This document discusses protein structure and folding. It begins by explaining that proteins fold into specific three-dimensional structures determined by their amino acid sequences. It then describes how proteins can become denatured by factors like heat or chemicals, losing their structure and function. However, some proteins can renature and refold into their original conformation. The classic example discussed is ribonuclease, which spontaneously refolds into its active form after denaturation. The document concludes by examining models of the protein folding process, which involves hierarchical formation of secondary and tertiary structure to minimize free energy and arrive at the native conformation.
1) The document discusses microRNAs (miRNAs) and their role in cancer, including how they regulate key cellular processes and pathways involved in cancer development.
2) miRNAs are generally downregulated in cancer and can be deregulated through various mechanisms that allow cancer cells to escape miRNA-mediated repression.
3) The document explores using circulating miRNAs as biomarkers for cancer diagnosis and monitoring treatment response, though more research is still needed to understand their biological functions outside of cells.
Cancer is abnormal and uncontrolled cell growth that can invade tissues and spread to other parts of the body. It is caused by changes in gene expression leading to imbalanced cell proliferation and death. The document defines several key cancer-related terms and describes how cancers are classified based on their origin, morphology, grade, and stage. It also lists several hallmarks of cancer cells, including unlimited growth, self-sufficiency, evasion of cell death, angiogenesis, and metastasis.
1. Several molecular pathways are involved in breast cancer pathogenesis, including steroid hormone receptors, HER2/neu, cell cycle proteins, and growth factors.
2. Risk factors for breast cancer include increasing age, female gender, family history, genetic mutations, personal history of breast cancer or other breast diseases, reproductive factors, and hormone use.
3. High risk patients are identified using tools like the Gail model and managed through increased screening including breast self-exams, clinical exams, mammograms, and MRI. Preventive options include tamoxifen, raloxifen, and prophylactic surgeries.
1) Endocrine therapy targets the estrogen receptor and is effective in treating hormone receptor positive breast cancers. Tamoxifen has been the standard adjuvant treatment since the 1970s.
2) Guidelines recommend 5 years of tamoxifen therapy for postmenopausal patients and those with hormone receptor positive cancers. Longer durations do not provide additional benefits and may cause harms.
3) While tamoxifen is not effective for hormone receptor negative cancers, some low response may occur due to indirect effects. 20mg daily is the standard tamoxifen dose.
Third-generation EGFR TKIs such as AZD9291 were developed to target the T790M mutation and sensitizing EGFR mutations more selectively than wild-type EGFR. However, resistance still develops. The study profiled tumors from patients treated with third-generation TKIs and identified potential resistance mechanisms, including ERBB2 and MET amplification as well as a secondary KRAS mutation. Dual inhibition of EGFR and downstream effectors like MEK may help overcome resistance caused by these bypass mechanisms.
Fibrous proteins are a group of proteins associated with rod or wire shapes. They are usually inert structural or storage proteins that are generally water insoluble. Examples include keratin, collagen, and elastin. In the early 1950s, the basic structures of fibrous proteins were determined to be long protein chains composed of amino acid strings that fold into limited structures like alpha helices and beta sheets. Fibrous proteins often have biological roles as structural components and are found in tissues like bone, cartilage, hair and skin.
1) The document discusses microRNAs (miRNAs) and their role in cancer, including how they regulate key cellular processes and pathways involved in cancer development.
2) miRNAs are generally downregulated in cancer and can be deregulated through various mechanisms that allow cancer cells to escape miRNA-mediated repression.
3) The document explores using circulating miRNAs as biomarkers for cancer diagnosis and monitoring treatment response, though more research is still needed to understand their biological functions outside of cells.
Cancer is abnormal and uncontrolled cell growth that can invade tissues and spread to other parts of the body. It is caused by changes in gene expression leading to imbalanced cell proliferation and death. The document defines several key cancer-related terms and describes how cancers are classified based on their origin, morphology, grade, and stage. It also lists several hallmarks of cancer cells, including unlimited growth, self-sufficiency, evasion of cell death, angiogenesis, and metastasis.
1. Several molecular pathways are involved in breast cancer pathogenesis, including steroid hormone receptors, HER2/neu, cell cycle proteins, and growth factors.
2. Risk factors for breast cancer include increasing age, female gender, family history, genetic mutations, personal history of breast cancer or other breast diseases, reproductive factors, and hormone use.
3. High risk patients are identified using tools like the Gail model and managed through increased screening including breast self-exams, clinical exams, mammograms, and MRI. Preventive options include tamoxifen, raloxifen, and prophylactic surgeries.
1) Endocrine therapy targets the estrogen receptor and is effective in treating hormone receptor positive breast cancers. Tamoxifen has been the standard adjuvant treatment since the 1970s.
2) Guidelines recommend 5 years of tamoxifen therapy for postmenopausal patients and those with hormone receptor positive cancers. Longer durations do not provide additional benefits and may cause harms.
3) While tamoxifen is not effective for hormone receptor negative cancers, some low response may occur due to indirect effects. 20mg daily is the standard tamoxifen dose.
Third-generation EGFR TKIs such as AZD9291 were developed to target the T790M mutation and sensitizing EGFR mutations more selectively than wild-type EGFR. However, resistance still develops. The study profiled tumors from patients treated with third-generation TKIs and identified potential resistance mechanisms, including ERBB2 and MET amplification as well as a secondary KRAS mutation. Dual inhibition of EGFR and downstream effectors like MEK may help overcome resistance caused by these bypass mechanisms.
Fibrous proteins are a group of proteins associated with rod or wire shapes. They are usually inert structural or storage proteins that are generally water insoluble. Examples include keratin, collagen, and elastin. In the early 1950s, the basic structures of fibrous proteins were determined to be long protein chains composed of amino acid strings that fold into limited structures like alpha helices and beta sheets. Fibrous proteins often have biological roles as structural components and are found in tissues like bone, cartilage, hair and skin.
Colorectal cancer is extremely common. Symptoms include blood in the stool and change in bowel habits. Screening using one of several methods is recommended for appropriate populations. Diagnosis is by colonoscopy. Treatment is surgical resection and chemotherapy for nodal involvement.
1. Thyroid cancer is the most common endocrine malignancy, accounting for 1% of all cancers and 0.5-1 cases per 100,000 people.
2. Papillary carcinoma makes up 75-85% of thyroid cancer cases and is usually associated with activation of receptor tyrosine kinases.
3. Differentiated thyroid cancers including papillary and follicular carcinoma have a good prognosis, while anaplastic and medullary carcinomas carry a worse prognosis.
This document discusses screening and surveillance guidelines for colorectal cancer. It notes that colorectal cancer is the third most common cancer and screening has helped reduce rates. The USPSTF recommends against routine screening after age 75. It describes criteria for serrated polyposis syndrome. Surveillance colonoscopy intervals after polyp removal depend on polyp type and risk level. After curative cancer resection, surveillance colonoscopies should occur at 1, 3, and 5 years.
Epithelial and mesenchymal transition in invasion and metastasisAshwini Gowda
This document discusses neoplasia and the process of metastasis. It defines neoplasia as new, uncontrolled growth and describes the hallmarks of cancer cells, including autonomous growth, loss of differentiation, invasion and metastasis. It explains the multi-step process of metastasis, beginning with local invasion of tumor cells into surrounding tissue facilitated by degradation of the extracellular matrix and migration of cells. The document then discusses the vascular dissemination of tumor cells and colonization at distant sites, outlining several theories for how metastatic potential arises in tumors. Key genes and pathways involved in epithelial-mesenchymal transition and the generation of cancer stem cells are also reviewed.
Incidentalomas are unsuspected adrenal masses found on imaging for unrelated issues. Their frequency rises with age. The most common types are adenomas, cysts, and hyperplasia. Evaluation involves imaging to determine size and characteristics, functional tests if secretion is suspected, and isotope scanning to localize functioning tumors. Surgical removal of larger or functioning masses is often recommended to control hormonal abnormalities before surgery. Laparoscopic and open approaches are used depending on tumor size and location.
