BBOL- Molecular basis of human disease Flashcards

1
Q

What is genomics?

A
  • Scientific study of genomes especially of their organisation and evolution, using nucleotide sequencing and gene mapping; branch of molecular biology that deals with this
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2
Q

What genomic medicine?

A
  • Individual patient’s genome will help determine the optimal approach to care, whether preventive, diagnostic or therapeutic, e.g. chromosome abnormalities, monogenetic disorders etc.)
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3
Q

Describe cytogenetics

A
  • Study of structure of chromosomes
  • Alterations in chromosome number or structure (in all cells- constitutional abnormality, in some cells- somatic)
  • Metaphase spread
  • Rapidly dividing tissues, e.g. peripheral blood, amniotic fluid, chorionic villis
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4
Q

Describe chronometer banding patterns

A
  • Giemsa staining- gives rise to unique pattern
  • Chromosome numbered in approx. order of size
  • Chromosomal region identified by banding patterns
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5
Q

Describe karyotyping

A
  • Tissue samples cultures to induce proliferation
  • Mitotic spindle disrupted and nuclear n=membrane lysed and stain applied
  • Dye stains regions of chromosomes that are rich in A and T produce dark band
  • Chromosomes counted, structure analysed, images captured and organised to a visual format
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6
Q

Describe numerical chromosome abnormalities

A
  • Involve gain or loss of complete chromosomes
    (polyploidy- extra complete set of chromosomes, aneuploidy- one or more chromosomes extra/missing)
    -Autosomal
  • Sex chromosomes
  • Aneuploidy for most chromosomes is non-viable due to gene dosage changes, viable for smaller chromosomes
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7
Q

How do structural chromosome abnormalities occur?

A
  • Recombination btwn non-homologous chromosomes
  • Double strand DNA breaks occurring in chromatids
  • When centromere pair separates in wrong plane during meiosis
  • Can be balanced (no loss of genetic material) or unbalanced
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8
Q

How do disorders of imprinting occur?

A
  • Karyotypes can be pathogenic with the wrong parental origin
  • Methylation patterns can be male/female specific
  • Only one copy of gene expressed
  • UPD: uniparental disomy- 2 chromosomes from 1 parent- dosage problems
  • Prader-Willi and Anglican syndromes
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9
Q

What is a mutation?

A

A permanent transmissible change in the gemetic material, usually in a single gene- used to describe a genetic change with deleterious consequences

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10
Q

What is polymorphism?

A

Existence of 2 or more alleles (variants) in the populations (typically > 1%) may be neutral or predispose towards disease

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11
Q

What are the different types of point mutations?

A
  • Single base pair change
  • Silent- results in no change to amino acid sequence due to degenerate code
  • Missense- reults in amino acid change
  • Nonsense- introduces a new stop codon so no protein is made
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12
Q

What are the different types of mutations?

A
  • Point mutation
  • Deletion
  • Insertion
  • Frame-shift
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13
Q

What are the causes of mutation?

A
  • Can be spontaneous (4 DNA molecules are somewhat unstable, DNA polymerase makes mistakes, imperfect meiosis)
  • Can be induced- mutagens can alter DNA by chemicals covalently bonding to nucleotide bases, adding chemical groups to DNA bases, radiation can damage DNA
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14
Q

How is DNA repaired?

A
  • Process constantly operating in each cell; essential to survival because protects genome from damage
  • Normal metabolic activities and environmental factor (such as UV) can cause DNA damage, resulting in as many as 500,000 individual molecular lesions/cell/day
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15
Q

What happens when repair goes wrong?

A
  • If rate of DNA damage exceeds capacity of cell to repair it, accumulation of errors is overwhelming, leads to senescence, apoptosis or cancer
  • Inherited disease associated with faulty DNA repair result in premature ageing (Werner’s) and increased sensitivity to carcinogens
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16
Q

What are examples of monogenetic disorders?

A
  • Sickle cell anaemia

- CTFR and cystic fibrosis

17
Q

Why are some recessive diseases so common?

A
  • Heterozygote advantage
  • Homozygous mutant- deleterious, carrier (heterozygote) selective advantage in response to a selective pressure
  • E.g. sickle cell and malaria
18
Q

What are complex genetic disorders?

A
  • Anything not monogenic
  • More common
  • Mild mutations
  • Small phenotypic effects
  • Environmental effects
19
Q

How do we tell if there is a genetic component to common disease?

A

Family studies and twin diseases

20
Q

How do we find genes for common disease?

A
  • Linkage analysis in families
  • Association (case-control) studies
  • Environment is important
21
Q

Describe personalised medicine

A
  • Genes can determine how we respond to therapy
  • Risk of adverse events
  • Response to specific therapy.