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Mitochondrial genome and mtDNA disorders

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Question
Answer
Mitochondria - what role do they play in apoptosis?   Release cytosolic calcium (by raising membrane permeability)  
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Mitochondria - what is the symbiotic hypothesis?   The theory that mitochondria are the result of endocytosis of aerobic bacteria (explains double membranes)  
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Mitochondria - Is the transcription, translation, and protein synthesis the same as the rest of the cell?   No - it is specific  
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Mitochondria - roughly how many in each cell?   100's  
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Where are the majority of mitochondrial proteins found?   Mitochondrial genome  
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Mitochondrial genome - type of DNA molecules?   Circular and double stranded  
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Mitochondrial genome - 1700 base pairs, so more/less/the same than the cell nucleus?   Way less  
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Mitochondrial genome - Introns/ no introns?   No introns (93% coding)  
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Mitochondrial genome - replicated dependently/ independently from host cell?   Dependantly  
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Mitochondrial genome - associated proteins?   No  
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Mitochondrial genes - How many? (How many light / heavy?)   37 - (28H, 9L)  
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Mitochondrial genes - what does it dependent on the nuclear genome for? (3)   Enzymes for replication, transcription, translation and repair (targeted)  
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Mitochondrial genes - Wow many oxidative phosphorylation genes does it code for (out of 83)?   13  
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Mitochondrial genes - Which (oxidative phosphorylation) complex does it not code for?   Complex II  
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Mitochondrial genes - What are the remaining genes coding for (that don't code for complexes)?   tRNA's and rRNA's  
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Mitochondrial genes - How is mitochondrial DNA well organised?   tRNA's do double duty. (The spaces between the areas coding for proteins are coding for tRNA's  
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Mitochondrial inheritance is what?   Maternal  
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Which gender is affected by inherited mitochondrial disorders?   Both  
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Mitochondria - What is homoplasy?   A mammalian cell whose copies of mitochondrial DNA are all identical  
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Mitochondria - What is heteroplasmy?   Proportions of mitochondria varying between cells and tissues  
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Reduction of mtDNA during oogenesis - what is the bottleneck efffect?   Reduction in genetic variation  
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Reduction of mtDNA during oogenesis - what is replicative segregation?   Random replication and partitioning of mitochondrial genomes in daughter cells  
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Mutation in mtDNA - What is the high mutation rate due to? (5)   High O2 radicals, no introns, no protective proteins, less efficient replication, no excision repair  
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Mutation in mtDNA - What kind of mutations? (3)   Substitutions, deletions, insertions  
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Mutation in mtDNA - What happens with age?   Accumulate  
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Pathogenicity of mtDNA mutations - How many mutations described?   Over 300  
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Pathogenicity of mtDNA mutations - Are deletions inherited/ sporadic?   Sporadic and not transmitted  
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Pathogenicity of mtDNA mutations - Are point mutations inherited/ sporadic?   Maternal inheritance  
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Pathogenicity of mtDNA mutations - What are they dependent on?   Mutation site  
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Pathogenicity of mtDNA mutations - What transcriptional/ translational structures can be effected? (2)   Polypeptide or RNA  
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Pathogenicity of mtDNA mutations (threshold for bioenergetic 'energy failure')- What % must be mutant for deletions?   60%  
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Pathogenicity of mtDNA mutations (threshold for bioenergetic 'energy failure')- What % must be mutant for tRNA mutations?   90%  
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mtDNA disorders - Rare/ common?   Rare (1:10,000)  
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mtDNA disorders - What does 'clinically heterozygous' mean?   Same disease can be caused by a variety of genes/ alleles, therefore individual mutations can cause different diseases  
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mtDNA disorders - Early/ late onset?   Late (ages 20-30)  
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Clinical features of mtDNA disorders - Muscle? (3)   Progressive external opthalmoplegia + ptosis, myopathy (ragged red fibres)  
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Clinical features of mtDNA disorders - Heart? (2)   Cardiomyopathy, conduction  
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Clinical features of mtDNA disorders - What may irregular heart beat be due to?   Decreased ATP  
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Clinical features of mtDNA disorders - CNS? (3)   Transient hemiparesis ( 1 sided muscle weakness) ataxia, seizures  
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Clinical features of mtDNA disorders - Eye? (1)   Pigmentary retinopathy  
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Clinical features of mtDNA disorders - Ear?   Nerve deafness  
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Clinical features of mtDNA disorders - What is the pathology of 'nerve deafness'?   Damage to auditory nerve  
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Clinical features of mtDNA disorders - Endocrine? (1)   Diabetes  
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Clinical features of mtDNA disorders - Metabolic (1)?   Lactic acidosis  
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Clinical features of mtDNA disorders - What does CPEO stand for?   Chronic Progressive External Opthalmoplegia  
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Clinical features of mtDNA disorders (CPEO) - Most common type of what type of mtDNA disorder?   Oxidative phosphorylation disorder  
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Clinical features of mtDNA disorders (CPEO) - It is usually benign, what are sympotoms? (3)   Fatigue, ptosis, loss of eye movement  
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Clinical features of mtDNA disorders (CPEO) - What is it a result of in the genome?   Single deletion  
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Clinical features of mtDNA disorders (CPEO) - What is Kearns sayre syndrome?   Severe subtype of CPEO  
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Clinical features of mtDNA disorders (CPEO) - Symptoms of Kearns sayre syndrome?   Cardiac, ataxia, retinopathy (poor prognosis)  
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Clinical features of mtDNA disorders (MELAS) - What does MELAS stand for?   Mitochondrial Encephalomyopathy, Lactic Acidosis and Stroke-like episodes  
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Clinical features of mtDNA disorders (MELAS) - Symptoms of encephalopathy? (3)   Stroke like episodes (hemiparisis), headache and vomitting, seizures  
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Clinical features of mtDNA disorders (MELAS) - Does it present in childhood/ adulthood?   Both  
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Clinical features of mtDNA disorders (MELAS) -What gene is mutated in >85% of cases?   tRNA(leu)  
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Clinical features of mtDNA disorders (LHON) - What does LHON stand for?   Leber's Hereditary Optic Myopathy  
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Clinical features of mtDNA disorders (LHON) - What type of vision loss?   Subacute bilateral  
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Clinical features of mtDNA disorders (LHON) - age of onest?   Mean = 23 years  
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Clinical features of mtDNA disorders (LHON) - Males or females more likely?   Males (by 2-3x)  
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Clinical features of mtDNA disorders (LHON) - What kind of mutation?   Missense mutation in 1 of at least 4 genes  
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Clinical features of mtDNA disorders (LHON) - Which oxidative phosphorylation complex is the mutation in?   Complex I  
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Clinical features of mtDNA disorders (MERRF) - What does MERRF stand for?   Myoclonic epilepsy with ragged red fibres  
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Clinical features of mtDNA disorders (NARP) - What does NARP stand for (also it's sympotms)?   Neurogenic wekaness, Ataxia, Retinitus pigmentosa  
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Clinical features of mtDNA disorders: INVESTIGATION - What is seen in the biochemistry? (1)   Raised lactate  
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Clinical features of mtDNA disorders: INVESTIGATION - What is seen in muscle biopsy? (3)   Ragged red fibres, Cox -ve, succinate dehydrogenase -ve  
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Clinical features of mtDNA disorders: INVESTIGATION - In the DNA in leukocytes what is often observed? (type of mutation)   Point mutations  
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Clinical features of mtDNA disorders: INVESTIGATION -In the DNA in muscle what is often observed? (type of mutation)   Deletions/ insertions  
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