Molecular diagnostics of colorectal cancerAddisu Alemu
This document provides an outline for a presentation on colorectal cancer (CRC). It discusses the etiology, types, molecular pathogenesis and diagnosis of CRC. Key points include: CRC accounts for 9% of cancer deaths worldwide and arises through genetic and epigenetic changes. The main types are sporadic, inherited syndromes like Lynch syndrome, and familial CRC. Molecularly, CRC arises through chromosomal instability, mismatch repair defects, and epigenetic silencing. Important genes mutated include APC, KRAS, BRAF, p53 and DCC. Familial adenomatous polyposis and Lynch syndrome are inherited CRC syndromes associated with APC and mismatch repair gene mutations respectively.
MicroRNAs (miRNAs) are small non-coding RNAs that regulate gene expression and affect multiple cellular processes. Dysregulation of miRNAs is common in cancer and can impact cancer hallmarks like sustained proliferation, evading growth suppression, resisting cell death, and activating invasion and metastasis. Certain miRNAs are considered oncogenes when their expression is increased in tumors, while others act as tumor suppressors when their expression is decreased. Altered miRNA expression and biogenesis machinery defects contribute to cancer development and progression. miRNAs also show potential as cancer biomarkers and therapeutic targets.
This document discusses oncogenes and tumor suppressor genes, which are critical cancer genes. It defines oncogenes as mutant, overactive, or overexpressed versions of normal proto-oncogenes, which promote cell growth. Tumor suppressor genes normally inhibit growth or promote cell death. Activation of oncogenes or inactivation of tumor suppressor genes can cause cancer. Examples of important oncogenes discussed include SRC, RAS, and MYC. Key tumor suppressor genes mentioned are P53, RB, and BRCA1/2. The document outlines several mechanisms by which these genes can become mutated and dysfunctional, ultimately leading to uncontrolled cell growth and cancer.
The Warburg effect refers to cancer cells predominantly producing energy by a high rate of glycolysis followed by lactic acid fermentation in the cytosol, rather than by a comparatively low rate of glycolysis followed by oxidation of pyruvate in mitochondria as in most normal cells. Otto Warburg observed that solid tumor cells metabolize glucose to lactate at a much higher rate than normal tissues, even in the presence of oxygen. This metabolic shift is caused by mitochondrial defects, hypoxia within tumors, oncogenic signaling, and altered expression of metabolic enzymes. Understanding the Warburg effect has led to the development of novel anti-cancer therapies targeting tumor cell glycolysis.
This document provides an overview of molecular genetics and cancer biology concepts. It begins with an introduction to basic molecular genetics topics like DNA, genes, chromosomes, and gene expression. It then discusses how normal cells can become cancerous through genetic mutations that disrupt processes like tumor suppressor genes, oncogenes, the cell cycle, and DNA repair. The document emphasizes how understanding molecular genetics advances has helped improve diagnosis and treatment of cancers like prostate and bladder cancer, but also highlights ongoing challenges. It provides context on cancer rates and the need for continued research.
This document discusses retinoblastoma, a cancer that develops in the retina. It describes the genetic and non-genetic forms of the disease. The genetic form is caused by a mutation in the RB1 gene on chromosome 13. For tumor development to occur, both copies of the RB1 gene must be inactivated. The RB protein normally acts to prevent excessive cell growth by inhibiting the cell cycle. Loss of RB function contributes to unregulated cell growth and cancer development. Nearly all cancers involve disruption of the RB pathway that controls the G1 to S phase cell cycle transition.
Radiation therapy can play a role in the treatment of both primary and metastatic malignant melanoma. For primary disease, adjuvant radiation may be considered after surgery for desmoplastic or neurotropic melanomas or those with narrow margins. For lymph node metastases, adjuvant radiation after lymphadenectomy reduces the risk of local recurrence. For brain metastases, radiosurgery provides better local control than whole brain radiation and improved survival compared to surgery alone. Radiation is also effective for symptom relief of other metastatic sites and provides high objective response rates.
Role and Side effects of Ovarian Function Suppression in Breast CancerAjeet Gandhi
1) The document discusses the role and side effects of ovarian suppression therapy in premenopausal women receiving adjuvant treatment for hormone receptor positive breast cancer.
2) Key trials like SOFT and TEXT showed that the addition of ovarian suppression to tamoxifen or aromatase inhibitors improved disease-free survival rates and reduced the risk of breast cancer recurrence in premenopausal women compared to tamoxifen alone.
3) The benefits of ovarian suppression were greater in women who remained premenopausal after chemotherapy and those with larger/node-positive tumors or higher grade disease. Common side effects included hot flashes and musculoskeletal symptoms.
Lobular carcinoma of the breast begins in the lobules and has two types: lobular carcinoma in situ (LCIS) and invasive lobular carcinoma (ILC). LCIS is a pre-malignant condition that has a high risk of developing into ILC. ILC is the second most common type of breast cancer and has distinct clinical and pathological features compared to invasive ductal carcinoma. Treatment involves hormonal therapy, chemotherapy, and surgery depending on the extent of disease. Prognosis depends on various factors but ILC generally has a lower proliferation rate and spreads in an uncommon pattern compared to other breast cancers.
Tumour markers can play a crucial role in detecting cancer and assessing response to therapy. They are substances produced either by tumour cells or by the body in response to cancer. Oncoproteins are proteins encoded by oncogenes which normally maintain a fine balance between cell proliferation and differentiation but become permanently activated in cancer, stimulating cell growth. Elevated levels of various oncoproteins and other tumour markers can be detected in blood and other body fluids, serving as biomarkers for early cancer detection and prediction of prognosis. Common tumour markers discussed include AFP, CEA, CA19-9, CA15-3, CA125, and proteins associated with growth factors, receptors, and cellular signalling pathways.
The document discusses several gene expression profiling tests for early breast cancer, including OncotypeDX, MammaPrint, and TAILORx. OncotypeDX analyzes the expression of 21 genes to calculate a recurrence score that predicts the likelihood of distant recurrence within 10 years for tamoxifen-treated patients. MammaPrint analyzes 70 genes to classify patients into low or high risk groups. The TAILORx clinical trial aims to determine which patients with early breast cancer and OncotypeDX scores of 11-25 benefit from chemotherapy using a randomized design.
1. Testicular cancer is most common in young men aged 20-40 years and 90-95% are germ cell tumors.
2. Survival rates have improved to over 95% for stage I and II seminomas and 90% for stage I non-seminomas due to better understanding of the disease, use of tumor markers, and cisplatin chemotherapy.
3. Treatment involves radical orchidectomy followed by radiotherapy for seminomas or lymph node dissection/chemotherapy for non-seminomas depending on stage.
Multiple endocrine neoplasia syndromes are inherited conditions where two or more endocrine glands develop non-cancerous or cancerous tumors due to mutations in genes regulating cell growth. There are two main types: type 1 affects the parathyroid, pituitary, pancreas and thyroid glands. Type 2 affects the parathyroid, thyroid and adrenal glands and is divided into 2A and 2B. Symptoms vary depending on affected glands but include high blood calcium and kidney problems. Diagnosis involves family history, hormone testing, imaging and genetic testing. Treatment focuses on surgically removing tumors and managing hormone levels with medication.
Glycoproteins are proteins that contain carbohydrate chains covalently attached. They can be O-linked, N-linked or GPI-anchored. Glycoproteins play important structural and functional roles like cell adhesion and acting as receptors. They are synthesized through a complex process in the endoplasmic reticulum and Golgi apparatus. Congenital disorders of glycosylation can occur from mutations affecting glycoprotein synthesis. Blood groups are also determined by glycoproteins on red blood cell surfaces.
This document provides an incomplete and disorganized summary of life on Earth from the Paleozoic to Mesozoic eras. It describes some of the major periods such as the Devonian age of fishes and the Jurassic era when dinosaurs appeared. However, it jumps around between topics, includes errors and locked scenes, and does not form a coherent narrative of life's history.
