Flash Notes Genetics

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    GENETICS | 1

    Gene/ Protein/Oncogene/

    Chromosome

    Disease Things to remember

    α SYNUCLEIN Proteinand

    PARKIN GeneMutation

    PINK 1 Gene

    Alpha Synucleinopathy

     u!enile "n#etPar$in#on%# &i#ea#e

    • Ma#$'li$e (ace• S)all hand*ritin+

    ,)icro+raphia-.de)entia

    • &ecrea#ed

    /lin$in+• 0ypophonia• Shuin+ +ait• 2all3 the MC

    pro/le) inPar$in#on%#

    A##ociated *ith3• Parkinson’s di#ea#e ,a4$4a4

    Paralysis Agitans-e4+4 Michael 42o5. Muha))ad Ali.2reddie Roach2our )otor #y)pto)#3

    1. Unilateral Resting tremors(“pill-rolling” of hands)

    2. Cogwheel!eadpipe rigidity ". #rady$inesia A$inesia%. Post&ral insta'ility (“stooped” 

     post&re)

    Lack of Dopamine in par#co)pacta neuron# o( the Su/#tantia

    Ni+ra 6yro#ine3 the a)ino acid precur#or o( dopa)ine

    Levodopa + Carbidopa. Sele+iline.Ra#a+ilineC"M6 inhi/itor# ,entacapone.tolcapone-Anticholiner+ic# ,trihe5yphenidyl./en7tropine-A)antadine

    0aloperidol3 the MC dru+ that cau#e#

    Par$in#oni#)  80aldol #hue9,Antidote3 :iperiden,A$ineton--

    Accu)ulation o( Lewy Bodies Multiple Sy#te) Atrophy ,MSA-

    A&IN"PEC6IN An anti'in;a))atorycyto$ine

    • Produced e5clu#i!ely /yadipocyte#

    • Enhance# insulinsensitivity . and inhi/it#)any #tep# in in;a))ation

    Reduced in Meta/olicSyndro)e. hence. cau#in+the in#ulin re#i#tance

    ALK protein Anaplasti lymphoma

    $inaset!"#$

    Anapla#tic lar+e cell< nullcell ly)pho)a

    • :one )arro* in=ltration o()onoclonal B cell#> ,for then&llnon-* + non-#-

    • S)ud+e cell# ,/a#$et cell#-• *< imm&nopositi,ity to C"

    a.$.a. /i-1

    • Clu#terin. another )ar$er

    that *ould di?erentiate (ro)0od+$in%#• 0a!e a +ol+i'#tainin+ pattern

    Anti'CEN6R"MERE. 6he li)ited cutaneou# CRES6 Syndro)e ,the acrony)-

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    GENETICS | *

     6hy)o)a3 the MC a##ociated tu)or*ith MG&"C3 Pyrido#ti+)ineAlt43 Neo#ti+)ine

    Anti'ri/o#o)al P A/ P#ycho#i# F to CNSlupu#

    Anti'Ro A/ Neonatal Lupu# Con+enital heart /loc$

    Anti'SCL' Anti/odya4$4a4

    Anti'topoi#o)era#e I

    Anti'nuclear anti/odie#3Anti'RNA poly)era#e I.

    II. and III

    Anti'UJ RNP

    &i?u#e Sy#te)icScleroder)a

    • "!erproduced 6ran#(or)in+Gro*th 2actor

    • CRES6 #yndro)e• -A2& ,+a#tric antral !a#cular

    ecta#ia- al#o $no*n a#8watermelon stomah” 

    Mali+nant hyperten#ion• May /e cau#ed /y

    Bleomycin and 'aane

    •  6he Anti'UJ RNP i# al#o hi+hly#peci=c (or SSc *ith)u#culo#$eletal. +a#tric andpul)onary in!ol!e)ent

    • Sclerede)a ,sleredemaad&ltor&m of #&sh$e-'predo)inantly in children>painle## ede)atou#induration in!ol!in+ the (ace.#calp. nec$. trun$. andpro5i)al portion# o( thee5tre)itie#

    • Patient# *ith in#ulin'dependent dia/ete# )ellitu#)ay de!elop di+ital #clero#i#and contracture# , prayerhand deformity -

