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MOLECULAR CELL

BIOLOGY & GENETIC

DISORDERS

THE CELL

• Highly organized structure consist of various

organelles held by the cytoskeleton w’ radiates from

nuclear membrane to cell plasma membrane

• The plasma cell membrane is bilayer of phospholipids�

� Polar hydrophilic head e.g. phosphatidyl choline �

form bilayers (as complete circular structures) �

effective barrier impermeable to most H2O-

soluble molecules

� Non-polar (insoluble) lipid hydrophobic tail

(commonly 2 long-chain FA)

١٩/١٠/٢٠١٣السبت

� ��﷽

The Cell Membrane

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CELL DYNAMICS • Old cellular ptn mopped up by small cofactor molecule

(ubiquitin) �

� Small 8.5 kDa regulating ptn

� Present universally in all living cells

� Interacts e’ these worn ptn via their exposed

hydrophobic residues

� A complex containing >5 ubiquitin molecules is

rapidly degraded by large proteolytic multienzyme

‘26S proteosome’

� Plays role in regulation of receptor tyrosine kinase

in cell cycle & repair of DNA damage

• Failure to remove worn proteins � chronic debilitating

disorders e.g. Alzheimer & frontotemporal dementias

(accumulation of ubiquinated ptn w’ are resistant to

ubiquitin-mediated proteolysis)

• Resistant ubiquinated proteins � inclusion bodies

found in myositis & myopathies � causes �

� Point mutation in target ptn itself e.g. mutant p53

in cancer

� External factor altering normal ptn conformation

� proteolytic-resistant shape e.g. CJD

✰ Free radicals

• It is any atom or molecule w’ contains 1 or more

unpaired electrons � more reactive than the native

species

• It is implicated in large number of human diseases

• When free radical reacts e’ non-radical � chain

reaction � direct tissue damage by membrane lipid

peroxidation

• The major free radical species produced in human

body �

1) Hydroxyl radical (OH)

� The most reactive but others can generate

more reactive species as breakdown products

� Can cause genetic mutations by attacking

purines & pyrimidines

2) Superoxide radical (O2-)

� Superoxide dismutases (SOD) convert

superoxide to hydrogen peroxide (protective

antioxidant mechanism)

� Pt e’ dominant familial forms of amyotrophic

lateral sclerosis (MND) � mutations in gene for

Cu–Zn SOD-1 catalases

� Glutathione peroxidases � enzymes remove

hydrogen peroxide & generated by SOD in cell

cytosol & mitochondria

3) Nitric oxide (NO)

• Alpha-tocopherol, urate, ascorbate & glutathione

remove free radicals by reacting directly & non-

catalytically � ↓ α-tocopherol ( ↓ vitamin E) �

neurodegeneration

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• The principal dietary antioxidants are vitamin E,

vitamin C, β-carotene & flavanoids

✰ Heat shock proteins

• The heat shock response is response to tissue stress

(heat, cytotoxic chemicals & free radicals) mediated

by activation of specific genes � specific heat shock

proteins (HSPs)

• Functions of HSPs �

� Transport of ptn in & out of specific cell organelles

� Degradation of ptn (often by ubiquitination

pathways)

• The unifying feature that activate HSPs �

accumulation of damaged IC ptn

• HSPs are expressed in a wide range of human cancers

& implicated in tumour cell proliferation,

differentiation, invasion, metastasis, cell death &

immune response

PHAGOCYTOSIS, PINOCYTOSIS & EXOCYTOSIS ✰ Phagocytosis

• Specialized cells e.g. macrophages & neutrophils

• Lysosomes rapidly fuse e’ phagosomes � equally rapid

digestion of contents & recycling

• Only triggered when specific cell surface receptors

(macrophage Fc receptor) � occupied by their ligand

✰ Pinocytosis

• Much smaller-scale model of phagocytosis

• Continually occurring in all cells

• In contrast to phagocytosis � receptors for smaller

molecular complexes e.g. LDL � surface clumping &

internal accumulation of a protein called clathrin

• Clathrin-coated pits pinch inwards as clathrin-coated

vesicles

• Clathrin prevents fusion of lysosomes (removal �

lysosomal fusion & degradation)

✰ Exocytosis

• Maintenance of clathrin coat � transcellular transit

of contents & their exocytosis at another side of

plasma membrane i.e. apical to basal transcytosis

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• Some of these vesicles rapidly fuse e’ plasma

membrane & exocytose their contents

• Other vesicles do not immediately fuse e’ plasma

membrane

• The clathrin-coated vesicles � have additional lipid

bilayer embedded proteins called v-SNAREs (signal &

response elements) � interact e’ target organelle

membrane proteins called t-SNAREs � vesicle fusion

is therefore specific in the correct place & in the

correct time e.g. neuronal transmitter vesicles

MEMBRANE TRANSPORT & ION CHANNELS • Plasma membrane is freely permeable to �

� Gases e.g. O2, CO2 and N2

� Small uncharged molecules e.g. H2O (not H+ & OH−)

& urea

� Larger hydrophobic lipid-soluble molecules e.g.

steroids

• Large uncharged molecules (G, aa & nucleotides) and

small charged ions (K, Na, Ca, Cl, Mg & HCO3) cannot

pass unless via specific transport ptn embedded in

plasma membrane

• 2 Structural types of transport molecules/complex �

1) Channel proteins �

� Open a channel in the lipid membrane

� Allow specific solute to pass through

2) Carrier proteins

� Slower in action

� Shuttling the solute across

� Facilitating diffusion down a gradient across the

membrane OR actively pumping solutes against

the gradient using ATP as energy

RECEPTORS • Membrane surface receptors pass their EC signal

across plasma membrane to cytoplasmic 2ry signalling

molecules

• Membrane-bound receptors is subclassified according

to mechanism by which they activate signalling

molecules �

� Ion channel linked

� G-protein linked

� Enzyme linked

• Structure of plasma membrane receptors �

� Serpentine � 7 transmembrane domains e.g. LH

receptor

� Transmembrane with large EC & IC domains e.g.

EGF receptor

� Transmembrane with large EC domain only e.g.

macrophage scavenging receptors

� Entirely linked to outer membrane leaflet by lipid

moiety known as GPI anchor (glycan phosphatidyl

inositol) e.g. T cell receptor

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• Function of membrane receptors is to initiate 2ry

message � activation of specific enzyme or DNA-

binding protein. This may involve �

✰ G-protein-linked receptors

• Once activated by ligand � binds trimeric complex (α,

β, γ) � anchored to inner surface of plasma membrane

• The complex is GTP-binding protein or G-protein then

interacts e’ enzyme complexes anchored to inner

leaflet of the membrane

• These complexes � 1 or all 3 of 2ry messengers �

� cyclic AMP (cAMP) � Ca2+ ions

� Inositol trisphosphate / diacylglycerol (IP3/DAG)

✰ Enzyme-linked surface receptors

• These receptors usually have single transmembrane

spanning region & cytoplasmic domain e’ intrinsic

enzyme activity OR bind & activate other membrane

bound or cytoplasmic enzyme complexes

• 4 classes of enzymes have been designated �

1) Guanylyl cyclase-linked receptors

� e.g. ANP receptor w’ produce cGMP

� In turn activates cGMP-dependent kinase (G-

kinase) � binds to & phosphorylates serine &

threonine residues of specific 2ry messengers

2) Tyrosine kinase receptors

� e.g. PDGF receptor

� Specifically phosphorylate kinases on small set

of IC signalling proteins OR associate e’ ptn e’

tyrosine kinase activity

3) Tyrosine phosphatase receptors

� e.g. CD45

� Remove phosphates from tyrosine residues of

specific IC signalling proteins

4) Serine/threonine kinase receptors

� e.g. TGF-β receptor

� Phosphorylate specific serine & threonine

residues of IC signalling proteins

• Many IC receptors that bind lipid-soluble ligands e.g.

steroid hormones (Pg, cortisol), T3/T4 � often change

shape in response to binding their ligands � enter the

nucleus & interact directly e’ specific DNA sequences

• The fluid component inside the cell membrane

• It contains many specialized organelles

✰ Endoplasmic reticulum (ER)

• Consists of interconnecting tubules or flattened sacs

(cisternae) of lipid bilayer membrane

Cytoplasm

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• It may contain ribosomes on the surface (rough

endoplasmic reticulum ‘RER’) & when absent (smooth

endoplasmic reticulum ‘SER’)

• ER is involved in processing of ptn � ribosomes

translate mRNA to 1ry sequence of aa of ptn peptide

chain

• This chain is synthesized in the ER where it is folded

& modified into mature peptides

• ER is the major site of drug metabolism

✰ Golgi apparatus

• Consist of flattened cisternae similar to ER

• Characterized as stack of cisternae from w’ vesicles

bud off from the thickened ends

• The 1ry processed peptides of ER are exported to

Golgi apparatus for maturation into functional ptn e.g.