Colorectal cancer is extremely common. Symptoms include blood in the stool and change in bowel habits. Screening using one of several methods is recommended for appropriate populations. Diagnosis is by colonoscopy. Treatment is surgical resection and chemotherapy for nodal involvement.
1. Thyroid cancer is the most common endocrine malignancy, accounting for 1% of all cancers and 0.5-1 cases per 100,000 people.
2. Papillary carcinoma makes up 75-85% of thyroid cancer cases and is usually associated with activation of receptor tyrosine kinases.
3. Differentiated thyroid cancers including papillary and follicular carcinoma have a good prognosis, while anaplastic and medullary carcinomas carry a worse prognosis.
This document discusses screening and surveillance guidelines for colorectal cancer. It notes that colorectal cancer is the third most common cancer and screening has helped reduce rates. The USPSTF recommends against routine screening after age 75. It describes criteria for serrated polyposis syndrome. Surveillance colonoscopy intervals after polyp removal depend on polyp type and risk level. After curative cancer resection, surveillance colonoscopies should occur at 1, 3, and 5 years.
Epithelial and mesenchymal transition in invasion and metastasisAshwini Gowda
This document discusses neoplasia and the process of metastasis. It defines neoplasia as new, uncontrolled growth and describes the hallmarks of cancer cells, including autonomous growth, loss of differentiation, invasion and metastasis. It explains the multi-step process of metastasis, beginning with local invasion of tumor cells into surrounding tissue facilitated by degradation of the extracellular matrix and migration of cells. The document then discusses the vascular dissemination of tumor cells and colonization at distant sites, outlining several theories for how metastatic potential arises in tumors. Key genes and pathways involved in epithelial-mesenchymal transition and the generation of cancer stem cells are also reviewed.
Incidentalomas are unsuspected adrenal masses found on imaging for unrelated issues. Their frequency rises with age. The most common types are adenomas, cysts, and hyperplasia. Evaluation involves imaging to determine size and characteristics, functional tests if secretion is suspected, and isotope scanning to localize functioning tumors. Surgical removal of larger or functioning masses is often recommended to control hormonal abnormalities before surgery. Laparoscopic and open approaches are used depending on tumor size and location.
Molecular diagnostics of colorectal cancerAddisu Alemu
This document provides an outline for a presentation on colorectal cancer (CRC). It discusses the etiology, types, molecular pathogenesis and diagnosis of CRC. Key points include: CRC accounts for 9% of cancer deaths worldwide and arises through genetic and epigenetic changes. The main types are sporadic, inherited syndromes like Lynch syndrome, and familial CRC. Molecularly, CRC arises through chromosomal instability, mismatch repair defects, and epigenetic silencing. Important genes mutated include APC, KRAS, BRAF, p53 and DCC. Familial adenomatous polyposis and Lynch syndrome are inherited CRC syndromes associated with APC and mismatch repair gene mutations respectively.
MicroRNAs (miRNAs) are small non-coding RNAs that regulate gene expression and affect multiple cellular processes. Dysregulation of miRNAs is common in cancer and can impact cancer hallmarks like sustained proliferation, evading growth suppression, resisting cell death, and activating invasion and metastasis. Certain miRNAs are considered oncogenes when their expression is increased in tumors, while others act as tumor suppressors when their expression is decreased. Altered miRNA expression and biogenesis machinery defects contribute to cancer development and progression. miRNAs also show potential as cancer biomarkers and therapeutic targets.
This document discusses oncogenes and tumor suppressor genes, which are critical cancer genes. It defines oncogenes as mutant, overactive, or overexpressed versions of normal proto-oncogenes, which promote cell growth. Tumor suppressor genes normally inhibit growth or promote cell death. Activation of oncogenes or inactivation of tumor suppressor genes can cause cancer. Examples of important oncogenes discussed include SRC, RAS, and MYC. Key tumor suppressor genes mentioned are P53, RB, and BRCA1/2. The document outlines several mechanisms by which these genes can become mutated and dysfunctional, ultimately leading to uncontrolled cell growth and cancer.
The Warburg effect refers to cancer cells predominantly producing energy by a high rate of glycolysis followed by lactic acid fermentation in the cytosol, rather than by a comparatively low rate of glycolysis followed by oxidation of pyruvate in mitochondria as in most normal cells. Otto Warburg observed that solid tumor cells metabolize glucose to lactate at a much higher rate than normal tissues, even in the presence of oxygen. This metabolic shift is caused by mitochondrial defects, hypoxia within tumors, oncogenic signaling, and altered expression of metabolic enzymes. Understanding the Warburg effect has led to the development of novel anti-cancer therapies targeting tumor cell glycolysis.
This document provides an overview of molecular genetics and cancer biology concepts. It begins with an introduction to basic molecular genetics topics like DNA, genes, chromosomes, and gene expression. It then discusses how normal cells can become cancerous through genetic mutations that disrupt processes like tumor suppressor genes, oncogenes, the cell cycle, and DNA repair. The document emphasizes how understanding molecular genetics advances has helped improve diagnosis and treatment of cancers like prostate and bladder cancer, but also highlights ongoing challenges. It provides context on cancer rates and the need for continued research.
This document discusses retinoblastoma, a cancer that develops in the retina. It describes the genetic and non-genetic forms of the disease. The genetic form is caused by a mutation in the RB1 gene on chromosome 13. For tumor development to occur, both copies of the RB1 gene must be inactivated. The RB protein normally acts to prevent excessive cell growth by inhibiting the cell cycle. Loss of RB function contributes to unregulated cell growth and cancer development. Nearly all cancers involve disruption of the RB pathway that controls the G1 to S phase cell cycle transition.
Radiation therapy can play a role in the treatment of both primary and metastatic malignant melanoma. For primary disease, adjuvant radiation may be considered after surgery for desmoplastic or neurotropic melanomas or those with narrow margins. For lymph node metastases, adjuvant radiation after lymphadenectomy reduces the risk of local recurrence. For brain metastases, radiosurgery provides better local control than whole brain radiation and improved survival compared to surgery alone. Radiation is also effective for symptom relief of other metastatic sites and provides high objective response rates.
Role and Side effects of Ovarian Function Suppression in Breast CancerAjeet Gandhi
1) The document discusses the role and side effects of ovarian suppression therapy in premenopausal women receiving adjuvant treatment for hormone receptor positive breast cancer.
2) Key trials like SOFT and TEXT showed that the addition of ovarian suppression to tamoxifen or aromatase inhibitors improved disease-free survival rates and reduced the risk of breast cancer recurrence in premenopausal women compared to tamoxifen alone.
3) The benefits of ovarian suppression were greater in women who remained premenopausal after chemotherapy and those with larger/node-positive tumors or higher grade disease. Common side effects included hot flashes and musculoskeletal symptoms.
Lobular carcinoma of the breast begins in the lobules and has two types: lobular carcinoma in situ (LCIS) and invasive lobular carcinoma (ILC). LCIS is a pre-malignant condition that has a high risk of developing into ILC. ILC is the second most common type of breast cancer and has distinct clinical and pathological features compared to invasive ductal carcinoma. Treatment involves hormonal therapy, chemotherapy, and surgery depending on the extent of disease. Prognosis depends on various factors but ILC generally has a lower proliferation rate and spreads in an uncommon pattern compared to other breast cancers.
Tumour markers can play a crucial role in detecting cancer and assessing response to therapy. They are substances produced either by tumour cells or by the body in response to cancer. Oncoproteins are proteins encoded by oncogenes which normally maintain a fine balance between cell proliferation and differentiation but become permanently activated in cancer, stimulating cell growth. Elevated levels of various oncoproteins and other tumour markers can be detected in blood and other body fluids, serving as biomarkers for early cancer detection and prediction of prognosis. Common tumour markers discussed include AFP, CEA, CA19-9, CA15-3, CA125, and proteins associated with growth factors, receptors, and cellular signalling pathways.
