BMS 6204 MEDICAL BIOCHEMISTRY & GENETICS SPRING 2010

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Week Date Cases Topic Subtopic/Class Activity Readings Jan 4th Course Introduction 1.1 Discussion of course organization, lecture format, quizzes, exams Unit I: Genetic Diseases: Structure and Function of Genetic Material Jan 5 th Lesch-Nyhan Syndrome Gout Neural Tube Defects Adenine Phosphoribosyltransferase deficiency Nucleic Acids 1.2 Purine & pyrimidine synthesis and metabolism Chapter 28 (p. 511-522): The of purines and pyrimidines Page 15: nucleic acids are formed from nucleotides Small groups: Intro to small groups. Meet in 1200 1 Jan 6 th Rett Syndrome DNA 1.3 Structure: Genes to Chromosomes Chapter 6 (p. 71-75): DNA Chapter 8 (p. 119-122): The Human Genome Jan 7 th Werner Syndrome 1.4 DNA Replication Chapter 6 (p. 76-82): DNA Synthesis Chapter 8 (p. 123-130): DNA Replication Jan 8 th Down Syndrome Klinefelter Syndrome Turner Syndrome Edwards Syndrome Patau Syndrome Williams Syndrome Quiz 1: Readings & lectures 1.2-1.4 1.5 Clinical Cytogenetics 1

Jan 11 th Acute promyelocytic leukemia Transcription 1.6 Promoters, enhancers, transcription factors & nuclear receptors Page 83-100: transcription Page 130-140: transcription Jan 12 th Neurofibromatosis type I 1.7 RNA synthesis, elongation and processing Small groups (Case Studies 1.1) Jan 13 th Iron deficiency Hemochromatosis 1.8 Regulation of mrna stability Chapter 6 (p. 82-86): transcription to post-transcriptional modification 2 Jan 14 th Diamond-Blackfan anemia Translation 1.9 Translation of mrna into protein: Initiation, Elongation, and Termination Page 89-93: trna, codons, rrna Page 136-140: mrna processing and translation Jan 15 th Sickle cell anemia basal/squamous cell carcinoma muscular dystrophy Fragile X syndrome Mutations Quiz 2: Readings & lectures 1.5-1.9 1.10 Causes and types of Genetic Mutations Chapter 10 (p. 153-167): Introduction to Genetic Diseases 2

Jan 18 th MLK Day Jan 19 th Informatics 1.11 Using informatics to apply biochemical and molecular knowledge in a patient care setting Small groups (1.2) Nancy Clark, MS 3 Jan 20 th Cystic Fibrosis Thalassemia Anti-trypsin Deficiency Adult Polycystic Kidney Disease Alkaptonuria Achondroplasia Retinoblastoma Myotonic Dystrophy 1.12 Autosomal dominant and recessive disorders Jan 21 st folate deficiency 1.13 Epigenetics and disorders α-thalassemia/mental related to Epigenetics retardation aka ATR-X DNA methylation/cancer Myeloid/lymphoid or mixed lineage leukemia Prader-Willi syndrome Angelman syndrome Beckwith-Wiedemann syndrome Jan 22 nd Quiz 3 3

1.14 X-inactivation and X-linked disorders (Dr. Brian Chadwick, Dept of Biological Sciences, FSU) 4 Jan 25 th Jan 26 th Exercise intolerance MELAS 1.15 The mitochondrial genome 1.16: Mitochondrial mutations Small groups (1.3) Jan 27 th Study day no lecture Jan 28 th Optional Q and A session - No lecture Jan 29 th EXAM 1 5 Feb 1 st Feb 2 nd Unit IIA. Cancer: Molecular Mechanisms of Development and Treatment 2.1 Intro to cancer 2.2 Cell cycle No small group this week Feb 3 rd 2.3 Apoptosis Page 348-356: Transcription factors in cancer Feb 4 th 2.4 Tumor suppressors Feb 5 th Quiz 4 Dr. Nancy Baker Fort Pierce Regional Campus 6 Feb 8 th 2.5 Oncogenes 4

Feb 9 th 2.6 DNA repair Small groups (2.1) Feb 10 th 2.7 Molecular Mechanisms of Cancer therapy Thomas Morgan, PhD Post-doctoral Research Associate, FSU COM Feb 11 th 2.7 Molecular Mechanisms of Cancer therapy Thomas Morgan, PhD Post-doctoral Research Associate, FSU COM Feb 12 th Quiz 5 3:00 PM (we are switching with Dr. Terrance Riesman GI Disease Associates, Tallahassee, FL Physiology today) Unit IIB. Disorders of Protein Structure and Function 7 Feb 15 th Vegetarian Diet- Essential Amino Acids Phenylketonuria BH2 Reductase Deficiency Acetaminophen Overdose Hyperhomocysteinemia Hartnup Disease Methylmalonic Acidemia Glutathionuria Maple Syrup Urine Disease Amino Acids 2.8 Amino acid Synthesis Chapter 26 (p. 479-501): Amino Acid 5

