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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 17 of61
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Cell Cycle Phases and Regulation to p53 and Apoptosis Induction

Content August 26, 2025

Cell Cycle Phases and Checkpoints

Checkpoints control transitions between phases of cell cycle. This process is regulated by cyclins, cyclin-dependent kinases (CDKs), and tumor suppressors. M phase (shortest phase of cell cycle) includes mitosis (prophase, prometaphase, metaphase, anaphase, telophase) and cytokinesis (cytoplasm splits in two). G0 is of variable duration.


Regulation of Cell Cycle: Cyclin-CDK Complexes

Regulation of Cell Cycle Description
Cyclin-dependent kinases Constitutively expressed but inactive when not bound to cyclin.
Cyclin-CDK complexes Cyclins are phase-specific regulatory proteins that activate CDKs when stimulated by growth factors. The cyclin-CDK complex can then phosphorylate other proteins (eg, Rb) to coordinate cell cycle progression. This complex must be activated/inactivated at appropriate times for cell cycle to progress.

Regulation of Cell Cycle: Tumor Suppressors

Regulation of Cell Cycle Description
Tumor suppressors p53 → p21 induction → CDK inhibition → Rb hypophosphorylation (activation) → G1-S progression inhibition. Mutations in tumor suppressor genes can result in unrestrained cell division (eg, Li-Fraumeni syndrome). Growth factors (eg, insulin, PDGF, EPO, EGF) bind tyrosine kinase receptors to transition the cell from G1 to S phase.

Cell Types and Their Cell Cycle Status

Cell Types Description Examples
Permanent Remain in G0; regenerate from stem cells. Neurons, skeletal and cardiac muscle, RBCs.
Stable (quiescent) Enter G1 from G0 when stimulated. Hepatocytes, lymphocytes, PCT, periosteal cells.
Labile Never go to G0; divide rapidly with a short G1. Bone marrow, gut epithelium, skin, hair follicles, germ cells.

Cell Cycle Overview and G1 Restriction Point

#boundingbox

This diagram illustrates the cell cycle, showing the interphase stages of G1, S (DNA synthesis), and G2, followed by the M phase (mitosis and cytokinesis). Cells can also enter a quiescent G0 phase. The G1 restriction point is a critical control point, modulated by Rb and p53, which determines whether a cell proceeds to DNA synthesis or exits the cycle.


DNA Damage Response and Cell Cycle Arrest

#boundingbox

This section of the diagram shows how DNA damage triggers the activation of p53. Activated p53 then induces p21, which acts to inhibit Cyclin-CDK complexes, leading to cell cycle arrest. This mechanism prevents cells with damaged DNA from replicating. Notably, HPV E6 can lead to a loss of function in p53, disrupting this critical tumor suppressor pathway.


p53 and the Intrinsic Apoptosis Pathway

#boundingbox

Beyond cell cycle arrest, p53 also plays a role in programmed cell death. In response to severe damage, p53 can inhibit anti-apoptotic proteins like BCL-2 and BCL-XL. This inhibition allows pro-apoptotic proteins, BAX and BAK, to become active, leading to caspase activation and ultimately, apoptosis via the intrinsic pathway. This ensures that severely damaged cells are eliminated, preventing their potential to become cancerous.

Topics Covered:

  • Cell Cycle Phases and Regulation
  • Cyclin-CDK Complex Function
  • Tumor Suppressor Mechanisms
  • Classification of Cell Types by Division
  • Cell Cycle Phases and G1 Control
  • p53 and Cell Cycle Arrest
  • p53 and Apoptosis Induction