need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

NBME 21 Answers

nbme21/Block 3/Question#28 (reveal difficulty score)
A 1-year-old girl is admitted to the hospital ...
Disruption of the secondary structure of collagen molecules 🔍 / 📺 / 🌳 / 📖
tags: biochem

 Login (or register) to see more


 +16  upvote downvote
submitted by wasabilateral(47)
get full access to all contentpick a username

I think it has something to do with glycine (due to its small size it can fit in many places where other amino acids can not and hence it provides “structural compactness” to the collagen, i.e. put a kink in the alpha helix). If glycine is misplaced by something else, I don’t think pro-collagen can form its correct secondary structure.

get full access to all contentpick a username
jotajota94  True! also, glycine is 1/3 of collagen alfa chains, so it makes sense that substitution with alanine (which is much bigger) would lead to disruption in the alpha helix formation. +2
jotajota94  True! also, glycine is 1/3 of collagen alfa chains, so it makes sense that substitution with alanine (which is much bigger) would lead to disruption in the alpha helix formation. +
thepacksurvives  Glycine is small and bendy, which allows it to form the fibrils for the triple helix +
brasel  Also in general (FA 2018 pg 50) OI is from problems forming the triple helix which is secondary structure. Fortunately, they gave us something to reason with in the question (Gly->Ala) +3
amy  Can someone help me understand why A is incorrect? FA2020 page 50: Triple helix of 3 collagen a chains is formed from procollagen via hydrogen and disulfide bond. Is this very similar to what A is decribing? A. Decreased hydrogen-bond formation between collagen molecules. +
umpalumpa  The explanation given by wasabilateral could work if the question would say Gly-->Ala mutation. However, the question states that there is an Ala-->Gly mutation. +



 +13  upvote downvote
submitted by cellgamesgojan(43)
get full access to all contentpick a username

I figured, glycine-X-Y is technically considered a “primary amino acid structure of a protein” since the definition of a Primary structure of a protein is “a linear chain of amino acids.” If you mess with the Primary structure, as in the question stem, you cannot form the Secondary structure of the protein, which is determined by the hydrogen-bonding which occurs between the peptide backbone, independent of the R groups. I hope this made sense.

From wikipedia: “Secondary structure is formally defined by the pattern of hydrogen bonds between the amino hydrogen and carboxyl oxygen atoms in the peptide backbone.” (emphasis mine)

get full access to all contentpick a username

From Molecular Biology of the Cell:

Biologists distinguish four levels of organization in the structure of a protein. The amino acid sequence is known as the primary structure of the protein. Stretches of polypeptide chain that form α helices and β sheets constitute the protein’s secondary structure. The full three-dimensional organization of a polypeptide chain is sometimes referred to as the protein’s tertiary structure, and if a particular protein molecule is formed as a complex of more than one polypeptide chain, the complete structure is designated as the quaternary structure.

https://www.ncbi.nlm.nih.gov/books/NBK26830/#A406

+5/- drdoom(1206)


 +4  upvote downvote
submitted by usmle11a(102)
get full access to all contentpick a username

ok guys and i quote from https://www.orthobullets.com/pediatrics/4102/osteogenesis-imperfecta

"90% have an identifiable genetic mutation COL 1A1 and COL 1A2
causes abnormal collagen cross-linking via a glycine substitution in the procollagen molecule "

which means that OI has a glycine substitution and therfore its unable to form a secondary sturucture.

get full access to all contentpick a username



 +4  upvote downvote
submitted by hungrybox(1277)
get full access to all contentpick a username

Due to glycine's small size, it creates "kinks" in the amino acid sequence. These kinks are needed to correctly form the secondary structure.

Other answers:

  • "weakened interaction between collagen and proteoglycan" - collagen + proteoglycan = cartillage. The question stem mentions many defects in bONE (type I collagen) but no mention of defects in carTWOllage (type II collagen)
get full access to all contentpick a username



 +1  upvote downvote
submitted by basic_pathology(25)
get full access to all contentpick a username

Gly-X-Y is backbone for collagen alpha chain. 3 collagen alpha chains spiral to form triple helix. Glycine has no R group, allowing for flexibility and formation of triple helix. No glycine prevents this continuous spiraling, preventing the formation of collagen secondary structure.

