Genetics 2 Flashcards

1
Q

What are the 3 non mendelian patterns of inheritance?

A
  • anticipation (nucleotide repeat disorders)
  • mitochondrial
  • multifactorial
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2
Q

What is anticipation? what is it due to? how many disease follow this pattern? when does the repeat occur more often in fathers? mothers?

A
  • some genetic diseases have an earlier age of onset, or increased severity in more recent generations
  • due to dynamic mutations- expansion of trinucleotide repeats
  • more than 20 diseases follow this pattern
  • when repeats is in an exon, expansion occurs is father
  • when in UTR, expansion occurs in mother
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3
Q

What is huntingtons disease? penetrance? symptoms? treatment?

A
  • anticipation pattern
  • autosomal dominant disorder
  • penetrance near 100%
  • progressive neurodegeneration causing slowly progressive movement disorder with intellectual impairment and psychiatric disturbance, dementia
  • no treatment or cure
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4
Q

Cause of huntingtons disease? what do longer repeats correlate with? function of protein?

A

exonic polyglutamine expansion in huntington protein:

  • e 40 repeats fully penetrant
  • longer repeats correlate with earlier onset
  • normal function of this protein is unclear
  • expanded proteins forms inappropriate aggregates with other proteins (gain of function)
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5
Q

What is myotonic dystrophy? symptoms?

A
  • most common muscular dystrophy in adults
  • autosomal dominant
  • progressive muscle deterioration
  • myotonia
  • cardiac arrhythmia
  • testicular atrophy
  • insulin resistance
  • cataracts
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6
Q

Causes of myotonic dystrophy? severity? age of onset? repeat number?

A

Expansion of 3’ UTR of affected gene (RNA gain of function)
-severity increases and age of onset decreases through generations

  • repeat number correlates with severity:
  • 5-37 = unaffected
  • 50-100 = mild
  • 100-1000s= full disease

-large repeats transmitted almost exclusively by females

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7
Q

Who is mitochondria inherited from? why?

A
  • mother
  • b/c mitochondria are located in the cytosol
  • affects males and females equally
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8
Q

heteroplasmy in mitochondria?

A
  • b/c each cell has a population of mtDNA molecules, a single cell will have some that carry a mutation and some that do not
  • this causes a great deal of variability in expression of mitochondrial diseases
  • mutation severity varies too
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9
Q

which tissues are affected more severely by mitochondrial diseases?

A

tissue with higher ATP requirements are most often and severely affected
-CNS consumes 20% of ATP produced in body

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10
Q

Which has a higher mutation rate: mtDNA or nuclear DNA?

A

mitochondrial

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11
Q

What is Leber hereditary optic neuropathy (LHON)? symptoms? when does it begin?

A
  • mitochondrial disease
  • rapid loss of vision in central field due to death of optic nerve
  • begins in 3rd decade of life
  • usually irreversible
  • heteroplasmy minimal, expression relatively uniform in affected families
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12
Q

What is MELAS? when does it present? symptoms?

A
  • mitochondrial encephalopathy, lactic acidosis, stroke like episodes
  • mitochondrial inheritance
  • may present at any time in life
  • progressive neurological deterioration and seizures
  • wide range of expression, even in same family
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13
Q

What is kearns sayre syndrome (KSS)? symptoms?

A
  • mitochondrial

- muscle weakness, cerebellar damage, heart failure

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14
Q

What is MERRF?

A
  • myoclonic epilepsy, ragged red fibers in muscle, ataxia, sensorineural deafness
  • mitochondrial
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15
Q

What is retinas pigments? genes? symptoms? cause?

A
  • mitochondrial
  • most common inherited cause of blindness
  • locus heterogeneity (45 different genes)- results in different patterns of inheritance in different families, some cases due to mt mutations
  • begins with night blindness and progresses to daytime vision
  • most are legally blind by age 40
  • pigments deposited on retinal surface as pathological changes accumulate
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16
Q

What are multifactorial inherited diseases? how are they inherited?

A

-products of varying genetic and environmental influences

  • many of the most common disorders:
  • diabetes
  • hypertension
  • heart disease
  • obesity
  • cancer

-some traits tend to cluster in families, but are not transmitted in mendelian fashion

  • congenital abnormalities:
  • cleft lip and palate
  • spina bifida
  • pyloric stenosis
17
Q

What is polygenic inheritance? what does it work best for? cause?

A
  • assumes that many genes are involved, with little or no environmental influence
  • works best for quantitative traits, like blood pressure and height (multifactorial)
  • caused by additive effects of multiple genes, so these traits follow a normal bell curve distribution
  • underlying genes involved are inherited in usual mendel fashion