    Anti'o 1 In;a))atory Myopathy

    Antipho#pholipid A/ APAS,anti'pho#pholipid

    anti/ody #yndro)e-

    Clottin+ predi#po#itionRepeated (etal lo## 6hro)/ocytopenia

    Anti'U1 RNP Mi5ed Connecti!e 6i##ue&i#ea#e

    8o!erlap #yndro)e9

    • In O'1Q o( patient#• 0a# (eature# o( So+ren%#

    #yndro)e• 0a# (eature# o( Scleroder)a

    ,CRES6 #yndro)e-• 0a# (eature# o( SLE3 )alar

    ra#h. photo#en#iti!ity. di#coidle#ion#. alopecia. pain(ul oralulcer#

    • Pul)onary arterial

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    GENETICS | +

    hyperten#ion i# the )o#tco))on cau#e o( death

    APC Gene,Adeno)atou#Polypo#i# Coli-

    ,ami%ia% 'denomatousPo%$-osis

    a..a. Gardner0s

    s$ndrome,)utation# in APC +ene-

    Co%orecta% Cancer,inacti!ation o( APC

    +ene-remem'er 8-9U

    APC +ene i# located in the lon+ ,D-ar) o( Chro)o#o)e  3#4!56

     Allelic loss3 production o( an APCprotein that i# a/nor)ally #hort andnon(unctional

    #u/#titution o( the a)ino acid lycine(or isoleucine  at po#ition 1J inthe APC protein

    beta.catenin. i# controlled /y theAPC protein> pre!ent# cello!er+ro*th

    AP"LIP"PR"6EIN EH,AP"EH-

    Pre'Senilin IPre'Senilin II

    Al7hei)er%# &i#ea#e   • Neuro=/rillary tan+le#co)po#ed o( a/nor)allypho#phorylated 6au protein

    • A)yloid protein#> located inChro)o#o)e F1 #enileplaDue#

    ,N"6E3 co))on (actor /et*een A&and &o*n%# #yndro)e3 chro)o#o)eF1-

    • 0ippoca)pal atrophy• ,- 0irano /odie# in the

    neuron#• A!era+e duration3 '1 year#• End #ta+e3 Pt *ill /e ri+id.

    )ute. incontinent. /edridden•  6ACRINE3 a )edicine (or A&

    /ut not u#ed any)ore• &"C3 Anti'

    Aceylcholine#tera#e Inhi/itor,to pre!ent (urther/rea$do*n o( the 8already'depleted9 le!el# o( Ach-

    A6ATIN'1 Gene Spinocere/ellar ata5ia

    Machado o#eph &i#ea#e

    SCA 6ype 13 C A - repeat @p0yper)etric #accade#Slo* #accade#Upper )otor neuron

    SCA 6ype F3 C A - repeat 1FD&i)ini#hed !elocity #accade#Are;e5ia

    SCA 6ypeJ3 C A - repeat 1HDGa7e e!o$ed ny#ta+)u#Slo* #accade#Upper )otor neuron

    A6M +ene Inacti!ated in 'taiate%angiectasia

    Encode# a $ina#e e##ential (or pJacti!ityCharacteri7ed /y hyper#en#iti!ity to

    http://en.wikipedia.org/wiki/Amino_acidhttp://en.wikipedia.org/wiki/Isoleucinehttp://en.wikipedia.org/wiki/Isoleucinehttp://en.wikipedia.org/wiki/Isoleucinehttp://en.wikipedia.org/wiki/Beta-cateninhttp://en.wikipedia.org/wiki/Amino_acidhttp://en.wikipedia.org/wiki/Isoleucinehttp://en.wikipedia.org/wiki/Beta-catenin

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    GENETICS | 2

    5ray# and predi#po#ition toly)pho)a#

    A!idin /loc$# the co'en7y)e:I"6IN3 Bit4:

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    GENETICS | 3

    (eed/ac$ #i+nal# that stop eatin*be(avior 

    :RCA1 ,1D-:RCAF ,1JD-,onco+ene#-

    "!arian CA:rea#t CA

    ReDuired (or pJ acti!ity

    Char+a?%# rule 131 ratio o( Purine# andPyri)idine#

    'denine al*ay# pair# *ithThy)ine 8cat%# )eo*9> cat%#eye#' epcanthal (oldchro)o#o)e p deletion#yndro)e auto#o)al rece##i!e,- Chloride #*eat te#t ,X))ol

