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8504126028adenosine deaminase deficiencycause of SCID (autosomal recessive) excessive ATP/dATP feedback inhibition of ribonucleotide reductase - prevents DNA synthesis and lowers lymphocyte count0
8504127466Lesch-Nyhan syndromedefective purine salvage (absence of HGPRT) hyperuricemia, gout, aggression, self-mutilation, retardation, dystonia Tx: allopurinol, febuxostat1
8504166162xeroderma pigmentosumprevents repair of pyrimidine dimers (UV light) - no nucleotide excision repair2
8504170785HNPCChereditary nonpolyposis colorectal cancer defective mismatch repair3
8504171074problems with nonhomologous end joiningataxia telangiectasia, Fanconi anemia4
8504174636mRNA start codonAUG5
8504174638mRNA stop codonsUGA, UAA, UAG6
8504178266RNA polymerase Imakes rRNA - most numerous RNA7
8504178549RNA polymerase IImakes mRNA - largest RNA inhibited by Amanita phalloides (death cap mushroom)8
8504179440RNA polymerase IIImakes tRNA - smallest RNA9
8504208416anti-U1 RNP antibodiesprevents spliceosomal snRNPs anti-Smith antibodies are specific for SLE associated with mixed connective tissue disease (MCTD)10
8504227692ribosomal units for eukaryotes40S + 60S = 80S11
8504227856ribosomal units for prokaryotes30S + 50S = 70S12
8504417835inhibits prokaryotic RNA polymeraserifampin13
8504417837inhibits prokaryotic topoisomerasefluoroquinolones14
8504418006inhibits prokaryotic dihydrofolate reductasetrimethoprim15
8504442432inhibits eukaryotic topoisomeraseetoposide16
8504462558Bloom syndromemutation of helicase - no DNA replication/repair17
8504464132ataxia telangiectasiadefective repair of dsDNA breaks18
8504464449BRCA1/2 mutationsdefective repair of dsDNA breaks19
8504473424targets of macrolidesVACUM TH BR Vibrio cholerae Acne Chlamydia Ureaplasma urealyticum Mycoplasma pneumoniae Tularemia H. pylori Borrelia burgdorferi Rickettsia ricketsii20
8504519115rifampininhibits RNA polymerase red secretions revs up cytochrome P-45021
8504531082dantroleneprevents release of calcium from sarcoplasmic reticulum of skeletal muscle22
8505300116Li-Fraumeni syndromemutations in p53 tumor suppressor gene - unrestrained cell division multiple malignancies at young age SBLA cancer syndrome = sarcoma, breast, leukemia, adrenal gland23
8505301135M phasemitosis (prophase, prometaphase, metaphase, anaphase, telophase) cytokinesis24
8505328377inclusion cell disease (mucolipidosis)inherited lysosomal storage disorder defect in N-acetylglucosaminyl-1-phosphotransferase: Golgi can't phosphorylate mannose residues on glycoproteins coarse facial features, clouded corneas, restricted joint movement, high plasma levels of lysosomal enzymes fatal in childhood25
8505335559Nissl bodiesRER in neurons make peptide neurotransmitters for secretion26
8505336414signal recognition particle (SRP)cytosolic ribonucleoprotein that traffics proteins from ribosome to RER27
8505337992vesicular trafficking proteinsCOPI (retrograde, golgi to golgi) COPII (anterograde, ER to golgi) clathrin (golgi to lysosomes, plasma membrane to endosomes)28
8505346310peroxisomecatabolizes very-long-chain fatty acids, branched-chain fatty acids, and amino acids29
8505409938drugs that act on microtubulesMicrotubules Get Constructed Very Poorly mebendazole (antihelminthic) griseofulvin (antifungal) colchicine (antigout) vincristine/vinblastine (anticancer) paclitaxel (anticancer)30
8505411828microfilamentsmuscle contraction, cytokinesis actin31
8505412210intermediate filamentsmaintain cell structure vimentin, desmin, cytokeratin, lamins, glial fibrillary acid proteins (GFAP), neurofilaments32
8505413001microtubulesmovement, cell division cilia, flagella, mitotic spindle, axonal trafficking, centrioles33
8505414529dyneinmotor protein - retrograde to microtubule34
8505414817kinesinmotor protein - anterograde to microtubule35
8505415791Kartagener syndrome (primary ciliary dyskinesia)AR dynein arm defect = immotile cilia results in infertility because of immotile sperm and fallopian tube cilia increased risk of ectopic pregnancy bronchiectasis, recurrent sinusitis, situs inversus36
8505446414type I collagenmost common type (90%) bone, skin, tendon dentin, fascia, cornea, late wound repair low in osteogenesis imperfecta type 137