The document discusses several gene expression profiling tests for early breast cancer, including OncotypeDX, MammaPrint, and TAILORx. OncotypeDX analyzes the expression of 21 genes to calculate a recurrence score that predicts the likelihood of distant recurrence within 10 years for tamoxifen-treated patients. MammaPrint analyzes 70 genes to classify patients into low or high risk groups. The TAILORx clinical trial aims to determine which patients with early breast cancer and OncotypeDX scores of 11-25 benefit from chemotherapy using a randomized design.
1. Testicular cancer is most common in young men aged 20-40 years and 90-95% are germ cell tumors.
2. Survival rates have improved to over 95% for stage I and II seminomas and 90% for stage I non-seminomas due to better understanding of the disease, use of tumor markers, and cisplatin chemotherapy.
3. Treatment involves radical orchidectomy followed by radiotherapy for seminomas or lymph node dissection/chemotherapy for non-seminomas depending on stage.
Multiple endocrine neoplasia syndromes are inherited conditions where two or more endocrine glands develop non-cancerous or cancerous tumors due to mutations in genes regulating cell growth. There are two main types: type 1 affects the parathyroid, pituitary, pancreas and thyroid glands. Type 2 affects the parathyroid, thyroid and adrenal glands and is divided into 2A and 2B. Symptoms vary depending on affected glands but include high blood calcium and kidney problems. Diagnosis involves family history, hormone testing, imaging and genetic testing. Treatment focuses on surgically removing tumors and managing hormone levels with medication.
Glycoproteins are proteins that contain carbohydrate chains covalently attached. They can be O-linked, N-linked or GPI-anchored. Glycoproteins play important structural and functional roles like cell adhesion and acting as receptors. They are synthesized through a complex process in the endoplasmic reticulum and Golgi apparatus. Congenital disorders of glycosylation can occur from mutations affecting glycoprotein synthesis. Blood groups are also determined by glycoproteins on red blood cell surfaces.
This document provides an incomplete and disorganized summary of life on Earth from the Paleozoic to Mesozoic eras. It describes some of the major periods such as the Devonian age of fishes and the Jurassic era when dinosaurs appeared. However, it jumps around between topics, includes errors and locked scenes, and does not form a coherent narrative of life's history.
China is the most populous country in the world with over 1.381 billion people. Beijing is the capital city and third most populous city. China covers 9.6 million square kilometers and has a long coastline along the Pacific Ocean. The Yangtze and Yellow Rivers are among the longest rivers in Asia, flowing through China. China has an extensive rail system and the busiest international airport. The climate varies regionally from dry to wet seasons with urban pollution a major health issue. The Himalayas contain the highest point on Earth and over 100 mountains over 7,200 meters high. The Great Wall of China stretches over 21,000 kilometers to protect northern borders. Popular sports include taichi, kung fu
Cone fenders have the highest energy to reaction ratios of any fender currently in use.They withstand the shearing action of angular load and are durable, strong, and stable.
http://www.chinarubberfender.com/product/cone-rubber-fender.html
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
Nathan Patalano introduces himself and his focus on digital music and computers. He shows off equipment like a Launchpad S for making beats, a Numark mixer II for mixing songs, and uses Ableton Live and Virtual DJ Pro. He also shows a sound board and the inside of a PC which he is knowledgeable about.
Parametric analysis and multi objective optimization of cutting parameters in...eSAT Publishing House
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
The document discusses the nature of the Holy Spirit according to the Bible and writings of Ellen White. It argues that the Holy Spirit is not a separate person but is the Spirit of God and the Spirit of Christ, and is Christ's personal presence. Several Bible texts and quotes from Ellen White are presented that indicate the Holy Spirit is how God and Christ are personally present with believers, and is the life and power of Christ within them. The document aims to show that the Holy Spirit is not a separate being from God or Christ, but is God and Christ's own Spirit.
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology
Efficient data compression of ecg signal using discrete wavelet transformeSAT Publishing House
IJRET : International Journal of Research in Engineering and Technology is an international peer reviewed, online journal published by eSAT Publishing House for the enhancement of research in various disciplines of Engineering and Technology. The aim and scope of the journal is to provide an academic medium and an important reference for the advancement and dissemination of research results that support high-level learning, teaching and research in the fields of Engineering and Technology. We bring together Scientists, Academician, Field Engineers, Scholars and Students of related fields of Engineering and Technology.
పూర్వ విద్యార్థులకు నమస్కారం,
పూర్వ విద్యార్థులందరికి "స్ఫూర్థి సంచిక" అందుబాటులొ ఉందాలనే నేపత్యం తొ మీ అందరికి స్ఫూర్థి సంచిక సంచికను అందుబతులొ ఉంచడం జరిగింది. అందరు దయ చెసి చదివి post ని like మరియు share చెయండి. It should reach our each and every alumni.
Regards
Admin
We believe the nature that surrounds us has been built to protect us. Thus the product of nature can never harm us. If we can therefore adopt natural ingredients for the development of our product it should definitely be better than the products that are made without it. India being close to nature has contributed immensely in the development of our products. Since ancient times Indian Ayurvedic doctors have been effectively using herbs to cure an array of diseases, disorders and ailments. Even today Indian household use various herbs in their natural form for their health and beauty. We have tried through our products to take you close to nature
http://www.mobileadvertisingeurope.com/ is a leading mobile marketing company in Europe. This company is helping to generate ROI based advertising campaign for little and big enterprise
This document lists the NAAS (National Academy of Agricultural Sciences) scores of 176 scientific journals from various disciplines including agriculture, biology, chemistry, and physics. The NAAS score is a quantitative measure of the quality and impact of a journal, with higher scores indicating higher quality. Scores ranged from 2.72 to 20, with most scores falling between 6-10. Several high impact journals in the biological sciences like Annual Review of Biochemistry and Genetics scored above 15.
This document discusses Ebola virus in Sierra Leone, including:
- Ebola diverged from Marburg virus nearly 10,000 years ago and has ancient origins. Exposure to Ebola is very high in some populations in Sierra Leone.
- Over 10,000 Ebola cases have been reported to date, though the actual number is estimated to be 2.5x higher due to underreporting. Cases were doubling every 15-20 days.
- Genomic sequencing of early Sierra Leone cases revealed the outbreak originated from lineages in Guinea and West Africa. Sierra Leone saw three main genetic clusters of the virus emerge.
Este documento presenta los requisitos para crear un cuento o fábula con personajes del reino animal. Los estudiantes escogerán los personajes, escribirán un cuento corto con inicio, nudo y desenlace, lo traducirán al inglés, harán un collage e ilustrarán el cuento.
Protein folding is the physical process by which a polypeptide folds into its characteristic three-dimensional structure. Folding begins with interactions between amino acids that form regions of secondary structure, which then fold into a compact three-dimensional structure. For some proteins, folding requires assistance from molecular chaperones such as Hsp70 and chaperonins, which help prevent misfolding and aggregation. Misfolded proteins can lead to loss of function or formation of protein aggregates associated with diseases like cystic fibrosis and Alzheimer's.
Post-translational modifications are important biochemical mechanisms that regulate protein function. Common types of post-translational modifications include phosphorylation, hydroxylation, glycosylation, and methylation. These modifications occur on amino acid side chains or termini and are catalyzed by specific enzymes. For example, phosphorylation regulates enzyme activity, while hydroxylation and glycosylation of amino acids are required for collagen assembly and function. Overall, post-translational modifications expand the functional diversity of the proteome.
The document discusses protein folding, which is the process by which proteins achieve their functional three-dimensional structure from their linear amino acid sequence. It describes the different levels of protein structure, including primary, secondary, tertiary, and quaternary structure. The folding process depends on factors like temperature, pH, and molecular chaperones, which assist in protein folding. Proper folding is required for proteins to carry out their functions in the cell.