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    GENETICS | 6

    Ata5ia. ny#ta+)u#.$ypho#colio#i#. pe# ca!u#,hi+h arched (oot-Spinal cord /eco)e#thinner de)yelinationMental (unction# are not

    a?ected

     6reat)ent3 I&E:EN"NE

    -rotein ,ratain# an iron /indin+protein re#pon#i/le (or (or)in+ iron'#ulphur clu#ter#

    (rata5in de=ciency i# )itochondrialiron o!erload *hich can cau#eda)a+e to )any protein#

    E-anded G ' ' triple repeat#>auto#o)al rece##i!e

    C0R"M"S"ME 1 Re(#u)%# di#ea#e Phytanoyl Co'A de=ciency,or Phytannic acid-

    C0R"M"S"ME 1J Patau Syndro)e 6ri#o)y 1J 9:;5"Li 2rau)eni Syndro)e

    Lon* arm"5:4""!arian cancer

    Cana!an%# di#ea#e

    Ca(Z au Lait Spot#Li#ch nodule# on iri#Neuro=/ro)ato#i# I

     6pJ 6u)or Suppre##or GeneGuardian o( the Geno)eSe!eral cancer# are in!ol!ed

    0ereditary cancer> +er)line)utation# o( :RCA tu)or #uppre##or

    +ene

    &e=ciency o( a#partocycla#e ora)inocycla#e F  le!el# o( N'acetyla#partate are chronically ele!ated

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    GENETICS | 7

    Pro+re##i!e de)yelination o( ner!ecell# in the /rain  death /e(ore a+eH

    C0R"M"S"ME 1 Ed*ard# Syndro)e 6ri#o)y 1

    H.TT.1

    • Pro)inent occiput. MR.)icro+nathia

    • Lo* #et ear#. #hort nec$• Clenched =#t. o!erlappin+

    =n+er#• 0eart and renal

    )al(or)ation#• Li)ited hip a/duction• Roc$er'/otto) (eet

    C0R"M"S"ME F1 &o*n%# Syndro)e 6ri#o)y F1 ,H.TY.F1-

    • 2lat (acie#. o/liDue palpe/ral=##ure. epicanthic (old#.simian hand reases

    • Con+4 heart di#ea#e• Recurrent in(ection#• Acute ly)pho/la#tic leu$e)ia

    ,[ri#$-• Pre)ature Al7hei)er%#

    di#ea#e• &uodenal atre#ia

    Colla+en 6he )o#t a/undantprotein in the /ody>

    0ydro5ylation o( Glycine.Proline into

    0ydro5yproline and0ydro5yly#ine

    BI6AMIN C cro## lin$# colla+en>#cur!y i# due to it# de=ciency

     6ropocolla+en3 J polypeptide chain#

    c'UN +ene Proto'onco+ene I)portance3A +ro*th'pro)otin+ +ene 6ran#cription re+ulationNe+ati!e re+ulation o( &NA /indin+

    C'KI6 onco+ene Ga#tro'inte#tinal Stro)al 6u)or#,GIS6#-

     6u)or# are o( )e#oder)al,inter#titial cell# o( Caal-

    • :leedin+ or GI o/#truction•

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    GENETICS | 18

    #yntha#e

    CYPF1A F1'0ydro5yla#ede=ciency

    Mutation# in thi# +ene cau#e#defeti,e on,ersion o( pro+e#teroneto 11'deo5ycortico#terone

    14 Salt'*a#tin+ #yndro)e3

    co)plete de=ciency o( F1'hydro5yla#eF4 Si)ple !irili7in+ adreno+enital

    #yndro)e *ithout #alt*a#tin+

    J4 Non'cla##ic ,late on#et-adrenal !irili#)3 partial F1'hydro5yla#e de=ciency acne. hir#uti#). )en#trualirre+ularitie#

