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USMLE - Chapter 1 - Biochemistry

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  1. Chromatin Structure Overview to Histone Deacetylation
    6Topics
  2. Nucleoside and Nucleotide Basics to Base Pairing and DNA Stability
    5Topics
  3. Introduction to Nucleotide Synthesis Inhibition to Broad-Spectrum Inhibitors and CPS Enzymes
    5Topics
  4. Purine Metabolism and Salvage Pathways to Genetic Code: Commaless and Universal
    6Topics
  5. DNA Replication Basics to Detailed Lagging Strand Synthesis
    7Topics
  6. DNA Repair: Nonhomologous End Joining to DNA Repair: Mismatch Repair
    5Topics
  7. Introns vs Exons: Basic Definitions to Visualizing Alternative Splicing and Protein Diversity
    4Topics
  8. tRNA Structure Overview to mRNA Stop Codons
    6Topics
  9. Introduction to DNA Mutations to Lac Operon Gene Expression States
    8Topics
  10. Cilia Structure: Motile Cilia and Basal Body to K+ Pump Inhibition
    6Topics
  11. Page 1 — Eukaryotic Gene Overview to Page 1 — RNA Processing: Splicing & Fate
    8Topics
  12. Osteogenesis Imperfecta: Genetic Basis to Menkes Disease
    6Topics
  13. Eukaryotic RNA Polymerases: Types to Splicing Diagram: Lariat & Mature mRNA
    7Topics
  14. Flow Cytometry: Basics and Applications to ELISA: Principle and Uses
    4Topics
  15. Protein Synthesis: Initiation Phase to Posttranslational Modifications: Chaperone Proteins
    6Topics
  16. Karyotyping: Principles and Applications to Molecular Cloning: Process and Applications
    4Topics
  17. Cell Cycle Phases and Regulation to p53 and Apoptosis Induction
    7Topics
  18. Introduction to Imprinting Disorders to Visualizing Normal vs. Mutated Chromosomes
    6Topics
  19. Rough Endoplasmic Reticulum Functions to Specific Vesicular Trafficking Proteins
    7Topics
  20. Autosomal Dominant Inheritance to Pedigree Chart Symbols
    6Topics
  21. Peroxisome Functions to Drugs Affecting Microtubules
    5Topics
  22. Polyunsaturated Essential Fatty Acids to Water-Soluble Vitamins: Deficiencies and Coenzyme Functions
    5Topics
  23. Collagen Introduction and Type I to Collagen Synthesis: Maturation and Fibril Formation
    6Topics
  24. Vitamin B7 (Biotin): Function and Deficiency to Vitamin B9 (Folate): Deficiency, Causes, and Prevention
    3Topics
  25. Elastin: Structure and Composition to PCR Cycle: Elongation and Repetition
    8Topics
  26. Ethanol Metabolism Overview to Pharmacological Interventions in Alcohol Metabolism
    5Topics
  27. CRISPR to Interpreting Southern Blot Results
    5Topics
  28. Key Metabolic Locations to Glucose Breakdown and NADPH Production
    4Topics
  29. Transgenic Strategies in Mice to Epistasis and Aneuploidy
    7Topics
  30. Pyruvate Dehydrogenase Deficiency to The TCA Cycle (Krebs Cycle)
    3Topics
  31. Genetic Terms: Dominant Negative & Linkage Disequilibrium to Conditions for Hardy-Weinberg Equilibrium
    7Topics
  32. ETC Overview to Fatty Acids in Gluconeogenesis
    9Topics
  33. Autosomal Dominant Disorders to CFTR Channel Function Diagram
    11Topics
  34. Phenylketonuria: Basic Defect and BH4 Deficiency to Alkaptonuria
    7Topics
  35. X-linked Recessive Diseases Introduction to Myotonic Dystrophy
    6Topics
  36. Fatty Acid Synthesis Overview to Medium-Chain Acyl-CoA Dehydrogenase Deficiency
    4Topics
  37. Mitochondrial Diseases: MELAS & MERRF to Trinucleotide Repeat Diseases: Fragile X & Friedreich Ataxia
    8Topics
  38. Hepatic Ketone Body Synthesis to Adipocyte Metabolism: Fed State
    4Topics
  39. Autosomal Trisomies & Down Syndrome Overview to Second Trimester Screening & NIPT
    8Topics
  40. Metabolic Fuel Use: Initial Exercise to Starvation After Day 3 and Stored Energy Depletion
    7Topics
  41. Genetic Disorders: Chromosomes 3-7 to Williams Syndrome
    6Topics
  42. Dietary Lipid Absorption and Chylomicron Entry to IDL, LDL Formation, and Uptake
    4Topics
  43. Vitamin A: Functions and Forms to Vitamin B1: Beriberi Forms
    7Topics
  44. Vitamin B2: Function and Deficiency to Vitamin B6 Deficiency Symptoms
    7Topics
  45. Vitamin B12: Name, Function, and Sources to Vitamin C: Excess and Toxicity
    7Topics
  46. Vitamin D Introduction and Function to Vitamin E Deficiency and Excess Effects
    6Topics
  47. Vitamin K Function to Marasmus: Characteristics and Visuals
    7Topics
  48. Enzyme Terminology: Kinase & Phosphorylase to Rate-Determining Enzymes: Lipid Metabolism
    7Topics
  49. ATP Production Pathways to Hexokinase vs Glucokinase: Kinetics & Regulation
    5Topics
  50. Glycolysis Net Reaction to PDC: α-Ketoglutarate & Arsenic
    7Topics
  51. Introduction to Pentose Phosphate Pathway to G6PD Deficiency: Biochemical Mechanism of Oxidative Stress
    7Topics
  52. Essential Fructosuria to Galactose Metabolism Pathway & Summary
    6Topics
  53. Sorbitol Pathway and Diabetic Complications to Acidic and Basic Amino Acids
    6Topics
  54. Urea Cycle Introduction to Hyperammonemia Treatment
    5Topics
  55. Ornithine Transcarbamylase Deficiency to Catecholamine Synthesis and Degradation
    5Topics
  56. Homocystinuria: Genetic Causes to Methylmalonic Acidemia: Deficiency & Metabolism
    6Topics
  57. Glucagon to Glycogen Disorders and Enzymes
    6Topics
  58. Introduction to Glycogen Storage Diseases to McArdle Disease (Type V)
    6Topics
  59. Lysosomal Storage Diseases Intro & Tay-Sachs to Lysosomal Storage Disease Pathway
    6Topics
  60. Key Enzymes in Lipid Transport - Part 1 to Major Apolipoproteins - Part 2
    5Topics
  61. Lipoprotein Functions: Chylomicron & VLDL to Familial Dyslipidemias: Dysbetalipoproteinemia & Hypertriglyceridemia
    5Topics
Lesson 5 of61
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DNA Replication Basics to Detailed Lagging Strand Synthesis