Cholesterol synthesis,transport and excretionapeksha40
Cholesterol is synthesized in the body from acetyl-CoA and transported in the blood by lipoproteins. It is essential for cell membrane structure and function but high levels can lead to health issues. Cholesterol synthesis is tightly regulated through feedback mechanisms. When cholesterol levels are high, SREBP is inhibited from increasing production of enzymes involved in cholesterol synthesis such as HMG-CoA reductase. Statins are commonly used to lower cholesterol by inhibiting this reductase. Diet and bile also contribute to cholesterol levels, which must be absorbed into intestinal cells and transported to the liver within lipoproteins before being used or excreted.
Introduction-
Levinthal paradox
Biophysical aspects of protein folding
Hierarchy in protein structure
Thermodynamic stability
Cellular aspects of protein folding
Self assembly (folding) of protein
Molecular assistance – Chaperons
Enzymes involved in protein folding
Conclusions
References
This document provides an overview of post-translational events. It discusses various post-translational modifications including protein folding, proteolytic cleavage, and chemical modifications such as phosphorylation, acetylation, glycosylation, lipidation, and ubiquitination. These modifications influence the structure, stability, activity, and interactions of proteins and play an important role in cellular functions and signaling pathways. The document also examines specific post-translational modifications in depth, including the processes of protein folding, proteolytic cleavage, and various chemical modifications of proteins.
This document discusses assembly-assisted peptide ligation in native conditions. It proposes that peptide fragments can assemble into protein-like structures through non-covalent interactions in native conditions, bringing peptide termini into close proximity. This proximity could allow the termini to ligate without the need for cysteine residues, as seen in native chemical ligation. The document outlines an experiment to test this hypothesis using two fragments of a zinc finger protein, which would assemble due to zinc ion binding and potentially ligate using the coupling reagent PMSF in native conditions.
Post-translational modification of monoclonal antibodiesSOMAYEH BAKHSHI
This document discusses post-translational modification of monoclonal antibodies. It begins by defining monoclonal antibodies and describing their basic structure, which includes heavy and light chains joined by disulfide bonds. It then lists several types of common post-translational modifications for monoclonal antibodies, including glycosylation, deamidation, isomerization, oxidation, and variants involving cysteines. For each modification type, it provides brief details about the chemical process, affected amino acids, impact on structure and function, and factors that influence the rate of modification.
The document summarizes the key macromolecules that make up living things: carbohydrates, lipids, proteins, and nucleic acids. It describes how each is made of monomers that polymerize through condensation reactions, and how their structures determine their functions. Carbohydrates include sugars and starches used for energy storage. Lipids include fats and phospholipids that store energy and make up cell membranes. Proteins have complex 4-level structures (primary to quaternary) that allow for their diverse functions like transport and muscle movement. Nucleic acids DNA and RNA contain nucleotides and code or aid in protein synthesis to pass on traits.
Protein Folding-biophysical and cellular aspects, protein denaturationAnishaMukherjee5
Protein folding is the physical process by which a protein chain acquires its native 3-dimensional structure, a conformation that is usually biologically functional, in an expeditious and reproducible manner.
Cholesterol is synthesized in animal cells through a multi-step pathway that begins with acetyl-CoA and produces the 30-carbon squalene and the four-ringed lanosterol and cholesterol. The pathway involves four stages: 1) condensation of acetyl-CoA units to form mevalonate, 2) conversion of mevalonate to activated isoprene units, 3) polymerization of isoprene units to form squalene, and 4) cyclization and modifications of squalene to form the steroid nucleus and cholesterol. Key enzymes and intermediates in cholesterol biosynthesis include HMG-CoA reductase, mevalonate, geranyl pyrophosphate, and farn
The document discusses tertiary and quaternary protein structures. It defines tertiary structure as the specific 3D shape of a protein based on interactions between amino acid side chains. Tertiary structure results from disulfide bonds, hydrophobic interactions, hydrogen bonds, ionic interactions, and Van der Waals forces. Quaternary structure refers to the assembly of multiple polypeptide subunits into a single functional protein. Protein folding and molecular chaperones facilitate proper tertiary and quaternary structure formation.
Cellular metabolism allows organisms to grow through anabolic and catabolic processes. Metabolism occurs through complex biochemical pathways using enzymes and is regulated by feedback mechanisms. Cellular respiration releases energy from glucose and occurs in three stages: glycolysis, the citric acid cycle, and the electron transport chain. Genetic information is contained in DNA and expressed through transcription of DNA to mRNA and translation of mRNA to proteins.
Cellular metabolism allows organisms to grow through anabolic and catabolic processes. Metabolism occurs through complex biochemical pathways using enzymes and is regulated by feedback mechanisms. Cellular respiration releases energy from glucose and occurs in three stages: glycolysis, the citric acid cycle, and the electron transport chain. Genetic information is contained in DNA and expressed through transcription of DNA to mRNA and translation of mRNA to proteins.
Protein Structure, Protein Denaturation, Taq PolymeraseMd. Eleas Kobir
The document discusses the structure of proteins at four levels - primary, secondary, tertiary, and quaternary. The primary structure is the sequence of amino acids in the protein chain. Secondary structure involves alpha helices and beta sheets formed by hydrogen bonding between amino acids. Tertiary structure describes the complete three-dimensional folding of the protein. Quaternary structure refers to the association of two or more protein subunits. Taq polymerase is used in PCR because it is heat-stable and allows DNA amplification without needing to add new enzyme during each cycle. Protein denaturation occurs when proteins lose their structure due to extreme conditions like heat, acids, salts, etc. and can disrupt protein function.
- DNA is made up of nucleotides containing nitrogenous bases, sugars, and phosphates. It takes the form of a double helix with the bases pairing across the strands.
- DNA carries genetic information and can be replicated using its base-pairing properties. It is found within chromosomes in the cell nucleus.
- Chromosomes package long DNA molecules into a compact structure using associated proteins like histones. This allows the DNA to fit within the nucleus.
The document discusses protein folding, which is the process by which a polypeptide chain folds into its characteristic and functional three-dimensional structure. It describes the four levels of protein structure: primary, secondary, tertiary, and quaternary. Key drivers of folding are the hydrophobic effect and formation of hydrogen bonds. Chaperone proteins assist in protein folding in vivo. Factors such as mutations, errors in synthesis, environmental stresses, and aging can cause proteins to misfold and aggregate, which is associated with various diseases. Cells use molecular chaperones and protein degradation systems to prevent aggregation, but these become less effective with age.
Regulation of gene expression in eukariyotic organismsDhruviSuvagiya
Post-translational modification (PTM) refers to the covalent and generally enzymatic modification of proteins following protein biosynthesis. Proteins are synthesized by ribosomes translating mRNA into polypeptide chains, which may then undergo PTM to form the mature protein product. PTMs are important components in cell signaling, as for example when prohormones are converted to hormones.
Multienzyme System: A complex of enzymes within a cell that form a reaction sequence of a biochemical pathway so that the product of the first enzyme reaction is transferred directly to the next enzyme and immediately undergoes a second reaction, and so on.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
The Nervous and Chemical Regulation of Respiration
32 38pp bioquimica
1. motifs, or folds. The thousands of known
protein structures are generally assembled
from a repertoire of only a few hundred motifs.
Regions of a polypeptide chain that can fold
stably and independently are called domains.
■ Quaternary structure results from interactions
between the subunits of multisubunit
(multimeric) proteins or large protein assemblies.
Some multimeric proteins have a repeated unit
consisting of a single subunit or a group of
subunits referred to as a protomer. Protomers are
usually related by rotational or helical symmetry.
4.4 Protein Denaturation and Folding
All proteins begin their existence on a ribosome as a lin-
ear sequence of amino acid residues (Chapter 27). This
polypeptide must fold during and following synthesis to
take up its native conformation. We have seen that a na-
tive protein conformation is only marginally stable. Mod-
est changes in the protein’s environment can bring about
structural changes that can affect function. We now ex-
plore the transition that occurs between the folded and
unfolded states.
Loss of Protein Structure Results in Loss of Function
Protein structures have evolved to function in particu-
lar cellular environments. Conditions different from those
in the cell can result in protein structural changes, large
and small. A loss of three-dimensional structure suffi-
cient to cause loss of function is called denaturation.