    &NA 0ELICASE

    )utation

    erner #yndro)e   • Pre)ature a+in+• accelerated accu)ulation o(

    chro)o#o)al da)a+e• )i)ic# the inury that

    nor)ally acco)panie# a+in+

    &YNEIN de(ect Pri)ary Ciliary&y#$ine#ia

    Karta+ener%# #yndro)e 6riad3

    14 Situ# in!ertu# ,de5trocardia-F4 Chronic #inu#iti#J4 :ronchiecta#i#

    &YS6R"P0IN,the :IG +ene-

    &uchenne Mu#cular&y#trophy

    • MC (or) o( childhood)u#cular dy#trophy

    • ,- Go*er%# Si+n• P#eudohypertrophy o( the cal( • 2ra)e#hi(t )utation in O@Q• Ne* )utation in JQ

    &Y6J Gene T&PSe5'lin$ed &y#tonia o( 

    Panay

    2ound in Panay I#land Philippine#,L1BA-/

    • uniDue to adult 2ilipino )en

    • pronounced atrophy o( thecaudate and putamen

      ,u#t li$e 0untin+ton%#di#ea#e-

    Er/':F ,0erF

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    GENETICS | 1

    and tran#criptional#uppre##ion

    • A?ected )ale#3 pro+re##i!eneurode+eneration. #e!ereMR. enlar+ed te#te#

    • A?ected (e)ale3 pre)atureo!arian (ailure

    2RA6ATIN Gene(a mitohondrial

     protein)

    2riedreich%# Ata5ia   • e5pan#ion o( an intronic - A A triplet repeat>

    • are;e5ia. up+oin+ toe#.!i/ration and po#ition #en#ede=cit#. #colio#i#. cardiomyopat(y . ha))ertoe#

    • )debenone. a (ree'radical#ca!en+er. )ay i)pro!e)yocardial hypertrophy in

    2A• iron chelator# and antio5idant

    dru+# can increa#e)yocardial inury in 2A

    G0RELIN the hun+er hor)one increa#e# the appetite and (a!or# theaccu)ulation o( a/do)inal (at#produced )ainly /y Paline : aple syr&p&rine disease

    • Mi##en#e Mutation• 0e)olytic cri#i# ' ane)ia• SeDue#tration cri#i# ' #pleen• Par!o!iru# :1O tri++er#

    Apla#tic cri#i#• :ene=t (ro) routine 2lu

    !accine• Sic$le #hape +i!e# re#i#tance

    to Malaria•

    indi+enou# inha/itant#o( Su/'Saharan A(rica

    GRAN^YME :   • A C6L'deri!ed #erine protea#e

    http://en.wikipedia.org/wiki/Indigenous_peopleshttp://en.wikipedia.org/wiki/Sub-Saharan_Africahttp://en.wikipedia.org/wiki/Indigenous_peopleshttp://en.wikipedia.org/wiki/Sub-Saharan_Africa

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    GENETICS | 1!

    Acti!ate# )ultiple ca#pa#e#. there/y.directly inducin+ the e?ector pha#eo( apopto#i#

    0ER'F onco+ene :rea#t carcino)a   • Indicate# a poor pro+no#i# i(,-

    • Can /e treated *ith tar+etedtherapy. #uch a# 6ereptin

    0i#tidine 6he /u?erin+ capacity o( he)o+lo/ini# due to thi# a)ino acid re#idue

    0LA :F An$ylo#in+ Spondyliti#(a.$.a. arie ?tr&mpell

    disease #ehterew7s disease)

    Reiter%# Syndro)e

    :ehcet%# #yndro)e

    MC Serone+ati!e Spondylo'arthropathy“'am'oo spine appearane” ,- Scho/er 6e#t3 li)itation o(lu)/ar ;e5ion,- Sacroiliti# on TRay

    'riad 314 In;a))atory ,reacti!e-

    arthriti#F4 Conuncti!iti# ,u!eiti#-J4 Urethriti# ,in )en- or

    Cer!iciti# ,in *o)en-

    • Keratoder)a /lenorrha+ica)o#t co))on tri++er# are inte#tinal

    in(ection# *ith Salmonella ;S(i*ella  or Campylobacter   and#e5ually tran#)itted in(ection#*ith C(lamydiatrac(omatis or 7eisseria*onorr(eae