glycosylation of ptn to be excreted before packaging

into secretory granules & cellular vesicles that bud off

the ends

✰ Lysosomes

• Dense cellular vesicles contain acidic digestive

enzymes

• Fuse e’ phagocytotic vesicles from outer cell

membrane � digest contents into small biomolecules

� capable of cross lysosomal lipid bilayer to cytoplasm

• Lysosomal enzymes can be released outside cell by

fusion of the lysosome e’ plasma membrane

• Lysosomal action is crucial to function of macrophages

& PMNs in killing & digesting infective agents, tissue

remodelling during development & osteoclast

remodelling of bone

✰ Peroxisomes

• Dense cellular vesicles � contain enzymes catalyse the

breakdown of H2O2

• They are involved in metabolism of bile & FA

• Primarily concerned e’ detoxification e.g. d-amino acid

oxidase & H2O2 catalase

• The inability to function � rare metabolic disorders

e.g. Zellweger’s syndrome & rhizomelic dwarfism

✰ Mitochondria

• The powerhouse of the cell

• Each mitochondrion has 2 lipid bilayer membranes

• The outer membrane

� It contain many gated receptors � import raw

materials like pyruvate & ADP � oxaloacetate &

ATP

� Proteins of Bcl-2/Bax family are incorporated in

the outer membrane � can release mitochondrial

enzymes that trigger apoptosis

• The inner membrane

� Highly infolded to form cristae to↑its effective

surface area

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� Contains transmembrane enzyme complexes of

electron transport chain � generate H+ ion

gradient � drives adjacent transmembrane ATPase

complex to form ATP from ADP & Pi

• The inner matrix

� It possesses several copies of its own DNA in

circular genome

� It contains enzymes of Krebs cycle that generate

substrates of both electron transport chain

(FADH2 & NADH) & central metabolism e.g.

succinyl CoA, α-oxoglutarate, oxaloacetate

• 2ry messengers are molecules that transduce a signal

from a bound receptor to its site of action

• There are essentially 4 mechanisms by which 2ry

messengers act (cross talk & rarely activated alone) �

� cAMP � IP3/DAG

� Ca2+ ions � Protein phosphorylation

✰ cAMP, IP3/DAG & Ca2+ ions

• Generation of cAMP by G-protein-linked receptors �

↑ cellular cAMP � bind & activate specific cAMP

binding proteins � dimerize & enter nucleus �

interact e’ set DNA sequences (cAMP response

elements)

� Cofactors in cAMP response element binding

proteins (CREB) are co-activated & interact e’

phosphorylation pathway

• Other G-protein complexes � activate inner

membrane bound phospholipase complexes � cleave

membrane phospholipid-polyphosphoinositide (PIP2) �

1) Inositol trisphosphate (IP3) � H2O soluble

molecule � floats in cytoplasm � interacts e’ gated

ion channels in ER (or sarcoplasmic reticulum in

muscle cells) � rapid release of Ca2+

2) Diacylglycerol (DAG) � lipid soluble that remains at

membrane � activates a serine/threonine kinase

protein kinase C

• The cellular calcium-binding proteins & ion pumps �

rapidly remove Ca2+ from cytoplasm back into storage

compartment e.g. ER

• Free Ca2+ interacts e’ target proteins in cytoplasm �

phosphorylation / dephosphorylation cascade �

activated DNAbinding proteins entering nucleus

✰ Protein phosphorylation

• The principal route for ptn phosphorylation cascades

is from dimerization of surface ptn kinase receptors

• Tyrosine kinase receptors phosphorylate each other

when ligand binding brings IC receptor components

into close proximity

Secondary Messenger

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• Inner membrane & cytoplasmic targets of these

activated receptor complexes are ras, ptn kinase C &

ultimately MAP (mitogen activated ptn) kinase, Janus-

Stat pathways or phosphorylation of IκB � release its

DNA-binding protein, nuclear factor kappa B (NFκB)

• IC signalling proteins usually contain conserved non-

catalytic regions called SH2 & SH3 (SRC homology

regions 2 & 3) � SH2 region binds to phosphorylated

tyrosine & SH3 domain is implicated in recruitment of

intermediates that activate ras proteins

• Like G-proteins � ras (& its homologous family

members rho / rac) � switch between inactive GDP-

binding state & active GTP-binding state

• NFκB � conformational change & enter nucleus �

initiates transcription of specific genes

• Lipid-soluble ligands e.g. steroids � not need 2ry

messengers � cytoplasmic receptors once activated �

enter nucleus as DBP � alter gene expression directly

• Complex network of structural ptns w’ regulates �

� Shape of the cell

� Cell ability to traffic internal cell organelles &

move in response to external stimuli

• The major components �

1) Microtubules

� Made of 2 ptn subunits � α & β tubulin (50 kDa)

� Continuously change length � ‘highway’

transporting organelles through cytoplasm

� 2 motor microtubule associated ptns (dynein &

kinesin) � antegrade & retrograde movement

(dynein also � beating of cilia)

� During interphase � microtubules rearranged

by microtubule organizing centre (MTOC) w’

consists of centrosomes containing tubulin &

provide structure on w’ daughter Chr can

separate

The Cytoskeleton

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� Another ptn involved in binding of organelles to

microtubules � cytoplasmic linker protein

(CLIP)

� Drugs disrupt microtubule assembly (colchicine

& vinblastine) � affect positioning & organelles

morphology

� Anticancer drug paclitaxel � causes cell death

by binding to microtubules & stabilizing them �

organelles cannot move � mitotic spindles not

formed

2) Intermediate filaments

� Form network around nucleus & extend to cell

periphery

� They make cell-to-cell contacts e’ adjacent cells

via desmosomes

� They make contact e’ basement matrix via

hemidesmosomes

� Function � structural integrity (prominent in

cellular tissues under stress)

� Intermediate filament fibre ptns are specific to

embryonic lineage of the cell e.g. keratin

intermediate fibres only found in epithelial cells

3) Microfilaments

� Muscle cells contain �

o Actin � highly ordered structure of actin

(globular ptn, 42–44 kDa)

o Myosin filaments � form contractile system

� These filaments also present in nonmuscle cells

as truncated myosins (e.g. myosin 1), in cytosol

(forming contractile actomyosin gel) & beneath

plasma membrane

� Cell movement is mediated by anchorage of

actin filaments to plasma membrane at adherent

junctions between cells � non stressed

coordination of contraction between adjacent

cells of tissue (similarly, vertical contraction of

tissues is anchored across cell membrane to

basement matrix at focal adhesion junctions

where actin fibres converge)

� Actinbinding ptns e.g. fimbria � modulate

behaviour of microfilaments & their effects are

often Ca dependent

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� Actin-associated ptns can be tissue type

specific e.g. � actin-binding troponin is complex

of 3 subunits & 2 of these have isomers w’ are

only found in cardiac muscle

• Alterations in cell’s actin architecture are controlled

by activation of small ras-like GTP-binding proteins

rho & rac � involved in rearrangement of cell during

division � dysfunctions of these ptns are associated e’

malignancy

• EC domains form junctions between cells to form

tissues

• Types of junction between cells �

1) Tight junctions (zonula occludens)

� Situated at ends of margins adjacent to

epithelial cells e.g. intestinal & renal cells

� Form barrier to movement of ions & solutes

across the epithelium (may be variably leaky to

certain solutes)

� The ptns responsible for intercellular tight

junction closure (claudins) � selective

expression e’in tissue & regulate w’ ions pass

� Mutations of claudin-16 (expressed in thick

ascending loop of Henle where Mg is

reabsorbed) � abnormal Mg reabsorption of

Gitelman’s syndrome

2) Adherent junctions (zonula adherens)

� Continuous on basal side of cells

� Contain cadherins

� The major site of attachment of IC

microfilaments

� Intermediate filaments attach to desmosomes

� areas of thickened membranes of 2 adjacent

cells

� Hemidesmosomes attach cells to basal lamina &

also connected to intermediate filaments

� Transmembrane integrins link EC matrix to

microfilaments at focal areas where cells also

attach to their basal laminae

� In blistering skin disorders auto-Ab � damage

by attacking tight junction desmosomal proteins

e.g. desmoglein-3 in pemphigus vulgaris &

desmoglein-1 in pemphigus foliaceus

3) Gap junctions

� Allow substances to pass directly between cells

e’out entering ECF

� Ptn channels (connexins) are lined up between 2

adjacent cells & allow solutes passage up to MW

1000 kDa e.g. aa, sugars, ions, messengers

� Channels diameter is regulated by IC Ca2+, pH &

voltage

Intercellular Connections

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� Connexins � 6 subunits surrounding channel &

their isoforms in tissues are encoded by

different genes

� Mutant connexins � disorders e.g. X-linked

form of Charcot–Marie–Tooth disease

• Major families of cell adhesion molecules �

1) Cadherins

� Cadherins establish molecular links between

adjacent cells

� They form zipper-like structures at ‘adherens

junctions’

� Through these junctions, bundles of actin

filaments run from cell to cell.

