Flashcards in Chapter 5: Molecular Genetics Deck (14):
What percentage of childhood blindness is due to a genetic cause?
What percentage of exons code for transcription factors?
What do PAX2 mutations cause?
Optic nerve colobomas and renal hypoplasia
What do PAX3 mutations cause?
Waardenberg syndrome with dystopia canthorum (types WS1 and WS3)
What do PAX6 mutations cause?
They cause almost all cases of aniridia, occasional cases of Peters Anomaly, as well as other rarer phenotypes (i.e. AD Keratitis, Dominant Foveal Hypoplasia, etc)
What disease do patients with xeroderma pigmentosa have a higher risk of developing? Why?
Ocular squamous cell carcinoma, because of loss of DNA-repair enzyme functionality
What are the sub-divisions of mitochondrial mutations that cause disease?
- large rearrangements of mtDNA
- mutations of mtDNA encoded rRNA
- mutations of mtDNA encoded tRNA
- missense and nonsense mutations
What is CPEO? What does it stand for? What is its cause?
Chronic Progressive External Ophthalmoplegia, involves progressive ptosis and paralysis of eye muscles associated with ragged red myopathy
due to a deletion of mitochondrial DNA
What infraorbital disorder do CPEO patients commonly have?
retinitis pigmentosa, although it usually doesn't create a significant visual disturbance
What is Kearns-Sayre Syndrome?
A more severe form of CPEO, also associated with heart block and severe retinitis pigmentosa with marked visual disturbance
due to deletion of mtDNA
What is Leber Hereditary Optic Neuropathy? What causes it? Who is typically affected?
optic atrophy +/- peripapillary microangiopathy
Due to a mutation of NADH hydrogenase in mitochondria
Men more commonly affected than women
Variable prognosis depending on site of mutation
What is Neuropathy, Ataxia, and Retinitis Pigmentosa? What causes it? What disease is it related to?
Same symptoms as in the name, caused by a single base pair mutation at nucleotide position 8993 of ATP-ase gene 6
phenotype occurs when 80% effected--> Leigh Syndrome
What genetic defect is associated with both MELAS and MIDD?
They are both associated with an A-->G mutation @ position 3243 of mtDNA (affects mt tRNA)