Chromosomal Abnormalities Flashcards

1
Q

What is chromatin made of?

A

DNA, non-histone proteins, RNA, histones (H2A, H2B, H3 & H4 octamer - H1 stabilises octamer)

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2
Q

What are the different types of numerical chromosomal abnormalities?

A

Polyploidy, aneuploidy, monosomy and trisomy

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3
Q

What are the different types of structural chromosomal abnormalities?

A

Physical changes to one or more of the chromosomes - balanced or unbalanced.

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4
Q

In a karyotype how are the chromosomes aligned?

A

Largest to smallest from (1-22) with 23 at the end

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5
Q

How do you write out a karyotype formula?

A

Starts with total number of chromosomes on the cell, followed by a comma, then the X chromosomes and Y chromosomes. + or - indicates an extra/missing piece e.g. 6p- means missing a segment of the p-arm on chromosome 6

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6
Q

Why would you perform a karyotype?

A

Congenital abnormalities (prenatal screening, birth defects, abnormal sexual development, infertility, recurrent foetal loss), acquired abnormalities

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7
Q

How would prepare cells for a karyotype?

A

Procure cells, add phytohaemagglutin, culture, add colcemid, culture, brief digestion with trypsin, Giemsa stain.

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8
Q

What is the culturing time length for bone marrow?

A

0-1 day

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9
Q

What is the culturing time length for blood?

A

2-3 days

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10
Q

What is the culturing time length for solid tissue, amniotic fluid and chorion villus?

A

7-21 days

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11
Q

When is chromatin activated?

A

When it’s acetylated

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12
Q

When is chromatin inactive?

A

When it’s methylated

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13
Q

What is non-disjunction?

A

Creation of a gamete with a missing chromosome or containing both homologous chromosomes i.e. failure of chromosome pairs to separate properly

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14
Q

What causes aneuploidy?

A

Non-disjunction

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15
Q

How can non-disjunction arise?

A

Failure of homologous chromosomes to separate in meiosis I or failure of sister chromatids to separate during meiosis II

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16
Q

What are the possible autosomal trisomies in humans?

A

21, 18 & 13

17
Q

What is anaphase lag?

A

Chromosome which are left behind at cell division (due to defects in the spindle fibres)

18
Q

What are the three types of chromosomal structures in humans?

A

Meta-centric, sub-metacentric and acrocentric

19
Q

What are the types of mutations that occur in one chromosome?

A

Deletion, duplication, inversion, ring chromosome and isochromosome

20
Q

What are the types of mutations with two chromosomes?

A

Inversion, reciprocal translocation, robertsonian translocation

21
Q

Where is polyploidy common?

A

Human muscle and liver

22
Q

What is sex chromosome aneuploidy?

A

Only one X is active in human cells. Inactive forms - Barr bodies in periphery of cells

23
Q

What are the symptoms of Down syndrome?

A

Intellectual disability, congenital heart disease, haematological malignancies, hypothyroidism, infertility, eye disorders, hearing disorders

24
Q

What is the karyotype for Edwards syndrome?

A

(47,XX,+18) - modal life span of ~5-15 days

25
Q

What is the karyotype for Patau syndrome?

A

(47,XY,+13) - polydactyly. >80% die in a year

26
Q

What is the karyotype for Turner syndrome and what are the effects?

A

(45,X). Short, broad chest, low hairline, webbed neck, CNS problem, renal, infertility

27
Q

What is the karyotype for Klinefelter and what are its effects?

A

(47,XYY) - after onset of puberty gynocomastia, language/reading impairment

28
Q

What is the karyotype for Triple X and what are its effects?

A

(47,XXX). Two/three X chromosomes are activated - tall, microcephaly, delayed motor skills, speech and learning disabilities

29
Q

What is Philadelphia chromosome?

A

Chronic myelogenous leukaemia (CML) - reciprocal translocation between 9 & 22