Content August 26, 2025

DNA Replication Overview

DNA replication occurs in a 5′ to 3′ direction, proceeding in both continuous and discontinuous (Okazaki fragment) fashion. It is a semiconservative process, meaning each new DNA molecule consists of one original and one newly synthesized strand. While more complex in eukaryotes, it shares analogous enzymes with prokaryotes.

Origin of replication (A): This is a particular consensus sequence in the genome where DNA replication begins. It may be a single origin in prokaryotes or multiple origins in eukaryotes. AT-rich sequences, such as TATA box regions, are commonly found in promoters and origins of replication.


Replication Fork and Helicase

Replication fork (B): This is the Y-shaped region along the DNA template where both leading and lagging strands are synthesized.

Helicase (C): This enzyme is responsible for unwinding the DNA template at the replication fork. It effectively ‘halves’ the DNA by separating the two strands. A deficiency in helicase function is associated with Bloom syndrome, a condition caused by a BLM gene mutation.

#boundingbox

The diagram labeled ‘Area of Interest’ illustrates the fork movement and the synthesis of both leading and lagging strands in relation to the origin of replication.


SSBPs and DNA Topoisomerases

Single-stranded binding proteins (D): These proteins prevent the separated DNA strands from reannealing or being degraded by nucleases, keeping them accessible for replication.

DNA topoisomerases (E): These enzymes manage DNA supercoiling. Topoisomerase I creates a single-stranded break, while Topoisomerase II creates a double-stranded break, to add or remove supercoils caused by DNA unwinding or overwinding.

In eukaryotes, irinotecan/topotecan inhibit Topoisomerase I, and etoposide/teniposide inhibit Topoisomerase II. In prokaryotes, fluoroquinolones inhibit Topoisomerase II (DNA gyrase) and Topoisomerase IV.


Primase and DNA Polymerase III

Primase (F): This enzyme makes a short RNA primer, providing the necessary 3′ hydroxyl group for DNA polymerase III to initiate new DNA strand synthesis.

DNA polymerase III (G): In prokaryotes, this is the primary enzyme for DNA synthesis. It elongates the leading strand continuously and the lagging strand until it reaches the preceding primer. DNA polymerase III has 5′ to 3′ synthesis and 3′ to 5′ exonuclease activity for proofreading. Drugs blocking DNA replication often have a modified 3′ OH group, preventing further nucleotide addition and causing ‘chain termination’.


DNA Polymerase I and DNA Ligase

DNA polymerase I (H): In prokaryotes, this enzyme degrades the RNA primer and replaces it with DNA. It shares some functions with DNA polymerase III, including excising the RNA primer with its 5′ to 3′ exonuclease activity.

DNA ligase (I): This enzyme catalyzes the formation of a phosphodiester bond within a strand of double-stranded DNA. Its crucial role is to join Okazaki fragments on the lagging strand, effectively ‘ligating’ or linking the DNA segments together.


Telomerase and Replication Fork Overview

Telomerase: Found only in eukaryotes, this reverse transcriptase (RNA-dependent DNA polymerase) adds TTAGGG DNA sequences to the 3′ ends of chromosomes. This prevents genetic material loss during cell duplication. It’s upregulated in progenitor cells and cancer, and downregulated in aging and progeria. Remember: ‘Telomerase TAGs for Greatness and Glory’.

#boundingbox

The top portion of this detailed diagram illustrates the overall replication fork. You can see the origin of replication (A), the topoisomerase (E) relieving supercoiling, the helicase (C) unwinding the DNA, and DNA polymerase III (G) synthesizing the leading strand continuously.


Lagging Strand Synthesis

#boundingbox

Focusing on this portion of the detailed replication fork diagram, we can observe the intricate process of lagging strand synthesis. Here, you see the discontinuous synthesis of DNA, forming Okazaki fragments. Primase (F) lays down RNA primers, which are then extended by DNA polymerase III (G). Single-stranded binding proteins (D) stabilize the unwound DNA. Subsequently, DNA polymerase I (H) removes the RNA primers and fills the gaps with DNA, and finally, DNA ligase (I) joins these Okazaki fragments together to form a continuous strand.

Topics Covered:

  • DNA Replication Basics
  • Replication Fork Formation
  • Managing DNA Stability and Supercoiling
  • Initiation and Elongation of DNA
  • Primer Removal and Fragment Joining
  • Telomere Maintenance and Replication Fork
  • Detailed Lagging Strand Synthesis