The denatured state does not necessarily equate with
complete unfolding of the protein and randomization of
conformation. Under most conditions, denatured pro-
teins exist in a set of partially folded states that are
poorly understood.
Most proteins can be denatured by heat, which af-
fects the weak interactions in a protein (primarily hy-
drogen bonds) in a complex manner. If the temperature
is increased slowly, a protein’s conformation generally
remains intact until an abrupt loss of structure (and
function) occurs over a narrow temperature range (Fig.
4–26). The abruptness of the change suggests that un-
folding is a cooperative process: loss of structure in one
part of the protein destabilizes other parts. The effects
of heat on proteins are not readily predictable. The very
heat-stable proteins of thermophilic bacteria have
evolved to function at the temperature of hot springs
(~100 ЊC). Yet the structures of these proteins often dif-
fer only slightly from those of homologous proteins de-
rived from bacteria such as Escherichia coli. How these
small differences promote structural stability at high
temperatures is not yet understood.
Proteins can be denatured not only by heat but by
extremes of pH, by certain miscible organic solvents
such as alcohol or acetone, by certain solutes such as
urea and guanidine hydrochloride, or by detergents.
Each of these denaturing agents represents a relatively
mild treatment in the sense that no covalent bonds in
the polypeptide chain are broken. Organic solvents,
urea, and detergents act primarily by disrupting the hy-
drophobic interactions that make up the stable core of
globular proteins; extremes of pH alter the net charge
on the protein, causing electrostatic repulsion and the
disruption of some hydrogen bonding. The denatured
states obtained with these various treatments need not
be equivalent.
4.4 Protein Denaturation and Folding 147
Ribonuclease A
(a)
80
100
60
40
20
0 20 40 60 80 100
Ribonuclease A
Apomyoglobin
Temperature (°C)
Percentofmaximumsignal
(b)
80
100
60
40
20
0 1 2 3 4 5
[GdnHCl], M
Percentunfolded
Tm Tm
Tm
FIGURE 4–26 Protein denaturation. Results are shown for proteins de-
natured by two different environmental changes. In each case, the tran-
sition from the folded to unfolded state is fairly abrupt, suggesting co-
operativity in the unfolding process. (a) Thermal denaturation of horse
apomyoglobin (myoglobin without the heme prosthetic group) and ri-
bonuclease A (with its disulfide bonds intact; see Fig. 4–27). The mid-
point of the temperature range over which denaturation occurs is called
the melting temperature, or Tm. The denaturation of apomyoglobin was
monitored by circular dichroism, a technique that measures the amount
of helical structure in a macromolecule. Denaturation of ribonuclease
A was tracked by monitoring changes in the intrinsic fluorescence of
the protein, which is affected by changes in the environment of Trp
residues. (b) Denaturation of disulfide-intact ribonuclease A by guani-
dine hydrochloride (GdnHCl), monitored by circular dichroism.
8885d_c04_147 12/23/03 7:52 AM Page 147 mac111 mac111:reb:
2. Amino Acid Sequence Determines Tertiary Structure
The tertiary structure of a globular protein is deter-
mined by its amino acid sequence. The most important
proof of this came from experiments showing that de-
naturation of some proteins is reversible. Certain glob-
ular proteins denatured by heat, extremes of pH, or de-
naturing reagents will regain their native structure and
their biological activity if returned to conditions in which
the native conformation is stable. This process is called
renaturation.
A classic example is the denaturation and renatu-
ration of ribonuclease. Purified ribonuclease can be
completely denatured by exposure to a concentrated
urea solution in the presence of a reducing agent. The
reducing agent cleaves the four disulfide bonds to yield
eight Cys residues, and the urea disrupts the stabiliz-
ing hydrophobic interactions, thus freeing the entire
polypeptide from its folded conformation. Denaturation
of ribonuclease is accompanied by a complete loss of
catalytic activity. When the urea and the reducing agent
are removed, the randomly coiled, denatured ribonu-
clease spontaneously refolds into its correct tertiary
structure, with full restoration of its catalytic activity
(Fig. 4–27). The refolding of ribonuclease is so accurate
that the four intrachain disulfide bonds are re-formed
in the same positions in the renatured molecule as in
the native ribonuclease. As calculated mathematically,
the eight Cys residues could recombine at random to
form up to four disulfide bonds in 105 different ways.
In fact, an essentially random distribution of disulfide
bonds is obtained when the disulfides are allowed to re-
form in the presence of denaturant, indicating that weak
bonding interactions are required for correct position-
ing of disulfide bonds and assumption of the native
conformation.
This classic experiment, carried out by Christian
Anfinsen in the 1950s, provided the first evidence that
the amino acid sequence of a polypeptide chain contains
all the information required to fold the chain into its na-
tive, three-dimensional structure. Later, similar results
were obtained using chemically synthesized, catalyti-
cally active ribonuclease. This eliminated the possibility
that some minor contaminant in Anfinsen’s purified
ribonuclease preparation might have contributed to
the renaturation of the enzyme, thus dispelling any re-
maining doubt that this enzyme folds spontaneously.
Polypeptides Fold Rapidly by a Stepwise Process
In living cells, proteins are assembled from amino acids
at a very high rate. For example, E. coli cells can make
a complete, biologically active protein molecule con-
taining 100 amino acid residues in about 5 seconds at
37 ЊC. How does such a polypeptide chain arrive at its
native conformation? Let’s assume conservatively that
each of the amino acid residues could take up 10 dif-
ferent conformations on average, giving 10100
different
conformations for the polypeptide. Let’s also assume
that the protein folds itself spontaneously by a random
process in which it tries out all possible conformations
around every single bond in its backbone until it finds
its native, biologically active form. If each conformation
were sampled in the shortest possible time (~10Ϫ13
sec-
ond, or the time required for a single molecular vibra-
tion), it would take about 1077
years to sample all pos-
sible conformations. Thus protein folding cannot be a
completely random, trial-and-error process. There must
be shortcuts. This problem was first pointed out by
Cyrus Levinthal in 1968 and is sometimes called
Levinthal’s paradox.
The folding pathway of a large polypeptide chain is
unquestionably complicated, and not all the principles
that guide the process have been worked out. However,
extensive study has led to the development of several
Chapter 4 The Three-Dimensional Structure of Proteins148
26
removal of
urea and
mercapto-
ethanol
addition of
urea and
mercapto-
ethanol
84
40
95
110
58
65
72
110
95
HS
HS
HS
HS
HS
SH
SH SH
72
65
5840
26 84
40
2684
65
72
58
110
95
Native state;
catalytically active.
Unfolded state;
inactive. Disulfide
cross-links reduced to
yield Cys residues.
Native,
catalytically
active state.
Disulfide cross-links
correctly re-formed.
FIGURE 4–27 Renaturation of unfolded, denatured ribonuclease.
Urea is used to denature ribonuclease, and mercaptoethanol
(HOCH2CH2SH) to reduce and thus cleave the disulfide bonds to yield
eight Cys residues. Renaturation involves reestablishment of the cor-
rect disulfide cross-links.
8885d_c04_148 12/23/03 7:52 AM Page 148 mac111 mac111:reb:
3. plausible models. In one, the folding process is envi-
sioned as hierarchical. Local secondary structures form
first. Certain amino acid sequences fold readily into ␣
helices or  sheets, guided by constraints we have re-
viewed in our discussion of secondary structure. This is
followed by longer-range interactions between, say, two
␣ helices that come together to form stable supersec-
ondary structures. The process continues until complete
domains form and the entire polypeptide is folded (Fig.
4–28). In an alternative model, folding is initiated by a
spontaneous collapse of the polypeptide into a compact
state, mediated by hydrophobic interactions among non-
polar residues. The state resulting from this “hy-
drophobic collapse” may have a high content of sec-
ondary structure, but many amino acid side chains are
not entirely fixed. The collapsed state is often referred
to as a molten globule. Most proteins probably fold by
a process that incorporates features of both models. In-
stead of following a single pathway, a population of pep-
tide molecules may take a variety of routes to the same
end point, with the number of different partly folded
conformational species decreasing as folding nears
completion.
