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Kaplan Qbank USMLE



Author5 Posts
  #1

Its a area of intense research.
I just came across a question in qbank,so it sounds to be high yield topic.
It was about the mutations in LDL receptor gene.
What i understand is(i am just trying to make it simple)

The gene for LDL receptor is having 5 general domains & 18 exons.
There are >200 mutations.
Though i came across 5 classes of mutations.
Class 1
decreased transcription of LDL receptor gene

which involves signal sequence near exon 1.



class 2
defect
in dissociation of LDL from receptor in endosome.Trouble being
initially transported to golgi complex & can become trapped in ER.

defect in exon 7 to 14



class 3
reduced binding of LDL

defect near exon 2 to 6


But i am little confused for class 4 & class 5.
Can anybody tell me?
Also can anybody verify the above information
.




Edited by tanisha on 06/18/05 - 10:14 PM

  #2

Do anybody know?
or can tell me?


  #3

  • The gene for the LDL receptor, which is autosomal dominant, is located on the short arm of chromosome 19.
  • Since its discovery by Goldstein and Brown, more than 420 different mutations have been identified that have a meaningful impact on receptor function.
  • LDL receptor function ranges from completely absent to approximately 25% of normal receptor activity.
  • The 5 classes of mutations are as follows:
    • Class 1 includes absent receptor proteins.
    • Class 2a includes a complete blockade in the transport of the receptor between the endoplasmic reticulum and the Golgi apparatus.
    • Class 2b includes a partial blockade in the transport of the receptor between the endoplasmic reticulum and the Golgi apparatus.
    • Class 3 involves an inability of the receptor to bind LDL normally.
    • Class 4 involves an inability to accumulate in clathrin-coated pits after binding the LDL. This prevents internalization.
    • Class 5 exhibits an inability to release LDL to the interior of the cell after internalization. This prevents the recycling of the receptor back to the cell surface.


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  #4

http://www.emedicine.com/med/topic1072.htm

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  #5

thank you ssrpk







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