USMLE - Chapter 1 - Biochemistry
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Chromatin Structure Overview to Histone Deacetylation6Topics
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Nucleoside and Nucleotide Basics to Base Pairing and DNA Stability5Topics
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Introduction to Nucleotide Synthesis Inhibition to Broad-Spectrum Inhibitors and CPS Enzymes5Topics
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Purine Metabolism and Salvage Pathways to Genetic Code: Commaless and Universal6Topics
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DNA Replication Basics to Detailed Lagging Strand Synthesis7Topics
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DNA Repair: Nonhomologous End Joining to DNA Repair: Mismatch Repair5Topics
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Introns vs Exons: Basic Definitions to Visualizing Alternative Splicing and Protein Diversity4Topics
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tRNA Structure Overview to mRNA Stop Codons6Topics
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Introduction to DNA Mutations to Lac Operon Gene Expression States8Topics
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Cilia Structure: Motile Cilia and Basal Body to K+ Pump Inhibition6Topics
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Page 1 — Eukaryotic Gene Overview to Page 1 — RNA Processing: Splicing & Fate8Topics
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Osteogenesis Imperfecta: Genetic Basis to Menkes Disease6Topics
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Eukaryotic RNA Polymerases: Types to Splicing Diagram: Lariat & Mature mRNA7Topics
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Flow Cytometry: Basics and Applications to ELISA: Principle and Uses4Topics
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Protein Synthesis: Initiation Phase to Posttranslational Modifications: Chaperone Proteins6Topics
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Karyotyping: Principles and Applications to Molecular Cloning: Process and Applications4Topics
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Cell Cycle Phases and Regulation to p53 and Apoptosis Induction7Topics
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Introduction to Imprinting Disorders to Visualizing Normal vs. Mutated Chromosomes6Topics
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Rough Endoplasmic Reticulum Functions to Specific Vesicular Trafficking Proteins7Topics
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Autosomal Dominant Inheritance to Pedigree Chart Symbols6Topics
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Peroxisome Functions to Drugs Affecting Microtubules5Topics
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Polyunsaturated Essential Fatty Acids to Water-Soluble Vitamins: Deficiencies and Coenzyme Functions5Topics
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Collagen Introduction and Type I to Collagen Synthesis: Maturation and Fibril Formation6Topics
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Vitamin B7 (Biotin): Function and Deficiency to Vitamin B9 (Folate): Deficiency, Causes, and Prevention3Topics
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Elastin: Structure and Composition to PCR Cycle: Elongation and Repetition8Topics
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Elastin: Structure and Composition
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Elastin Cross-linking and α1-Antitrypsin Deficiency
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Marfan Syndrome: Genetics and Physical Manifestations
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Marfan Cardiovascular Complications & Homocystinuria Overview
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Differentiating Marfan Syndrome and Homocystinuria
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Introduction to PCR: Amplifying DNA
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PCR Cycle: Denaturation and Annealing
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PCR Cycle: Elongation and Repetition
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Elastin: Structure and Composition
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Ethanol Metabolism Overview to Pharmacological Interventions in Alcohol Metabolism5Topics
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CRISPR to Interpreting Southern Blot Results5Topics
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Key Metabolic Locations to Glucose Breakdown and NADPH Production4Topics
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Transgenic Strategies in Mice to Epistasis and Aneuploidy7Topics
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Pyruvate Dehydrogenase Deficiency to The TCA Cycle (Krebs Cycle)3Topics
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Genetic Terms: Dominant Negative & Linkage Disequilibrium to Conditions for Hardy-Weinberg Equilibrium7Topics
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ETC Overview to Fatty Acids in Gluconeogenesis9Topics
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Autosomal Dominant Disorders to CFTR Channel Function Diagram11Topics
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Autosomal Dominant Disorders
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Autosomal Recessive Disorders
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Cystic Fibrosis: Genetics
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Cystic Fibrosis: CFTR Defect
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CFTR Dysfunction and Mucus Thickening
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Cystic Fibrosis: Diagnosis
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CF Pulmonary Complications
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CF Gastrointestinal and Reproductive Complications
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CF Treatment: Mucus Clearance and Inflammation
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CFTR Modulators in Treatment
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CFTR Channel Function Diagram
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Autosomal Dominant Disorders
