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Monogenic Diseases
Andrea Jaramillo Cerezo
Medicine Student
2017 - 1
Introduction
Positional cloning in	action
is a	laboratory technique
that allows us to	localize
the position of	a	gene	in	a	
chromosome that is directly
associated with a	disease.	
We can	use	it even when
we dont know the chemical
bases	of	the disease
The gene isolation is useful for:
- Identify the carriers
of	the disease
- Detect the mutations
for an accurate diagnostic
- Develop some gene	
therapy or recombinant
proteins for treatment
- Understand the
biochemestry and	
pathology process
Cracking the code of
Huntington's disease
2017, March 23
Ecole Polytechnique Fédérale de Lausanne
People with
Huntington’s disease
(More	than 36	Glutamine)
Cracking the code of Huntington's disease
Huntingtin
Is a	protein transcribed from the gene	
IT15 or Huntingtin gene.	It’s function
hasn’t been enlightened,	 but we
know is essential for brain
development and	protecting against
apoptosis	
Normal people
(6	to	35	Glutamine)
Autosomal Dominant
Irritability
Personality
changes
Involuntary
movements
Cracking the code of Huntington's disease
The other amino acid
mimic the charge of the
phosphate group,
demonstrating they don’t
need to know all the
specific process
This is reduced in HD.
They want to use these modifications as disease
biomarkers for early diagnosis and
monitoring disease progression
Cracking the code of Huntington's disease
Post translational modification
Is an enzymatic process that modify
the protein after it’s biosynthesis.	It
consist in	adition new	groups or
modifying one existing group
This is usful for the cell to	build up	
the final	structural level and	is the
last step of	the protein
biosynthesis
Cracking the code of Huntington's disease
Student’s observation
I	thinkthis is an excelent development because
this strategyis focus not onlyin	reduce	the symtoms
of	the Huntingtin’s aggregation.	
It’s importantthat this studycan	help also to	identify
biomarkers because if we can	start the tretment options
before the apparition of	severe signs we can	expect a	
better prognosis for the patients.
Vitamins could help treat
cystic fibrosis
2017, March 27
Queen's University Belfast
Vitamins could help treat cystic fibrosis
Cystic fibrosisAutosomal recessive disorder
Mutation in	BOTH	copies	of	the gene	that codifies
CFTR protein (Cystic Fibrosis Transmembrane
Conductance Regulator) implicated in	chloride
ion	channel function
The secretions (principallyin	lungs)	become thick
affectingthe mucociliaryclearance
High	percentage of	INFECTIONS (main complication in	CF)
Vitamins could help treat cystic fibrosis
As the CF patients are receiving a lot of
antibiotics for their frecuently lung
infections, each time they are infected by
more resistant bacteria that can live in
that hostile environment.
The principal	
multiresistant bacteria	
that affects CF	patients
is called Burkholderia
cenocepacia,	and	
associated with an
exacerbation of	
respiratoyry
symptomps,	
deterioration of	lung
function and	death
Vitamins could help treat cystic fibrosis
Without fat-soluble vitamins
Lipocalin Antibiotic
Bacteria	still growing
Lipocalin Antibiotic Lipocalin
Antibiotic
can	attack
the bacteria
With fat-soluble vitamins
Vitamins could help treat cystic fibrosis
I	thinkthis is a	huge advance to	
counteract the bacteria
resistance that can	be	aplied,	in	a	
future,	for not onlyinfections in	cystic
fibrosis.	Also this is so	great for CF	
patient because theyhave to	live with
the risk of	getting an infection in	every
place	that can	kill them.
Student’s observation
Medical Utility
The use	of	fat-soluble	vitamins couldbe	
used by the medical	community as	an
alternative to	potentiate the
effect of	some antibiotics instead of	
change them,	because we already have
a	big problem with antibiotic
resistance in	this type of	patients that
in	some time	aren’t going to	be	able to	
receive antibiotics.
Medical Utility
With the Huntington’s
diseaseinvestigation they can	
show	to	other investigation
groups how changing the
structure of	some
proteins that cause	some
diseases,	can	be	helpfulto	
reduce these proteins
potential of causing
some damages without
knowing the complete	proces
of	that protein synthesis.	
Medical Utility
It’s very importantfor
the actual	medicine	to	
investigate in	this types of	
pathologies becausein	
this momentthey don’t
have a cure and	they
can	only be	prevented by
some processes that
aren’t common as	genetic
counseling or genetic
therapy.
Medical Utility
Bibliography
Ø Ecole Polytechnique Fédérale de	Lausanne.	
(2017,	March 23).	Cracking	the code of	
Huntington's disease.	ScienceDaily.	
Retrieved March 29,	2017	from
www.sciencedaily.com/releases/2017/03/1
70323125502.htm
Ø Queen's University Belfast.	(2017,	March
27).	Vitamins could help treat cystic fibrosis,	
research finds.	ScienceDaily.	Retrieved
March 28,	2017	from
www.sciencedaily.com/releases/2017/03/1
70327100742.htm
Ø MARTINEZ	SÁNCHEZ,	Lina	María.	Biología	
molecular.	2.	ed.	Medellín:	UPB.	Fac.	de	
Medicina, 2006.	215-220	p.
