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Types of mutations and their impact on protein function Today's ...

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“Gain-<str<strong>on</strong>g>of</str<strong>on</strong>g>-functi<strong>on</strong>” <str<strong>on</strong>g>mutati<strong>on</strong>s</str<strong>on</strong>g> are almost always dominant<br />

2 pedigrees showing dominant<br />

inheritance <str<strong>on</strong>g>of</str<strong>on</strong>g> pancreatitis<br />

trypsin<br />

Hereditary pancreatitis is caused by a mutati<strong>on</strong> that causes a digestive enzyme,<br />

trypsin, to become aberrantly active inside the pancreas.<br />

Normally, the pancreas is protected because active trypsin will destroy itself<br />

by cutting at R117. This will split the trypsin <str<strong>on</strong>g>and</str<strong>on</strong>g> inactivate it.<br />

In HP, R117 is mutated to H117. This creates a “super-trypsin” that<br />

cannot be inactivated <str<strong>on</strong>g>and</str<strong>on</strong>g> leads to acute pancreatitis.<br />

pancreatic<br />

acinar cell<br />

24

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