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Phenylketonuria: Basic Defect and BH4 Deficiency to Alkaptonuria7Topics
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X-linked Recessive Diseases Introduction to Myotonic Dystrophy6Topics
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Fatty Acid Synthesis Overview to Medium-Chain Acyl-CoA Dehydrogenase Deficiency4Topics
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Mitochondrial Diseases: MELAS & MERRF to Trinucleotide Repeat Diseases: Fragile X & Friedreich Ataxia8Topics
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Mitochondrial Diseases: MELAS & MERRF
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Leber Hereditary Optic Neuropathy
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Rett Syndrome Characteristics
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Fragile X Syndrome: Genetics & Premutation
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Fragile X Syndrome: Full Mutation Features
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Trinucleotide Repeat Diseases: Huntington
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Trinucleotide Repeat Diseases: Myotonic Dystrophy
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Trinucleotide Repeat Diseases: Fragile X & Friedreich Ataxia
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Mitochondrial Diseases: MELAS & MERRF
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Hepatic Ketone Body Synthesis to Adipocyte Metabolism: Fed State4Topics
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Autosomal Trisomies & Down Syndrome Overview to Second Trimester Screening & NIPT8Topics
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Metabolic Fuel Use: Initial Exercise to Starvation After Day 3 and Stored Energy Depletion7Topics
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Metabolic Fuel Use: Initial Exercise
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Metabolic Fuel Use: Longer Exercise and Caloric Values
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Fasting and Starvation: Introduction and Fed State
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Fasting and Starvation: Between Meals
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Starvation Days 1-3: Fuel Shifts
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Starvation Days 1-3: Gluconeogenesis and RBCs
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Starvation After Day 3 and Stored Energy Depletion
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Metabolic Fuel Use: Initial Exercise
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Genetic Disorders: Chromosomes 3-7 to Williams Syndrome6Topics
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Dietary Lipid Absorption and Chylomicron Entry to IDL, LDL Formation, and Uptake4Topics
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Vitamin A: Functions and Forms to Vitamin B1: Beriberi Forms7Topics
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Vitamin B2: Function and Deficiency to Vitamin B6 Deficiency Symptoms7Topics
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Vitamin B12: Name, Function, and Sources to Vitamin C: Excess and Toxicity7Topics
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Vitamin D Introduction and Function to Vitamin E Deficiency and Excess Effects6Topics
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Vitamin K Function to Marasmus: Characteristics and Visuals7Topics
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Enzyme Terminology: Kinase & Phosphorylase to Rate-Determining Enzymes: Lipid Metabolism7Topics
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Enzyme Terminology: Kinase & Phosphorylase
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Enzyme Terminology: Phosphatase, Dehydrogenase, Hydroxylase
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Enzyme Terminology: Carboxylase, Mutase, Synthase/Synthetase
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Rate-Determining Enzymes: Glycolysis, Gluconeogenesis, TCA Cycle
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Rate-Determining Enzymes: Glycogenesis, Glycogenolysis, HMP Shunt
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Rate-Determining Enzymes: Nucleotide Synthesis, Urea Cycle
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Rate-Determining Enzymes: Lipid Metabolism
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Enzyme Terminology: Kinase & Phosphorylase
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ATP Production Pathways to Hexokinase vs Glucokinase: Kinetics & Regulation5Topics
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Glycolysis Net Reaction to PDC: α-Ketoglutarate & Arsenic7Topics
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Introduction to Pentose Phosphate Pathway to G6PD Deficiency: Biochemical Mechanism of Oxidative Stress7Topics
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Essential Fructosuria to Galactose Metabolism Pathway & Summary6Topics
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Sorbitol Pathway and Diabetic Complications to Acidic and Basic Amino Acids6Topics
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Urea Cycle Introduction to Hyperammonemia Treatment5Topics
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Ornithine Transcarbamylase Deficiency to Catecholamine Synthesis and Degradation5Topics
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Homocystinuria: Genetic Causes to Methylmalonic Acidemia: Deficiency & Metabolism6Topics
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Glucagon to Glycogen Disorders and Enzymes6Topics
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Introduction to Glycogen Storage Diseases to McArdle Disease (Type V)6Topics
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Lysosomal Storage Diseases Intro & Tay-Sachs to Lysosomal Storage Disease Pathway6Topics
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Key Enzymes in Lipid Transport - Part 1 to Major Apolipoproteins - Part 25Topics
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Lipoprotein Functions: Chylomicron & VLDL to Familial Dyslipidemias: Dysbetalipoproteinemia & Hypertriglyceridemia5Topics
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