Download MBBS 1st Year Biochemistry Biochemistry Justification Notes

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 1st Year (First Year) Biochemistry Biochemistry Justification Handwritten Notes


General
1. Why ORS contain glucose and Nacl?
? Oral rehyation solution is used in treatment of d
ehyation in case of diarrhea.
? ORS contain
a. Sodium chloride
b. Sodium citrate
c. Glucose
? There is lots of amount of water as well as sodium loss in case of diarrhea.
? So, to correct dehyation, water is there with ORS
.
? As Glucose and Sodium get absorb by symport (co-transport) mechanism, there is
always, glucose is needed for sodium absorption .
2. Hyperkalemia can occur in Metabolic acidosis.
? There is increase concentration of H+ in Metabolic acidosis
? More potassium ions moves from intracellular to extracellular( into serum),due to
high H+ concentration,
3. Blood Buffers act quickly but not permanently.
? There is three buffering mechanism for acid base balance.
a. Blood buffer
b. Respiratory mechanism
c. Renal Mechanism
? In blood buffer, Bicarbonate buffer (H2CO3/NaHCO3) is in ratio of 1:20
? Hence, It is having highest capacity to neutralized H+ ions.
? As well as , it immediately balance acid and base.
? CO2 excretion though Respiratory mechanism and H+ excretion though Renal
mechanism require sometime.
? So Respiratory and renal mechanism is delayed mechanism but excrete acid
permanently from blood .
? Means, Blood Buffers act quickly but not permanently.
!
"#
"
$


Carbohyate
4. Glycerol is used in enema.
? Glycerol is alcohol of glyceraldehyde.
? It has same properties like carbohyate.
? It is also very highly osmotically active substance.
? So when it given orally or per rectally, it pull water into lumen of the intestine from
intravascular & intracellular space.
? That increase water content of stool and make easy defecation.
? So Glycerol is used in enema.
5. Acarbose is used in treatment of diabetes mellitus?
? Acarbose is structurally analogues to starch.
? So it inhibit action of amylase.
? So Decrease breakdown & digetion of carbohyate.
? So Less amount of glucose get release and less get absorb from intestine.
? Which help to keep gluocose level low.
? So Acarbose is used in treatment of diabetes mellitus.
6. Structure of proteoglycan is well suited for its function.
? Proteoglycans are made up of uronic acid and amine sugar with sulfate.
? Because of amine group and sulfate , they became charge molecule.
? Because of that charge, it can attract more amount of water.
? So it can keep medium spongy as well as like jelly.
? So it can absorp shocks and can work as lubricant.
7. Sucrose is non reducing sugar
? Sucrose is made of Glucose and Fructose with alpha 1-2 glycosidic linkage.
? Aldose,function group of Glucose is at 1st carbon.
? Keto, function group of fructose is at 2nd carbon.
? But function groups are involve in alpha 1-2 glycosidic .
? So no function is free to form enediol.
? No reduction of copper sulfate
? Negative benedict test.
? So "Sucrose is called non reducing sugar."
!
"#
"
$

8. Sucrose is invert sugar
? Sucrose (+ 66.5?) = Glucose (+52.5?) + Fructose (- 92?)
? Sucrose is Dextro rotatory
? While sucrose get hyolysis, fructose give more le
vo-rotation than glucose dextro
rotation.
? So after hyolysis of sucrose became levorotatory.
? So there is change in rotation from dextro to levo.
? So sucrose is called invert sugar.
9. Dextran is use as plasma volume expander
? It is a complex branched polysaccharide of glucose of varying lengths, with high
molecular weight.
? Because of complex structure , it can not be broken down.
? But it can give it's osmotic properties in intravascular space.
? Pull more water into intravascular space and keep it there for longer time.
? It increases blood volume and reducing its viscosity
? thus it used as plasma expander.
10. In acute myocardial infarction,there is elevation of lactic acid in
cardiac myocyte.
? Myocardial infarction is complete occlusion of coronary artery due to thrombose
formation.
? That decreases blood supply as well as oxygen supply to myocardium.
? In absence of oxygen, these myocardium does anaerobic glycolysis for energy
purpose.
? There anaerobic glycolysis convert all pyruvate to lactatic acid.
11. Human can not digest cellulose.
? Cellulose has beta 1-4 glycosidic linkage ( cellobiose bridge )
? Human Amylase can break only
? alpha 1-4 glycosidic linkage.
? alpha 1-6 glycosidic linkage.
? Human has deficiency of enzyme for beta 1-4 linkage. (Cellulobiase)
? Therefore humans can not digest cellulose
!
"#
"
$