� Related molecules e.g. desmogleins form the

main constituents of desmosomes (anchoring

sites for intermediate filaments)

� The expression of specific adhesion molecules in

the embryo is crucial for cell migration &

differentiation of tissues

2) Integrins

� They are membrane glycoproteins e’ α & β

subunits w’ exist in active & inactive forms

� They principally bind to EC matrix components

e.g. fibrinogen, elastase & laminin

� The aa sequence arginine–glycine–aspartic acid

(RGD) � potent recognition sequence for

integrin binding

� Integrins replace cadherins in focal membrane

anchorage of hemidesmosomes & focal adhesion

junctions

� The active form of integrin can come as result

of cytoplasmic signal that causes conformational

change in EC domain �↑affinity for its ligand�

o The ‘inside-out’ signalling occurs when

leucocytes are stimulated by bacterial

peptides �↑leucocyte integrin affinity for

Ig super families structures e.g. Fc portion

of Ig immunoglobulin

o The ‘outside-in’ signalling follows binding of

ligand to integrin & stimulate 2ry signals �

diverse events e.g endocytosis, proliferation

& apoptosis

� Defective integrins are associated e’ many

immunological & clotting disorders e.g. Bernard–

Soulier syndrome & Glanzmann’s thrombasthenia

3) Ig superfamily cell adhesion molecules (CAMs)

� Ig-like structures domains

� Neural cell adhesion molecule (N-CAM) �

o Predominantly in nervous system

o Mediates homophilic adhesion

Cell Adhesion & Molecules

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o When bound to identical molecule on another

cell � N-CAM associate laterally with

fibroblast growth factor receptor �

stimulate tyrosine kinase activity of that

receptor � growth of neurites (Adhesion

molecules can trigger cellular responses by

indirect activation of other types of

receptors)

o The placenta and gastrointestinal

� Placenta & GIT also express Ig superfamily

members but unclear function

4) Selectins

� Selectins interact e’ CHO ligands or mucin

complexes on leucocytes & endothelial cells

(most adhesion molecules bind to other ptn)

� L-selectin (CD62L) is found on leucocytes �

homing of lymphocytes to lymph nodes

� E-selectin (CD62E) appears on endothelial cells

after activation by inflammatory cytokines �

small basal amount of E-selectin in many

vascular beds is necessary for leucocytes

migration

� P-selectin (CD26P) � stored in α granules of

platelets & Weibel–Palade bodies of endothelial

cells � it moves plasma membrane upon

stimulation of these cells

� All 3 selectins play part in leucocyte rolling

• A nucleus is present in all eukaryotic cells that divide

• Contains human genome & bound by 2 bilayer lipid

membranes, the outer is continuous e’ ER

• Nuclear pores present in membranes � allow passage

of nucleotides & DNA interacting ptns in AND mRNA

out

• The genome consists of DNA plus all apparatus for

replication & transcription into RNA

The Nucleus & its responses

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• Types of cell division �

� Meiosis �

� Occurs in germ cells only

� Chromosome complement is halved (haploid) & at

fertilization the union of 2 cells restores full

complement of 46 chromosomes

� Mitosis �

� Occurs in dividing cells after fertilization

� Results in 2 identical daughter cells

• Chromosomes are only visible during cell division

• A nucleolus is dense area e’in the nucleus � rich in

ptns & RNA � synthesis of rRNA & ribosomes

THE CELL CYCLE • Cells in quiescent G0 phase (G, gap) of the cycle are

stimulated by receptor-mediated actions of growth

factors e.g. EGF, PDGF, IGF via IC 2nd messengers

• Stimuli are transmitted to nucleus � activate

transcription factors � initiation of DNA synthesis

then mitosis & cell division

• Cell cycling is modified by cyclin family of ptns

✰ Cyclin & cyclin-dependent kinases

• Coordinated cyclic expression of cyclin-dependent

kinases (Cdk) drives cell replication cycle

• Cell cycle is catalysed by Cdk w’ are activated by class

of ptns called cyclins (Cyc)

• After stimulation from pro-mitotic EC signal e.g.

growth factor � G1 cyclin–Cdk complexes (CycB

/Cdk4/6; CycE/Cdk2) become active to prepare cell

for S phase � expression of transcription factors �

expression of S cyclins (CycB/Cdk2) & enzymes

required for DNA replication

• G1 cyclin–Cdk complexes � degradation of molecules

that function as S phase inhibitors by targeting them

for ubiquitination

• Active S cyclin–Cdk complexes phosphorylate ptns

that make up pre-replication complexes assembled

during G1 phase on DNA replication origins � serves 2

purposes �

1) Activate each already assembled pre-replication

complex

2) Prevent new complexes from forming

• This ensures that every portion of genome will be

replicated once only

• Mitotic cyclin–Cdk complexes e.g. CycB/CdK2

(synthesized but inactivated during G2 phase) �

initiation of mitosis by stimulating downstream ptns

involved in chromosome condensation & mitotic spindle

assembly

✰ Apoptosis (programmed cell death)

• Deliberate activation of constituent genes responsible

for their own demise

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• Necrotic cell death �

� External factor e.g. hypoxia, toxins damages cell’s

physiology � cell disintegration

� Influx of water & ions � cellular organelles swell �

rupture

� Cell lysis � release of lysosomal enzymes in EC

environment � acute inflammatory responses in

vivo

• Apoptotic cell death �

� Chromatin aggregation + nuclear & cytoplasmic

condensation in distinct membrane bound vesicles

(apoptotic bodies)

� Organelles remain intact

� Cell ‘blebs’� intact membrane vesicles

� No inflammatory response

� Cellular ‘blebs’ & remains are phagocytosed by

adjacent cells & macrophages

• This process requires energy (ATP) and several Ca2+ &

Mg2+ dependent nuclease systems activation � cleave

nuclear DNA at the inter-histone residues

• Endonuclease destroys DNA following apoptosis � this

involve enzyme caspase (cysteine-containing aspartase-

specific protease) w’ activate CAD (caspaseactivated

DNase)/ICAD (inhibitor of CAD) system � destroy

DNA

• Regulated apoptosis is essential for �

� Tissue structure formation in embryogenesis

� Wound healing

� Normal metabolic processes e.g. autodestruction of

endometrium to cause menstruation

� Chemotherapy & radiotherapy only work if they can

trigger tumour cells own apoptotic pathways

• Several factors initiate apoptosis but in general there

are 2 signalling pathways

1) The extrinsic pathway

� Involved in processes e.g. tissue remodelling &

induction of immune selftolerance

� Triggered by death receptors on cell surface e’

internal death domain complexes � multiply pro-

caspase 8 molecules � release of initiator caspase

8 � cleaves pro-caspase 3 � caspase 3 + other

effector caspases � activate DNA cleavage, cell

condensation & fragmentation

� Death receptors are members of TNF receptor

superfamily � include CD95 (APO-1/Fas), TRAIL

(TNF-related apoptosis ligand)-R1, TRAIL-R2,

TNF-R1, DR3 & DR6

2) The intrinsic pathway

� Initiated at the mitochondrial level � centres on

release of cytochrome C from mitochondria

� Cellular stress (growth factor withdrawal & p53

cell cycle arrest) � expression of pro-apoptotic

Bcl-2 family of ptns, Bax & Bak � tetrameric

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The Fas protein & Fas ligand (FasL) are 2 ptns that interact to activate apoptotic pathway. Fas & FasL are both members of TNF family – Fas is part of transmembrane receptor family & FasL is part of membraneassociated cytokine family. When the homotrimer of FasL binds to Fas, it causes Fas to trimerize & brings together the death domains (DD) on the cytoplasmic tails of ptn. The adaptor protein, FADD (Fas-associating ptn e’ death domain), binds to these activated death domains & they bind to pro-caspase 8 through a set of death effector domains (DED)

complexes � imbed to outer mitochondrial

membrane � permissive pores

� Cytochrome C released from mitochondria � binds

Apaf1 � complex called apoptosome � activates

initiator caspase (caspase 9) � activates effector

caspase (caspase 3)

� Other ptns released from damaged mitochondria

(Smac/DIABLO & Omi/HtrA2) � counteract

effect of IAPs (inhibitor of apoptosis ptns) �

normally bind & prevent activation of pro-caspase 3

� Antiapoptotic Bcl-2 ptn, when incorporated as

member of Bak/Bax pore complex � mitochondrial

pore non-permissive to release of cytochrome C &

anti-IAPs

• There is amplification link between extrinsic &

intrinsic apoptotic pathways � caspase 8 cleaves Bcl-2

family member, tBid � formation of Bcl-2/Bax/Bak

pore complexes � if this complex is predominantly of

pro-apoptotic members of Bcl-2 family �

apoptosome/caspase 9 & mitochondrial anti-IAPs �↑

apoptotic activation of effector caspases 3

• Conversely, overexpression of antiapoptotic Bcl-2 �↓

intrinsic & extrinsic apoptotic signalling

✰ Stem cells

• The majority of our cells are terminally differentiated

& contain the blueprint to produce all the ptns of the

body but each tissue has permanently deactivated all

except those required for the specialized function of

the cells

• Therefore we must have nests of cells e’in all

different tissues that have not shut down their

genetic blueprint

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• These stem cells give rise to daughter cell

(differentiated & limited ability to replicate) &

daughter cell w’ will not differentiate & has the

infinite ability to replicate

• In mammals � source categories of stem cells �

� Embryonic stem cells � derived from blastocysts

� Adult stem cells � found in adult tissues

� Cord blood stem cells � found in umbilical cord

• The source of stem cells can also be subcategorized

by potency (specifies the potential to differentiate to

different cell types) �

� Totipotent stem cells �

� Produced from fusion of egg & sperm cell

� Produced by 1st few divisions of fertilized egg

� Can differentiate to embryonic &

extraembryonic cell types

� Pluripotent stem cells �

� The descendants of totipotent cells

� Can differentiate to cells derived from any of

the 3 germ layers

� Multipotent stem cells �

� Produce only cells of closely related family e.g.

haematopoietic stem cells � RBCs, WBCs, etc.