8505448103type II collagencartilage (hyaline), vitreous body, nucleus pulposus38
8505448529type III collagenreticulin skin, blood vessels, uterus, fetal tissue, granulation tissue low in Ehlers-Danlos syndrome39
8505453345type IV collagenbasement membrane, basal lamina, lens low in Alport syndrome targeted by autoantibodies in Goodpasture syndrome40
8505458560collagen synthesissynthesis > hydroxylation > glycosylation > exocytosis > proteolytic processing > cross-linking41
8505464383osteogenesis imperfectabrittle bone disease AD low type I collagen multiple fractures with minimal trauma blue sclerae = translucency of connective tissue over choroidal veins hearing loss (abnormal ossicles) dental imperfections due to lack of dentin42
8505467084Ehlers-Danlos syndromeAD or AR 1. hypermobility type - most common 2. classical type - joint/skin, type V collagen 3. vascular type - organ rupture, type III collagen hyperextensible skin tendency to bleed (easy bruising) hypermobile joints joint dislocation, berry and aortic aneurysms, organ rupture43
8505474553Menkes diseaseimpaired copper absorption defective Menkes protein (ATP7A) low lysyl oxidase activity brittle "kinky" hair growth retardation hypotonia44
8505492942Marfan syndromedefect in fibrillin (glycoprotein that forms a sheath around elastin) - FBN1 gene on chr. 15 skeleton, heart, eyes tall with long extremities pectus excavatum hypermobile joints arachnodactyly cystic medial necrosis of aorta aortic incompetence dissecting aortic aneurysms floppy mitral valve upward/temporal subluxation of lenses45
8505493705alpha-1-antitrypsin deficiencyexcess elastase activity causes emphysema46
8505506364southern blotDNA47
8505506365northern blotRNA48
8505506366western blotprotein49
8505508895southwestern blotDNA-binding proteins50
8505584250McCune-Albright syndromemutation in G-protein signaling unilateral cafe-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine problems only survivable if mutations in some cells (mosaicism)51
8505613721Prader-Willi syndromepaternal gene deleted on chr. 15 hyperphagia, obesity, intellectual disability, hypogonadism, hypotonia52
8505616705Angelman syndromematernal gene deleted on chr. 15 inappropriate laughter (happy puppet), seizures, ataxia, severe intellectual disability53
8505622013hypophosphatemic rickets (vitamin D-resistant rickets)phosphate wasting at proximal tubule54
8505624649mitochondrial myopathiesmyopathy, lactic acidosis, CNS disease failure in oxidative phosphorylation muscle biopsy: ragged red fibers55
8505628240autosomal dominant polycystic kidney disease (ADPKD)AD bilateral enlargement of kidneys mutation in PKD1 on chr. 16 mutation in PKD2 on chr. 456
8505630578familial adenomatous polyposis (FAP)AD onset after puberty progresses to colon cancer if not resected mutations on chr. 5q57
8505631868familial hypercholesterolemiaAD high LDL because of defective LDL receptor severe atherosclerosis, corneal arcus, tendon xanthomas (Achilles tendon)58
8505638625hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome)AD blood vessel disorder branching skin lesions (telangiectasias), recurrent epistaxis, skin discolorations, AVMs, GI bleeding, hematuria59
8505644050hereditary spherocytosisAD spectrin/ankyrin defect hemolytic anemia, high MCHC, high RDW Tx: splenectomy60
8505646805Huntington diseaseAD depression, progressive dementia, choreiform movements, caudate atrophy high DA, low GABA, low ACh in brain gene on chr. 4 - trinucleotide repeat (CAG) anticipation = more repeats - younger age of onset61
8505718980multiple endocrine neoplasias (MEN)AD several distinct syndromes (1, 2A, 2B) pancreas, parathyroid, pituitary, thyroid, adrenal medulla MEN1: MEN1 gene MEN2A/MEN2B: RET gene62
8505725738neurofibromatosis type 1 (von Recklinghausen disease)AD - 100% penetrance, variable expression NF1 gene on chr. 17 neurocutaneous disorder cafe-au-lait spots cutaneous neurofibromas optic gliomas pheochromocytomas Lisch nodules (pigmented iris hamartomas)63
8505734829neurofibromatosis type 2AD NF2 gene on chromosome 22 bilateral acoustic schwannomas juvenile cataracts meningiomas ependymomas64