12. Fluoride containing vial is use for collecting blood for blood sugar
estimation.
? Collected blood sample has RBC,WBC,Platelet cells etc, which can use glucose of
same sample.
? So during transportation and processing time, when sample get delay in analysis,
glucose may get reduced.
? And gives false low result of blood glucose.
? In presence of fluoride, Enolase enzyme of glycolysis inhibited. So cell can not use
glucose.
? That gives correct value for blood glucose
? So Fluoride containing vial is use for collecting blood for blood sugar estimation.
13. Patient of IDDM have more risk of diabetic ketocidosis than
NIDDM.
? In type II diabetes mellitus, there is increase in insulin level.
? Because of increase insulin level,
? Due to decrease sensitivity of receptors, glucose is not utilized.
? Prevent Proteolysis
? Prevent Fatty acid oxidation.
? Less Acetyl CoA formation
? Less ketone body formation
? Less Chances of Diabetis Ketoacidosis
!
"#
"
$

14. Uncontrolled diabetes mellitus leads to neuropathy & retinopathy.
Polyol pathway
? Hyperglycemia causes increased levels of intracellular glucose in nerves.
? Extra glucose is shunted into the polyol pathway and converted to sorbitol and
fructose by the enzymes aldose reductase and sorbitol dehyogenase.
? Accumulation of sorbitol and fructose lead to reduced nerve myoinositol and
structural breakdown of nerves
? It causing abnormal conduction.
Advanced glycation end products
? Excess glucose makes non-enzymatic reaction with proteins, nucleotides and lipids.
Which is called "Advanced Glycation End products (AGEs)".
? It may have disrupt neuronal integrity and nerve conduction.
Oxidative stress
? Increased production of free radicals in diabetes
? These include direct damage to blood vessels leading to nerve ischemia.
15. Explain Why Diabetic patients are more prone to Atherosclerotic
disease.
? In Uncontrolled diabetes mellitus, there is increase in insulin level.
? But glucose can not utilized by Cell, So there is
? More Proteolysis & More Fatty acid oxidation for energy production.
? Because of more fatty acid oxidation for energy purpose, there will be more Acetyl
CoA formation.
? And simultaneously, due to stimulation of gluconeogenesis process and oxaloacetate
deficiency, that excess acetyl CoA can not enter into TCA cycle.
? That excess acetyl CoA make synthesis of
? More cholesterol formation
? More ketone body formation
? Hence, Uncontrol Diabetes mellitus , there is more chances of atherosclerosis.
!
"#
"
$



16. "Alcohol inhibit gluconeogenesis,so it causes hypoglycemia,if
person is on starvation." explain it.
? Ethanol and Methanol both increase NADH:NAD ratio.
? The high concentration of NADH
a. Convert all pyruvate to lactate.
b. Inhibit TCA cycle
c. Decrease production of Oxaloacetate
? So , process of gluconeogenesis become slow and inhibited.
17. Primaquine administration in G6PD deficient patient can
precipitate Hemolytic anaemia.
? Decreased activity of G6PD impairs Hexose Monophosphate (HMP)Shunt.
? Thus there is no synthesis of NADPH in RBC .
? Primaquire induce free radical (oxidative stress) in RBC.
? To over come this oxidative stress, NADPH is require which is deficient in G6PD
patients.
? That high amount of free radical make damage RBC membrane
? And induce hemolytic anaemia.
18. Cataract is more common in diabetes mellitus.
? Due to high amount of glucose
?
Increase glycation of crystalline protein of lens
?
Makes denaturation of crystalline protein of lens
?
Lens became opaque.
? In lens, kidney and nerve cell , there is deficiency of Sorbitol dehyogenase
deficiency .
?
High glucose produce high sorbitol, that sorbitol can not diffuse out of lens.
?
High sorbitol pull more water into lens and make lens swelling & opacity.
!
"#
"
$



