DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY DEPARTMENT OF BIOLOGICAL CHEMISTRY GUIDE FOR INIVIDUAL WORK ON BIOLOGICAL CHEMISTRY for students of medical faculty PART ІI LVIV – 2015 1 Methodical instructions prepared by: Prof. Sklyarov A.Ya., M.D., Ph.D. Fomenko I.S., Ph.D. Klymyshin D.O, PhD. Nasaduk Ch.M., M.D., PhD Editor: prof. Sklyarov A.Ya., M.D., Ph.D. Reviewed by: prof. Pinyazhko O.R., M.D., PhD 2 Sense module № 12. Principles of molecular biology. Topic № 1. Biochemical composition and biosynthesis of purine and pyrimidine nucleotides. Biochemical function of nucleotides and nucleic acids. Objective: to study chemical structure of nucleotides, structure and function of nucleic acids. To make qualitative reactions for detection of nucleoprotein compounds. Actuality of the theme: Nucleoproteins are proteins that are associated with nucleic acids. They can serve functional roles as enzymes, for example, telomerase in modifying the nucleic acid, or structural ones, as with histones in packaging chromatin. Specific objectives: To interpret chemical structure of nucleoprotein compounds, structure and function of nucleic acids, their role in protein biosynthesis. To know methods of isolation of nucleoproteins from tissues and qualitative reactions for detection of their components: a) biuret test for polypeptides, b) Trommer test for sugars (pentoses), c) silver probe for purine bases, d) molybdenum probe for phosphates. 1. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: U., Chakrapani U. Biochemical functions of nucleic 1. Satyanarayana “Biochemistry”, Third Edition. – 2006. – acids and nucleotides. Formation P. 69-74. of nucleic acid chain from 2. Harper′s Biochemistry. 27th edition / R. K. nucleotides. Murray, Daryl K. Granner, Peter A. Biochemical functions of Mayes, Victor W. Rodwell, 2006.- P. 311nucleic acids; 314. Biochemical functions of 3. https://www2.chemistry.msu.edu/faculty/r nucleotides; eusch/virttxtjml/nucacids.htm; Formation of nucleic acid 4. Lecture notes. chain from nucleotides 2. U., Chakrapani U. Constituents of nucleotides and 1. Satyanarayana “Biochemistry”, Third Edition. – 2006. – nucleosides. Minor nitrogenous P. 69-73. bases and nucleotides: 2. Lecture notes. Constituents of nucleotides; 5. Harper′s Biochemistry. 27th edition / R. K. Constituents of nucleosides; Murray, Daryl K. Granner, Peter A. Minor nitrogenous bases and Mayes, Victor W. Rodwell, 2006.- P. 294nucleotides 298. 3. U., Chakrapani U. Free biologically active nucleotides 1. Satyanarayana “Biochemistry”, Third Edition. – 2006. – and their biochemical functions: 3 P. 137-141, 223-224. participation in metabolic reactions (ATP, NAD, NADP, 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. FAD, FMN, CTP, UTP) and in Mayes, Victor W. Rodwell, 2006.- P. 297their regulation (cyclic nucleotides 298. – cAMP, cGMP): biochemical functions of free 3. Lecture notes. biologically active nucleotides; 4. Nucleic acids: structure, properties, stages of investigation. Primary structure of nucleic acids, polarity of polynucleotides, specific features of DNA and RNA structure: Structure of nucleic acids; Properties of nucleic acids; Stages of investigation of nucleic acids; Primary structure of nucleic acids; Specific features of DNA and RNA structure 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 73-82. 2. http://en.wikipedia.org/wiki/Nucleic_acid; 3. http://en.wikipedia.org/wiki/DNA; 4. http://en.wikipedia.org/wiki/RNA; 5. Lecture notes. 5. Structure, properties and biological significance of DNA. Experimental proves of DNA significance in heredity (phenomenon of transformation): Structure of DNA; Properties of DNA; Biological significance of DNA; Experimental proves of DNA significance in heredity 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 73-79. 2. Lecture notes. 3. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 311314. 4. http://en.wikipedia.org/wiki/Avery– MacLeod–McCarty_experiment 5. http://en.wikipedia.org/wiki/Transformatio n_(genetics) 6. Secondary structure of DNA, role of hydrogen bonds in stabilization of secondary structure (Chargaff rule, Watson-Crick model), antiparallelism of chains: Secondary structure of DNA; Role of hydrogen bonds in stabilization of secondary structure; 1. http://en.wikipedia.org/wiki/Chargaff's_rul es 2. http://en.wikipedia.org/wiki/DNA 3. http://www.nature.com/scitable/topicpage/ discovery-of-dna-structure-and-functionwatson-397 4. Lecture notes. 5. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 73-75. 4 Antiparallelism of chains. 7. Tertiary structure of DNA. Physical-chemical properties of DNA: denaturation and renaturation of DNA: Tertiary structure of DNA; Physical-chemical properties of DNA 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 74-77 2. Lecture notes. 3. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006. - P. 312-314. 8. Structure, properties and biological functions of RNA. Types of RNA: mRNA, tRNA, rRNA, snRNA; specific features of structure (secondary and tertiary) of different RNA types: Structure, properties and biological functions of RNA; Types of RNA; Specific features of structure of different RNA types. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 79-82. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006. - P. 314-320. 3. Lecture notes. Comprehension questions: 1. Name the structures represented below. x1 - ? x2 - ? x3 - ? x4 - ? 2. DNA is a polymer of ________________. It is composed of monomeric units namely ______________ (dAMP), ______________ (dGMP), ______________ 5 (dCMP) and ______________ (dTMP). The monomeric deoxvnucleotides in DNA are held together by ______________ bridges. Make a daughters DNA strand using the template represented below. What nucleic acids do not obey Chargaff's rule. 3. Name the structures represented below. x1 - ? x2 - ? x3 - ? x4 - ? Examples of multi-choice questions: Examples of tests „ Crock–1” 6 1. From nitrates, nitrites and nitrosamines in organism is formed nitrous acid which causes oxidative deamination of nitrogene bases of nucleotides. This induce a point mutation by replacement of cytosine to... A. Uracil B. Thymine C. Adenine D. Guanine E. Inosine 2. 5’-bromouracil inhibits the biosynthesis of one from the listed below compounds. Chose this compound A. DNA B. Protein C. mRNA D. rRNA E. Histones 3. Into human body were incorporated mercury ions. This led to the increase in rate of transcription of the gene, responsible for detoxification of heavy metals. What protein gene amplification is in the background of this process? A. Metallothioneine B. Ceruloplasmin C. Interferone D. Transferrin E. Ferritin 4. In a patient was recognized endemic goiter. What type of post-translational modification of thyroglobuline is damaged in a patient? A. Iodination B. Phosphorylation C. Methylation D. Acetylation E. Glycosylation 5. The samples of blood of a child and of a supposed father were directed for affiliation to medical forensic examination. Which chemical components need to be identified in the explored samples of blood? A. DNA B. tRNA C. rRNA D. mRNA E. mnRNA Individual independent work of students 1. Structure, properties and biological significance of nucleoproteins, phosphoproteins, lipoproteins, glycoproteins 7 2. Peculiarities in synthesis and in degradation of nucleoproteins, glycoproteins and proteoglycans. 1. 2. 3. 