    • "ral and +enital ulcer#• U,eitis ( 6!A #2@ )

    • Pro+re##i!e optic atrophy• Intracranial hyperten#ion *ith

    papillede)a

    0LA :H F1'hydro5yla#e&e=ciency

    0LA &RF SLE

    0LA &RJ   • Pri)ary So+ren%##yndro)e

    • &ia/ete# Mellitu#

    type 1• SLE• Po#t+onococcal

    arthriti#

    Sicca #yndro)eSchir)er%# te#t

    http://en.wikipedia.org/wiki/Salmonellahttp://en.wikipedia.org/wiki/Shigellahttp://en.wikipedia.org/wiki/Campylobacterhttp://en.wikipedia.org/wiki/Chlamydia_trachomatishttp://en.wikipedia.org/wiki/Chlamydia_trachomatishttp://en.wikipedia.org/wiki/Chlamydia_trachomatishttp://en.wikipedia.org/wiki/Neisseria_gonorrheaehttp://en.wikipedia.org/wiki/Neisseria_gonorrheaehttp://en.wikipedia.org/wiki/Salmonellahttp://en.wikipedia.org/wiki/Shigellahttp://en.wikipedia.org/wiki/Campylobacterhttp://en.wikipedia.org/wiki/Chlamydia_trachomatishttp://en.wikipedia.org/wiki/Chlamydia_trachomatishttp://en.wikipedia.org/wiki/Neisseria_gonorrheaehttp://en.wikipedia.org/wiki/Neisseria_gonorrheae

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    GENETICS | 1*

    "9' DR*,&R 1_H1-[[[ri#$

    ,&R 1_HH-,&R 1_11-

    %(eumatoid @actor

    in @@Q o( P5

     Anti.CyclicCitrullinated Peptide

    ,anti'CCP-OQ #peci=cityIndicate# poor

    pro+no#i#

    Rheumatoid 'rthritis

     6N2'α3 in;a))ation.(e!er. /one and cartila+ere#oprtion

    IL'1α3 attac$# thy)o#ite#and neutrophil#IL'13 attac$# :6 cell#.and ti##ue cell#IL'@3 di?erentiation and/one re#orption

    Rheu)atoid nodule

    CA& and carotidathero#clero#i#3 MCcau#e o( death in RA p5

    Per#i#tent in;a))atory #yno!iti#• MC (or) o( C0R"NIC arthriti#• Sy))etric polyarthriti#.

    re#ult# in oint da)a+e• Sy#te)ic di#ea#e *ith

    e5traarticular )5 ,XJoint#->

    #

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    GENETICS | 1+

    K'RAS Gene Colorectal CAPancreatic CA

    Lun+ CANoonan #yndro)e

    Cardio'(acio'cutaneou##yndro)e

    MC #ite3 Si*moid colon

    An onco+ene that i# a G'PR"6EIN

    A )olecular ono  #*itch

    LEP6IN )n(ibits appetite /y counteractin+the e?ect# o( neuropeptide  3 apotent (eedin+ #ti)ulant #ecreted /ythe cell# in the +ut and in thehypothala)u#

    • Reduced in Meta/olicSyndro)e

    Microphthal)iaa##ociated tran#cription

    (actor ,MI62- +ene

     6iet7% #yndro)e &ea(ne##Al/ini#)Leuci#)(defets in all types s$in pigmentsBnot &st melanin)

    Mirror i)a+e# Enantio)er# ,in /ioche)-Reed'Stern/er+ cell# ,in patho-

    Moti( 0eli5 to heli5^inc =n+er

    Leucine 7ipper

    SeDuence pattern o( nucleotide# in a&NA #eDuence or a)ino acid# in aprotein

    NAGA +ene Schindler di#ea#e(a.$.a. /anDa$i disease)