8505737635tuberous sclerosisAD - incomplete penetrance, variable expression neurocutaneous disorder numerous benign hamartomas65
8505757045von Hippel-Lindau diseasedeletion of VHL gene (tumor suppressor) on chr. 3 numerous tumors (benign and malignant)66
8505775239cystic fibrosisAR defect in CFTR gene on chr. 7 deletion of Phe508 most common lethal genetic disease in Caucasians CFTR: ATP-gated chloride channel - secretes chloride in lungs and GI tract, reabsorbs chloride in sweat glands thick mucus in lungs and GI tract increased sodium reabsorption causes more negative transepithelial potential difference Dx: sweat chloride > 60 mEq/L, immunoreactive trypsinogen recurrent pulmonary infections (Pseudomonas) chronic bronchitis/bronchiectasis reticulonodular pattern on CXR pancreatic insufficiency malabsorption = steatorrhea nasal polyps meconium ileus in newborns male infertility (absent vas deferens) female subfertility (amenorrhea, thick cervical mucus) fat-soluble vitamin deficiency - ADEK Tx: NAC to loosen mucus plugs, dornase alfa to clear leukocytic debris67
8505828167X-linked recessive disordersBe Wise, Fool's GOLD Heeds HOpe. Bruton agammaglobulinemia Wiskott-Aldrich syndrome Fabry disease G6PD deficiency Ocular albinism Lesch-Nyhan syndrome Duchenne/Becker muscular dystrophy Hunter syndrome Hemophilia A/B Ornithine transcarbamylase deficiency68
8505833649autosomal recessive diseasesalbinism autosomal recessive polycystic kidney disease (ARPKD) cystic fibrosis glycogen storage diseases hemochromatosis Kartagener syndrome mucopolysaccharidoses (exception: Hunter syndrome) phenylketonuria sickle cell anemia sphingolipidoses (exception: Fabry disease) thalassemias Wilson disease69
8506218392myotonic muscular dystrophy (type 1)AD CTG trinucleotide repeat in DMPK gene myotonia, muscle wasting, cataracts, testicular atrophy, frontal balding, arrhythmia My Tonia, My Testicles, My Toupee, My Ticker.70
8506223944fragile X syndromeFMR1 gene - trinucleotide repeat (CGG) post-pubertal macroorchidism, long face with large jaw, large everted ears, autism, mitral valve prolapse71
8506230740trinucleotide repeat expansion diseasesTry hunting for my fried eggs. Huntington disease (CAG) myotonic dystrophy (CTG) Friedreich ataxia (GAA) fragile X syndrome (CGG) Ex-Girlfriend's First Aid Helped Ace My Test.72
8506377669DiGeorge syndromechr. 22q1173
8506423172cri-du-chat syndromemicrodeletion of short arm of chr. 5 microcephaly, moderate/severe intellectual disability, high-pitched crying (meowing), epicanthal folds, VSD74
8506426672Williams syndromemicrodeletion of long arm of chr. 7 (elastin gene) elfin facies intellectual disability hypercalcemia (sensitivity to vitamin D) well-developed verbal skills extreme friendliness with strangers cardiovascular problems75
850643422222q11 deletion syndromes (CATCH-22)cleft palate abnormal facies T-cell deficiency (thymic aplasia) cardiac defects hypocalcemia (parathyroid aplasia) DiGeorge syndrome: thymic, parathyroid, cardiac velocardiofacial syndrome: palate, facial, cardiac76
8506464919vitamin A (retinol)visual pigments (retinal) differentiates epithelial cells into pancreatic cells and mucus-secreting cells prevents squamous metaplasia used for measles and AML (subtype M3) deficiency: night blindness, dry scaly skin, corneal degeneration (keratomalacia), spots on conjunctiva, immunosuppression77
8506478667vitamin B1 (thiamine)thiamine pyrophosphate (TPP) cofactor for dehydrogenase enzyme reactions: - pyruvate dehydrogenase - alpha-ketoglutarate dehydrogenase - transketolase - branched-chain ketoacid dehydrogenase deficiency: Wernicke-Korsakoff syndrome: ophthalmoplegia, ataxia, confusion, confabulation, personality change, memory loss (permanent) - damage to medial dorsal nucleus of thalamus and mammillary bodies dry beriberi: polyneuritis, symmetrical muscle wasting wet beriberi: high-output cardiac failure (dilated cardiomyopathy), edema78
8506496568vitamin B2 (riboflavin)found in FAD and FMN - cofactors in redox reactions (succinate dehydrogenase reaction in TCA cycle) deficiency: cheilosis, corneal vascularization79