4. Additional literature: Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M.. – 2012. – 308 p. Topic № 2. Catabolism of purine nucleotides, determination of end products of their metabolism. Hereditary disorders of nucleotide metabolism. Objective: To learn reactions of synthesis and degradation of purine and pyrimidine nucleotides in normal conditions and in hereditary enzymopathias of this metabolic pathways. To learn the method of determination of uric acid in biological fluids and to interpret the obtained results. Actuality of the theme: Uric acid is the end product of purine metabolism in humans. The normal concentration of uric acid in the serum of adultsis in the range of 3-7 mg/dl. In women, it is slightly lower (by about 1 mg) than in men. The daily excretion of uric acid is about 500-700 mg. Hyperuricemia refers to an elevation in the serum uric acid concentration. This is sometimes associated with increased uric acid excretion (uricosuria). Gout is a metabolic disease associated with overproduction of uric acid. At the physiological pH, uric acid is found in a more soluble form as sodium urate. In severe hyperuricemia, crystals of sodium urate get deposited in the soft tissues, particularly in the joints. Such deposits are commonly known as tophi. This causes inflammation in the joints result in a painful gouty arthritis. Sodium urate and/or uric acid may also precipitate in kidneys and ureters that results in renal damage and stone formation. Specific objectives: To analyze the sequence of reactions of metabolism of purine nucleotides, disorders in uric acid metabolism and biochemical principles of gout development. To analyze the sequence of reactions of biosynthesis and catabolism of pyrimidine nucleotides. To conduct quantitative determination of uric acid in biological fluids and to interpret the obtained results. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: 1. Questions: References: U., Chakrapani U. Biosynthesis of purine nucleotides; 6. Satyanarayana “Biochemistry”, Third Edition. – 2006. – scheme of reactions of IMP P. 387-392. synthesis; synthesis of AMP, GMP, ATP, GTP. Regulation of purine 7. Harper′s Biochemistry. 27th edition / R. K. 8 nucleotides synthesis on a principle of feedback inhibition: Biosynthesis of purine 8. nucleotides; Scheme of reactions of IMP synthesis; Synthesis of AMP, GMP, ATP, GTP; Regulation of purine nucleotides synthesis Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 301304. Lecture notes. 2. U., Chakrapani U. Biosynthesis of pyrimidine 3. Satyanarayana “Biochemistry”, Third Edition. – 2006. – nucleotides: reactions, regulation: P. 398-399. Reactions of biosynthesis of 4. Lecture notes. pyrimidine nucleotides; th Regulation of biosynthesis of 5. Harper′s Biochemistry. 27 edition / R. K. Murray, Daryl K. Granner, Peter A. pyrimidine nucleotides; Mayes, Victor W. Rodwell, 2006.- P. 305307. 3. U., Chakrapani U. Biosynthesis of 4. Satyanarayana “Biochemistry”, Third Edition. – 2006. – deoxyribonucleotides. Formation P. 392; 399. of thymidyl nucleotides; inhibitors of dTMP biosynthesis as antitumor 5. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. drugs: Mayes, Victor W. Rodwell, 2006.- P. 302; Biosynthesis of 304-305. deoxyribonucleotides; Formation of thymidyl 6. Lecture notes. nucleotides; Inhibitors of dTMP biosynthesis as antitumor drugs 4. U., Chakrapani U. Catabolism of purine nucleotides; 6. Satyanarayana “Biochemistry”, Third Edition. – 2006. – hereditary disorders of uric acid P. 392-397. metabolism. Biochemical background of hyperuricemia, 7. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. gout, Lesch-Nyhan syndrome: Mayes, Victor W. Rodwell, 2006.- P. 302; Catabolism of purine 307-308. nucleotides; Hereditary disorders of uric acid 8. Lecture notes. metabolism; Biochemical background of hyperuricemia; Biochemical background of gout; 9 5. Biochemical background of Lesch-Nyhan syndrome U., Chakrapani U. Catabolism of pyrimidine 6. Satyanarayana “Biochemistry”, Third Edition. – 2006. – nucleotides: P. 400. Regulation of catabolism of 7. Harper′s Biochemistry. 27th edition / R. K. pyrimidine nucleotides; Murray, Daryl K. Granner, Peter A. Reactions of catabolism of Mayes, Victor W. Rodwell, 2006.- P. 302; pyrimidine nucleotides 308-309. 8. Lecture notes. Comprehension questions: Examples of multi-choice questions: 1. Many compounds contribute to the purine ring of the nucleotide. Name the sources of individuat atoms in purine ring. 1–? 2–? 3–? 4–? 5–? 6–? 7–? 8–? 1. A 44-year-old woman who recently lost her job because of absenteeism, presents to her physician complaining of loss of appetite, fatigue, muscle weakness, and emotional depression. The physical examination reveals a somewhat enlarged liver that feels firm and nodular, and there is a hint of jaundice in the sclerae and a hint of alcohol on her breath. The initial laboratory profile included a hematological analysis that showed that she had an anemia with enlarged red blood cells (macrocytic). A bone marrow aspirate confirmed the suspicion that she has a megaloblastic anemia because it showed a greater than normal number of red and white blood cell precursors, most of which were larger than normal. Further analyses revealed that her serum folic acid level was 2.9 ng/mL (normal = 6 to 15), her serum B12 level was 153 pg/mL (normal = 150 to 750), and her serum iron level was normal. The patient’s megaloblastic anemia is most likely caused by which of the following? Explain your answer. A. A decreased synthesis of methionine B. A decreased conversion of dUMP to dTMP C. A decrease in the synthesis of phosphatidyl choline D. A decrease in the levels of succinyl CoA E. A decreased synthesis of dUTP 10 2. A patient presents with a urinary tract infection and is prescribed a combination drug containing trimethoprim and sulfamethoxazole. These drugs are effective because they do which of the following? Explain your answer. A. Bind to operons to prevent synthesis of bacterial mRNA B. Block transport across bacterial cell walls C. Inhibit bacterial synthesis of cobalamin (B12) D. Inhibit bacterial synthesis of THF E. Inhibit synthesis of phospholipids in bacteria 3. Leukemia patients are often given the compound Leucovorin (N5-formyl THF) following treatment with the drug methotrexate. Why is Leucovorin useful as part of this treatment protocol? Explain your answer. A. It facilitates the uptake of methotrexate by cells B. It can be converted to THF by bypassing DHFR C. It acts as an activator of thymidylate synthase D. It prevents the uptake of methotrexate by normal cells E. It stimulates cells of the immune system 1. 2. 3. 4. Additional literature: Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M. – 2012. – 308 p. Topic № 3. Replication of DNA and transcription of RNA. Analysis of mutations and mechanisms of DNA reparations. Objective: To learn general principles of nucleic acids synthesis; stages of these processes; mechanisms of mutations and reparations of damaged DNA; development of hereditary diseases. To interpret mechanisms of action of antibiotics and other inhibitors of nucleic acids biosynthesis. To conduct quantitative determination of DNA in biological material. Actuality of the theme: The biological information flows from DNA to RNA, and from there to proteins. This is the central dogma of life. It is ultimately the DNA that controls every function of the cell through protein synthesis. In the process of nucleic acids biosynthesis may occur various disorders in nucleotide sequence under the action of physical (ionizing and corpuscular irradiations), chemical (mutagens) and biological (viruses) agents. Pharmaceutical preparations are widely used in medical practice that can inhibit biosynthesis of nucleic acids in eukaryotes and retard tumor cells proliferation in oncologic patients. Specific objectives: 11 To conduct quantitative determination of DNA in biological material. To interpret molecular mechanisms of storage and transfer of genetic information, role of enzymatic systems, which provide semiconservative mechanism of DNA replication in prokaryotes and eukaryotes. To explain mechanism of action of enzymatic system of RNA transcription. To interpret biochemical mechanisms of gene recombination, gene amplification, specific features of regulation of gene expression in eukaryotes. To analyze consequences of genomic, chromosomal and gene mutations, mechanisms of action of the most known mutagens, biological significance and mechanisms of DNA reparations (reparation of UV-induced gene mutations). 1. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: U., Chakrapani U. Biological significance of DNA 9. Satyanarayana “Biochemistry”, Third Edition. – 2006. – replication. The sense of J.Watson P. 523-524. and F.Crick discovery (1953). Semiconservative mechanism of 10.https://www.youtube.com/watch?v=mpnh4 f6-vuA replication, the scheme of Meselsohn's and Stahl's experiment: Significance of DNA replication; Semiconservative mechanism of replication; The scheme of Meselsohn's and Stahl's experiment. 2. General scheme of DNA synthesis. Mechanisms of DNA replication in prokaryotes and eukaryotes: Scheme of DNA synthesis; DNA replication in prokaryotes and eukaryotes. 6. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 524-528. 2. https:// www.youtube. com/watch?v =27TxKoFU2Nw. 11.http://www.johnkyrk.com/DNAreplication. html 12.Lecture notes. 13.Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 333143. 3. U., Chakrapani U. General scheme of transcription. 7. Satyanarayana “Biochemistry”, Third Edition. – 2006. – Stages and enzymes of RNA P. 543-547. synthesis in prokaryotes and 8. https://www.youtube.com/watch?v=ysxtZJ eukaryotes: UeTCE&list=PLEDBny3Wyp5hOYdMP7 Scheme of transcription; HIpKpYf3usYYceV. Stages of RNA synthesis; 12 Enzymes of RNA synthesis. 4. Posttranscriptional modifications of RNA. 5. Inhibitors of replication and transcription as medical drugs; their mechanisms of action: Inhibitors of replication as medical drugs; Inhibitors of transcription as medical drugs. Regulation of gene expression in prokaryotes. Structure of Lacoperon of Escherichia coli: structural and regulatory genes, promotor, operator, regulator; repression and induction of Lacoperon function: Regulation of gene expression in prokaryotes; Structure of Lac-operon of Escherichia coli; Repression and induction of Lacoperon function. 6. 7. Peculiarities of structure and functioning of eukaryotic genome. Molecular organization of DNA in eukaryotes (exones, intrones, repeated sequences). Nuclear chromatin and chromosomes of eukaryotes: Structure and functioning of eukaryotic genome; Molecular organization of DNA in eukaryotes; Nuclear chromatin and chromosomes of eukaryotes. 9. https://www.youtube.com/watch?v=TSvRq5C3K8. 10.https://www.youtube.com/watch?v=D3fO Xt4MrOM. 11.Lecture notes. 9. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 547-549. 10. https://www.youtube.com/watch?v=MbE jQX4Im7Y. 11. Lecture notes. 9. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 528. 10.Lecture notes. 1. https://www.youtube.com/watch?v=tS9FH _ZbAps 2. https://www.youtube.com/watch?v=Yk4v T3CWmUo 3. Lecture notes. 4. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 567-569. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 392-397 2. Lecture notes. 3. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006. - P. 326-330. 13 8. 9. 10. Mutations: genomic, chromosomal, gene (point mutations), their significance in appearance of enzymopatias and human hereditary diseases: Genomic mutations; Chromosomal mutations; Gene mutations(point mutations). Biochemical mechanisms of action of chemical mutagens – analogs of nitrogenous bases, ultraviolet and ionizing radiation: Biochemical mechanisms of action of chemical mutagens; Biochemical mechanisms of action of ultraviolet and ionizing radiation. Biological significance and mechanisms of DNA reparation. Reparation of UV-induced mutations. Xeroderma pigmentosum: Mechanisms of DNA reparation; Reparation of UV-induced mutations; Xeroderma pigmentosum. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 535-537. 2. Lecture notes. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 534-535. 2. Lecture notes. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 537-539. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 343-346. 3. Lecture notes. Comprehension questions: 1. Nitrogen is a major constituent of DNA. 14N is by far the most abundant isotope of nitrogen, but DNA with the heavier (but non-radioactive) 15N isotope is also functional. According to this information explain the results of the Meselsohn - Stahl experiment depicted on the figure below. 14 a. What hypotheses for the method of replication of DNA had been proved by the Meselsohn - Stahl experiment? 2. Point mutation is a random mutation in the DNA that occurs at one point. Point mutations usually take place during DNA replication. DNA replication occurs when one double-stranded DNA molecule creates two single strands of DNA that is a template for the creation of the coinciding strand. A single point mutation can change the whole DNA sequence. Changing one purine or pyrimidine may change the amino acid that the nucleotides code for. a. Name the types of point mutations using the scheme below. b. What are the ways for point mutations to occur? 3. a. Explain the process of transcription indicated in a figure below. Name stages of transcription. b. How many types of RNA can be transcribed from DNA? Name them. 15 c. Explain the role of the promoter site, RNA polymerase, sigma factor and terminator in transcription. d. What types of termination of RNA transcription do you know? Explain their mechanisms of action. e. What are the main differences between transcription in eukaryotic and prokaryotic cells? f. What compounds inhibit transcription in eukaryotes? 4. A special structure with a phosphate bond between 5' and 5' is added to the 5' end of mRNA is depicted below. Name this structure and explain its role in mRNA processing in eukaryotes 16 5. If a double-stranded DNA molecule undergoes two rounds of replication in an in vitro system that contains all of the necessary enzymes and nucleoside triphosphates that have been labeled with 32P, which of the following best describes the distribution of radioactivity in the four resulting DNA molecules? A. Exactly one of the molecules contains no radioactivity. B. Exactly one of the molecules contains radioactivity in only one strand. C. Two of the molecules contain radioactivity in both strands. D. Three of the molecules contain radioactivity in both strands. E. All four molecules contain radioactivity in only one strand. 6. A 48-year-old man has had a lengthy history of skin cancer. In the past 6 years he has had over 30 neoplasms removed from sun-exposed areas and has been diagnosed with xeroderma pigmentosum. Which of the following best describes the enzymatic defect in patients with xeroderma pigmentosum? A. DNA polymerase α B. DNA polymerase γ C. DNA ligase D. Excision repair enzymes E. RNA polymerase III Examples of multi-choice questions: Examples of tests „ Crock–1” 1. From nitrates, nitrites and nitrosamines in organism is formed nitrous acid which induces oxidative deamination of nitrogenous bases nucleotides. It can result in a point mutation by changing of cytosine into… A. Uracil B. Thymine C. Adenine D. Guanine 17 E. Inosine 2. A patient suffers from AIDS. RNA of AIDS virus invades leucocytes and using the enzyme revertase cause synthesis of viral DNA in the cell. This occurs due to the next process... А. Reversal transcription B. Derepression of operon C. Repression of operon D. Convariant replication E. Reversal translation 3. For the treatment of urogenital infections are used quinolones – inhibitors of enzyme DNA-gyrase. What process is altered first of all under the action of quinolones? A. Replication B. Translation C. Reverse transcription D. Reparation E. Gene recombination 4. Salts of mercury were acidentally introduced to human body. It resulted the increase in frequency of transcription of gene, providing heavy metals detoxication. Gene amplification of of what protein takes place in this case? A. Metallothionein B. Ceruloplasmin C. Interferon D. Transferrin E. Ferritin 5. The structural analysis of hemoglobin in patient suffering from anemia revealed a replacement of 6–Glu to 6–Val in β–chain. What is the molecular mechanism of this pathology? A. Gene (point) mutation B. Chromosome mutation C. Genome mutation D. Gene amplification E. Gene transduction Individual independent work of students Modern methods of DNA and RNA investigation, their clinical significance. Additional literature: 1. Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. 2. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. 18 3. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. 4. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M.. – 2012. – 308 p. Sense module № 13. Bases of molecular genetics. Topic № 4. Biosynthesis of proteins on ribosomes, initiation, elongation and termination in synthesis of polypeptide chain. Inhibiting effect of antibiotics. Pprinciples of gene engineering and gene cloning, their application in modern medicine. Objective: To learn general principles of protein synthesis, stages of this process, possible mechanisms of appearance and development of hereditary diseases. To interpret the mechanisms of antibiotics action as well as other inhibitors of protein synthesis. To know principles of gene engineering and gene cloning, its application in modern medicine. To learn principle of polymerase chain reaction (PCR), its applications in diagnostics. Actuality of the theme: There are wide variations in the cells with respect to the quality and quantity of proteins synthesized. This largely depends on the need and ability of the cells. Erythrocytes lack the machinery for translation, and therefore cannot synthesize proteins. In general, the growing and dividing cells produce larger quantities of proteins. Some of the cells continuously synthesize proteins for export. For instance, liver cells produce albumin and blood clotting factors for export into the blood for circulation. The normal liver cells are very rich in the protein biosynthetic machinery, and thus the liver may be regarded as the protein factory in the human body. Due to gene engineering technology the production of interferon, human insulin, somatotropin, somatostatin, protein preparations for diagnostics of AIDS is achieved. In particular, in recent years in diagnostics of many diseases and detection of bacillicariers is used an special method – polymerase chain reaction. Specific objectives: To interpret the conception of protein synthesis on the ribosomes. To explain biochemical processes of posttranslational modification of proteins. To explain the influence of physiologically active substances and antibiotics on translation. To explain biochemical and molecular biology principles of methods used in recombinant DNA technologies, recombinant gene technology and formation of hybrid DNA molecules. To explain principles of gene cloning for production of drugs with biotechnologies methods. 1. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: U., Chakrapani U. Features of genetic code; triplet 14. Satyanarayana “Biochemistry”, Third Edition. – 2006. – structure, its properties: 19 2. 3. 4. 5. P. 551-552. Features of genetic code; th Triplet structure of genetic 15.Harper′s Biochemistry. 27 edition / R. K. Murray, Daryl K. Granner, Peter A. code; Mayes, Victor W. Rodwell, 2006.- P. 365 Properties of genetic code. 367. 3. Lecture notes. U., Chakrapani U. Protein synthesis on the ribosomes. 7. Satyanarayana “Biochemistry”, Third Edition. – 2006. – Components of protein synthesis P. 554-560. system: Protein synthesis on the 8. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. ribosomes; Mayes, Victor W. Rodwell, 2006.- P. 375 Components of protein synthesis 378. system. 2.https://www.youtube.com/watch?v=D3f OXt4MrOM. 3. Lecture notes. Transfer RNA and, aminoacyltRNA synthetase: Transfer RNA and amino acid activation; Aminoacyl-tRNA synthetase. Stages and mechanisms of translation: initiation, elongation, termination. Initiating and terminating codons of mRNA: Stages of translation; Mechanisms of translation; Initiating and terminating codons of mRNA. Post-translational modification of polypeptide chains. Regulation of translation. Molecular mechanisms of translation control on example of globin synthesis: Post-translational modification of polypeptide chains; Regulation of translation. Molecular mechanisms of translation control 12.Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 554-555. 13.Lecture notes. 12. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 554-560. 13. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 375378. 14. https://www.youtube.com/watch?v=MbEj QX4Im7Y. 15. Lecture notes. 11.Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 560-562. 12.Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 378. 13.https://www.youtube.com/watch?v=7bKpx REMiOI. 14.Lecture notes. 20 6. The influence of biologically active compounds on translation. Antibiotics as inhibitors of transcription and translation in prokaryotes and eukaryotes, their biomedical application: The influence of biologically active compounds on translation; inhibitors of transcription and translation in prokaryotes and eukaryotes. 1. Lecture notes. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 378-379. 7. Gene engineering or : general principles, biomedical significance. The employment of enzymes. Gene cloning for obtaining of medicinals and diagnostic tools using methods of biotechnology (hormones, enzymes, antibiotics, antigens, interferons etc.): Recombinant DNA technology; Gene cloning. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 578-597. 2. Lecture notes. 8. Polymerase chain reaction, its biomedical application in diagnostics of contagious and hereditary diseases, identification of a person (DNA-diagnostics). 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 535-537. 2.https://www.youtube.com/watch?v=eEcy9k _KsDI. 3. https://www.youtube.com/watch?v=2KoLnIw oZKU. 4. https://www.youtube.com/watch?v=HMC7c2 T8fVk 2. Lecture notes. Comprehension questions: 1. The conversion of codon information into proteins is conducted by transfer RNA. Each transfer RNA (tRNA) has an anticodon which can base pair with a codon. Some anti-codons have modified bases that can pair with more than one codon, specifying the same amino acid; this means that we don't need 61 different tRNA molecules for all 61 codons. a. What do the other three codons specify? b. Using the figure below explain the structure of tRNA. c. What is the role of the unusual inosine base? 21 d. Explain "wobble hypothesis". 2. The polymerase chain reaction (PCR) is a biomedical technology in molecular biology used to amplify a single copy or a few copies of a piece of DNA across several orders of magnitude, generating thousands to millions of copies of a particular DNA sequence. Typically, PCR consists of a series of 20-40 repeated temperature changes, called cycles, with each cycle commonly consisting of 2-3 discrete temperature steps, usually three (Figure below). Name the cycles of PCR. What enzyme catalyze step 3? Explain clinical application of the PCR. 22 3. What stages of translation are inhibited by the antibiotics represented below. 4. Ribosomes are the factories of the cell. Each is very complex, containing over 50 different proteins and several segments of ribosornal RNA (rRNA). Ribosomes use mRNA to direct the assembly of a protein. In the diagram indicate the ribosomal subunits and ribosomal sites. Explain their functions in protein translation. x1 - ? x2 - ? x3 - ? x4 - ? x5 - ? x6 - ? Examples of multi-choice questions: 1. Diphtheria causes inhibition of translation process in human cells due to a loss the factor of elongation (еEF-2) ability to carry out translocation of peptide residue from A- on the P-site of ribosoms. What enzyme is a reason of еEF-2 blocking? A. Peptidyl transferase B. eIF-2-proteinkinase C. ADP-ribosyltransferase 23 D. Peptidyl translocase E. Hypoxantine-guanine phosphoribosyltransferase 2. For the treatment of infectious bacteria diseases are used antibiotics (streptomycin, neomycin, kanamycin, etc). What stage in the protein synthesis do they inhibit? A. Translation B. Transcription C. Replication D. Processing E. Splicing 3. What enzyme is involved in the pathway of synthesis of different genes carried out from mRNA and DNA in the gene engineering (this enzyme catalyze a process, discovered in some RNA–containing of viruses)? A. Reverse transcriptase B. Exonuclease C. Endonuclease D. DNA-ligase E. Helicase 4. Patient who lives on specific geochemical territory has a diagnosis – endemic goiter. What type of posttranslational modification of thyroglobulin is violated in the organism of a patient? A. Iodation B. Methylation C. Acethylation D. Phosphorylation E. Glycosylation 5. The inherited information is saved in DNA. What process does provide the realization of the inherited information in a polypeptide chain? A. Translation B. Transcription C. Translocation D. Replication E. Transformation Individual independent work of students Transcription processes in normal and pathological conditions. Programmed cell death- apoptosis. Biochemical mechanisms of apoptosis. Gene engineering. An application of gene engineering methods in modern medicine. Additional literature: 1. Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. 24 2. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. 3. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. 4. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M. – 2012. – 308 p. Sense module № 14. Molecular mechanisms of hormones action on target cells. Topic № 5. Molecular mechanisms of the effect of hormones of protein and amino acid nature on target cells. Objective: To learn biochemical and physiological function of hormones in a system of intercellular integration in the organism. To learn structure of hormones of protein and amino acid nature, derivatives of amino acids and steroid hormones, mechanisms of their action upon the target cells, role of secondary messengers in cell response to the hormones of protein or amino acid nature. Actuality of the theme: Understanding of biochemical mechanisms of realization of hormones effect on functioning of cell systems allows explaining mechanisms of development of pathological states, caused by disorders in functioning of endocrine glands and target cells as well as it also forms in students considerations about the correction of hypo- or hyperfunction of endocrine glands. Specific objectives: To interpret the biochemical and physiological functions of hormones and bioregulators in a system of intercellular integration of vital functions of human organism. To analyse and to explain correspondence between the structure of protein and peptide hormones to their function and mechanism of action on target cells. To interpret the molecular mechanisms of action of hormones of protein and peptide nature, derivatives of amino acids (catecholamines) up on target cells with involvement of signaling mediator molecules. To interpret the molecular mechanisms of direct regulatory effect of steroid hormones on the genome of targets cells. 1. 2. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: U., Chakrapani U. Hormones in a system of 16. Satyanarayana “Biochemistry”, Third Edition. – 2006. – intercellular integration of P. 427-428. physiological functions in human organism. Classification of 17.Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. hormones. Mayes, Victor W. Rodwell, 2006.- P. 442446. 3. Lecture notes. U., Chakrapani U. Regulation of synthesis and 14.Satyanarayana “Biochemistry”, Third Edition. – 2006. – secretion of hormones. Cyclic 25 P. 427-429. nature of hormone secretion, transport of hormones in blood. 2. Lecture notes. Factors, influencing the secretion and effect of hormone action: Regulation of synthesis and secretion of hormones; Cyclic nature of hormone secretion. Transport of hormones in blood. Factors, influencing the secretion and effect of hormone action 3. 4. Targets of hormonal action; types of cell response to the hormone. Membrane and cytosol receptors of hormones in the cell: Targets of hormonal action; Types of cell response to the hormone; Membrane and cytosol receptors of hormones in the cell Mechanisms of hormonal action amino acid derivatives, peptide and protein hormones, steroid hormones. Regulatory sites in DNA, which interacts with hormone-receptor complexes. Messenger function of cyclic nucleotides, Ca/calmodulin system phosphoinositides. Serine, threonine and tyrosine proteinkinases in effectory response of the cell: Mechanisms of hormonal action; Messenger function of cyclic nucleotides; Ca/calmodulin system phosphoinositides; Serine, threonine and tyrosine proteinkinases in effectory response of the cell 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 428-429. 15.Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 443444. 16.Lecture notes. 16.Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 428-431. 17.Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 464380. 18. Lecture notes. 26 5. U., Chakrapani U. Hormones of hypothalamus. 15.Satyanarayana “Biochemistry”, Third Edition. – 2006. – Mechanism of their action: P. 431-437. Hormones of hypothalamus; Mechanism of action of 16.Lecture notes. hypothalamus. 6. Tropic hormones of the anterior pituitary: Group "growth hormone (somatropin) - prolactin Chorionic somatomamotropin"; pathological processes associated with impaired growth hormone, somatomedin, prolactin; a group of glycoproteins – pituitary trophic hormones (TSH, gonadotropins, FSH, LH), chorionic gonadotropin; POMK hormones – processing products of POMK (adrenokortykotropin, lipotropin, endorphins). 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 432-437. 2. Lecture notes. 7. Hormones of the posterior pituitary: vasopressin (antidiuretic hormone) and oxytocin. Mechanism of action. The use of oxytocin in medical practice: vasopressin (antidiuretic hormone); oxytocin. Application of oxytocin in medical practice Characteristics of pancreatic hormones: Endocrine function of the pancreas (insulin, glucagon, somatostatin, pancreatic polypeptide); Insulin – structure, biosynthesis and secretion; characterization of insulin receptors, molecular mechanisms of action (effect on metabolism of carbohydrates, lipids, amino 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 437. 2. Lecture notes. 8. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 669-676. 2. Lecture notes. 27 9. acids and proteins); Gucagon – the chemical nature and the biological effect of the hormone. Catecholamines: epinephrine, norepinephrine, dopamine. Chemical nature, biological effect, receptors. Their role in the stress response: Epinephrine Norepinephrine Dopamine 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 444-445. 2. Lecture notes. Comprehension questions: 1. Insulin plays a key role in the regulation of carbohydrate, lipid and protein metabolisms. It exerts anabolic and anticatabolic influences on the body metabolism. Fulfill the table (a) and indicate net effect of insulin on carbohydrate, lipid and protein metabolisms using the diagram (b) represented below. How is insulin secreted from the pancreas? a. Metabolism Glycolysis Net effect Increased Effect on enzyme/s Glucokinase↑ Phosphofructokinase↑ Pyruvate kinase↑ Gluconeogenesis Glycogenesis Glycogenolysis HMP shunt Lipogenesis Lipolysis Ketogenesis Protein synthesis Protein degradation b. 28 2. Indicate steps of catecholamine biosynthesis and enzymes involved in this process. 3. A diagrammatic view of pituitary gland is represented below. Name hormones that are produced by the anterior and posterior pituitary glands. ? ? Examples of multi-choice questions: 1. The formation of a secondary mediator is obligatory in membrane-intracellular mechanism of hormone action. Point out the substance that is unable to be a 29 secondary mediator: A. Glycerol B. Diacylglycerol C. Inositol-3,4,5-triphosphate D. cAMP E. Ca2+ 2. On some diseases it is observed aldosteronism with hypertension and edema due to sodium retention in the organism. What organ of the internal secretion is affected on aldosteronism? A. Adrenal glands B. Testicle C. Ovaries D. Pancreas E. Hypophysis 3. A typical symptom of cholera is body water loss and sodium ions loss. The biochemical mechanism of unfavorable action of cholera toxin consists in: A. Activation of adenilate cyclase activity of enterocytes B. Activation of synthesis of atrial natriuretic factor C. Decrease of synthesis of antidiuretic hormone in hypothalamus D. Stimulation of rennin secretion by the cells of kidneys glomerular arteriolae E. Activated oxidation of aldosterone in the cells of adrenal glands 4. A women with low arterial pressure after the parenteral introduction of a certain hormone showed the essential rise of arterial pressure as well as blood levels of glucose and lipids. What hormone was administered to the patient? A. Adrenaline B. Insulin C. Glucagon D. Progesterone E. Estradiol 5. Biologically active substances, especially hormones, are products of hydrolysis and modification of certain proteins. From which of the listed below proteins do lipotropin, cortcotropin, melanotropin and endorphins appear in hypophisis? A. Proopiomelanocortin (POMC) B. Neuroalbumins C. Neurostromin D. Neuroglobulin E. Thyreoglobulin Individual independent student’s work 1. Transformations of arachidonic acid in human organism and the influence of products on metabolic processes. 30 Additional literature: 1. Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. 2. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. 3. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. 4. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M.. – 2012. – 308 p. Sense module № 15. Biochemistry of hormonal regulation. Topic № 6. Molecular and cellular mechanisms of steroid and thyroid hormones action upon target cells. Objective: To analyze changes in carbohydrate, lipid and protein metabolism which occur in endocrine glands dysfunction and to interpret prognostic significance of distinct disorders. To learn mechanisms of hormonal regulation of calcium homeostasis: distribution of Ca+2 in organism, fractions of calcium in human blood plasma, the role of bone tissue, intestines and kidneys in support of calcium homeostasis. To know biochemical mechanisms of pathological processes development and typical manifestations in endocrine diseases, with special attention to thyroid gland dysfunction. Actuality of the theme: Hormones play an important role in mechanisms of homeostasis. These substances regulate the activity of enzymes in cells, influence the expression of cell genome and change the intensity of metabolism in target cell and in the body as well. The knowledge of mechanisms of the neurohumoral regulation of metabolism gives basis for diagnostics and rational therapy at endocrinological disorders. Specific objectives: To analyze metabolic changes and biochemical indexes, which characterize the carbohydrate metabolism, metabolism of proteins and lipids in disorders of endocrine glands and to summarize the prognostic estimation of these disorders. To interpret the mechanisms of hormonal regulation of calcium homeostasis: distribution of calcium in the body, fractions of calcium in human blood plasma, the role of bone tissue, small intestine and kidneys in support of calcium homeostasis. To explain the biochemical mechanisms of development and manifestation of pathological processes and typical disorders of endocrine system. 1. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: The mechanism of action of 1. Satyanarayana U., Chakrapani U. thyroid hormones (cytosolic) of “Biochemistry”, Third Edition. – 2006. – P. 31 2. 3. 4. thyroid gland and steroid hormones (cytosolic and nuclear receptors). The mechanism of action of thyroid hormones; The mechanism of action of steroid hormones 429-432. 2. Lecture notes. Thyroid hormones: the structure and biosynthesis of thyroid hormones; biological effects of T4 and T3; • pathology of the thyroid gland; features of metabolic disorders in conditions of hyperand hypothyroidism; mechanisms of endemic goiter formation and its prevention Steroid hormones: nomenclature, classification. Scheme of biosynthesis of the steroid hormones from cholesterol: Nomenclature of steroid hormones; Classification of steroid hormones; Biosynthesis of the steroid hormones from cholesterol Steroid hormones of the adrenal cortex (C21-steroids): the structure, physiological and biochemical effects of glucocorticoids (cortisol, corticosterone), the role of cortisol in the regulation of metabolism (carbohydrates, proteins, lipids); biochemical basis of antiinflammatory properties of glucocorticoids; the structure, physiological and biochemical effects of mineralocorticoids (e.g. aldosterone); role of aldosterone in the regulation of water 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 437-441. 2. Lecture notes. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 441-449. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 444-445. 3. Lecture notes. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 441-444. 2. Lecture notes. 32 5. 6. metabolism; Cushing's disease, Adison’s disease, aldosteronism, Cohn's disease. Steroid hormones of the gonads: female hormones: estrogen estradiol, estrone (C18-steroids), progesterone (C21-steroids); physiological and biochemical effects; connection with the phases of the menstrual cycle; regulation of synthesis and secretion; male sex hormones (androgens) testosterone, dihydrotestosterone (S19steroids); physiological and biochemical effects, regulation of synthesis and secretion; clinical application of hormone analogues and antagonists gonads. The mechanism of action of parathyroid hormone and calcitonin. Parathyroid hormone structure. Calcitriol: biosynthesis; effect on the absorption of Ca2 + and phosphate in the intestine. Calcitonin - structure, impact on calcium and phosphate: The mechanism of action of parathyroid hormone and calcitonin; Structure of parathyroid hormone; Biosynthesis; effect on the absorption of Ca2 + and phosphate in the intestine of calcitriol; Calcitonin - structure, impact on calcium and phosphate 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 445-449. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P. 448-453. 3. Lecture notes. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 407-408, 437-441. 2. Lecture notes. 33 7. 8. 9. 10. Clinical and biochemical characteristics of disorders of calcium homeostasis (rickets, osteoporosis). Distribution of Ca2+ in the body; molecular forms of calcium in the blood plasma. The role of bone, small intestine and kidney in calcium homeostasis: Clinical and biochemical characteristics of disorders of calcium homeostasis; Distribution of Ca2+ in the body. molecular forms of calcium in the blood plasma The role of bone, small intestine and kidney in calcium homeostasis General characteristics of hormone-like substances. Biochemical basis of hormonal regulation of digestion. Gastrin. Cholecystokinin. Secretin: General characteristics of hormone-like substances; Biochemical basis of hormonal regulation of digestion; 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 408-409. 2. Lecture notes. Biogenic amines with hormonal and neurotransmitter properties: structure, biosynthesis, physiological effects, biochemical mechanisms of action (serotonin, melatonin, histamine). Receptors of biogenic amines; receptor action of drugs, histamine receptor antagonists: Structure, biosynthesis, physiological effects, biochemical mechanisms of action (serotonin, melatonin, histamine) of the biogenic amines; Receptors of biogenic amines The : general characteristics; nomenclature (prostaglandins, prostacyclins, thromboxanes, 1. Lecture notes. 2. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P.275-277. 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – P. 449-450. 2. Lecture notes. 1. Harper′s Biochemistry. 27th edition / R. K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell, 2006.- P.204-208. 34 2. Lecture notes. leukotrienes): The biosynthesis of prostaglandins and thromboxanes; their biological and pharmacological properties; Leukotriene biosynthesis; 5lipoxygenase, their biological properties; Clinical application of eicosanoids, aspirin and other nonsteroidal antiinflammatory drugs as inhibitors of prostaglandin synthesis. Comprehension questions: 1. a. Name the stages of the synthesis and secretion of thyroid hormones represented on the diagram below. 1– 2– 3– 4– 5– 6– 7– b. Thyroid hormones are synthesized in follicular cells of the thyroid gland from tyrosine residues within the thyroglobulin molecule. T4 and T3 molecules are then cleaved and released into the circulation. T3, the physiologically active form of thyroid hormone, can also be formed from the monodeiodination of T4. T4 is converted to T3 predominantly by type I iodothyronine deiodinase. Abbreviations: D1, type I iodothyronine deiodinase; D2, type II iodothyronine deiodinase; D3, type III iodothyronine deiodinase; rT3, reverse T3. What is the role of pituitary gland in biosynthesis of thyroid gland. 2. Biosynthesis of steroid hormones is represented on the diagram below. Name the hormones and enzymes of this pathway. 35 x1 - ? x2 - ? x3 - ? x4 - ? Examples of multi-choice questions: 1. Pregnant women have a requirement in the promoted amount of cholecalciferol; one of its metabolite is a powerful synergist of parathormone, which stimulates the process of bone resorbtion and output of calcium and phosphates in blood. name this metabolit? A. 1,25-Dihydroxycholecalciferol B. 1-hydroxycholecalciferol C. Cholecalciferol D. Ergocalciferol E. 25-Hydroxycalciferol 2. In blood of a patient a hypercalcemia, hypophosphatemia, in urine – hyperphosphaturia is observed. What is a possible cause of this state? A .Enhanced secretion of parathyroid hormone B. Suppression of parathyroid hormone synthesis C. Enhanced secretion of calcitonine D. Suppressed calcitonine secretion E. Enhanced thyroxine secretion 3. Arachidonic acid as essential nutrient is needed for normal growth and developement. It is precursor of biologically active substances. Indicate what compounds are synthesized from arachidonic acid A . Prostaglandine E1 36 B. Noradrenalin C. Ethanolamine D. Triiodothyronine E. Choline 4. Prostaglandins comprise a family of oxygenated lipid signaling molecules derived from polyunsaturated fatty acids such as arachidonic acid. They are involved in regulating a number of cellular processes. Some of the prostaglandins act to increase vasodilation and levels of cAMP in cells, whereas others increase vaso- and bronchoconstriction and smooth muscle contraction. In the conversion of arachidonic acid to prostaglandins, the oxygenation step is accomplished by the enzyme that synthesizes which of the following compounds? A. Prostaglandin H2 B. Prostaglandin E2 C. Prostaglandin F2α D. Prostaglandin D2 E. Prostaglandin I2 5. Signaling via prostanoids begins by interaction of the prostanoid with its receptor. The receptor involved is usually located in which part of the cell? A. Plasma membrane of a cell near the cell making the prostanoid B. Nucleus of a cell in a different organ from the cell making the prostanoid C. Endoplasmic reticulum of the cell making the prostanoid D. Lysosomes of a cell circulating in the blood E. Golgi of a cell circulating in the blood 6. The formation of a secondary mediator is obligatory in membraneintracellular mechanism of hormone action. Point out the substance that is unable to be a secondary mediator: A. Glycerol B. Diacylglycerol C. Inositol-3,4,5-triphosphate D. cAMP E. Ca2+ Individual independent student’s work 2. The role of hormone-receptor interaction in the development of hormonal effect. Additional literature: 1. Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. 2. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003. – 416p. 3. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. 37 4. MCQs / Prof. Sklyarov A.Ya., Lutsik M.D., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M.. – 2012. – 308 p. Topic № 7. Biochemistry of nervous tissue. Pathobiochemistry of psychotic disorders. Objective: To learn the composition and peculiarities of metabolism in nervous tissue, its functioning in normal conditions and in certain diseases. To use practically a method of cholinesterase activity determination. Specific objectives: To explain peculiarities of chemical composition of white and grey matter of brain. To analyze differences between cerebrospinal fluid and blood plasma. To interpret specific features of metabolism in brain tissue. To explain the role of neurotransmitters in regulation of functions of organs and cells. To analyze changes in cholinesterase activity in different diseases. GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: Peculiarities of biochemical composition and metabolism of nervous tissue: Chemical composition of brain tissue Neurospecific proteins and lipids (gangliosides, cerebrosides, cholesterol) Peculiarities of aminoacid composition of brain tissue Role of glutamic acid system. References: 17.Guide “Biochemistry of the nervous system” 18.Power point lecture “Biochemistry of the nervous system” 19.http://neurotransporter.org/glutamate.html 20.http://learn.fi.edu/learn/brain/proteins.html 2. Energetic metabolism in human brain tissue. The significance of aerobic oxidation of glucose Changes in condition of physiological sleep and narcosis. 1.Guide “Biochemistry of the nervous system” 2.Power point lecture “Biochemistry of the nervous system” 3.http://cdn.intechopen.com/pdfswm/32399.pdf 1. 3. Neurotransmitters (acetylcholine, 1.Guide “Biochemistry of the nervous noradrenalin, dopamine, serotonin, system” excitatory and inhibitory amino 2.Power point lecture “Biochemistry of the 1. 38 acids). nervous system” 3. http://learn.fi.edu/learn/brain/proteins.html 4.http://thebrain.mcgill.ca/flash/i/i_01/i_01_ m/i_01_m_ana/i_01_m_ana.html 4. Receptors for neurotransmitters and 1.Guide “Biochemistry of the nervous physiologically active substances. system” 2.Power point lecture “Biochemistry of the nervous system” 3.http://www.learner.org/courses/biology/text book/neuro/neuro_7.html 5. Peptideergic system of brain. 6. Opioid peptides (enkephalins, 1.Guide “Biochemistry of the nervous endorfines, dynorphines). system” 2.Power point lecture “Biochemistry of the nervous system” 3.http://pubs.niaaa.nih.gov/publications/arh21 -2/132.pdf Molecular principles of bioelectric 1.Guide “Biochemistry of the nervous processes on neuron membranes. system” 2.Power point lecture “Biochemistry of the nervous system” 3.http://www.whatislife.com/reader2/membra ne_bioelectricity.htm 4. http://www.bem.fi/book/02/02.htm 5.http://www.dummies.com/howto/content/understanding-the-transmission-ofnerve-impulses.html 6.http://www.cliffsnotes.com/sciences/anatom y-and-physiology/nervoustissue/transmission-of-nerve-impulses 7. 1.Guide “Biochemistry of the nervous system” 2.Power point lecture “Biochemistry of the nervous system” 8. Disorders in metabolism of 1.Guide “Biochemistry of the nervous neuromediators and modulators in system” brain during psychoses. 2.Power point lecture “Biochemistry of the nervous system” 9. Neurochemical mechanisms of action of psychotrope factors (neuroleptics, antidepressants, anxiolytics, nootropics). 1.Guide “Biochemistry of the nervous system” 2.Power point lecture “Biochemistry of the nervous system” 39 10 Enzymes involved in biosynthesis 1.Guide “Biochemistry of the nervous and degradation of neurotransmitters. system” 2.Power point lecture “Biochemistry of the nervous system” Comprehension questions: 1. Sign the following neurotransmitters and biologically active compounds and write the reactions of their formation: 2. Sign the structural parts of a neuron: 3. Sign the following psychotropic compounds and explain their mechanism of action and application in medicine: 40 4. Sign the constituents of the synapse: 5. Patients with insufficiency of thiamine usually shows several neurological symptoms: loss of reflexes, excitability, loss of consciousness. Explain, why does lack of thiamine deficiency affect brain functions? 6. It is known that glycogen which provides the energetic metabolism in the body is accumulated in liver and muscules, but not in such important tissue as brain, which preferentially utilizes glucose. Explain, why glycogen is not accumulated in brain? Examples of multi-choice questions: 1. Tetanus toxin causes tonic contraction of skeletal muscles because it supress release from nerve endines the next neurotransmitter: A. GABA B. Noradrenalin C. Acethylcholine D. Glycine E. Glutamate 2. Parkinson disease a dofaminergic transmission is altered and that in treatment is used precursor of dofamin – L-DOPA. In order to decrease side affects and dosis, L-DOPA is used in combination with: A. Inhibitor of aromatic amino acids decarboxylase B. Activator of aromatic amino acids decarboxylase C. Inhibitor of monoaminoxidase D. Activator of monoaminoxidase E. Blockators of dofamin receptors 41 3. In brain of schizophrenia patients an increase in the amount of the next receptors is observed: A. Dopamin receptors B. Serotonin receptors C. Adrenalin receptors D. Cholin receptors E. GABA receptors 4. Disorder in process of myelinization of nerve fibres results in heavy neurological disorders and mental disfunction. Such clinical status is caused by inherited defects in metabolism of the next compound: A. Neutral fats B. Cholesterol C. Sphingolipids D. Glycerophospholipids E. Lipoproteins Additional literature: 1. Guyton&Hall Textbook Of Medical Physiology. Saunders; 12th edition.- 2010. – 1120 p. 2. Color Textbook of Histology by Leslie P. Gartner, James L. Hiatt. Saunders; 3 edition. – 2006. – 592 р. 3. Sanacora G, Zarate CA, Krystal JH, Manji HK. Targeting the glutamatergic system to develop novel, improved therapeutics fo r mood disorders. Nat Rev Drug Discov. 2008 May;7(5):426-37. 4. MCQs / Prof. Sklyarov A.Ya., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M. – 2012. – 308 p. Sense module № 16. Biochemistry of muscular tissue and mechanism of its contraction. Topic № 8. Biochemistry of muscular tissue and the mechanisms of muscle contraction. Objective: To learn the composition and peculiarities of metabolism in muscular tissue, its function in normal and pathological conditions. To perform a quantitative determination of creatinine and creatine in urea and its diagnostic significance in certain diseases. Specific objectives: To analyze biochemical composition of muscles and the role of proteins in formation of myocytes. To explain biochemical mechanisms of contraction and relax of muscular fiber. To analyze pathways of energetic support of muscular contraction, role of ATP and creatine phosphate in these processes. 42 GUIDE FOR THE INDEPENDENT STUDY OF THE TOPIC: Questions: References: 1 Fine structure and biochemical 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – composition of myocytes; structural P. 490-496 organization of sarcomers. Myofibril Harper′s Biochemistry. 26th edition / R. proteins: myosine, actin, 2. K. Murray, Daryl K. Granner, Peter A. tropomyosine, troponine complex. Mayes, Victor W. Rodwell, 2003.- P.556Molecular organization of thick and 579 thin filaments. 3. http://www.rtmsd.org/page/1790 2 Nitrogen-containing and nitrogen- 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – free water soluble organic P. 493-494 compounds: structure and functional significance. Molecular mechanisms 2. Harper′s Biochemistry. 26th edition / R. K. Murray, Daryl K. Granner, Peter A. of muscular contraction: modern Mayes, Victor W. Rodwell, 2003.- P.557data on interaction of muscular 2+ 572 filaments. Role of Ca ions in regulation of contraction and relax of 3. https://www.youtube.com/watch?v=BMT 4PtXRCVA striated and smooth muscles. 4. https://www.youtube.com/watch?v=BMT 4PtXRCVA 5. ftp://ftp.mpimfheidelberg.mpg.de/pub/Ken.Holmes/Geeve s_Holmes_05.pdf 3 Modern ideas on energetics of 1. Satyanarayana U., Chakrapani U. “Biochemistry”, Third Edition. – 2006. – muscular contraction and relaxation. P. 490-495 Macroergic compounds of muscles. Structure, production and role of 2. Harper′s Biochemistry. 26th edition / R. K. Murray, Daryl K. Granner, Peter A. ATP, creatine phosphate, creatine Mayes, Victor W. Rodwell, 2003.- P.572phosphokinases, sources of ATP in 574 muscular cells; role of creatine phosphate in energetic supply of contraction. 4 Cell organization and peculiarities of 1. Harper′s Biochemistry. 26th edition / R. K. Murray, Daryl K. Granner, Peter A. bioenergetic processes in Mayes, Victor W. Rodwell, 2003.- P.566 myocardiocytes and regulation of 2. https://tspace.library.utoronto.ca/bitstrea their contraction. m/1807/17464/21/Greenhalgh_Catherine_ A_200903_PhD_thesis.pdf 3. http://ceaccp.oxfordjournals.org/content/ 7/3/85.full 5 Peculiarities of smooth muscles 1. http://www.rtmsd.org/page/1790 43 function. Molecular mechanisms in 2. https://www.youtube.com/watch?v=Hy8 RW0Szi68 regulation of tonus of vessels and 3. http://www.cvphysiology.com/Blood%20 bronchi. Pressure/BP026.htm 4. http://www.jbc.org/content/277/3/2186.fu ll 5. http://www.uic.edu/classes/phyb/phyb516 /smoothmuscleu3.htm 6. file:///C:/Users/Hrustuna/Downloads/Hor owitz1996PhysiolRev76(4)9671003%20Mechanisms%20of%20Smooth %20Muscle%20Contraction.pdf U., Chakrapani U. 6 Biochemical changes of blood plasma 1. Satyanarayana “Biochemistry”, Third Edition. – 2006. – enzymes in different periods of P. 112-113 myocardial infarction and other 2. http://www.patient.co.uk/doctor/cardiacheart diseases. enzymes-and-markers-for-myocardialinfarction 7 Heart as endocrine organ. 1. http://www.eolss.net/samplechapters/c03/e6-54-05-04.pdf Cardiopeptides, their functional 2. http://ajpheart.physiology.org/content/290 significance. /1/H17 8 Biochemical changes and diagnosis of 1. Harper′s Biochemistry. 26th edition / R. K. Murray, Daryl K. Granner, Peter A. muscular dystrophies. Mayes, Victor W. Rodwell, 2003.- P.565566 2. http://www.webmd.com/children/underst anding-muscular-dystrophy-treatment 9 Pathobiochemistry of muscles – 1. Harper′s Biochemistry. 26th edition / R. K. Murray, Daryl K. Granner, Peter A. myopathias. Metabolic myopathias. Mayes, Victor W. Rodwell, 2003.- P.565Disturbance of metabolism in skeletal 566 muscles in aging. 2. http://www.ninds.nih.gov/disorders/myopa thy/myopathy.htm 3. http://emedicine.medscape.com/article/759 487-overview Comprehension questions: 1. Fill in the table timeline of biochemical markers of myocardial infarction: № Marker Timeline, hours from to 1. Myoglobin 44 2. 3. 4. 5. 6. 7. Troponin T MB creatine phosphokinase (CPK) Total creatine phosphokinase (CPK) Aspartate aminotransferase (AST) Lactate dehydrogenase (LDH1,2) Alanine aminotransferase (ALT) 2. Sign the structuctural elements of the muscular fiber: 3. Sign and explain which fibers presented below belong to the smooth, skeletal and cardiac muscle tissue: 4. Sign the ultrastructural constituents of the muscle fiber, presented below: 45 5. Sign structural elements, presented on the picture below and biochemical processes (indicated with numbers) of the process of muscular contraction: 6. It is known that the main feature of bronchial asthma is a spasm of smooth muscles of bronchioles. What causes manifestation of such symptoms? 7. Patient has vitamin E hypovitaminosis. How will it influence the function of muscles? 8. Patients with insufficiency of thiamine usually have a series of neurological symptoms: loss of reflexes, excitability, loss of consciousness. Explain, why does thiamine deficiency affect the brain functions? Examples of multi-choice questions: 1. For early diagnostics of muscular distrofy is the most informative an increase in activity of certain enzyme in blood plasma. Note it. A. Lactate dehydrogenase B. Alanine aminotransferase C. Aspartate aminotransferase D. Creatinkinase E. Alfa-amylase 2. In a patient with progressive muscular dystrophy a biochemical investigation of urine was conducted. Appearance of what compound in great amount in urine can support diagnosis of muscle disease in this patient? A. Hippuric acid B. Creatin C. Porphyrins D. Carbamide E. Creatinine 3. People which for a long time were in a state of hypodynamia, have intensive pains in musclesafter the physical load. What is most reliable cause of this symptom? A. Decrease of lipids in muscle B. Increase of ADP in muscles 46 C. Accumulation of cretine in muscles D. Increase of muscule proteins disintegration E. Accumulation of lactic acid in muscules 4. For synthesis of ATP in skeletal muscles and myocardium are used different substrats. One of them is utilized in myocardium, but not in skeletal muscles. A. Glycogen B. Glucose C. Lactic acid D. Fatty acids E. Keton bodies 5. The most rapid mechanism of ATP regeneration in case of intensive physical load in muscles is the next: A. Generation of ATP from creatinphosphate B. Aerobic glycolysis C. Glycogenolysis D. Anaerobic glycolysis E. Oxidation of triglycerides Individual independent students work 1. Multi-enzyme complexes and their advantages. 2. The employment of enzymes in biochemical investigations. Additional literature: 1. Lehninger A. Principles of Biochemistry. – New York. – W.H.Freeman and Company. – 2005. – 1010 p. 2. Mardashko O.O., Yasinenko N.Y. Biochemistry. Texts of lectures.-Odessa. The Odessa State Medical University, 2003.-416p. 3. Devlin T.M., ed. Textbook of Biochemistry with Clinical Correlations, 5th ed. New York: Wiley-Liss, 2002. 4. Toy E.C., Seifert W. E., Strobel H.W., Harms K.P. “Case Files in Biochemistry. 2nd edition” – 2008. – 488 p. 5. MCQs / Prof. Sklyarov A.Ya., Fomenko I.S., Klymyshin D.O., Nasadyuk C.M.. – 2012. – 308 p. 47