    α'N'acetyl+alacto#a)inida#ede=ciency

    I4 6ype I ,In(antile-3 )ore#e!ere. *ith neurolo+ical andneuro)u#cular #y)pto)#

    II4 6ype II ,Adult-3 )ilder>an+io$erato)a#. )ildintellectual i)pair)ent

    III4 6ype III ,Inter)ediate-3#ei7ure#. MR. auti#tic'li$e/eha!ior. delayed #peech

    NRAM Genetic protein,Natural Re#i#tance

    A##ociatedMacropha+e-

    AI&SMyco/acteriu) A!iu) Intracellulare(E!ady Findermere syndromeE)

    collar#tud a/#ce##

    P'1@ Pancreatic CA   • Bery #peci=c (or pancreaticCA

    •  6he )o#t (reDuentlyinacti!ated tu)or #uppre##or+ene

    P'J 6u)or Suppre##orGene

    9i:,raumeni S$ndrome#e!eral $ind# o( 

    CA7C&% are in!ol!ed>o(ten appear# at a yo&ng

    -uardian of t(e -enome

    •  6PJ a##i#t# in repair orde#truction o( /ad orda)a+ed &NA

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    GENETICS | 13

    Ra)achandran Plot 6he an+le# o( the t*o )o#t co))ontype# o( #econdary #tructure. α'heli5and #heet. (all *ithin the lo*er andupper le(t'hand Duadrant#

    R/ 1JD,onco+ene- Retino/la#to)a

    "#teo#arco)a

    2le5ner'inter#teiner p#eudoro#ette#

    8#un/ur#t pattern9 on Tray

    S'1 protein A# tu)or )ar$er (or3• Mali+nant

    Melano)a• Mali+nant

    Peripheral Ner!eSheath tu)or#

    • Sch*anno)a•

    0i#tiocyto)a• Clear Cell

    Sarco)a

    )c3 Super=cial Spreadin+ type or thene#ted patternDysplastic nevus3 precur#or o(MMelano)a

     S Pha#e 6he pha#e i# the cell cycle *hen &NAunder+oe# replication

    Shine'&al+arnoSeDuence

    • Ri'osomal 'inding site in the

    mR3A +enerally locatedup#trea) o( the #tart codon<initiatin+ codon3 AUG

    • 0elp# recruit the ri/o#o)e# tothe )RNA to initiate protein#ynthe#i# /y ali+nin+ it *iththe #tart codon

    • 2ound in pro$aryotes• Core &NA #eDuence3

    +0T'T'''!0• ;o&a Se

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    GENETICS | 16

    he)oly#i#• ,- 6owell-Holly 'odies

    Ane)ia. hyper/iliru/ine)ia.#pleno)e+aly

    S6K11 +ene on

    Chro)o#o)e 1O,)utation-

    Peut7'e+her# #yndro)e

    (a.$.a. hereditary intestinal polysposis

    syndrome)

    :eni+n ha)arto)atou# polyp# o( the

    GI6• 0yperpi+)ented )acule#

    around the lip# and oral)uco#a

    "ral =ndin+# are #a)e *ithAddi#on%# di#ea#e and McCuneAl/ri+ht

     6a)) 0or#(all protein Uro)odulinProtein in the $idney tu/ule#

     6A6A :o5 a4$4a4 Gold/er+'0o+ne##:o5

    A &NA #eDuence ,ci# re+ulatoryele)ent- (ound in the pro)oterre+ion o( +ene# in eu$aryote#

     6AU Protein 6aupathy

    Al7hei)er%# di#ea#e

    ?yperp(osp(orylation  *ill lead to#el('a##e)/ly o( tan+le# o( pairedhelical =la)ent# and #trai+ht=la)ent#

    at#on and Cric$

    )odel o( &NA

    !*=3 one co)plete turn

    or heli5 pitch o( theat#on and Cric$

    6eliase3 the en7y)ethat *ill un*ind the &NAheli5

    &ecri/e# the &NA a# (ollo*in+3

    • :a#e pairin+• 0elical• Ri+ht'handed• Co)pli)entary #trand#• Anti'parallel #trand#• Su+ar'pho#phate /ac$/one

    out#ide and /a#e# #tac$edin#ide

    •  6*i#ted ladder #tructure

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    GENETICS | 8

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    23/29

    GENETICS | !

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    GENETICS | *

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    GENETICS | +

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    GENETICS | 2

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    GENETICS | 3

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    GENETICS | 6

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    GENETICS | 7