� Unipotent cells �

� Produce only 1 cell type

� Have the property of self-renewal (w’

distinguishes them from non-stem cells)

MOLECULAR BIOLOGY

• Genetic information is stored in form of double-

stranded DNA

• Each strand of DNA is made up of deoxyribose–

phosphate backbone & series of purine (adenine (A) &

guanine (G)) and pyrimidine (thymine (T) & cytosine

(C)) bases of the nucleic acid

• The length of DNA is generally measured in numbers

of base-pairs (bp)

• The monomeric unit in DNA (& RNA) is the nucleotide

w’ is a base joined to sugar–phosphate unit

• The 2 strands of DNA are held together by hydrogen

bonds between the bases

• There are only 4 possible pairs of nucleotides � TA,

AT, GC & CG

• The 2 strands twist to form double helix e’ major &

minor grooves

• The large stretches of helical DNA are coiled around

histone ptns � nucleosomes & further condensed into

chromosomes that are seen at metaphase

DNA Structure & Function

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• Gene is portion of DNA that contains codes for

polypeptide sequence

• 3 adjacent nucleotides (codon) code for particular aa

e.g. AGA for arginine

• Only 20 common aa but 64 possible codon combinations

make up genetic code � most aa encoded by >1 triplet

• Other codons used as signals for initiating or

terminating polypeptide-chain synthesis

• Genes consist of lengths of DNA that contain

sufficient nucleotide triplets to code for the

appropriate number of aa in polypeptide chains of

particular ptn

• Genes vary greatly in size (most extend over 20–40

kbp) but few e.g. gene for muscle ptn dystrophin can

extend over millions of bp

• In bacteria the coding sequences are continuous but in

higher organisms these coding sequences (exons) are

interrupted by intervening sequences that are non-

coding (introns) at various positions

• Some genes code for RNA molecules w’ will not be

translated to ptns � code for functional rRNA &

tRNA)

• Micro RNAs � single-stranded RNA molecules of

about 22 nucleotides � inactivate specific mRNA &

disrupt expression of their ptns � regulating cell

proliferation & apoptosis (in turn they are inactivated

by DNA methylation)

• Conversion of genetic information to polypeptides &

ptns relies on transcription of sequences of bases in

DNA to mRNA

• mRNA

� Found mainly in nucleolus & cytoplasm

� Polymers of nucleotides containing ribose–

phosphate unit attached to base

� The bases are A, G, C & uracil (U)

� RNA is ss molecule but can hybridize e’

complementary sequence ssDNA

Transcription & Translation

Genes

18

• Genetic information is carried from nucleus to

cytoplasm by mRNA � act as template for ptn

synthesis

• Each base in mRNA is lined up opposite to

corresponding base in DNA (C-G, G-C, U-A & A-T)

• Gene always read in 5’-3’ orientation & at 5′ promoter

sites w’ specifically bind enzyme RNA polymerase

(indicate where transcription is to commence)

• 2 AT-rich promoter sites are present in eurokaryotic

genes �

� 1st (TATA box) is located about 25 bp before the

transcription start site

� 2nd (CAAT box) is 75 bp before the start site

• Initial mRNA is complete copy of 1 strand of DNA �

contains introns & exons

• While still in nucleus � mRNA � post transcriptional

modification � 5’ & 3’ ends are protected by addition

of inverted guanidine nucleotide (CAP) & chain of

adenine nucleotides (Poly A tail) � activity of specific

5’ mRNA nucleases is to remove the cap & further

regulated by Poly A tail w’ must 1st be removed by

other degradation enzymes

• In higher organisms � 1ry transcript mRNA is further

processed inside nucleus � introns spliced out

(splicing by small nuclear RNA in association e’ specific

ptns)

• Alternative splicing is possible whereby entire exon

can be omitted � >1 ptn coded from same gene

• Processed mRNA � migrates out of nucleus to

cytoplasm � polysomes (groups of ribosomes) become

attached to mRNA � ribosomes consist of subunits

composed of small RNA molecules (rRNA) & ptns

19

• rRNA components are key to binding & translation of

genetic code held by ribosomes & triplets of adjacent

bases on mRNA called codons are recognized by

complementary sequences or anti codons in tRNA �

each tRNA molecule carries aa that is specific to anti

codon

• As the ribosome passes along mRNA in the 5’-3’

direction (zipper linking) � aa transferred from tRNA

molecules & linked by ribosome � polypeptide chain

• 1st 20 or more nucleotides are recognition & regulatory

sequences and untranslated but necessary for

translation

• Translation begins when triplet AUG (methionine) is

• Encountered � all ptns start e’ methionine but it is

often lost as the leading sequence of aa of native

peptides is removed during ptn folding

• Similarly Poly A tail is not translated & is preceded by

stop codon � UAA, UAG or UGA

• Gene expression is controlled at many points in steps

between translation of DNA to ptns

• Ptns & RNA molecules are in constant state of

turnover

• For many genes, transcriptional control is the key

point of regulation

• Deleterious (even oncogenic) changes to cell may arise

through fault in expression of particular gene e.g. over

expression due to non-break down of mRNA

• Pathway that stops gene expression by ↑ RNA

degradation (RNA interference, RNAi)

✰ Transcriptional control

• Gene transcription (DNA to mRNA) is not spontaneous

event � ? only result of interaction of number of DNA

binding ptns (DBP) e’ genomic DNA

• Regulation of gene expression must 1st start e’ opening

up of double helix of DNA in the correct region of Chr

� in order to do this � ptn molecules that recognize

the outside of DNA helix has evolved � these DBP

interact e’ major groove of DNA double helix

• bp composition of DNA sequence can change geometry

of DNA helix to facilitate fit of DBP e’ its target

region e.g. C-G rich areas form Z structure DNA helix,

sequences such as AAAANNN � slight bend & if

repeated every 10 nucleotides it produces pronounced

curves

• DBP that recognize these distorted helices � opening

up (or prevent opening) of the helix so the gene may

be transcribed

The Control of gene expression

20

✰ Structural classes of DBP

• 4 basic DBP (according to structural motifs) �

Class of DBP Examples

Helix–turn–helix CREB (cAMP response element binding ptn) Zinc finger Steroid & thyroid hormone receptors

Retinoic acid & vitamin D receptors Bcl-6 oncogene product (lymphoma) WT1 oncogene product (Wilms’ tumour) GATA-1 erythrocyte differentiation & Hb expression factor BRCA 1 (familial breast cancer)

Leucine zippers c-jun cell replication oncogene c-fos cell replication oncogene

Helix–loop–helix myc oncogene mad oncogene max oncogene

✰ Control regions & proteins

• DBP act as regulators of gene expression in 3

different ways � promoters, operators & enhancers

• Promoters �

� RNA polymerases bind to promoter region normally

adjacent to transcribed sequence of DNA

� In eukaryotes active transcription is possible only

when number of DBP & DNA associated proteins

come together & interact (general transcription

factors) � these ptns thought to assemble at

promoter sites used by RNA polymerases e.g. Pol II

that are characterized by specific motifs e.g.

TATA sequence

• Operator �

� Other DNA regulator ptns operate in close

proximity to site of promoter binding (operator

ptns/regions & act either as repressors by binding

to DNA sequences e’in promoter site or as +ve

regulators facilitating RNA polymerase binding

• Enhancer �

� Enhancer sequences are >200 bp away from site of

transcription initiation

� Binding of regulator ptns to enhancer regions

(several 100 bases from promoter site) �

upregulates the expression

� This turns out to be distance favourable for DNA

to loop back on itself e’out straining backbone

bonds of DNA double helix

• GAL4 enhancer of yeast � aid binding of transcription

factors to TATA region of promoter � catalyst for

general transcription factor assembly & RNA

polymerase activity

• In mammals � cAMP response element (CRE) acts to↑

IC cAMP � activation & release of CREB � ↑

transcription rate (but may also↓transcription)

• Repressors can↓transcription of gene by binding to

regulatory sequence & blocking +ve regulators or by

interfering e’ promoter ptn assembly

21

CHROMOSOMES, INTRONS & THE SIZE OF HUMAN GENOME

• Coiling around histones & structural regions e.g.

centromeres & telomeres requires regions of DNA

devoted specifically to the purpose of packaging

• 10% of human DNA is highly repetitive (satellite DNA)

� long arrays of tandem repeats � these regions tend

to be supercoiled around histones in condensed regions

(heterochromatin)

• In contrast � most other DNA regions are relatively

uncondensed (euchromatin)

• The remaining DNA is either moderately repetitive

(30% of genome) or codes for unique genes (gene

families occupying 2% of genome)