“It is not our differences
that divide us. It is our
inability to recognize, accept,
and celebrate those
differences”
-Audre Lorde

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Monogenic Diseases

  • 1. Monogenic Diseases Andrea Jaramillo Cerezo Medicine Student 2017 - 1
  • 2.
  • 3.
  • 4. Introduction Positional cloning in action is a laboratory technique that allows us to localize the position of a gene in a chromosome that is directly associated with a disease. We can use it even when we dont know the chemical bases of the disease The gene isolation is useful for: - Identify the carriers of the disease - Detect the mutations for an accurate diagnostic - Develop some gene therapy or recombinant proteins for treatment - Understand the biochemestry and pathology process
  • 5. Cracking the code of Huntington's disease 2017, March 23 Ecole Polytechnique Fédérale de Lausanne
  • 6. People with Huntington’s disease (More than 36 Glutamine) Cracking the code of Huntington's disease Huntingtin Is a protein transcribed from the gene IT15 or Huntingtin gene. It’s function hasn’t been enlightened, but we know is essential for brain development and protecting against apoptosis Normal people (6 to 35 Glutamine) Autosomal Dominant Irritability Personality changes Involuntary movements
  • 7. Cracking the code of Huntington's disease The other amino acid mimic the charge of the phosphate group, demonstrating they don’t need to know all the specific process This is reduced in HD. They want to use these modifications as disease biomarkers for early diagnosis and monitoring disease progression
  • 8. Cracking the code of Huntington's disease Post translational modification Is an enzymatic process that modify the protein after it’s biosynthesis. It consist in adition new groups or modifying one existing group This is usful for the cell to build up the final structural level and is the last step of the protein biosynthesis
  • 9. Cracking the code of Huntington's disease Student’s observation I thinkthis is an excelent development because this strategyis focus not onlyin reduce the symtoms of the Huntingtin’s aggregation. It’s importantthat this studycan help also to identify biomarkers because if we can start the tretment options before the apparition of severe signs we can expect a better prognosis for the patients.
  • 10. Vitamins could help treat cystic fibrosis 2017, March 27 Queen's University Belfast
  • 11. Vitamins could help treat cystic fibrosis Cystic fibrosisAutosomal recessive disorder Mutation in BOTH copies of the gene that codifies CFTR protein (Cystic Fibrosis Transmembrane Conductance Regulator) implicated in chloride ion channel function The secretions (principallyin lungs) become thick affectingthe mucociliaryclearance High percentage of INFECTIONS (main complication in CF)
  • 12. Vitamins could help treat cystic fibrosis As the CF patients are receiving a lot of antibiotics for their frecuently lung infections, each time they are infected by more resistant bacteria that can live in that hostile environment. The principal multiresistant bacteria that affects CF patients is called Burkholderia cenocepacia, and associated with an exacerbation of respiratoyry symptomps, deterioration of lung function and death
  • 13. Vitamins could help treat cystic fibrosis Without fat-soluble vitamins Lipocalin Antibiotic Bacteria still growing Lipocalin Antibiotic Lipocalin Antibiotic can attack the bacteria With fat-soluble vitamins
  • 14. Vitamins could help treat cystic fibrosis I thinkthis is a huge advance to counteract the bacteria resistance that can be aplied, in a future, for not onlyinfections in cystic fibrosis. Also this is so great for CF patient because theyhave to live with the risk of getting an infection in every place that can kill them. Student’s observation
  • 16. The use of fat-soluble vitamins couldbe used by the medical community as an alternative to potentiate the effect of some antibiotics instead of change them, because we already have a big problem with antibiotic resistance in this type of patients that in some time aren’t going to be able to receive antibiotics. Medical Utility
  • 17. With the Huntington’s diseaseinvestigation they can show to other investigation groups how changing the structure of some proteins that cause some diseases, can be helpfulto reduce these proteins potential of causing some damages without knowing the complete proces of that protein synthesis. Medical Utility
  • 18. It’s very importantfor the actual medicine to investigate in this types of pathologies becausein this momentthey don’t have a cure and they can only be prevented by some processes that aren’t common as genetic counseling or genetic therapy. Medical Utility
  • 19. Bibliography Ø Ecole Polytechnique Fédérale de Lausanne. (2017, March 23). Cracking the code of Huntington's disease. ScienceDaily. Retrieved March 29, 2017 from www.sciencedaily.com/releases/2017/03/1 70323125502.htm Ø Queen's University Belfast. (2017, March 27). Vitamins could help treat cystic fibrosis, research finds. ScienceDaily. Retrieved March 28, 2017 from www.sciencedaily.com/releases/2017/03/1 70327100742.htm Ø MARTINEZ SÁNCHEZ, Lina María. Biología molecular. 2. ed. Medellín: UPB. Fac. de Medicina, 2006. 215-220 p.
  • 20. “It is not our differences that divide us. It is our inability to recognize, accept, and celebrate those differences” -Audre Lorde