Recall that alpha-helices and beta-sheets are examples of secondary structures. This can be thought of a manifestation of the alpha helix.

get full access to all contentpick a username



 +0  upvote downvote
submitted by an_improved_me(91)
get full access to all contentpick a username

ANother way to get at it is via elimination:

A. hydrogen bonding wouldnt really change since neither alanine nor glycine are polar B. Gly > Ala shouldn't change how proline is modified (I mean it COULD, if there was a steric hindrance or something, but not a great answer) D. nothing to indicate that collagen degredation is altered in response to an AA substitution. Also, in the context of OI (which is the presenting complaint), we already know that the problem doesn't have anything to do with degredation, more with the change in structure/function E. Honestly don't know.

get full access to all contentpick a username



 +0  upvote downvote
submitted by drdoom(1206)
get full access to all contentpick a username

Here’s one way to process-of-eliminate “decreased hydrogen-bond formation”: I’m not a big fan of this line of reasoning, but technically alanine as a side group has more hydrogens* for potential hydrogen bonding than glycine:

alanine: —CH3
glycine: —H

So, “technically,” alanine would permit more hydrogen-bond formation, which might allow you to eliminate that choice.

That said, it seems almost impossible to rule out (without very technical knowledge or some provided experimental data) that the slightly larger alanine does not impair hydrogen bonding between collagen molecules via steric (spatial) interference. In simpler terms, since alanine is larger, you would think that it must somehow interfere with the hydrogen-bonding that occurs with the wild-type glycine.

---
*Strictly speaking, it’s not the number of hydrogens but also the strength of the dipole that facilitates hydrogen bonding: a hydrogen bound to a strongly electronegative molecule like fluorine will “appear” more positive and, thus, hydrogen-bond more strongly with a nearby oxygen (compared with a hydrogen connected to carbon, for example).

Further reading:

  1. https://www.chem.purdue.edu/gchelp/liquids/hbond.html
get full access to all contentpick a username
hungrybox  Appreciate the effort but this is far too long to be useful. +30
drachenx  hungrybox is a freaking hater +
drdoom  @drachenx haha, nah, coming back to this i realize i was probably over-geeking lol +1
blueberrymuffinbabey  isn't the hydrogen bonding dependent on the hydroxylated proline and lysine? so that wouldn't really be the issue here since those aren't the aas being altered? +
drdoom  @blueberry According to Alberts’ MBoC (see Tangents at right), hydroxylysine and hydroxyproline contribute hydrogen bonds that form between the chains (“interchain”, as opposed to intra-chain; the chains, of course, are separate polypeptides; that is, separate collagen proteins; and interactions between separate chains [separate polypeptides] is what we call “quaternary structure”; see Tangent above). And in this case, as you point out, the stem describes a Gly->Ala substitution. That seems to mean two things: (1) the three separate collagen polypeptides will not “pack [as] tightly” to form the triple helix (=quaternary structure) we all know and love and (2) proline rings will fail to layer quite as snugly, compromising the helical conformation that defines an alpha chain (=secondary structure; the shapes that form within a single polypeptide). +
tadki38097  also you can't H bond with carbon, it's not polar enough +
amy  FA2020 P50 state: formation of procollagen(which is the triple helix structure) via hydrogen and disulfide. So A is incorrect bc there are no collagen molecules yet (2nd structure happens at procollagen level) +
drdoom  @amy triple helix is a quaternary structure (since triple helix is a shape that forms BETWEEN separate or “adult” pro-collagen/collagen peptides). Primary, secondary and tertiary structures are descriptions of a single polypeptide. Once you have 2 or more polypeptides interacting with each other (e.g., Hemoglobin molecule) you have quaternary structure. +

From Molecular Biology of the Cell:

Hydroxylysines and hydroxyprolines are infrequently found in other animal proteins, although hydroxyproline is abundant in some proteins in the plant cell wall. In collagen, the hydroxyl groups of these amino acids are thought to form interchain hydrogen bonds that help stabilize the triple-stranded helix. Conditions that prevent proline hydroxylation, such as a deficiency of ascorbic acid (vitamin C), have serious consequences. (Emphasis mine)

https://www.ncbi.nlm.nih.gov/books/NBK26810/#A3555

+1/- drdoom(1206)

From Molecular Biology of the Cell:

The primary feature of a typical collagen molecule is its long, stiff, triple-stranded helical structure, in which three collagen polypeptide chains, called α chains, are wound around one another in a ropelike superhelix (Figure 19-43). Collagens are extremely rich in proline and glycine, both of which are important in the formation of the triple-stranded helix. Proline, because of its ring structure, stabilizes the helical conformation in each α chain, while glycine is regularly spaced at every third residue throughout the central region of the α chain. Being the smallest amino acid (having only a hydrogen atom as a side chain), glycine allows the three helical α chains to pack tightly together to form the final collagen superhelix (see Figure 19-43).

https://www.ncbi.nlm.nih.gov/books/NBK26810/#_A3551_

+/- drdoom(1206)


 +0  upvote downvote
submitted by nmb29(0)
get full access to all contentpick a username

I might be overthinking it but, H bond formation of aa's makes the secondary structure of the protein (collagen in this case). The Gly to Ala substitution does result in less H bond formation, but of individual aa's not between collagen molecules (that might be more for quaternary structure)

get full access to all contentpick a username
lpp06  I think the key is in the answer phrasing, the answer mentioning H-bonds says "Disruption of H-bonds between collagen molecules" Although collagen does undergo H-bonding to support the triple helix, this is done within the same collagen molecule. Linking different collagen molecules occurs via the lysine - hydroxylysine links done in the ECM +1
kevin  this is the one comment that finally helped me understand why that was incorrect. thank you +



 +0  upvote downvote
submitted by j123(16)
get full access to all contentpick a username

Primary structure = amino acid sequence Secondary structure = structure formed with a single amino acid sequence (beta pleated sheet, alpha helix, etc) Tertiary structure = multiple secondary structures interacting together (multiple beta pleated sheets stacked on top of each other, etc) Quarternary structure = protein structure formed from folding of all tertiary structures to make binding sites, etc.

Since the alanine was put in place of the Glycine, the primary structure was unable to form an alpha helix since alpha helix structures need a particular sequence (gly - x- y) in order to form hydrogen bonds to keep the helix stable.

get full access to all contentpick a username



 -1  upvote downvote
submitted by unknown001(9)
get full access to all contentpick a username

what is collagen ? a secondary protein structure.

when you remove glycine, the most abundant amino acid , from the precursor molecule will you get a proper secondary structure ? NO

get full access to all contentpick a username
unknown001  ignore this +
drdoom  can you elaborate? what's wrong with your comment? +



 -4  upvote downvote
submitted by lilmonkey(63)
get full access to all contentpick a username

Gly is polar, Alanine is nonpolar and hydrophobic. Missense nonconservative mutation. These AAs have different chemical properties which lead to disrupted protein folding (secondary structure). Similar to Glu - Val substitution in Sickle Cell Disease.

get full access to all contentpick a username



Must-See Comments from nbme21

nosancuck on Absorption atelectasis
assoplasty on Free T4
seagull on GM2
lnsetick on Apocrine
niboonsh on NMDA receptors are blocked by Mg2+ at the ...
drdoom on Deletion of a hydrophobic amino acid ...
hayayah on HCO3− transported in the plasma
mcl on Aortic
notadoctor on Usual interstitial pneumonitis
madojo on Genital herpes
hungrybox on Obstruction of the bile duct
jambo2222 on Lung
hungrybox on Mismatch repair
hungrybox on Hydrochlorothiazide

search for anything NEW!