Thermodynamically, the folding process can be
viewed as a kind of free-energy funnel (Fig. 4–29). The
unfolded states are characterized by a high degree of
conformational entropy and relatively high free energy.
As folding proceeds, the narrowing of the funnel repre-
4.4 Protein Denaturation and Folding 149
FIGURE 4–28 A simulated folding pathway. The folding pathway of
a 36-residue segment of the protein villin (an actin-binding protein
found principally in the microvilli lining the intestine) was simulated
by computer. The process started with the randomly coiled peptide
and 3,000 surrounding water molecules in a virtual “water box.” The
molecular motions of the peptide and the effects of the water mole-
cules were taken into account in mapping the most likely paths to
the final structure among the countless alternatives. The simulated
folding took place in a theoretical time span of 1 ms; however, the
calculation required half a billion integration steps on two Cray
supercomputers, each running for two months.
Percentageofresiduesofprotein
innativeconformation
Energy
Molten globule
states
Native
structure
Discrete folding
intermediates
100
0
Entropy
Beginning of helix formation and collapse
FIGURE 4–29 The thermodynamics of protein folding depicted as a
free-energy funnel. At the top, the number of conformations, and
hence the conformational entropy, is large. Only a small fraction of
the intramolecular interactions that will exist in the native conforma-
tion are present. As folding progresses, the thermodynamic path down
the funnel reduces the number of states present (decreases entropy),
increases the amount of protein in the native conformation, and de-
creases the free energy. Depressions on the sides of the funnel repre-
sent semistable folding intermediates, which may, in some cases, slow
the folding process.
sents a decrease in the number of conformational
species present. Small depressions along the sides of the
free-energy funnel represent semistable intermediates
that can briefly slow the folding process. At the bottom
of the funnel, an ensemble of folding intermediates has
been reduced to a single native conformation (or one of
a small set of native conformations).
Defects in protein folding may be the molecular
basis for a wide range of human genetic disorders.
For example, cystic fibrosis is caused by defects in a
membrane-bound protein called cystic fibrosis trans-
membrane conductance regulator (CFTR), which acts as
a channel for chloride ions. The most common cystic
8885d_c04_149 12/23/03 7:52 AM Page 149 mac111 mac111:reb:
4. fibrosis–causing mutation is the deletion of a Phe
residue at position 508 in CFTR, which causes improper
protein folding (see Box 11–3). Many of the disease-
related mutations in collagen (p. 129) also cause de-
fective folding. An improved understanding of protein
folding may lead to new therapies for these and many
other diseases (Box 4–5). ■
Thermodynamic stability is not evenly distributed
over the structure of a protein—the molecule has re-
gions of high and low stability. For example, a protein
Chapter 4 The Three-Dimensional Structure of Proteins150
BOX 4–5 BIOCHEMISTRY IN MEDICINE
Death by Misfolding: The Prion Diseases
A misfolded protein appears to be the causative agent
of a number of rare degenerative brain diseases in
mammals. Perhaps the best known of these is mad
cow disease (bovine spongiform encephalopathy,
BSE), an outbreak of which made international head-
lines in the spring of 1996. Related diseases include
kuru and Creutzfeldt-Jakob disease in humans, scrapie
in sheep, and chronic wasting disease in deer and elk.
These diseases are also referred to as spongiform en-
cephalopathies, because the diseased brain frequently
becomes riddled with holes (Fig. 1). Typical symptoms
include dementia and loss of coordination. The dis-
eases are fatal.
In the 1960s, investigators found that prepara-
tions of the disease-causing agents appeared to lack
nucleic acids. At this time, Tikvah Alper suggested
that the agent was a protein. Initially, the idea seemed
heretical. All disease-causing agents known up to that
time—viruses, bacteria, fungi, and so on—contained
nucleic acids, and their virulence was related to ge-
netic reproduction and propagation. However, four
decades of investigations, pursued most notably by
Stanley Prusiner, have provided evidence that spongi-
form encephalopathies are different.
The infectious agent has been traced to a single
protein (Mr 28,000), which Prusiner dubbed prion
(from proteinaceous infectious only) protein (PrP).
Prion protein is a normal constituent of brain tissue
in all mammals. Its role in the mammalian brain is not
known in detail, but it appears to have a molecular
signaling function. Strains of mice lacking the gene for
PrP (and thus the protein itself) suffer no obvious ill
effects. Illness occurs only when the normal cellular
PrP, or PrPC
, occurs in an altered conformation called
PrPSc
(Sc denotes scrapie). The interaction of PrPSc
with PrPC
converts the latter to PrPSc
, initiating a
domino effect in which more and more of the brain
protein converts to the disease-causing form. The
mechanism by which the presence of PrPSc
leads to
spongiform encephalopathy is not understood.
In inherited forms of prion diseases, a mutation in
the gene encoding PrP produces a change in one amino
acid residue that is believed to make the conversion of
PrPC
to PrPSc
more likely. A complete understanding of
prion diseases awaits new information about how prion
protein affects brain function. Structural information
about PrP is beginning to provide insights into the mo-
lecular process that allows the prion proteins to inter-
act so as to alter their conformation (Fig. 2).
FIGURE 1 A stained section of the cerebral cortex from a patient
with Creutzfeldt-Jakob disease shows spongiform (vacuolar) degen-
eration, the most characteristic neurohistological feature. The yel-
lowish vacuoles are intracellular and occur mostly in pre- and post-
synaptic processes of neurons. The vacuoles in this section vary in
diameter from 20 to 100 m.
FIGURE 2 The structure of the globular domain of human PrP in
monomeric (left) and dimeric (right) forms. The second subunit is
gray to highlight the dramatic conformational change in the green
␣ helix when the dimer is formed.
8885d_c04_150 12/23/03 7:52 AM Page 150 mac111 mac111:reb:
5. may have two stable domains joined by a segment with
lower structural stability, or one small part of a domain
may have a lower stability than the remainder. The re-
gions of low stability allow a protein to alter its confor-
mation between two or more states. As we shall see in
the next two chapters, variations in the stability of re-
gions within a given protein are often essential to pro-
tein function.
Some Proteins Undergo Assisted Folding
Not all proteins fold spontaneously as they are synthe-
sized in the cell. Folding for many proteins is facilitated
by the action of specialized proteins. Molecular chap-
erones are proteins that interact with partially folded
or improperly folded polypeptides, facilitating correct
folding pathways or providing microenvironments in
which folding can occur. Two classes of molecular chap-
erones have been well studied. Both are found in or-
ganisms ranging from bacteria to humans. The first
class, a family of proteins called Hsp70, generally have
a molecular weight near 70,000 and are more abundant
in cells stressed by elevated temperatures (hence, heat
shock proteins of Mr 70,000, or Hsp70). Hsp70 proteins
bind to regions of unfolded polypeptides that are rich
in hydrophobic residues, preventing inappropriate
aggregation. These chaperones thus “protect” proteins
that have been denatured by heat and peptides that are
being synthesized (and are not yet folded). Hsp70
proteins also block the folding of certain proteins that
must remain unfolded until they have been translocated
across membranes (as described in Chapter 27). Some
chaperones also facilitate the quaternary assembly of
oligomeric proteins. The Hsp70 proteins bind to and
release polypeptides in a cycle that also involves sev-
eral other proteins (including a class called Hsp40) and
ATP hydrolysis. Figure 4–30 illustrates chaperone-
assisted folding as elucidated for the chaperones DnaK
and DnaJ in E. coli, homologs of the eukaryotic Hsp70
and Hsp40. DnaK and DnaJ were first identified as pro-
teins required for in vitro replication of certain viral DNA
molecules (hence the “Dna” designation).