PREPARATION OF GENOMIC DNA • 1st step in studying DNA of individual involves

preparation of genomic DNA

• It is simple procedure in w’ any cellular tissue including

blood can be used

• Cells are lysed in order to open their cell & nuclear

membranes � releasing chromosomal DNA

• Digestion of all cellular ptn by add of proteolytic

enzymes � genomic DNA is isolated by chemical

extraction e’ phenol

• DNA is stable & can be stored for years

RESTRICTION ENZYMES & GEL ELECTROPHORESIS

• Restriction enzymes cut dsDNA at specific sites

• Whenever human genomic DNA is cut e’ EcoRI � same

restriction fragments (restriction fragment length

polymorphisms, RFLPs) are produced

• As DNA is –ve charged molecule � genomic DNA

fragments can be separated according to their size &

charge by electrophoresis through a gel matrix �

DNA migrates to +ve anode & small fragments move

more quickly � DNA fragments separate out

• Pulsed-field gel electrophoresis (PFGE) can be used to

separate very long pieces of DNA (100s of kilobases)

HYBRIDIZATION TECHNIQUES • When 2 strands separated(e.g. by heating) � they will

always re stick because of their complementary base

sequences

• Therefore presence of particular gene can be

identified using gene ‘probe’ consisting of DNA or RNA

e’ base sequence complementary to the sequence of

interest

Tools for Molecular Biology

22

• DNA probe is piece of ssDNA that can be labelled e’

radioactive isotope (usually 32P) or fluorescent signal

� will locate & bind to its complementary sequence

• Hybridization is exploited in number of techniques

including �

� Southern blot � DNA fragments separated by gel

electrophoresis & transferred onto membrane

sheet

� Northern blot � RNA separated by gel

electrophoresis & transferred onto membrane

sheet

� In situ hybridization � localization of native

nucleic acid sequences e’in the cell & its component

organelles, including chromosomes

THE POLYMERASE CHAIN REACTION (PCR) • Minute amounts of DNA can be amplified over million

times e’in few hours

• The technique has 3 steps �

� ds genomic DNA is denatured by heat into ssDNA

� Then cooled to favour DNA annealing & primers

bind to their target DNA

� Finally � DNA polymerase extend the primers in

opposite directions using target DNA as template

• After one cycle � 2 copies of dsDNA, after 2 cycles

� 4 copies

✰ Real-time PCR (RT-PCR)

• Also called quantitative real time PCR (QRT-PCR)

• Simultaneous quantification & amplification of given

DNA sequence

• It can be used to determine whether specific

sequence is present in sample e.g. viral genome & if

present, the number of copies in the sample

• RT-PCR is combined e’ reverse transcription PCR to

quantify low abundance mRNA enabling researcher to

quantify relative gene expression at particular time in

particular cell/tissue

✰ Expression microarrays/gene chips

• It is methodology developed to examine relative

abundance of mRNA for 1000s of genes present in

cells/tissue of different types e.g. to examine changes

in gene expression from normal tissue to that of

malignant colonic polyps

• The basic technology is the ability to immobilize

sequences of DNA complementary to specific genes or

different regions of known genes onto solid surface in

precise microdot arrays

• Total mRNA extracted from one tissue & labelled e’

fluorescent tag Cy3-green & mRNA from 2nd tissue e’

fluorescent tag Cy5-red � The 2 fluorescent tagged

total mRNA samples mixed in 1 : 1 ratio & washed over

DNA gene chips � mRNA for specific genes will bind

23

to their complementary microdot & detected by laser-

induced excitation of fluorescent tag � position, light

wavelength & intensity recorded by scanning confocal

microscope � relative intensity of Cy5-red : Cy3-

green is reliable measure of relative abundance of

specific mRNAs in each sample �

� Yellow � equal binding of both fluorescent tagged

mRNA

� Black � no hybridization

� Red � overexpression

� Green � under expression

• Power of the system � many 1000s of genes screened

for expression & relative expression in normal &

diseased tissue

DNA CLONING • Particular DNA fragment of interest isolated &

inserted to genome of simple self replicating organism

or organelles e.g. viruses & plasmids

• Vectors include � bacteriophage viruses; plasmids

• Each vector takes optimum size of cloned DNA insert

(viruses accommodate only small sequences, larger

fragments can be inserted in plasmid & larger in yast

Chr)

• Hybrid between plasmid & bacteriophage (cosmid) �

constructed artificially & has ability to clone

reasonably large sequences as plasmids e’in host

bacteria � trick bacteriophages in packaging them to

viral body & this viral body is then able to infect

target bacteria � efficient transfection rates

• DNA fragment of interest is inserted in the vector

DNA sequence using enzyme ligase (in vitro) � cloning

& creates many copies of recombinant DNA molecule

(in vivo)

• Alternatively it could be cDNA w’ has been copied

from mRNA sequence by reverse transcriptase enzyme

� ssDNA � DNA polymerase � dsDNA contains all

sequences necessary for functional gene but unlike

genomic DNA it lacks introns

HUMAN CHROMOSOMES • Each diploid cell nucleus contain 6×109 DNA bp in Chr

• Chromosomes contain one linear molecule of DNA

wounded around histone in small units (nucleosomes)

• Diploid human cells have 46 chromosomes (23

inherited from each parent) � 23 homologous pairs �

22 pairs of autosomes + 2 sex chromosomes(XY/XX)

• Chromosomes classified according to their size &

shape (the largest is Chr 1)

The Biology of Chromosomes

24

• The constriction in Chr is centromere � metacentric

(in middle of Chr) or acrocentric (at one extreme end)

• Centromere divides Chr into short arm (p) & long arm

(q) � e.g. CFTR gene (of cystic fibrosis) maps to 7q21

� on Chr 7 in long arm in band 21

• Indications for chromosomal analysis

� Antenatal

� Pregnancies in women >35 years

� +ve maternal serum screening for aneuploid

pregnancy

� U/S features consistent e’ aneuploid fetus

� Severe fetal growth retardation

� Sexing of fetus in X-linked disorders

� In the neonate

� Congenital malformations

� Suspicion of trisomy or monosomy

� Ambiguous genitalia

� In the adolescent

� 1ry amenorrhoea or puberty development failure

� Growth retardation

� In the adult

� Screening parents of child e’ chromosomal

abnormality for further genetic counselling

� Infertility or recurrent miscarriages

� Learning difficulties

� Certain malignant disorders e.g. leukaemias &

Wilms’ tumour

THE X CHROMOSOME & INACTIVATION • 1 of 2 X Chr in cells of ♀ becomes transcriptionally

inactive � cell has only 1 dose of X-linked genes (X

inactivation or Lyonization phenomenon)

• Inactivation is random & can affect either X

chromosome

TELOMERES & IMMORTALITY • Ends of Chr (telomeres) do not contain genes but many

repeats of hexameric sequence TTAGGG

• Replication of linear Chr start at coding sites (origins

of replication) e’in main body of Chr (not at 2 extreme

ends)

• Extreme ends are susceptible to ssDNA degradation

back to dsDNA � cellular ageing measured as genetic

consequence of multiple rounds of replication e’

consequential telomere shortening � Chr instability &

cell death

• Stem cells have longer telomeres > daughter

• Germ cells replicate e’out shortening of their

telomeres because they express enzyme telomerase

(protects against telomere shortening by acting as

template primer at extreme ends of Chr)

• Most somatic cells (unlike germ & embryonic cells)

switch off activity of telomerase after birth

• Many cancer cells reactivate telomerase contributing

to their immortality

25

THE MITOCHONDRIAL CHROMOSOME

• In addition to 23 pairs of Chr in nucleus, mitochondria

in cytoplasm have their own genome

• Mitochondrial Chr is circular DNA (mtDNA) �

� Approximately 16’500 bp

� Every bp make up part of coding sequence (no

introns)

� Principally encode ptns or RNA molecules involved

in mitochondrial function (components of

mitochondrial respiratory chain)

• Critical role in apoptotic cell death

• Every cell contain 100s mitochondria � 100s

mitochondrial Chr � virtually all mitochondria are

inherited from mother (sperm head contain no or few

mitochondria)

GENETIC DISORDERS

• Spectrum of inherited or congenital genetic disorders

classified as �

� Chromosomal disorders, including mitochondrial

chromosome disorders

� The Mendelian disorders

� Sex-linked single-gene disorders

• Variety of non-Mendelian disorders & multifactorial

disorders all are result of mutation in genetic code

• Chromosomal abnormalities are very common

• 1/2 spontaneous abortions have Chr abnormalities

• Autosomal aneuploidy (differing from normal diploid

number) is severe > Sex Chr aneuploidies

ABNORMAL CHROMOSOME NUMBERS • If Chr fail to separate (nondisjunction) either in

meiosis or mitosis � 1 daughter cell will receive 2

copies of that Chr & 1 daughter cell will receive no

copies of that Chr

• Non-disjunction can occur e’ autosomes or sex Chr

Chromosomal disorders

26

• If non-disjunction occurs during meiosis � ovum or

sperm e’ either �

� Extra Chr � trisomy (3 instead of 2 copies of Chr)

� No Chr � monosomy (1 instead of 2 copies of Chr)

� Examples �

� Only trisomy 13, 18 & 21 (Down’s syndrome)

survive to birth (most children e’ trisomy 13 &

18 die in early childhood)

