20.04.15 Structural abnormalities of Y chromosome Flashcards

(38 cards)

1
Q

What are the 3 unique features of Y chromosomes

A
  • Lack of a homologous partner for crossing over
  • Functional specialisation for spermatogenesis
  • High degree of sequence amplification
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2
Q

How is Y chromosome useful for geneaology studies

A

Paternally inherited portion of the nonrecombining Y chromosome retains sequential records of the accumulation of genetic diversity over time

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3
Q

Why is it a difficult chromosome to analyse

A
  • High density of repeated sequences makes physical mapping and sequencing difficult
  • Does not recombine during meiosis so classical linkage mapping is not possible
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4
Q

Why is natural selection less effective in preventing the accumulation of deleterious mutations in the Y chromsome

A
  • The lack of recombination.

- Results in genetic erosion of Y chromosome (will eventually become redundant in function)

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5
Q

What are the 3 azoospermia factor regions on Yq

A

AZFa, AZFb, AZFc

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6
Q

What proportion of Y chromosome is pesudoauatosomal region (1 and 2)

A

5%

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7
Q

What gives variability to Y chromosome length

A
  • Variation in length of Yqh region (Yq12).
  • Inactive heterochromatin.
  • Size doesn’t have a phenotypic consequence
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8
Q

What is a pericentric inversion on Y chromsome

A
  • Inversion that moves centromeric region to the heterochromatin border.
  • No apparent effect on fertility or clinical significance.
  • 1:200
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9
Q

How are sex vesicles formed

A

When X and Y chromosomes synapse at PARs during meiosis.

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10
Q

How prevalent are Y;autosome translocations

A

1:2000

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11
Q

Phenotypic consequences of Y;autosome translocations

A

-Male infertility, due to spermatogenic arrest.

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12
Q

What is the most prevalent Yq autosome translocation

A
  • Acrocentric p arm and Yqh.
  • 70% of Y autosome translocations.
  • Most commonly t(Y;15), possibly due to homology of heterochromatin blocks of 15p and Yq. Also common= t(Y;22)
  • Often familial and has no clinical significance, but could predispose to structural instabilities of Y or secondary chromosomal abnormalities.
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13
Q

Where is Yq-autosome breakpoints usually found

A
  • Acrocentric= p11-13

- Y= Yq12

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14
Q

Can translocations occur between Yq and other autosomes (other than acrocentric p arms)

A
  • Yes but rare.
  • Usually balanced so seen with oligo/azoospermia, hypogonadism
  • Phenotypic abnormalities occur if there is gene disruption at break points, positional effects or unbalanced
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15
Q

Review of autosome Yp translocations

A
  • Can involve SRY translocation to an autosome (usually acrocentric)
  • Phenotypically male with 45 chromosomes, 45,X
  • 45,X,t(Y;15) could lead to PWS if breakpoints are at 15q11-q13
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16
Q

What is a dicentric Yp-acrocentric translocation

A
  • P to P arm translocation
  • 45 chromosome count
  • Almost no genetic material is lost from either acrocentric or Y chromosome
  • may be associated with oligospermia
17
Q

What is the most common X;Y translocation

A

-46,X/Y, der(X) t(X;Y)(p22.3;q11)

18
Q

How do X;Y translocation arise

A
  • NAHR at spermatogenesis of female carrier’s father.

- NAHR between homologous genes (94% sequence similarity) PRKX and PRKY are implicated in 30% cases

19
Q

What is a risk factor for X;Y translocations

A

Polymorphic paracentric inversion on Yq, placing PRKY in the same orientation as PRKX

20
Q

Review of female 46,X,der(X)t(X;Y)

A
  • Typically a fertile female of normal intelligence.
  • Partial monosomy of Xp
  • If SHOX is deleted then patient will have Leri-Weill dyschondrosteosis (skeletal dysplasia)
  • 50% risk of transmitting der(X)
  • XCI tends towards der(X) but can be variable
21
Q

Review of male 46,Y,der(X)t(X;Y)

A
  • Usually son of a der(X)t(X;Y) mother
  • Partial nullisomy for Xp
  • Infertile. Can be cognitively normal. If breakpoint is more proximaly and involves genes like MRX, then there is mental impairment.
22
Q

What translocation accounts for most 46,XX males and some 45,X males

A
  • Cryptic Xp;Yp translocation

- Loss of distal region of X chromosome and transfer of SRY

23
Q

How is a cryptic Xp;Yp translocation detected

24
Q

Phenotypic consequences of a cryptic Xp;Yp translocation

A
  • Males are infertile

- If loss of SHOX then leads to Leri-Weill dyschondrosteosis

25
When are ring Y chromosomes usually seen
- With 45,X cell line (70% cases) - Can be mosaic, e.g. 45,X/46,X,r(Y) - Often only a small region of Yp is deleted so SRY region is left intact. i.e. phenotypically male
26
What are the phenotypic characteristics of males with ring y chromosomes
- Sexual infantilism, ambiguous genitalia, hypospadias, azoospermia, short stature - varies depending on the genes deleted
27
What is an isochromosome
an unbalanced structural abnormality in which the arms of the chromosome are mirror images of each other.
28
Review of i(Yp)
- Cannot be distinguished from a partial Yq deletion - characteristics: ambiguous genitalia, TS abnormalities if 45,X cell line is present - Otherwise male phenotype with microcephaly, hypogonadism, short stature.
29
Review of i(Yq)
- Does not contain Yp so lacks SRY and RPS4Y, there female. Have sexual infantilism. - Features of TS such as streak gonads
30
Is an isodicentric Y chromosome a common abnormality
- Yes, most common Y structural abnormality. - 91% are in mosaic form (often lost during cell division) with 45,X - Sex-related phenotypes vary depending on percentage of 45,X cells and absence/presence of SRY gene.
31
Review of Idic(Yp)
- 1/3 phenotypically male, azoospermia, short stature, ambiguous genitalia, TS like features - 2/3 phenotypically female with streak gonads, short stature and TS like features
32
Review of Idic(Yq)
- 1/3 phenotypically male with azoospermia, small testes, short stature TS like features - 1/3 intersex, ambiguous genitalia, short stature gonadoblastoma - 1/3 phenotypically females, abdominal testes, TS like features, short stature.
33
Common Y chromosome microdeletion
-AZFc deletion at Yq11.23
34
Proportion of infertility cases attributed to microdeletions at AZF regions
5-20% of azoo/oligospermia cases
35
How can Y microdeletions be transmitted from father to son
Via intracytoplasmic sperm injection (ICSI)
36
Review of AZFa microdeletion
- 0.5-4% of cases - Patients have azoospermia and sertoli cell only syndrome (SCOS) - Sperm retrieval for ICSI is not possible. - Due to spermatogenic failure, caused by loss of USP9Y and DDX3Y genes. - Arise due to recombination between repeats. - 800kb in size
37
Review of AZFb microdeletion
- 1-5% of cases - sertoli cell only syndrome (SCOS) and azoospermia. - 6.2Mb in size
38
Review of AZFc microdeletion
- Most common 80% of cases - Azoospermia or severe oligospermia. - Includes DAZ gene - 3.5Mb in size - Repeats flank region