4.4 Protein Denaturation and Folding 151
DnaJ
DnaK
2 Pi
Unfolded
protein
Folded
protein
(native
conformation)
GrpE
ADP + GrpE (+ DnaJ ?)
+
+
+
ATP
ATP
ATP
ATP
ATP
+
ATP
To GroEL
system
Partially
folded
protein
1 DnaJ binds to the
unfolded or partially
folded protein and
then to DnaK.
4 ATP binds to
DnaK and the
protein dissociates.
2 DnaJ stimulates ATP
hydrolysis by DnaK.
DnaK–ADP binds tightly
to the unfolded protein.
3 In bacteria, the
nucleotide-exchange
factor GrpE stimulates
release of ADP.
ADP
ADP
FIGURE 4–30 Chaperones in protein folding. The cyclic pathway by
which chaperones bind and release polypeptides is illustrated for the
E. coli chaperone proteins DnaK and DnaJ, homologs of the eukary-
otic chaperones Hsp70 and Hsp40. The chaperones do not actively
promote the folding of the substrate protein, but instead prevent ag-
gregation of unfolded peptides. For a population of polypeptides, some
fraction of the polypeptides released at the end of the cycle are in the
native conformation. The remainder are rebound by DnaK or are di-
verted to the chaperonin system (GroEL; see Fig. 4–31). In bacteria, a
protein called GrpE interacts transiently with DnaK late in the cycle
(step 3 ), promoting dissociation of ADP and possibly DnaJ. No eu-
karyotic analog of GrpE is known.
8885d_c04_151 12/23/03 7:53 AM Page 151 mac111 mac111:reb:
6. The second class of chaperones is called chaper-
onins. These are elaborate protein complexes required
for the folding of a number of cellular proteins that do
not fold spontaneously. In E. coli an estimated 10% to
15% of cellular proteins require the resident chaperonin
system, called GroEL/GroES, for folding under normal
conditions (up to 30% require this assistance when the
cells are heat stressed). These proteins first became
known when they were found to be necessary for the
growth of certain bacterial viruses (hence the designa-
tion “Gro”). Unfolded proteins are bound within pock-
ets in the GroEL complex, and the pockets are capped
transiently by the GroES “lid” (Fig. 4–31). GroEL un-
dergoes substantial conformational changes, coupled to
ATP hydrolysis and the binding and release of GroES,
which promote folding of the bound polypeptide. Al-
though the structure of the GroEL/GroES chaperonin is
known, many details of its mechanism of action remain
unresolved.
Finally, the folding pathways of a number of pro-
teins require two enzymes that catalyze isomerization
reactions. Protein disulfide isomerase (PDI) is a
widely distributed enzyme that catalyzes the inter-
change or shuffling of disulfide bonds until the bonds of
the native conformation are formed. Among its func-
tions, PDI catalyzes the elimination of folding interme-
Chapter 4 The Three-Dimensional Structure of Proteins152
(b)
GroEL
7 Pi,
Unfolded protein
GroES
7
7 PiGroES
(a)
GroES
7 Pi
GroES
1 Unfolded
protein binds
to the GroEL
pocket not
blocked by
GroES.
2 ATP binds to
each subunit
of the GroEL
heptamer.
3 ATP hydrolysis
leads to release
of 14 ADP and
GroES.
Folded
protein
7 Proteins not
folded when
released are
rapidly bound
again.
6 The released
protein is fully
folded or in a
partially folded
state that is
committed to
adopt the native
conformation.
5 Protein folds
inside the
enclosure.
4 7 ATP and GroES
bind to GroEL with
a filled pocket.
ATP
7 ADP
7 ADP
7 ADP
7 ADP
7 ADP
7 ADP
7 ATP
7 ATP
7 ATP
7 ATP
7 ATP
FIGURE 4–31 Chaperonins in protein folding. (a) A proposed
pathway for the action of the E. coli chaperonins GroEL (a member
of the Hsp60 protein family) and GroES. Each GroEL complex
consists of two large pockets formed by two heptameric rings (each
subunit Mr 57,000). GroES, also a heptamer (subunits Mr 10,000),
blocks one of the GroEL pockets. (b) Surface and cut-away images
of the GroEL/GroES complex (PDB ID 1AON). The cut-away (right)
illustrates the large interior space within which other proteins are
bound.
8885d_c04_152 12/23/03 7:53 AM Page 152 mac111 mac111:reb:
7. diates with inappropriate disulfide cross-links. Peptide
prolyl cis-trans isomerase (PPI) catalyzes the in-
terconversion of the cis and trans isomers of Pro pep-
tide bonds (Fig. 4–8b), which can be a slow step in the
folding of proteins that contain some Pro residue pep-
tide bonds in the cis conformation.
Protein folding is likely to be a more complex
process in the densely packed cellular environment than
in the test tube. More classes of proteins that facilitate
protein folding may be discovered as the biochemical
dissection of the folding process continues.
SUMMARY 4.4 Protein Denaturation and Folding
■ The three-dimensional structure and the
function of proteins can be destroyed by
denaturation, demonstrating a relationship
between structure and function. Some
denatured proteins can renature spontaneously
to form biologically active protein, showing that
protein tertiary structure is determined by
amino acid sequence.
■ Protein folding in cells probably involves
multiple pathways. Initially, regions of
secondary structure may form, followed by
folding into supersecondary structures. Large
ensembles of folding intermediates are rapidly
brought to a single native conformation.
■ For many proteins, folding is facilitated by
Hsp70 chaperones and by chaperonins.
Disulfide bond formation and the cis-trans
isomerization of Pro peptide bonds are
catalyzed by specific enzymes.
Chapter 4 Further Reading 153
Key Terms
conformation 116
native conformation
117
solvation layer 117
peptide group 118
Ramachandran
plot 118
secondary struc-
ture 120
␣ helix 120
 conformation 123
 sheet 123
 turn 123
tertiary
structure 125
quaternary
structure 125
fibrous proteins 125
globular proteins 125
␣-keratin 126
collagen 127
silk fibroin 129
supersecondary struc-
tures 139
motif 139
fold 139
domain 140
protein family 141
multimer 144
oligomer 144
protomer 144
symmetry 144
denaturation 147
molten globule 149
prion 150
molecular
chaperone 151
Hsp70 151
chaperonin 152
Terms in bold are defined in the glossary.
Further Reading
General
Anfinsen, C.B. (1973) Principles that govern the folding of
protein chains. Science 181, 223–230.
The author reviews his classic work on ribonuclease.
Branden, C. & Tooze, J. (1991) Introduction to Protein
Structure, Garland Publishing, Inc., New York.
Creighton, T.E. (1993) Proteins: Structures and Molecular
Properties, 2nd edn, W. H. Freeman and Company, New York.
A comprehensive and authoritative source.
Evolution of Catalytic Function. (1987) Cold Spring Harb. Symp.
Quant. Biol. 52.
A collection of excellent articles on many topics, including
protein structure, folding, and function.
Kendrew, J.C. (1961) The three-dimensional structure of a
protein molecule. Sci. Am. 205 (December), 96–111.
Describes how the structure of myoglobin was determined and
what was learned from it.
Richardson, J.S. (1981) The anatomy and taxonomy of protein
structure. Adv. Prot. Chem. 34, 167–339.
An outstanding summary of protein structural patterns and
principles; the author originated the very useful “ribbon”
representations of protein structure.
Secondary, Tertiary, and Quaternary Structures
Berman, H.M. (1999) The past and future of structure databases.
Curr. Opin. Biotechnol. 10, 76–80.
A broad summary of the different approaches being used to
catalog protein structures.
Brenner, S.E., Chothia, C., & Hubbard, T.J.P. (1997)
Population statistics of protein structures: lessons from structural
classifications. Curr. Opin. Struct. Biol. 7, 369–376.
Fuchs, E. & Cleveland, D.W. (1998) A structural scaffolding of
intermediate filaments in health and disease. Science 279,
514–519.
8885d_c04_153 1/16/04 6:14 AM Page 153 mac76 mac76:385_reb: