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L7 Revisiting lactose intolerance, part 3

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Revisiting lactose intolerance (from Ch. 3) (part III)
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Biosphere
Ecosystem/Biome
Community
Population
Organism
Organs and organ system
Tissue
Cell
Organelle
Molecule: DNA
Revisiting lactose intolerance
− In lactase persistent people, lactase gene is on and
transcribed and lactase is produced via translation
−
Review lactose tolerance/lactase persistence (also
see Ch. 3, sect. 17)
−
How can lactose intolerance be diagnosed?
−
Let’s look at data from: blood glucose test and H test
− Analyze results from blood glucose tests
− Draw graph from H tests and analyze results
Review: Lactase persistence
(review outside of class: scroll down and click ‘watch on YouTube’)
• We now know that genes code for proteins and these proteins are
made via t__________ and t_________
– In mammals, lactase gene is transcribed and __________ is made via
translation
• However, in most adult mammals, gene is turned off in adulthood
– Results:
• But, in lactase persistent people, gene remains turned on (due to a
mutation associated with gene)
– “lactase persistent” = lactose tolerant
– Meaning:
Work with a buddy. Read text on 2 slides and answer questions 1-6.
Questions: lactose and lactase persistence
1. Define lactose intolerance.
2. What typically happens to the expression of the lactase gene when a baby is
weaned from his or her mother’s milk?
3. What type of carbohydrate is lactose? What 2 simple sugars make up lactose?
4. In lactose tolerant people, where in the digestive system is lactase produced (and
therefore the monosaccharides that make up lactose absorbed)?
5. What causes bloating when a person who is lactose intolerant drinks milk?
6. Define lactase persistence.
Lactase persistence
(at 3:05 min)
• 1 test for lactose tolerance: blood glucose test
– If lactose can be hydrolyzed, draw a line indicating how levels of blood
glucose levels are expected to change after consumption of milk
blood glucose
time
– Now, draw a line (of a different color) indicating how levels of blood
glucose are expected to change, for a person who is lactose intolerant
Activity analyzing scientific data: blood glucose levels
Data below show blood glucose levels of 6 individuals tested in Dr. Tishkoff’s lab. After
baseline (i.e., time 0 min) blood glucose levels were measured and recorded, each person
drank 1L milk. Blood glucose levels were again measured at 15, 30, 45, and 60 min after
drinking milk. Glucose levels were measured using glucose strips and a glucose reader similar
to the one Dr. Wells used in film associated with weblink on last slide.
Plot data above in graph on next slide. Graph already includes Spencer’s blood
glucose test results.
Questions: Blood glucose data
1. Why is measuring blood glucose levels an indicator of someone’s lactase activity?
It is important because it shows if an individual has the lactase gene turned on or not. If someone has an increase
of blood glucose, then they have the ability to produce lactase.
2. Divide the 7 people into 2 groups (A and B), based on their blood glucose test
results. Write the names of the people in each group, including Dr. Wells.
• Group A: Lactose Intolerant: Katherine, Arthur, Rachel
• Group B: Lactose Tolerant: Everyone else
3. Explain your rationale for dividing the people into these 2 groups, using data to
support your answer.
I divided these people up into two groups due to either their tolerance or intolerance to lactose
which is causes by either having or not having the lactose gene turned on. If the lactose gene is
turned on, then that person can produce lactase - the enzyme/protein that is needed to break
down lactose which is found in milk.
Questions: Blood glucose data
4. Based on these data, do you predict that individuals in Group A are lactase
persistent or nonpersistent? Describe the evidence that supports this claim.
Lactase nonpersistent because they cannot
consume lactose becasue their gene turned
off.
5. Based on these data, do you predict that individuals in Group B are lactase
persistent or nonpersistent? Describe the evidence that supports this claim.
Lactase persistent becasue their lactose gene
persisted to stay on, giving them the ability to
break down lactose.
6. If you performed the same blood glucose test on people from the Maasai
population in Kenya, predict whether their results would be more like those of
Group A or Group B. Explain your prediction. (Hint: Maasai people raise cattle.)
I perdict that the results would be like group B, and would be generally
lactase persistent because this population of people commonly raises
cattle. Therefore, keeping the ability to drink milk would be extremely
beneficial to their society.
Questions: Blood glucose data
7. Let’s revisit the condition of diabetes. Recall the oral glucose tolerance test which
measures blood glucose concentration before and 2 hours after drinking a sweet
drink, which indicates how body processes glucose.
For this test, after 2 hours:
− < 140 mg/dL: normal (70-99: normal fasting blood sugar)
− > 200: diabetes
− 140-200: prediabetic
Compare that graph on the next slide with the graph you just made. Does anyone
seem to have pre-diabetes or diabetes in the graph you made? Justify your
answers.
Three of these people including Dr. Wells are Prediabetic - meaning that they have
blood glucose levels of 140-200 after drinking the milk.
Blood glucose (mg/100 mL)
From our discussion of insulin and diabetes (ch. 4)
400
350
Person A
300
250
200
150
Person B
100
50
0
0
1
2
1
2
3
Hours after glucose ingestion
4
5
H breath test: another test of lactase persistence
Draw a graph below using the data. Be sure to include labels for your X and Y axes.
Dan and Cindy obviously have lactase inpersistnence becasue they have
high levels of hydrogen in their breath which means that they are fermenting
the lactose that they just consumed in their large intestine.
Questions: Hydrogen breath test data
1. Which individuals appear to be lactase persistent? Use data to support your
answer.
Dan and Cindy because they have high levels of hydrogen
2. Which individuals appear to be lactase nonpersistent? Use data to support your
answer.
Everyone else, because they have low levels of hydrogen
Answer the exam review questions that correspond to this lecture
now, so you can begin mastering the concepts and ace the exam.
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