19. Estimation of C-Peptide is better parameter to differentiate IDDM
& NIDDM.
? Endogenous insulin synthesis in pre-pro-insulin form.
? Pre-pro-insulin is converted to the active insulin, simultaneously each molecular of
pre-pro-insulin release connecting peptide (c-peptide).
? Endogenous Insulin & c-peptide are produced in equimolar concentration.
? So, C-Peptide level in plasma indicate endogenous production of insulin.
? IDDM= No endogenous production of insulin.
? NIDDM= Normal or Increased endogenous production insulin.
? Plasma insulin level get alter by exogenous insulin administration.
? Thus ,Very low C-peptide confirms type 1 diabetes(IDDM) & normal or high C-
peptide confirms type 2 diabetes(NIDDM).
? So, C-peptide is used to differentiate IDDM &NIDDM.
20. Chronic alcoholism cause gouty arthritis.
? Ethanol and Methanol both increase NADH:NAD ratio.
? The high concentration of NADH convert all pyruvate to lactate (lactic acid).
? This lactic acid compete with excretion for uric acid in renal tubule and decrease
excretion of uric acid.
? That increase uric acid level and converted to uric acid crystal due acidic pH because
of lactic acid.
? Hence, Chronic alcoholism cause gouty arthritis.
!
"#
"
$

Protein & Amino acid
21. HbS move slower than HbA in alkaline gel electrophoresis.
? Gel electrophoresis is a diagnostics test in sickle cell anemia.
? In sickle cell disease , there is replacement of glutamic acid by valine.
? Negative charged Glutamic acid is replace by neutral charged valine
? So HbS has less negative charge than HbA.
? Less negative charged molecule move less in electrophoresis.
? During electrophoresis, in alkaline medium(pH 8.6),sickle cell hemoglobin moves
slowly towards anode(positive electrode) than does adult HbA.
22. 2,3 BPG decrease affinity of oxygen for hemoglobin.
? When 2,3-BPG binds to deoxyhemoglobin, it acts to stabilize haemoglobin in "T
state".
? It fits neatly into the cavity of the deoxy- conformation and it's positive polarity by
form salt bridges with lysine and histidine residues in the ? subunits of hemoglobin.
? It make difficult for oxygen to bind hemoglobin and more likely to be released to
adjacent tissues.
? 2,3-BPG is part of a feedback mechanism to prevent tissue hypoxia, in conditions
where there is chance on tissue hypoxia.
23. Lead inhibit heme synthesis.
? Lead inhibit zink containing enzyme ALA dehyatase
and ferochelatase of heme
synthesis.
? So, it inhibit heme synthesis.
? Means, Lead exposure can causes chronic anemia.
24. Photosensitivity does not occur in acute intermittent porphyria.
? In acute intermittent porphyria, there is deficiency of uroporphobilinogen synthase
? I (porphobilinogen-deaminase )of heme synthesis.
? This enzyme convert of porphobilinogen to hyoxyme
thylbilane.
? In AIP, the porphyrin precursors, porphobilinogen and amino-levulinic acid (ALA),
accumulate.
? The predominantly neurologic damage like peripheral and autonomic neuropathies
and psychiatric manifestations occurs.
!
"#
"
$