8506508619vitamin B3 (niacin)constituent of NAD+/NADP+ derived from tryptophan requires vitamins B2 & B6 for synthesis lowers VLDL, raises HDL deficiency: glossitis pellagra = diarrhea, dementia, dermatitis caused by: Hartnup disease, malignant carcinoid syndrome, isoniazid dermatitis - "broad collar" rash in C3 and C4 dermatomes excess: facial flushing80
8506522459vitamin B5 (pantothenic acid)part of coenzyme A (CoA) and fatty acid synthase81
8506529598vitamin B6 (pyridoxine)converted to pyridoxal phosphate (PLP) cofactor used in transamination (ALT/AST) deficiency: convulsions, irritability, peripheral neuropathy, sideroblastic anemia82
8506555064vitamin B7 (biotin)cofactor for carboxylation enzymes: - pyruvate carboxylase - acetyl-CoA carboxylase - propionyl-CoA carboxylase deficiency caused by excessive egg whites83
8506568496vitamin B9 (folate)converted to tetrahydrofolate (THF) leafy green vegetables absorbed in jejunum stored in liver deficiency: macrocytic megaloblastic anemia hypersegmented PMNs glossitis increased homocysteine normal methylmalonic acid deficiency caused by: phenytoin sulfonamides methotrexate most common deficiency in U.S. (alcoholism and pregnancy)84
8506594155vitamin B12 (cobalamin)cofactor for homocysteine methyltransferase deficiency: degeneration of: dorsal columns, lateral corticospinal tracts, spinocerebellar tracts irreversible nerve damage high homocysteine and MMA85
8506617930vitamin C (ascorbic acid)reduces iron (Fe3+ to Fe2+) good for methemoglobinemia hydroxylation of proline and lysine needed for dopamine beta-hydroxylase (DA to NE) deficiency: scurvy = swollen gums, bruising, petechiae, hemarthrosis, anemia, poor wound healing, perifollicular/subperiosteal hemorrhages, corkscrew hair excess leads to risk of iron toxicity86
8506646521vitamin DD2 = ergocalciferol D3 = cholecalciferol 25-OH D3: storage form 1,25-(OH)2 D3: calcitriol - active form increases absorption of calcium/phosphate deficiency: rickets in children osteomalacia in adults hypocalcemic tetany87
8506657763vitamin E (tocopherol/tocotrienol)protects RBCs and membranes from free radical damage deficiency: hemolytic anemia, acanthocytosis, muscle weakness, posterior column and spinocerebellar tract demyelination88
8506710278zincimportant for zinc finger motif deficiency: poor wound healing, hypogonadism, decreased adult hair, dysgeusia, anosmia, acrodermatitis enteropathica89
8506723518Kwashiorkorprotein malnutrition MEAL: malnutrition, edema, anemia, liver (fatty)90
8506723946Marasmustotal calorie malnutrition: tissue and muscle wasting, loss of subcutaneous fat, variable edema91
8508094750fomepizoleblocks alcohol dehydrogenase antidote for methanol and ethylene glycol NAD+ is limiting reagent92
8508095318disulfiramblocks acetaldehyde dehydrogenase NAD+ is limiting reagent93
8508101178by-products of ethanol metabolismlactate, malate (prevents gluconeogenesis), glycerol-3-phosphate (combines with fatty acids to make triglycerides) increased NADH:NAD ratio disfavors TCA cycle and favors ketogenesis/lipogenesis94
8508112112metabolic processes in mitochondriafatty acid oxidation (beta-oxidation) acetyl-CoA production TCA cycle oxidative phosphorylation ketogenesis95
8508112726metabolic processes in cytoplasmglycolysis fatty acid synthesis HMP shunt protein synthesis (RER) steroid synthesis cholesterol synthesis96
8508116437metabolic processes in both mitochondria and cytoplasmheme synthesis urea cycle gluconeogenesis97
8508155736rate-limiting step: glycolysisphosphofructokinase-1 (PFK-1)98
8508156329rate-limiting step: gluconeogenesisfructose-1,6-bisphosphatase99
8508157263rate-limiting step: TCA cycleisocitrate dehydrogenase100
8508159385rate-limiting step: glycogenesisglycogen synthase101
8508169551rate-limiting step: HMP shuntG6PD102
8508170074rate-limiting step: de novo pyrimidine synthesisCPS-2 (carbamoyl phosphate synthetase 2)103
8508170760rate-limiting step: de novo purine synthesisglutamine PRPP amidotransferase104
8508171653rate-limiting step: urea cycleCPS-1 (carbamoyl phosphate synthetase 1)105
8508172128rate-limiting step: fatty acid synthesisacetyl-CoA carboxylase106
8508173315rate-limiting step: fatty acid oxidationcarnitine acyltransferase 1107
8508173548rate-limiting step: ketogenesisHMG-CoA synthase108
