggregartes are toxic and implicated in many diseases

    • also depends on who you inherit from

      • Huntington disease

        • TNRE more likely to occur if inherited from father

      • Myotonic muscular dystrophy

        • TNRE are more likely to occur if inherited from mother


Sickle Cell Anemia

  • point mutation, glutaminc acid is replaced by valine (hydrophobic)

  • Chromosome 11 is affected, recessive inheritance

  • hemoglobin molecules are made up of 2 alpha chains and 2 beta chains linked together

  • point Mutation in HBB (hemoglobin Beta chain)

  • hemoglobin = 4 heme (4Fe) and 4 globing chains


Cancer Genetics

  • Solid Tumors   

    • dividing cells that don’t die appropriately

    • uncontrolled growth in solid tissues like bone, muscle, organs

  • Liquid tumors

    • originate in blood or lymphatic system (leukemia, lymphoma)

  • Malignant tumor

    • metastasis: travels to other body regions to form new tumors

  • Carcinoma: cancers of epithelial cells of endodermal (gut epithelial cancers) or ectodermal: skin, neural epithelial

  • Sarcomas: cancers of mesodermal origin

  • Blastomas: come from immature precursor cells or embryonic tissues


Hallmarks of Cancer (same functional capabilities)

  • Genomic instability and inflammation are enabling characteristics that drive the acquisition of hallmarks of cancer

  • 6 Original hallmarks

    • Self-sufficiency in growth signals

    • Insensitivity to anti-growth signals

    • Evading apoptosis

    • Limitless replicative potential

    • Sustained angiogenesis

    • Tissue invasion and metastasis


  • Viruses associated with human cancers

    • DNA Viruses

      • Papovavirus family

      • Hepatitis virus

    • RNA viruses

      • human t-cel leukemia virus

      • HIV, AIDS

  • Genes Commonly mutated in Cancer

    • Proto-oncogenes

      • promote survival and proliferation

      • gain of function

      • mutations are dominant

      • arise by point muatation

    • Tumor-suppressor genes

      • inhibit cell survival or proliferation

      • loss of function

        • both alleles of the gene must be lost

      • mutations are recessive

      • arise by deletion, point, methylation

    • Caretaker genes

      • repair or prevent DNA damage

      • loss of funtion

      • mutations are recessive

      • arise by deletion, point, methylation

  • Conversion of a proto-oncogene to an oncogene

    • 1. Mutated hyperactive form is made (qualitative change)

      • point mutations that make the protein hyperactive

      • fusion of protein with oother proteins leading to hyperactivity

    • 2. Too much of the normal protein is made (quantitative change)

      • translocations

      • gene amplifications: multiple copies created

        • c-myc is a transcription factor that regulates many genes including those the control proliferation, growth, and survival

        • Amplification of c-myc

  • Types of Proto-oncogenes/Oncogenes

    • Growth factors and receptors: PDGF AND EGFR

      • EGFR mutation are common in head and neck, non-small lung carcinoma (NSCLC), and gliomas

    • G Proteins: ras

      • 3 RAS genes (HRAS, KRAS, NRAS) belong to most common oncogenes

      • All 3 genes encode for small GTPases, which are cell membrane attached cytosolic proteins, attached to GDP or GTP

  • Role of p53 in prevention of carcinogenesis

    • Inactivates at least 70% human cancers

    • stops replication at G1/S boundary

    • actiaves DNA repair

    • intiates apoptosis if DNA damage cannot be repaired

  • Rb tumor suppressor    

    • Rb and E2F complex prevents the cell from entering the S phase

    • Phosphorylation of Rb by cyclin-CDK releases E2F, the cell would then transition into the S phase

      • p16 binds to cyclin-CDK complex to inactivate it and prevent it from separating Rb and E2F

  • Fanconi anemia (FA)

    • suppressed immune systems and rare hereditary disease

    • more susceptible to oral cancer

    • caused by mutation in FA genes (FANCA to FANCV) that serve tumor suppression roles in DNA repair

  • Evidence of Epigenetic alterantion

    • DNA methylation silces suppressor gene

      • smoking increaes DNA methltransferase activity, enhancing methyaltion of the p16 promoter which stops cyclin-CDK from separating Rb and E2F. Silenced p16 would lead to cell growth = increase in cancer

    • Demethylating previously methylated oncogenes

      • alcohol causes DNA hypomethylation of PI3

    • Histone modification

      • Histone Deacetylases (HDACs) removes acetyl group from histones, leading to gene suppression (heterochromatin)

    • Non-coding RNAs


Cell Death

  • Apoptosis and autophagy

    • cell dies quietly and contains its contents

  • Necrosis, necroptosis, pyroptosis

    • Cell spills its guts and stimulates inflammation

  • Nerve growth factor withdrawal triggers the mitochondrial apoptosis pathway

    • nervous system programs itself to respond to environment stimuli

  • Viruses

    • want to turn off apoptosis to extend the life of cells, to have more time to make new viruses

    • Increase or mimic the anti-apoptosis factor Bcl-2

    • degrade p53

    • stimulate anti-apoptotic kinases like AKT

  • Cell Death can be pathological

    • Oxidative stresss from Ischemia injury, where the absence of oxygen and nutrients from blood creates a condition inf which the resotration of circulation results in inflammation and oxidative damage

      • ex: stroke, acute kidney injury, myocardial infarction

  • Programmed Cell Death (PCD)

    • Apoptosis

      • primary PCD pathway

      • suicide

    • Autophagy

      • self consume

    • Necroposis

      • regulated necrosis with passive and active proinflammatory functions, detect pathogens and promote tissue repair


    • Pyroptosis

      • PCD as part of an inflammatory reaction, detect pathogens and promote tissue repair

    • Ferroptosis

      • iron -dependent form of programmed cell death that involves accumulation of lipid peroxides and oxidative stress leading to membrane damage

  • Not PCD

    • Necrosis

      • uncontrolled death → irreversible injury

      • killing the cells by an outside agent

        • loss of blood flow (ischemia)

        • physiacal trauma

      • Cell membranes swell and become permeable

      • lytic enzymes destroy the cellular contents, which leak out into the intercellular space leading to an inflammatory response

  • Apoptosis

    • rapid clearnace to prevent an inflammatory reaction which is caused by intercellular contents being spilled out of the cell.