25. Blue fluoroscent light is useful in treatment of neonatal jaundice.
? Blue fluoroscent light penetrate the skin and that light is absorb by billirubin.
? Due to light absorption , Bilirubin is converted into two isomers.
? Z-Billirubin (Lumirubin , Structural isomer, Irreversible)
? E-Billirubin (Photobilirubin , configurational isomer, reversible)
? Both are less lipophilic than normal billirubin , without involvement of liver
conjugation.
? This billirubin is excreated though bile and urine.
26. Zwitter ions has minimum buffering & solubility capacity.
? Zwitter ion form of amino acid has net charge zero.
? It contain equal number of positive & negative charges.
? Due to that increase attraction between the each molecule and increase chances of
precipitation formation.
? So it is less soluble.
? Due to zero net charge, it can neutralized less acid and base.
? So , it is less buffering capacity.
27. Row egg is use in treatment of metal poisoning.
? In case of Metal poisoning , Metal causes denaturation of protein of the gastro-
intestinal cells.
? Damage mucosa and get absorb.
? If raw egg protein precipitated by metal.
? Decrease damage to gastro-intestinal mucosa as well as it absorption.
? Decrease toxicity of Metal poisoning.
? So Raw egg is used in metal poisoning.
28. Increase level of Homocysteine increase risk of atherosclerosis
? Interfere with lysyl residual of collegen tissue.
? Collegen cross liking is affected.
? Collegen tissue of blood vessels are damage easly
? Homocysteine thiolectone is a highly reactive free radical
? which thiolate LDL
? Increase oxidized LDL
? Increase tendency for atherosclerosis.
? It activate Hageman's factor
? More chance of platelet aggregation.
? This action of homocystein increase risk of atherosclerosis..
!
"#
"
$


29. Folic acid , vitamin B12 and pyridoxime phosphate is use to reduce
homocysteine level.
? Hyperhomocysteinemia leads to vascular disease
? Vitamin B12 & Folic acid is require as co-enzyme for action of Methionine synthesis
& Methyl Tetrahyofolate Reductase enzyme.
? And convert homocysteine to methionine.
? Pyridoxime phophate (Vit-B6) is require for cystathione synthase activity.
? Which convert homocysteine into cystein.
? So Folic acid , vitamin B12 and pyridoxime phosphate is use to reduce homocysteine
level
30. "Haemoglobin is good blood buffer".
? Haemoglobin is present in highest concentration in blood.
? And it contain maximum amount of imidazole group containing histidine (38
residual) amino acid.
? Histidine's pk (6.8) value is very nearer to physiological pH, so it can bind more
amount of H+ ions.
? Deoxygenated haemoglobin can bind with H+ due Haldane effect.
? Hence, "Haemoglobin is good blood buffer"
31. Alpha 1 anti-trypsin deficiency cause emphysema.
? Alpha 1 anti-trypsin inactivate elastase enzyme and prevent damage to elastic and
collagen containing tissue like lung's alveoli.
? In it's deficiency, there is more activity of elastase enzyme.
? Lung's alveoli get damage due to over activity of elastase.
? And it causes emphysema.
!
"#
"
$


32. Increase ammonia is toxic to brain.
Mechanisms for toxicity of high Ammonia
? High [NH3] would ive Glutamine Synthase:
? Glutamate + NH3
Glutamine
? This decrease glutamate.
? So there is decrease synthesis of inhibitory neurotransmitter GABA. That
makes convulsion.
? Depletion of glutamate & high ammonia level would drive Glutamate
Dehyogenase reaction to
? a-ketoglutarate + NH4+
Glutamate
? These resulting depletion of a-ketoglutarate, an essential Krebs Cycle
intermediate, could impair energy metabolism in the brain.
? Which affect normal physiological brain activity.
? Due to high ammonia, conc. of Glutamine remains high in brain cell.
? Glutamine is co-transported outside from brain cell with tryptophan influx.
? So, More Tryptophan get accumulated in brain cell and more glutamine goes
out of cell.
? From accumulated Tryptophan, Serotonine synthesis & that have depressive
effect on neurons.
!
"#
"
$