� Full autosomal monosomies � extremely rare &

very deleterious

� Sex Chr trisomies e.g. Klinefelter’s syndrome

(44+XXY) are relatively common

� Sex Chr monosomy e.g. Turner’s syndrome

(44+X0)

• Occasionally non-disjunction during mitosis � shortly

after 2 gametes fused � 2 cell lines each e’ different

Chr complement (more often e’ sex Chr) � mosaicism

• Very rarely � entire chromosome set will be present

in >2 copies � triploidy (69 Chr) or tetraploidy (92

Chr) � spontaneous abortion

ABNORMAL CHROMOSOME STRUCTURES • Abnormal Chr structures can disrupt DNA & genes

• Deletions

� Deletions of portion of Chr � disease if 2 copies

of genes in deleted region are necessary (the

individual will not be normal e’ the 1 copy remaining)

Deletion Duplication

Inversion Balanced translocation

copy remaining on the non-deleted homologous)

� Example �

� Prader Willi syndrome � cytogenetic events �

deletion of part long arm of Chr 15

� Wilms’ tumour � deletion of part of short arm

of Chr 11

� DiGeorge syndrome � microdeletions in long

arm of Chr 22

• Duplications

� When portion of Chr is present on the Chr in 2

copies � genes in that Chr portion are present in

extra dose e.g. Charcot–Marie–Tooth disease (form

of neuropathy) is due to small duplication of region

of Chr 17

27

• Inversion

� End to end reversal of segment e’in a chromosome

e.g. abcdefgh becomes abcfedgh (haemophilia)

• Translocations

� 2 Chr regions join together (not normally do)

� Chr translocations in somatic cells � tumorigenesis

� Translocations can be very complex involving >2 Chr

but most are simple & fall in 1 of 2 categories �

� Reciprocal translocation

o When any 2 non homologous Chr break

simultaneously & rejoin, swapping ends

o Cell still has 46 Chr (2 of them rearranged)

o Someone e’ balanced translocation is likely to

be normal unless the breakpoint interrupts a

o At meiosis when Chr separate in different

daughter cells � translocated Chr will enter

gametes & any resulting fetus may inherit 1

abnormal Chr & have unbalanced

translocation e’ physical manifestations

� Robertsonian translocation

o When 2 acrocentric Chr join & short arm is

lost � only 45 Chr

o It is balanced translocation as no genetic

material is lost & the individual is healthy but

any offspring have risk of inheriting

unbalanced arrangement depending on w’

acrocentric Chr is involved

o Clinically relevant is 14/21 Robertsonian

translocation in woman � 1 in 8 risk of

having baby e’ Down’s syndrome (male carrier

has 1 in 50 risk)

o 50% risk of producing carrier like

themselves � genetic family study is

necessary

MITOCHONDRIAL CHROMOSOME DISORDERS

• No introns in mitochondrial genes � mutation has high

chance of having effect however as every cell contains

100s of mitochondria so single altered mitochondrial

genome is not noticed

• As mitochondria divide �↑likelihood of more mutated

mitochondria � mitochondrial disease

• Most mitochondrial diseases are myopathies &

neuropathies e’ maternal pattern of inheritance �

� Myopathies � (CPEO) chronic progressive external

ophthalmoplegia

� Encephalomyopathies � (MERRF) myoclonic

epilepsy with ragged red fibres

� MELAS � mitochondrial encephalomyopathy, lactic

acidosis & stroke-like episodes

� Kearns–Sayre syndrome � ophthalmoplegia, heart

block, cerebellar ataxia, deafness & mental

deficiency due to long deletions & rearrangements

28

� (LHON) Leber’s hereditary optic neuropathy �

commonest cause of blindness in young men e’

bilateral loss of central vision & cardiac

arrhythmias � it is mitochondrial disease caused

by point mutation in one gene

� Multisystem disorders � Pearson’s syndrome

(sideroblastic anaemia, pancytopenia, exocrine

pancreatic failure, subtotal villous atrophy, DM &

renal tubular dysfunction

� Hearing loss may be the only symptom & 1 of

mitochondrial genes implicated � predispose to

aminoglycoside ototoxicity

� Other abnormalities � retinal degeneration, DM &

hearing loss

ANALYSIS OF CHROMOSOME DISORDERS

• Cell cycle arrested at mitosis by colchicines � staining

� examine for abnormality

• YAC-cloned probes labelled e’ fluorescently tagged

nucleotides in insitu hybridization

• Mendelian & sex-linked single-gene disorders are due

to mutations in coding sequences & their control

elements

• All cause dysfunction of the protein product

MUTATIONS ✰ Point mutation (Missense mutation)

• The simplest type of change

• Substitution of 1 nucleotide for another � change

codon in coding sequence

Gene Defects

29

• Example � triplet AAA (codes for lysine) � mutated

to AGA (codes for arginine)

• Whether it produces clinical disorder depends on

whether it change critical part of ptn molecule

produced

• Many substitutions have no effect as several codons

code for same aa

• Some mutations have severe effect e.g. in sickle cell

disease � mutation in globin gene change 1 codon from

GAG to GTG � valine is incorporated into polypeptide

chain (instead of glutamic acid) w’ radically alters its

properties

✰ Insertion or deletion

• Insertion or deletion of 1 or more bases is more

serious as it � alteration of rest of the following

sequence (frame-shift mutation)

• Example �

� If the original code was �

TAA’GGA’GAG’TTT

� Extra nucleotide (A) is inserted �

TAA’AGG’AGA’GTT’T

� If 3rd nucleotide (A) is deleted �

TA-G’GAG’AGT’TT

� In both cases � different aa incorporated in

polypeptide chain

• It is responsible for some forms of thalassaemia

Missense mutation

Nonsense mutation

• Insertions & deletions can involve 100s of bp of DNA

� examples �

� Large deletions in dystrophin gene remove coding

sequences �Duchenne muscular dystrophy

� Insertion/deletion (ID) polymorphism in ACE gene

� genotypes II, ID & DD � deletion of 287 bp

repeat sequence & DD is associated e’ higher

concentrations of circulating ACE � heart disease

✰ Splicing mutations

• If DNA sequences w’ direct splicing of introns from

mRNA are mutated � abnormal splicing

• Processed mRNA w’ will be translated to ptns by

ribosomes may carry intron sequences � altering w’ aa

are incorporated in polypeptide chain

30

✰ Termination mutations (Nonsense mutation)

• Normal polypeptide chain termination occurs when

ribosomes processing mRNA reach one of the chain

termination or stop codons

• Mutations involving stop codons � late or premature

termination

• Example � haemoglobin Constant Spring � Hb variant

where instead of ‘stop’ sequence � single base change

� insertion of extra aa

SINGLE-GENE DISEASE • Monogenetic disorders involving single genes can be

inherited as dominant, recessive or sex-linked

• Many syndromes show multiple forms of inheritance

pattern because multiple defects occur in given

disease associated gene or in separate genes for

example in Ehlers–Danlos syndrome � AD, AR & XL

inheritance

✰ Autosomal dominant disorders (AD)

• Overall incidence 7 in 1000 live births

• AD disorder occurs when 1 of 2 copies of autosomal

Chr has mutation & ptn produced by normal gene

cannot compensate

• Heterozygous individual e’ 2 different forms (or

alleles) of same gene � manifest the disease

• Offspring of heterozygotes � 50% inheriting Chr

carrying disease allele � also have the disease

• Estimation of risk to offspring for counselling families

can be difficult because �

� Great variability in their manifestation �

incomplete penetrance � if patients have dominant

disorder but does not manifest clinically �

appearance of the gene having skipped generation

� Variable expression � dominant traits are

extremely variable in severity e.g. mildly affected

parent may have severely affected child

� New cases in previously unaffected family may be

due to new mutation � risk of further affected

child is negligible e.g most cases of achondroplasia

are due to new mutations

✰ Autosomal recessive disorders (AR)

• Overall incidence 2.5 in 1000 live births

31

• Manifest only when individual is homozygous for

disease allele i.e. both Chr carry the mutated gene

• Parents are generally unaffected healthy carriers

(heterozygous for disease allele)

• Usually no family history (although defective gene

pass from generation to generation)

• Offspring of affected person is healthy carrier unless

the other parent is also carrier

• If carriers marry offspring �

� 1 in 4 chance homozygous & affected

� 1 in 2 chance (2 in 4) being a carrier

� 1 in 4 chance being genetically normal

• Clinical features of AR disorders are usually severe,

patients present in 1st first few years of life & high

mortality

✰ Sex-linked disorders

o Genes carried on X-Chr said to be ‘Xlinked’ &

can be dominant or recessive

o Females have 2 X-Chr � unaffected carriers

of X linked recessive diseases

o Males have 1 X-Chr � any deleterious

mutation in X linked gene will manifest (no

2nd copy of gene)

• X linked dominant disorders (XLD)

� Females e’ heterozygous mutant gene & males e’ 1

copy of mutant gene � manifest the disease

� Affected mother � 1/2 male or female offspring

are affected

� Affected father � all female offspring are

affected & all male offspring are unaffected

32

� Affected males tend to have severe disease >

heterozygous female

• X linked recessive disorders (XLR)

� These disorders present in males & homozygous

female (usually rare)