    • phosphatidylserine (PS) on the cell surface is the “eat me” signal for macrophage to quickly clear away the cell and its contents so that there is no inflammation

    • Intrinsic Apoptosis

      • cellular stress, initiator is caspase 9

      • executioner is caspase 3/7

      • 1. Cellular stress (heat, radiation, and growth factor depreivation)

      • 2. Pro-apoptotic members of the BH3-only proteins (PUMP, BID, BIM)

      • 3. They block the pro-survival BCL-2 like proteins ( BCL-2, XL, MCL-1)

      • 4. This inhibition activates effectors of apoptosis (BAK, BAX), which assemble into large complex

      • 5. holes begin to form in the mitochondrial outer membrane (MOMP) this is the point of no return

      • 6. Mitochondria releases cytochrome C into the cytoplasm where it binds to apoptoic peptidase activator factor 1 (APAF1), which forms a apoptosome

      • 7. Apoptosome activates a cascade of caspase which starts with the initiator caspase 9, and that activates the effectors caspases 3 and caspase 7

    • Extrinsic Apoptosis

      • 1. Ligands like FASL is recognized by the receptor on the cell called FAS

      • 1. Ligand like TNF is recognized by the receptor on the cell called TNFR1

      • 2. Once the receptor is activated , the tail inside of the cell changes shape, which allows it to bind to an internal adaptor protein called FADD (FAS associated via death domain)

      • 3. FADD acts like a bridge to recruit the inactive pro-caspase-8 to the site. Together the clustered receports, FADD + procaspase 8 lock together to form the DISC (death induced signaling complex)

      • 4. The job of DISC is to bring the pro-caspase-8 close enough to each other so that they can cleave an activate one another . which becomes an initator enzyme that goes onto slice and activate executioner caspases liek caspase 3

      • initiator is caspase 8

      • executioner is caspase 3/7

    • Caspases

      • Cystein and aspartic acid -ase (enzyme)

      • synthesized as inactive pro-caspase precursors that are cleaved by other caspases or signals when the time for cell death is here

    • Cytotoxic T lymphocytes (CTL)

      • FASL (FAS Ligand) on Cytotoxic T Lymphocyte kills cells that have FAS receptor by the extrinsic apoptosis pathway

  • Autophagy

    • protects and kills stressed cells

    • non-pathological process by which a cell digests cell components (proteins, organelles) that are dysfunctional/unnecessary and recycles them.

    • Cytoplasmic constituents are incorporated into an autophagosome, which then fuses with a lysosome for degradation of the components: Macroautophagy

    • Autophagy is active after cell injury as it’s trying to save itself and during times of starvation when resources are limited

  • Necroptosis

    • regulated necrosis with passive and active pro-inflammatory functions

    • RIPK1 (receptor interacting serine/threonine-protein kinase 1)

      • key molecule in non-apoptotic cell death pathway

    • MLKL (mixed lineage kinase domain-like) proteins

  • Pyroptosis

    • programmed cell death with collateral damage

    • sensor molecules in cells recognize invasion by virus or bacteria → inflammasome protein complex

    • Inflammasome activates Caspase 1

    • Caspase 1 then activates pro-infalmmatory cytokines IL-18 and IL-1ß, which are released upon cell lysis, triggering inflammatory response


Necrotic Bone Disease

  • Osteomyelitis

    • caused by bacterial infection

    • Location

      • The Mandible is the most common affected in head and neck area since it has a limited blood supply

      • the only blood supply to the mandible is the inferior alveolar artery

    • Local factors

      • bone dysplasia

      • failed hardware

      • Most common

        • Odontogenic infection

        • Trauma (mandible)

    • Systemic factors

      • diabetes mellitus

      • collagen vascular disorders

      • tobacco, alcohol

      • psychiatric diagnosis

  • Medication-related osteonecrosis of the jaw (MRONJ)

    • Multiple myeloma, osteoporosis, metastic breast cancer

    • Cancer Drugs

  • Radiation Therapy

    • Photon

      • the most common type of radiation treatment

      • aka intensity-modulated radiotherapy (IMRT)

      • beam of energy same as xray

      • passes through body, through tumor, and exits out the other side of body

      • gives off the greatest dose near the surface of the skin

    • Proton

      • advanced form of radiation for precise radiation delivery

      • focused proton beam that ravels a limited and controlled distance into the tissue

      • gives off gretest dose just before the beams ends in the tumor/target

    • Brachytherapy

      • radioactive metallic seeds

      • permanent or temporary implants

      • placed in or near tumor

      • low, med, and high doses available

  • Osteoradionecrosis (ORN)

    • When bone tissue dies due to damage from radiation therapy

    • a disease process of bone and soft tissue

    • 3-H Principle

      • tissue effects (bone and soft tissue) that cause impaired healing

      • Hypovascularity: lack of blood vessels

      • Hypoxia: lack of oxygen

      • Hypocellularity: lack of living, functioning cells within a tissue

  • Histology

    • Biofilms

  • Mangement of necrotic bone disease

    • antibiotic therapy

    • dirupt the infectious foci

    • bipsy to rule out other pathology

    • surgicaly remove any foreign bodies

    • reconstructurion

    • supplemental (hyperbaric oxygen)