2/ 💥Let’s begin with Cilia-
📌Motile cilia- generate flow of mucus & CSF
📌Non-motile/sensory cilia (inner ear, retina, & olfactory epithelium)
- plays a part in important pathways [Hedgehog, Wnt (wingless-Int-1), & PCP (planar cell polarity) signaling] ncbi.nlm.nih.gov/pmc/articles/P…
3/Now let’s move on to💥Cystoproteins💥
📌These are proteins in cilia when mutated → cystic kidney diseases in humans, mice, or zebrafish
📌expressed in primary cilia, basal bodies or centrosomes
4/ 💥Did you know that these cystoproteins were conserved for over >1.5 billion years of evolution from the unicellular organism to vertebrates!
⚡️Fascinating isn’t it ?!⚡️
5/ 💥Cystoproteins💥
📌participate in protein-protein interaction complexes
📌share certain domains with each other
These interactions may partially explain the cause of similar phenotypes
6/ 💥Some examples of cystoprotein related diseases-
7/ Defects in cytsoproteins➡️ affects cilia formation, maintenance, or function (signaling mechanisms)➡️ impaired processing of extracellular cues➡️defects in tissue differentiation & maintenance
➡️#ciliopathies & #pleiotropy
8/ Some more examples and characteristics of 💥ciliopathies💥
2/ Kidney stones 🪨 💎🔶♦️💠are a worldwide issue with increasing prevalence. Calcium stones (oxalate > phosphate) - most common (75%).
📍Which of the following contribute to stone formation?
3/ All the above.
Nevertheless, dietary factors are modifiable.
Look, now we have some control, eh...🤓🦾
1/ A 55 year old man👨🏻 with urothelial cancer
✂️transurethral tumor resection, radical cystectomy & neobladder reconstruction 3 mons ago
✂️B/L PCNs & ileostomy - postop (urinary and bowel leak)
2/ He was admitted🏥 6 days ago due to increased ostomy output💩🌊 (>4L/day) & dehydration, and has been receiving NS 💧@ 150mL/h
His BMP is-