� Transmitted by healthy female carriers or

affected males if they survive to reproduce

� Example of an XLR is haemophilia A (mutation in X

linked gene for factor VIII � in 50% there is

intra Chr rearrangement (inversion) of tip of long

arm X-Chr � one break point e’in intron 22 of

factor VIII gene)

� Offspring of carrier female + normal male �

� 50% of girls are carriers � inherit mutant allele

from their mother & normal allele from their

father

� 50% of girls � inherit 2 normal alleles � normal

� 50% of boys � have haemophilia as they inherit

mutant allele from their mother (& Y Chr from

their father)

� 50% of boys are normal � inherit normal allele

from mother & Y Chr from their father

� Male e’ haemophilia + normal female � normal male

offspring + carrier females

• Y-linked genes

� Genes carried on Y Chr are said to be Y linked

� Only males are however � no known examples of Y

linked single gene disorders

• Sex-limited inheritance

� Occasionally a gene can be carried on an autosome

but manifest only in one sex � frontal baldness is

an AD in males but behave as AR in females

✰ Other single-gene disorders

• These are disorders w’ may be due to mutations in

single genes but do not manifest as simple monogenic

disorders

• They can arise from variety of mechanisms �

� Triplet repeat mutations

� In gene responsible for dystrophia myotonica �

mutated allele was found to have expanded

3’UTR region in w’ three nucleotides (CTG) was

repeated up to 200 times

� In families e’ dystrophia myotonica � people e’

late onset disease had 20–40 copies of the

repeat but their children & grandchildren who

presented e’ disease from birth � had increase

in number of repeats (up to 2000 copies)

� number of triplets affects mRNA & ptn function

� Mitochondrial disease ًتم مناقشته سابقا

� Imprinting

� In some way (not yet clear), the fetus can

distinguish between Chr inherited from mother

33

& Chr inherited from father (although both give

23 Chr)

� The Chr are ‘imprinted’ � maternal & paternal

contributions are different

� Imprinting is relevant to human genetic disease

because different phenotypes may result

depending on whether mutant Chr is maternal or

paternal

� Deletion of part of long arm of Chr 15 (15q11–

q13) � Prader–Willi syndrome if it is paternally

inherited but deletion of similar region of the

Chr � Angelman’s syndrome if it is maternally

inherited

� The affected gene is identified as ubiquitin

(UBE3A)

� Significantly � maternal Chr 15 UBE3A is

expressed in brain & hypothalamus � defective

maternal ubiquitin in Angelman’s syndrome �

accumulation of undegraded ptn & neuronal

damage

COMPLEX TRAITS: MULTIFACTORIAL & POLYGENIC INHERITANCE

• Combination of genetic & environmental factors are

said to be multifactorial

• Those involving multiple genes are said to be polygenic

• Measurements of most biological traits e.g. height is

variant thought to be due to additive effects of

number of alleles at number of loci many of w’ are

individually identified using molecular biological

techniques

• There are sex differences e.g. congenital pyloric

stenosis is most common in boys but if it occurs in

girls � larger number of affected relatives

• Most human diseases e.g. heart disease, DM and

common mental disorders are multifactorial traits

• Aims of genetic counselling �

� Obtain full history � pregnancy history, drug,

alcohol ingestion during pregnancy & maternal

illnesses

� Establishing accurate diagnosis of genetically

abnormal child

Genetic Counselling

34

� Draw family tree & questions about abortions,

stillbirths, deaths, marriages, consanguinity

� Estimate risk of future pregnancy being affected

� Give information about prognosis & management

� Continued support & follow-up

� Genetic screening including prenatal diagnosis

PRENATAL DIAGNOSIS • Should be offered to all pregnant women in UK but it

is offered to high risk mothers only

✰ Investigations depend on gestation

• 7–11 Weeks

� Vaginal U/S

� Confirm viability, fetal number & gestation by

crown rump measurement

• 11–13 Weeks & 6 days (combined test)

� U/S for nuchal translucency measurement (normal

fold <6 mm) � detect major Chr abnormalities e.g.

trisomies & Turner’s syndrome

� Maternal serum is tested for �

� PAPP-A (pregnancy associated plasma protein-A)

from syncytial trophoblast

� β-HCG for trisomy 21

� Combined test is more accurate > triple test

alone at 16 weeks

� All serum marker are corrected for gestational

ages � multiple of the mean (MOM) value for

the appropriate gestation week is necessary

� Chorionic villus sampling (CVS) at 11–13 weeks under

U/S control to sample placental site

� Amniocentesis at 15 weeks to sample amniotic fluid

• 14–20 Weeks (serum triple or quadruple test)

� The triple test for Chr abnormalities � testing

maternal serum for �

� α-fetoprotein (low) �↑in neural tube defects

� Unconjugated oestradiol (low)

� Human chorionic gonadotrophin (high) for

Down’s syndrome & neural tube defects

� The quadruple test �

� The triple test + inhibin-A ( ↑ in Down’s

syndrome)

� If too late for triple test or previous option not

offered

• 14–22 Weeks

� U/S for structural abnormalities e.g. neural tube

defects, gestation period

� The best time to detect congenital heart defects

is 18–22 weeks

� Reported detection rates for all congenital defects

vary from 14 to 61% for hypoplastic ventricle to

97-100% for anencephaly

35

• Gene therapy entails placing normal copy of gene into

the cells of patient who has defective copy of the

gene (concentrating on recessive disorders e.g. cystic

fibrosis where the disease is due to absence of normal

gene product)

• In dominant disorders it is difficult & complicated

• 2 major factors are involved in gene therapy �

� Introduction of functional gene sequence in target

cells

� Expression & permanent integration of transfected

gene in host cell genome

• Suitable diseases for current gene therapy include �

� Cystic fibrosis

� CFTR gene �

o Cystic fibrosis transmembrane regulator

gene is the responsible for cystic fibrosis

o It was 1st localized to Chr 7 by linkage

analysis

o CFTR gene spans about 250 kbp & contains

27 exons

o DNA sequence analysis predicts polypeptide

sequence of 1480 aa

o CFTR gene also encodes a simple Cl- ion

channel

� Mutation �

o The commonest is single mutation e’ 3 bp

deletion in exon 10 � removal of codon

specifying phenylalanine (F508del)

o Also >1000 different minor mutations of

CFTR gene e’ most mapping to ATP-binding

domains

� Gene therapy experiments �

o Still under trial to restore CFTR function by

transfection of cells e’ wild type receptor

o 2 different routes are tried �

♦ Placing CFTR gene in adenovirus vector

♦ Placing CFTR gene in liposome (conveyed

to lung by aerosol spray) � fatty surface

of liposome fuses e’ cell membrane to

deliver CFTR DNA into cell

o Topical nasal gentamicin (aminoglycoside AB)

� expression of functional CFTR channels

� Adenosine deaminase (ADA) deficiency

� Rare immunodeficiency disease � introducing

normal human ADA gene in patient’s

lymphocytes � reconstitute function of cellular

& humoral immunity in severe combined

immunodeficiency

� Familial hypercholesterolaemia

� It is due to↓LDL receptor gene

Gene Therapy

36

� Gene therapy � receptor gene is inserted in

hepatocytes (removed by liver biopsy) � gene-

corrected hepatocytes � reinjected in portal

circulation � migrate back to liver �

reincorporated � start to produce LDL

receptor protein � dramatically↓ cholesterol

level

TREATMENT OF SOMATIC DISEASE ✰ Vascular disease

• Neovascularization to↑blood flow & repair cardiac

tissue after MI � temporary expression of angiogenic

factors at site of blockage � new blood vessels

• Local temporary expression of clot disintegrating

enzymes e.g streptokinase & lipases � repair damaged

& diseased arteries

• Deliver liposomes loaded e’ DNA or direct inject of

DNA plasmids to tissue � ptn will be expressed by

cells (only 1–3% but it is sufficient for local effect

required)

✰ Neuronal disease

• Neurotrophic factors can be transiently expressed

same as e’ vascular diseases � nerve cell regeneration

& maintenance

• Extend expression period of neurotrophin by injecting

transfected myocytes in damaged area � fuse e’ any

adjacent muscle

✰ Cancer

• Cancer is genetic disease & many genes are

deregulated

• p53 is TSG � apoptosis in cells e’ damaged genetic

material � reintroduction & overexpression of

functional p53 in tumours is investigated

• Since it is only likely to occur in rapidly dividing cells

� perfect target for cancer gene therapy by repeat

exposure to vectors e.g. retroviruses, liposomes &

naked DNA plasmids

• Tumour growth depends on development of new blood

vessels (angiogenesis) & inhibitors are under trial

✰ Stem cell therapy

• Number of adult stem cell therapies already exist

particularly bone marrow transplants

• It is anticipated to treat wide variety of diseases

require replacement of destroyed tissues e.g.