33. In Carcinoid synome, patient may suffer from pel
legra.
? Carcinoid synome is neuroendocrine tumors of the
GI tract
? In normal person, only 1% of dietary tryptophan is converted to serotonin.
? But in carcinoid synome, almost 60% of tryptophan
used for serotonin synthesis.
? Which limits the available tryptophan for niacin synthesis.
? Which leads to decrease in conversion of tryptophan to niacin synthesis.
? Hence, deficiency of niacin leads to pellagra.
!
"#
"
$

Lipid
34. Pancreatitis leads to steatorhhea.
? To break ester bond of triglyceride, cholesterol ester and phospholipid of food lipid
(fat), lipase enzyme from pancreas require.
? In pancreatitis (inflammation of pancreas), there is decrease secretion of lipase
enzyme from pancreas
? Due to deficiency of lipase enzyme, Lipid digestion remain undigested.
? That lipid oplet get emulsified because of bile (
splited) but it can not be digested
due to lipase deficiency.
? So Patient of pancreatitis had a split steatorhhea
35. Cystic fibrosis causes deficiency of lipid soluble vitamin.
? Cystic fibrosis is genetic disease due to mutation in CFTR (Cystic Fibrosis
Transmembrane Regulator) gene.
? Which affect all secretory glands.
? Due to this pancreatic , gall bladder & all most all glands secret thick and sticky
secreation.
? That increase chance of blockage in gland.
? Decrease Bile & Pancreatic secretion.
? Decrease digestion & absorption of fat
? Decrease digestion & absorption of fat soluble vitamins.
36. Orlistat (pancreatic and hepatic lipase inhibitor)treatment is
supplemented with lipid soluble vitamins.
? Pancreatic lipases degrade dietary Triglyceride into Fatty acid & Glycerol.
? Orlistat = Non-hyolysable analog to Triglycerid
e
? Power pancreatic lipase inhibitor
? So no breakdown of Triglyceride
? So no reabsoption of fat
? Ultimatly no reabsoption of fat soluable vitamin ( A,D,E,K)
37. Sunflower oil (Omega-3 & Omega-6 fatty acid) decrease risk of
atherosclerosis.
? Sunflower oil provide PUFAs .
? PUFAs and Arachidonic acid compete with cycloxygenase enzyme.
? So There is decreases production of arachidonic acid-derived prostaglandins and
leukotrienes, decreased production of inflammatory cytokines, decreased
expression of adhesion molecules.
? Sunflower oil (Omega-3 & Omega-6 fatty acid) decrease risk of atherosclerosis.
!
"#
"
$

38. Oxidized LDL is improtant in pathogenesis of atherosclerosis.
Oxidized LDL
increases damage to interstitial wall of artery
Increases deposition of LDL in macrophages
"FOAM" cell formation
"FOAM" cell narrow the blood vessels & make turbulent blood flow
Plaque formation & Atherosclerosis
39. High HDL level is decrease risk of coronary heart disease.
? HDL has apolipoprotein A-1 which activate LCET (Lecithin Cholesterol Esterase
Transferase) enzyme.
? LCET help in transferring fatty acid from lecithin to cholesterol.
? So there is more formation of cholesterol ester, which has hydrophobic.
? Because of it's hydrophobic property, more esterified cholesterol is internalized into
HDL molecule from peripheral tissue and other lipoprotein.
? Also, HDL is very good acceptor of unesterified cholesterol.
? It suggest that HDL is collect cholesterol molecule from tissue as well as from other
lipoprotein and drain to the liver.
? This decrease chance of cholesterol deposition, atherosclerosis.
? So, High HDL level is decrease risk of coronary heart disease.
40. Linoleic acid and linolenic acid are essential fatty acid.
? Linoleic (18:2, Omega 6) and Linolenic acid (18:3, Omega 3) are polyunsaturated
fatty acid with 2 and 3 double bond subsequently.
? Humans have carbon 9, 6, 5 and 4 desaturases, but lack the ability to introduce
double bonds from carbon 10 to the -end of the chain.
? This is the basis for the nutritional essentiality of the polyunsaturated linoleic and
linolenic acids.
? Linoleic acid is the precursor of arachidonic acid, the substrate for prostaglandin
synthesis.
? Linolenic acid, the precursor of other -3 fatty acids important for growth and
development.
? So, Linoleic acid and linolenic acid are essential fatty acid.
!
"#
"
$