8508174075rate-limiting step: cholesterol synthesisHMG-CoA reductase109
8508353081pyruvate dehydrogenase complexlinks glycolysis and TCA cycle pyruvate + NAD + CoA > acetyl-CoA + CO2 + NADH cofactors required: pyrophosphate (vit. B1) FAD (vit. B2) NAD (vit. B3) CoA (vit. B5) lipoic acid activated by exercise - rise in Ca, ADP, NAD:NADH110
8508377289ketogenic amino acidslysine and leucine111
8508447558irreversible enzymes in gluconeogenesispyruvate carboxylase phosphoenolpyruvate carboxykinase fructose-1,6-bisphosphatase glucose-6-phosphatase112
8508522827GP6D deficiencyHeinz bodies Bite cells NADPH is necessary to keep glutathione reduced, which detoxifies free radicals and peroxides.113
8508539711essential fructosuriaAR defect in fructokinase fructose in blood/urine114
8508542395fructose intoleranceAR deficiency of aldolase B fructose-1-phosphate accumulates - inhibits glycogenolysis and gluconeogenesis urine dipstick will be negative (neg. for glucose) hypoglycemia, jaundice, cirrhosis, vomiting Tx: avoid fructose and sucrose115
8508549998galactosemiaAR no galactose-1-phosphate uridyltransferase (G1PUT) accumulation of galactitol in lens of eye failure to thrive, jaundice, hepatomegaly, infantile cataracts, intellectual disability E. coli susceptibility in babies Tx: avoid galactose and lactose116
8508758366N-acetylglutamate synthase deficiencyrequired cofactor for carbamoyl phosphate synthetase 1 leads to hyperammonemia117
8508889372maple syrup urine diseaseAR can't break down branched amino acids (isoleucine, leucine, valine) increased alpha-ketoacids in blood Tx: thaimine supplements, avoid branched aa's I Love Vermont maple syrup from branched trees.118
8508910276alkaptonuriaAR deficiency of homogentisate oxidase homogentisic acid accumulates in tissue dark connective tissue, brown pigmented sclerae, urine turns black, arthralgia119
8508975548cystinuriaAR can't reabsorb cysteine/ornithine/lysine/arginine precipitation of hexagonal cystine stones Tx: urinary alkalinization and chelating agents120
8509032206glycogen storage diseasesVon Gierke disease (type I) Pompe disease (type II) Cori disease (type III) McArdle disease (type V)121
8509040469von Gierke diseaseAR severe fasting hypoglycemia high glycogen, high lactate, high triglycerides, high uric acid, hepatomegaly deficient glucose-6-phosphatase Tx: frequent oral glucose and cornstarch, avoid fructose/galactose122
8509044739Pompe diseaseAR trashed pumps - heart, liver, muscle deficient in lysosomal alpha-1,4-glucosidase cardiomegaly, HCM, exercise intolerance, systemic findings leading to early death123
8509084489Cori diseasemilder form of Von Gierke disease124
8509085024McArdle diseaseincreased glycogen in muscle muscle cannot break down - painful muscle cramps, myoglobinuria, arrhythmia deficient in skeletal muscle glycogen phosphorylase Tx: vitamin B6125
8509113782Fabry diseaseperipheral neuropathy of hands/feet angiokeratomas cardiovascular/renal disease deficiency of alpha-galactosidase A126
8509116758Gaucher diseasedeficiency in glucocerebrosidase most common hepatosplenomegaly pancytopenia osteoporosis aseptic necrosis of femur bone crises Gaucher cells (lipid-laden macrophages) Tx: recombinant glucocerebrosidase127
8509118925Niemann-Pick diseasedeficiency of sphingomyelinase progressive neurodegeneration hepatosplenomegaly foam cells (lipid-laden macrophages) cherry-red spot on macula No man picks his nose with his sphinger.128
8509121636Tay-Sachs diseasedeficiency in hexosaminidase A progressive neurodegeneration developmental delay cherry-red spot on macula lysosomes with onion skin no hepatosplenomegaly! Tay-SaX lacks heXosaminidase.129
8509133710Krabbe diseasedeficiency in galactocerebrosidase peripheral neuropathy, developmental delay, optic atrophy, optic atrophy, globoid cells130
8509140050Hurler syndromedevelopmental delay gargoylism airway obstruction corneal clouding hepatosplenomegaly deficiency in alpha-L-iduronidase131
8509140954Hunter syndromeX-linked recessive mild form of Hurler syndrome aggressive behavior no corneal clouding deficiency in iduronate sulfatase Hunters see clearly and aggressively aim for the X.132

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