2017/18
27116 - Clinical Biotechnology
Compulsory
5.3. Syllabus
Theoretical sessions
1. Clinical biotechnology introduction. Semiology. Definition of syndrome. Overview of clinical syndromes.
2. Diseases associated to carbohydrate metabolism. Classification of carbohydrate metabolism disorders. Deficiencies of intestinal glycosidases.
3. Pentosurias. Primary hyperoxalurias.
4. Disorders of galactose metabolism. Galactosemias. Hereditary fructose intolerance. Fructose metabolism disorders
5. Glucose metabolism disorders: Diabetes mellitus type I and II. Sequelae of diabetes mellitus.
6. Glycogen metabolism disorders. Glycogenosis.
7. Metabolism of lipoproteins. Overview of lipoprotein metabolism. Primary and secondary dyslipidemias. Classification.
8. Disorders affecting lipoprotein metabolism: Hyperchilomicronemias.Type III Hyperlipoproteinemia. Familial combined hyperlipidemia.
9. Hypercholesterolemias. Authosomal dominant hypercholesterolemia. Hypoalphalipoproteinemias.
10. Disorders of protein metabolism. Overview of amino acid metabolism. Amino acid transport disorders.
11. Disorders of ammonium metabolism . Enzyme deficiencies in the urea cycle.
12 . Aminoacidopathies: Alcaptonuria. Albinism. Phenylketonuria. Tyrosinosis. Maple syrup urine disease. Other aminoacidopathies.
13. Disorders of the metabolism of purines and pyrimidines. Uric acid. Primary and secondary hyperuricemia.
14. Lysosomal storage disorders (I): Mucolipidosis and mucopolysaccharidosis.
15. Lysosomal storage disorders (II). Sphingolipidoses and other lysosomal diseases.
16. Enzymatic replacement therapy. The secretion of proteins. La glycosylation of proteins and mannose-6-phosphate receptors. Applications of protein engineering . Enzyme production.
17. Molecular bases of mitochondrial diseases.
18. Peroxisomal diseases.
19. Pathologies associated with oxidative stress. Molecular bases and therapeutic strategies.
20. The nucleic acids as therapeutic agents. Background. Oligonucleotidos and antisense RNA. Ribozymes. Aptamers. Current status and approaches.
21.- Therapy using siRNA. Introduction. Background. Requirements. Methods. siRNA as antiviral therapy. HIV. siRNA as antitumor therapy. siRNA in other diseases. Prospects.
22. Disorders in iron metabolism and hemoglobin. Anemia and poliglobulias. Hemochromatosis. Hemoglobinopathies. Thalassemia. Porphyrin metabolism. Porphyria.
23. Hemostasis disorders. Hypercoagulability status and hemorrhagic diathesis.
24. Laboratory tests of kidney function (Cystatin C, Creatinine clearance, PAH, osmolar, free water etc ...) and urinalysis. Renal Pathophysiology: failure, and nephrosis.
25.- Analytical exploration of pituitary hormones. Pathophysiology of gigantism, acromegaly and dwarfism. Basal and dynamic tests. Pathophysiology of prolactin disorders
26.- Analytical exploration of the neurohypophyseal hormones. Pathophysiology of diabetes insipidus.
27. Biochemical markers of ischemic heart disease. Heart failure biomarkers.
28.Liver pathophysiology. Methods for assessing liver function.Analysis of the bile duct integrity.
29. Laboratory tests of gastric, pancreatic and intestinal function. Gastric and exocrine pancreatic pathophysiology.
30. Bone metabolism pathophysiology: calcium, magnesium and phosphate. Hypercalcemia, hypocalcemia, hyperparathyroidism and hypoparathyroidism.
31.- Analytical exploration of thyroid hormones. Pathophysiology of hyperthyroidism and hypothyroidism.
32.- Analytical exploration of the hypothalamic-pituitary-adrenal gland axis. Analytical examination of the adrenal glands.
33. Pathophysiology of Cushing's syndrome and Addison disease.
34. Pathophysiology of hypothalamic pituitary axis. Sex glands. Analytical study of male and female infertility.
Seminars
1. Autosomal dominant hypercholesterolemias
2. Anderson-Fabry disease.
3. Treatment of mitochondrial diseases.
4 - Cornelia de Lange syndrome. Genetic bases.
Laboratory program
1. Dyslipidemia: APOE genotyping
2. Biomarkers in lysosomal disorders. Plasma chitotriosidase activity. CHIT genotype
3. Genetic diagnosis of Gaucher disease.
4. Introduction to the laboratory of clinical pathophysiology. Quality control.
5. Cytomics. Analysis of blood count and blood differential image cytometry: clinical analysis, and sample storage
6. Urinalysis.
7. Blood analysis.