41. Pre-mature baby can suffer from Acute Respiratory Distress
Synome.
? A baby lung alveoli cell normally begins producing surfactant like dipalmitoyl
phosphatidyl lecithine between 24 & 28 weeks of pregnancy.
? At 34 week of pregnancy , baby produce enough surfactant to provide normal
breath and lung expansion after birth.
? If baby born prematurely, they may not have enough surfactant in their lungs
alveoli.
? Because of insufficient lung surfactant in alveoli, Surface tension inside alveoli
increase and make collapse of the lungs alveoli.
? Which causes Acute respiratory distress synome.
42. Bile salts are detected in the urine of obstructed jaundice.
? Obstructive jaundice occurs due to obstruction in out flow of bile secretion to
duodenum from liver, through gall baldder and common bile duct.
? So there is reuptake of bile component like billirubin as well as bile salt - bile acid in
hepatic circulation.
? So, there is increase billirubin and bile salts level in blood.
? This high billirubin and bile salts excreted in the urine.
43. Vitamin B12 Deficiency causes methylmalonic aciduria.
? So, in vitamin B 12
deficiency, there will be
accumulation of methyl
melonic acid which make
neuronal damage.
? it will be excreated in urine.
? That condition is called "
Methyl Melonic aciduria"
!
"#
"
$


Enzyme
44. Allopurine causes suicide inhibiton
? Allopurinol makes competitive inhibition of xanthine oxidase enzyme.
? As well as Allopurinol is converted to Alloxanthine
? Which inhibit the xanthine oxidase of purine catabolism,more potently.
? And reduce formation of uric acid
? So it is useful in Gouty arthritis.
45. Ethanol is use as antidote in methanol poisoning.
? Ethanol is analogues to methanol
? Alcohol dehyogenase has higher affinity to ethano
l than methanol.
? So Ethanol makes compatitive inhibition of methanol metabolism.
? So Decrease production of formaldehyde
? So Decrease toxicity of methanol
Therefore, Ethanol is use in methanol poisoning.
!
"#
"
$

46. "CK-MB is more significant marker than LDH & S.GOT for diagnosis
of Myocardial infarction" explain it.
? GOT(AST)
? Present in Liver, Gall bladder, Cardiac muscle
?
Non specific for cardiac muscle
? LDH
? Present in Liver, Gall bladder, Cardiac muscle, Skeletal muslce, RBC
? Non specific for cardiac muscle
? Creatine phosphokinase ? MB (CK-MB)
? Earliest to rise after myocardial infarction
? Rise within 4-6 hours of the chest pain
? Specific for cardiac muscle injury
Detectable
Peak value of
Total Duration of
Enzyme
Rise
abnormality
abnormality
CK-MB
4- 6 hours
12 - 24 hrs
2 ? 3 days
GOT (AST)
6 ? 12 hours
1 - 2 days
4 ? 6 days
LDH
18 ? 24 hours
2 - 3 days
6 ? 10 days
? Enzyme detectable durations in Case of Myocardial Infarction
? CK-MB is rise earlier as well as specific myocardial injury in compare to GOT & LDH.
? So CK-MB is more significant than LDH & GOT for diagnosis of myocardial infarction.
?
!
"#
"
$


