Epigenetics + Disease Flashcards

1
Q

What is Angelman Syndrome (AS)?

A

= happy puppet syndrome (not used now)

= developmental delay

= severe speech impairment
(can vary in severity)

= jerky movements, hand flapping

= happy disposition, laughing, smiling (very sociable)

= microcephaly (small head)

= seizures

= abnormal EEG

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2
Q

What is Prader-Willi syndrome (PWS)?

A

= Hypotonia (low muscle tone)

= poor sucking reflex and feeding in infancy

= insatiable appetite in later life

= obesity (+associated health problems)

= short stature (treated with growth hormone)

= compulsive behaviour (e.g. skin picking)

= strabismus (eye crossing)

= hypogonadism, poor sexual development

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3
Q

What is the chromosome region associated with PWS and AS?

A

= 15q11-13

= contains 4Mbp region flanked by direct repeat sequences

= same region is deleted in PWS and AS

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4
Q

How is PWS/AS inherited?

A

Deletion inherited from father
= PWS
(AS gene is inactivated)

Deletion inherited from mother
= AS
(PWS gene is inactivated)

= GENOMIC IMPRINTING
(is an epigenetic trait = involves modifications of DNA, histones or both = leading to a repressed state)

e.g. Mammalian cytosine methylation (CpG methylation)
= cytosine methylated by DNA methyl transferase at position 5
= can be de novo = will methylate unmethylated
= maintenance will hemi-methylate DNA
= epigenetic trait inherited in daughter cells

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5
Q

How is methylation responsible for imprinting?

A

= methylation is removed in primordial germ cells, renewed during meiosis

= all oocytes have methylation pattern consist with those of maternal chromosomes

= all sperm have methylation pattern consistent with this of paternal chromosomes

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6
Q

How does Uniparental disomy cause PWS/AS?

A

Both chromosomes 15 from father
= paternal imprint on both chromosomes
= equivalent to a deletion of the maternal chromosome
= Angelman syndrome

Both chromosomes 15 from mother
= maternal imprint on both chromosomes
= equivalent to a deletion of the paternal chromosome
= Prader-Willi syndrome

BUT = Karyotypes / FISH will be normal
(instead need to look at methylation patterns on chromosomes)

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7
Q

How to observe methylation patterns on chromosomes?

A

= Bisulfite treatment allows methylation-specific PCR

= DNA treated with sodium metabisulfite = has different effects on methylates vs unmethylated DNA

Methylated sequence
= has methylated DNA primer = protects cytosine from sodium metabilsulfite

Unmethylated sequence
= non-methylated DNA primer = no protection = get uracil instead of unmethylated cytosine
= thymine instead in final sequence

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8
Q

What is another cause of Angelman Syndrome?

A

= UBE3A

10% of cases caused by point mutations in maternal allele

= only imprinted (paternally) in neurons in the brain

= AS caused by loss of UBE3A expression in the brain

= codes for protein turnover enzyme
(targets specific proteins in a defined subset of neurons)

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9
Q

What is another cause of Prader-Willi Syndrome?

A

= NO single gene point mutations (like in AS)

= BUT small deletions in SNRPN cause PWS

= SNRPN is over 460kb in length with at least 140 exons

= codes for a small nuclear ribonucleoprotein (?role in RNA processing)

= large number of functional small nucleolar RNA (snoRNA) genes within introns of SNRPN

= SNRPN is maternally imprinted

= loss of paternal expression leads to defects in splicing and modification of RNAs

= imprinting centre = control expression of SNRPN itself + three other genes

SNRPN imprinting centre
= controls expression of genes on the paternal chromosome
= secondary effect due to transcriptional collision

SNRPN imprinting centre
= is methylated
= and inhibited on the maternal chromosome
= primary effect of imprinting = blocks expression of genes

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10
Q

What are some other disorders that involve imprinting regions?

A
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11
Q

What are the evolutionary origins of genomic imprinting?

A

= imprinting genes are often associated with growth or nutrient acquisition

= ?sexual conflict - male/female getting genes out of the gene pool

= male’s genes favour growth (regardless of mother’s health)

= female’s genes favour restricted growth (greater chance of surviving to have more pregnancies = not at risk of own health)

= father should silence genes restricting growth (activate growth-promoting genes)

= mother should silence genes promoting growth

= should have strong effects on the placenta

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12
Q

What is uniparental diploidy?

A

= zygotes get ALL chromosomes from 1 parent

2 maternal copies
= ovarian tetratoma
= disorganised fetal body parts, no membranes
= placenta does not develop
= leads to growth restriction

2 paternal copies
= hydatidiform mole
= vigorously growing membranes, no embryo
= lots of placental tissue, no embryo

= evolutionary basis of genomic imprinting

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13
Q

What is X chromosome inactivation?

A

Xist lncRNA
= coats inactive X and recruits silencing factors
= e.g. DNA methyltransferases
= transcribed in both X chromosomes

If female
= 1 X chromosome is inactivated = compressed in Bar body
= DNA is inactivate = methylated using Xist

= ensures the number of active genes is the same in male/female

= is inherited (becomes a problem if disease-associated)

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14
Q

What are the consequences of X-inactivation for carriers of X-linked diseases?

A

= half of the cells will lack the normal gene

= effects depend on the nature of the gene product and number/location of cells containing the inactivated X

= gene for secreted protein (e.g. blood clotting factor) - unlikely to have much effect

= cell autonomous requirement (e.g. Dystrophin) - tissues may be partially affected
(distribution in tissue of Dystrophin protein can vary = different severities of disease)
(no dystrophin = DMD)

= required for cell survival - non random X-inactivation (e.g. X-linked SCID)

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