Homocystinuria Feb 16 th Inborn errors of Urea Synthesis Hereditary Hyperammonemia Feb 17 th Familial Amyloid Polyneuropathy Multiple Myeloma Amyloid Diseases Feb 18 th 2.9 Amino acid metabolism and bonding Small groups (2.2) Proteins 2.10 Protein structure and folding Chapter 2 (p. 19-28): Introduction to Protein Structure 2.11 Post-translational modifications, targeting and translocation Pages 26-27, 143-145: post-translational processing Pages 145-147: post-translational modifications of glycoproteins Feb 19 th Quiz 6 2.12 Hemoglobin 8 Feb 22 nd 2.13 Plasma proteins Feb 23 rd 2.14 Collagen Proteins Page 233-237: post- translational Small groups (2.3) modifications of collagen Feb 24 th Study day no lecture Feb 25 th Optional Q and A session no lecture Feb 26 th EXAM 2 Unit III. Disruptions in Energy : Biochemical Mechanisms and Clinical Outcomes 9 1 st Pellagra Enzymes 3.1 Enzyme Cofactors and Kinetics Riboflavin deficiency 2 nd Starvation Carbohydrate 3.2 Carb structure and digestion 6

Lactose intolerance No small group this week 3 rd WK Beri beri 3.3 Energy: glycolysis, anaerobic metabolism, BPG, Hexokinase, PFK1 Hexose, monophosphate shunt 4 th Depression 3.4 Energy: Krebs, pyruvate dehydrogenase complex 5 th Quiz 7 3.5 Mitochondria/ETC and ATP 8 th - 12 th Spring Break 10 11 15 th 16 th 17 th 18 th 19 th 22 nd 23 rd Amino Acid Heart disease Lipid 3.6 ATP: Do I really want that second serving of pasta? Let's do the math (anaerobic vs. aerobic) 3.7 Glucose Storage: glycogenesis/glycogenolysis Small groups (3.1) 3.8 Gluconeogenesis: Glucogenic and ketogenic amino acids Muscle : Cori cycle 3.9 Urea Synthesis and Quiz 8 3.10 Fatty acid structure, digestion, absorption, clinical implications of lipid structure Obesity 3.11 Energy: beta oxidation & Ketogenesis Why is fat so fattening? Let's do the math 3.12 Lipid Storage: Lipogenesis, saturation, desaturation 7

24 th 25 th Alcohol/drug interactions Alcoholic liver disease Wernike Korsakoff s syndrome Alcohol Lipoprotein Quiz 9 26 th Small groups (3.2) 3.13 Ethanol as energy, metabolism, drug interactions, clinical implications 3.14 Cholesterol, Cholesterol Esters, Bile Acids 3.15 Lipid Transport: Lipoproteins 12 29 th 30 th 3.16 Lipoprotein Abnormalities: Dyslipidemias and Atherosclerosis (VanLandingham) 3.16 Lipoprotein Abnormalities: Dyslipidemias and Atherosclerosis (VanLandingham) Small groups (3.3) Study day no lecture 31 st April 1 st Optional Q and A session at 1 PM no lecture April 2 nd EXAM 3 Unit IV. Applying Biochemical & Molecular Knowledge: Clinical Problems and Current Biochemical Answers 13 April 5 th Type I diabetes 4.1 Diabetes glucose 8

Type II Diabetes Metabolic syndrome April 6 th April 7 th Megaloblastic anemia Microcytic anemia transporters, insulin receptors, resistance 4.2 Weight Loss: Putting your patients on a weight loss diet - What s the best approach? Small groups (4.1) 4.3 Nutritional Anemias April 8 th Mental Retardation Down s syndrome April 9 th Quiz 10 4.4 Developmental Disorders: Using biochemistry to optimize brain function 4.5 Treatment of Psychiatric disorders: Phospholipids, Cell Signaling, calcium April 12 th Bipolar disorder 4.6 Lipid Storage Disorders: of sphingolipids and ceramides April 13 th 4.7 Inflammation: causes and treatments Small groups (4.2) 14 April 14 th Adrenogenital Syndromes Menopause April 15 th Osteoporosis Ricketts Osteomalacia April 16 th Night blindness Quiz 11 4.8 Steroid Hormones: Function and Dysfunction 4.9 Bone Density Disorders: Genes x Environment 9

15 April 19 th Megaloblastic anemia Microcytic Hypochromic anemia April 20 th 4.10 Eye: retinol and retinoic acid, rhodopsin 4.11 Nutritional Anemias: Causes and Complications 4.12 Autoimmune disorders Small groups (4.3) April 21 st Study day April 22 nd Optional Q and A session at 1PM no lecture April 23 rd EXAM 4 April 29 th NBME STEP 1 EXAM 10