Nutrition & Vitamins
47. Kwashiorkor leads to oedema.
? Kwashiorkor is protein energy malnutrition (PEM)
? So, There is associated with decrease plasma albumin concentration.
? Because of low protein, there is decrease in osmotic pressure and comparatively
high hyostatic pressure.
? Because of that, water is shifted from intravascular space to extracellular space
? This is called as Oedema.
48. Vitamin C deficiency can cause scurvy
? Vitamin C is require for activation of Lysyl hyox
ylase and Proyl hyoxylase
enzyme.
? These, two enzyme, convert lysine and proline into hyoxylysine and
hyoxyproline.
? And there make interchain hyogen bonding (cross l
inking) in collegen fiber.
? This cross linking gives strength to the connective tissue.
? Thus, in vitamin C deficiency, connective tissue of vessels, bone as well as of gum
tissue loss it's strength.
? That makes gum bleed , superficial vessel damage as well as bone deformities.
? Which is called Scurvy. Vitamin C is require for activation of Lysyl hyox ylase and
Proyl hyoxylase enzyme.
? These, two enzyme, convert lysine and proline into hyoxylysine and
hyoxyproline.
? And there make interchain hyogen bonding (cross l
inking) in collegen fiber.
? This cross linking gives strength to the connective tissue.
? Thus, in vitamin C deficiency, connective tissue of vessels, bone as well as of gum
tissue loss it's strength.
? That makes gum bleed , superficial vessel damage as well as bone deformities.
? Which is called Scurvy.
49. Pyridoxal phosphate deficiency can cause pellagra.
? Because of pyridoxal phosphate deficiency , decrease activity of kynureninase.
? Hence, Pyridoxal phosphate(Vitamin B6) deficiency decrease endogenous synthesis
of niacin from tryptophan and increase chance of Pellagra.
!
"#
"
$


Molecular
50. "Mutations are always harmful." True or Flase, Explain it.
? Due to the degeneracy property of genetic codon, if third base of genetic codon get
substituation type of mutation, than itmay represent same amino acid. So that
mutation does not make any effect, which is called silent mutation.
? If mutation occur in intron, which is a largest part of DNA, than it does not affect
protein synthesis. Because intron does not make any expression for protein
synthesis.
? So In both case ,There is no any protein structure & function changes.
? So Mutation are not always harmful.
51. Methotrexate (Folic acid analogues) is used to treat neoplastic
disease.
? Folic acid is require for purine & pyrimidine biosynthesis.
? Methotrexate is analogus to folic acid.
? So it act as compititive inhibitor with dihyofola
te reductase (DHFR) enzyme.
? And decrease formation of tetrahyo-folate as well
as dTMP.
? So DNA replication is inhibited and So it is useful in treatment of neoplastic diseases.
52. Frameshift mutation is more dangerous than point mutation.
? In point mutation, there is possibility of only single amino acid change in protein
structure because of substitution of single nitrogen base. Which is less dangerous.
? In frame shift mutation, one of nitrogen base of triplet codon either inserted or
deleted.
? Because of that , reading frame for triplet codon is completely shifted.
? So whole amino acid sequence of required protein get change.
? Which cause complete deficiency of that protein.
? Therefore Frame shift mutation is dangerous than point mutation
!
"#
"
$

53. Telomerase inhibitors can be use in treatment of malignancy.
? After removal of RNA primer from 5' end of new DNA, it became shortened at 5' end
in compare to 3' end.
? This 3' end of DNA is called telomere.
? Telomerase enzyme elongate 5' end of DNA in complimentary to 3' telomere end of
the new DNA.
? If Telomerase enzyme is inhibited, after each subsequent replication, new DNA get
shortened and shortened.
? And decrease life of cell.
? So, Telomerase inhibitors can be use in treatment of malignancy.
54. UV radiation can cause Xeroderma pigmentosum (skin cancer).
? Ultra-Violet rays exposer on skin
? "Pyrimidine Dimer" type of DNA Damage
? Which prevent DNA polymerase action beyond this dimer.
? Damage to DNA
? Nucleotide excision repair + UV Specific endonuclease enzyme to repair damage
? If there is defect in nucleotide excision repair mechanism or
? UV Specific endonuclease Enzyme deficiency
? Can cause Skin cancer = Xeroderma Pigmentosum
55. DNA replication is semi-conservative.
? In DNA replication, There is two new copy of double DNA synthesis.
? In each newly synthesized double DNA, there is one strand from parents DNA and
other strand is daughter DNA.
? So it is called semi-conservative.
!
"#
"
$

This post was last modified on 11 August 2021