Parkinson’s, spinal cord injuries & muscle damage

• The blood in umbilical cord is available & rich source of

haemopoietic stem cells i.e. CD34 +ve & CD38 –ve �

colonize bone marrow & rapidly populating marrow e’ all

various cells (RBC’s & WBC’s)

• Umbilical cord stem cell, dubbed cord blood-derived

embryonic like stem cells (CBEs) � able to

differentiate to more types of tissue not simply

haemopoietic cells (super pluripotentiality)

37

• Primitive monocyte derived multipotential cell (MOMC)

� could be isolated from adult peripheral circulating

monocytes � induced (given the correct paracrine,

environmental & adhesion signals) � endothelia,

neurones, cardiomyocytes & mesenchymal lineages

• Similar reports concerning adult stem cells isolated

from skin

THE HUMAN PROTEOME PROJECT • Studying of ptn expression characteristics of normal

& diseased cells

• Achieved by using 2D gel electrophoresis

• Pattern of dots corresponds to different ptn

expressed � non-, over- & underexpression of given

ptn can be detected by corresponding change on

proteome

• Post-translational modifications of ptns show up as

change in either size or charge on proteome picture

2D gel electrophoresis comparing paired serum & synovial fluid in patient e’ RA. The circled ptns indicate major ptns w’ differ between the 2 biofluids.

Although serum contained many ptns not found in synovial fluid & 1 major ptn was found in synovial fluid but not in serum. This indicates that synovial fluid

is not simple transudate (exudate)

• Cancers are genetic diseases & involve changes to

normal function of cellular genes

• Multiple genes interact during oncogenesis & stepwise

progression of defects leads over proliferative of

particular cell to full breakdown of control ( apoptosis)

• Susceptibility to development of particular form of

cancer can be inherited

• Cancer tissues are clonal & arise from changes in only

one cell w’ then proliferates in the body

• The genes that are primarily damaged by genetic

changes w’ lead to cancer fall in 2 categories:

oncogenes & TSG

• Oncogenesis is multistep process � number of

mutations or alterations to key genes are required

before malignant phenotype is expressed

• Once mutations begun to cause unchecked clonal

expansion of 1ry tumour cells � further mutations

occur e’in subsequent generations of daughter cells �

clones w’ are invasive & or form metastases

ONCOGENES • Genes coding for growth factors, growth factor

receptors, 2ry messengers or even DBP would act as

promoters of abnormal cell growth if mutated

The Genetic basis of Cancer

38

• Viruses carry genes w’ when integrated to host cell �

promote oncogenesis (v-oncogenes) & later their

normal cellular counterparts (c-oncogenes) were found

• Oncogenes encode ptns that participate in regulation

of normal cellular proliferation e.g. erb-A on

chromosome 17q11–q12 encodes for thyroid hormone

receptor

Examples of acquired/somatic mutations & proto-oncogenes

Point mutation K-ras

DNA amplification Myc HER2-neu

Chromosome translocation BCR-ABL PML-RAR Bcl-2/IgH c-myc & Ig

Pancreatic cancer

Neuroblastoma Breast cancer

CML, ALL APML Follicular lymphoma Burkitt’s lymphoma

CML, chronic myeloid leukaemia; ALL, acute lymphoblastic leukaemia; APML, acute promyelocytic leukaemia

✰ Activation of oncogenes

• Non activated oncogenes w’ are functioning normally

(proto-oncogenes)

• Transformation to oncogenes can occur by 3 routes �

① Mutation

� Carcinogens e.g. cigarette smoke, ionizing

radiation UVR can cause point mutation in

genomic DNA

� By chance some of these point mutations will

occur in regions of oncogene � activation of

that gene

� Not all bases in oncogene cause cancer if

� Mutated but some do (those in coding region)

② Chromosomal translocation

� If during cell division an error occurs & 2 Chr

translocate � portion swaps over �

translocation breakpoint in middle of 2 genes

� If this happens � end of 1 gene is translocated

on to beginning of another gene (fusion gene) �

sequences of 1 part of fusion gene are

inappropriately

� Example of fusion gene (Philadelphia Chr) in

GML

� Similarly in Burkitt’s lymphoma � translocation

� replace the regulatory segment of myc

oncogene by regulatory segment of unrelated Ig

③ Viral stimulation

� When viral RNA is transcribed by RT to viral

cDNA & in turn spliced in cellular DNA � viral

DNA may integrate & activate oncogene

� Alternatively the virus may pick up cellular

oncogene DNA & incorporate it to its own viral

genome

� Subsequent infection of another host cell may

� expression of this viral oncogene e.g. Rous

39

sarcoma virus of chickens was found to induce

cancer because it carried ras oncogene

� After the initial activation other changes occur

in DNA

TUMOUR SUPPRESSOR GENES (TSG) • These genes restrict undue cell proliferation (in

contrast to oncogenes) & induce repair or self

destruction (apoptosis) of cells contain damaged DNA

• Example � germline mutations in genes found in non-

polyposis CRC responsible for repairing DNA

mismatches

• 1st TSG to be described was RB gene � mutations in

RB � Retinoblastoma �

� 1 in 20’000 young children

� Familial variety of retinoblastoma � 1st mutation is

inherited & by chance 2nd somatic mutation occurs

e’ the formation of tumour

� Sporadic variety of retinoblastoma � by chance

both mutations occur in both RB genes in a single

cell

• Other TSG � gene p53 �

� Mutations in p53 have been found in almost all

human tumours including sporadic CRC, carcinomas

of breast & lung, brain tumours, osteosarcomas &

leukaemias

� The ptn encoded by p53 is cellular 53 kDa nuclear

phosphoprotein (plays role in DNA repair &

synthesis in control of cell cycle, differentiation &

apoptosis)

� p53 is DBP �

� Activate many gene expression pathways but it

is normally only short lived

� p53 is likely to act as tetramer � mutation in

single copy of gene can promote tumour

formation because hetero tetramer of mutated

& normal p53 subunits would still be

dysfunctional

� In many tumours � mutations that disable p53

function � also prevent its cellular catabolism

although in some cancers there is loss of p53 from

both Chr in most cancers (particularly CRC) � such

long lived mutant p53 alleles can disrupt normal

alleles ptn

How TSG work?

• TSG products are involved in control of cell cycle

• Progression through cell cycle is controlled by many

molecular gateways w’ are opened or blocked by cyclin

group of ptns that are specifically expressed at

various stages of the cycle

• RB & p53 proteins control cell cycle & interact

specifically e’ many cyclin ptns (The latter are

affected by INK 4α acting on p16 ptns)

40

• General principle � being held at 1 of these gateways

� programmed cell death

• p53 � induces expression of other genes & its own

expression is induced by broken DNA � initially cause

expression of DNA repair enzymes, if repair is too

slow or cannot be effected then other ptns induced by

p53 will effect programmed cell death

✰ Viral inactivation of tumour suppressors

� Suppression of normal TSG function by disabling

normal ptn (once it is transcribed) rather than by

mutating the gene

� Viruses have developed their own genes w’ produce

ptns to do precisely this

� The main targets of these ptns are RB & p53 to w’

they bind & disable

� Adenovirus E1A & HPV E7 gene products bind RB

� Adenovirus E1B & HPV E6 gene products bind p53

� SV40 virus large T Ag binds both RB & p53

✰ Microsatellite instability

� Microsatellites are short (50–300 bp) sequences

composed of tandemly repeated segments of DNA

2-5 nucleotides in length (di/tri/tetranucleotide

repeats) scattered throughout the genome in non-

coding regions between genes or e’in genes (introns)

� Many of these microsatellites are highly

polymorphic

� Often used as markers for linkage analysis because

of high variability in repeat number between

individuals

� These regions are inherently unstable & susceptible

to mutations

� Somatic microsatellite instability (MSI) has been

detected in number of tumours

� Detecting MSI involve comparing length of

microsatellite alleles amplified from tumour DNA e’

the corresponding allele in normal tissue from same

individual

� Recent studies indicate that MSI can be detected

in 90% of tumours from individuals e’ hereditary

non-polyposis CRC

� The presence of these additional microsatellite

alleles (repeated segments) in tumour cells results

from inherent susceptibility of these areas to such

alterations & from mutations in DNA mismatch

repair mechanism that would normally correct

these errors

✰ Tumour angiogenesis

� Once a nest of cancer cells reaches 1–2 mm in

diameter � it must develop blood supply in order to

survive & grow as diffusion is no longer adequate to

supply the cells e’ O2 & nutrients

41

� As e’ all tissues, solid tumour cancer cells secrete

substances that promote formation of new blood

vessels (angiogenesis)

� Substances identified to promote angiogenesis e.g.

angiopoietin-1, basic fibroblast growth factor

(bFGF) & vascular endothelial growth factor (VEGF)

� Inhibitors of angiogenesis (part of cancer

treatment strategy) �

� Angiostatin � polypeptide of 200 aa produced

by cleavage of plasminogen & binds to subunits

of ATP synthase exposed at surface of cell

embedded in plasma membrane

� Endostatin � polypeptide of 184 aa w’ is derived

from globular domain found at the C-terminal of

type XVIII collagen (specific collagen of blood

vessels) cleaved from the parent molecule

� Several therapeutic vaccine preparations are under

development to produce range of host immunity

responses (humoral & cellular) against pro-

angiogenic factors & their receptors in tumours �

1 approach has been directed at cell adhesion

molecules found in tumour blood vessels

� Vitaxin � monoclonal Ab against alpha-v/beta-3

vascular integrin � shrinks tumours in mice e’out

harming them

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