Chromosomal Abnormalities Flashcards

1
Q

How do you prepare the karyotype

A

Collect 5 ml heparinised venous blood ( can use amniotic cells, CVS)
Isolate white cells
Culture in presence of phytohaemagglutinin ( stimulates the T lymphocyte growth/differentiation)
After 48 hrs add colchicine - causes mitosis arrest - metaphase
Place in hypotonic saline
Place on slide
Fix and stain with gisema

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2
Q

DNA compaction

A

DNA is condensed into chromatin which is wrapped around his tones. Proteins bound to chromatin affect its regulation and the 3D genome is important.

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3
Q

What is the short arm called

A

P arm

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4
Q

What is the long arm of the chromosome

A

Q arm

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5
Q

What is a telomere

A

The caps at the end of the chromosome

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6
Q

Why are the bands different colours

A

Some areas take up more gisema and appear dark while some areas take up less gisema and appear light

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7
Q

Regions of different compaction

A

Dark ( heteronormative) more compact fewer genes

Light ( euchromatin ) more open more genes

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8
Q

What does bphs mean

A

Bands per haploid set

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9
Q

What is karyotype

A

Chromosome count of individual - can detect major chromosome abnormalities

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10
Q

When is karyotyping done

A

Usually metaphase but also prophase as the chromosomes are less compact and therefore you get more detail from the karyotype

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11
Q

Aneuploidy

A

Abnormal number of chromosomes .you can cope with a missing number of genes but if the chromosomes are missing, the a whole number of genes are affected which causes problems and results in syndromes

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12
Q

Chromosome non disjunction

A

Non disjuncture results in uneven numbers of
Chromosomes in daughter cells .

Can occur in meiosis 1 or 2 .

Meiosis 1 all daughter cells affected
Meiosis 2 , half of daughter cells affected

When fertilised, either trisonomy or monosomy

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13
Q

Sex chromosome aneuploidy

A

Most common form of chromosomal abnormality . Affects more males

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14
Q

Why is sex chromosome imbalance tolderated

A

X inactivation of excess X chromosomes , only one X chromosome active. Low gene content of Y chromosome

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15
Q

PAr

A

Pseudo autosomal region

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16
Q

Does the risk of maternal non disjunction increase with age

17
Q

Why is there a maternal age effect

A

Vulnerability of oogenesis ( differentiation of ovum)
Paused in Utero in prophase I until puberty
Secondary oocyte arrests in metaphase II
Only competes if fertilised
One primary oocyte yields only one ovum
Finite number of primary oocyte

18
Q

Female non disjunction

A

Most aneuploidy caused by non disjunction arises in oogenesis

Likely due to degradation of factors which hold homologous chromatids together during metaphase

19
Q

Paternal age effect - spermatogenesis

A

Vulnerability of male meiosis

Primary spermatocytes undergo approx 23 mitotic divisions per year and potentially accumulate defects

20
Q

Paternal age effect

A

Paternal age effect affects a subset of single gene disorders caused by point mutations in FGR2 , FgR3 and RET
Eg. Apert syndrome
Crouzon syndrome
Pfeiffer syndrome

21
Q

Trisomy vs monosomy

A

Most trisomies are not compatible with life and monosomy is very poorly tolerated

22
Q

Crossing over of chromosomes

A
Occurs in prophase 1
Increases genetic diversity
Pairs of chromosomes align 
Chiasma form and crossover occurs
1-3 times per chromosome per meiosis 
But can go wrong
23
Q

Single chromosome abnormalities

A

Deletions; Can be the result of unequal cross over
Breaks in chromosome
Can occur at ends

Duplication; most often caused by unequal cross over

Paracentric inversions:
Can cause reproductive problems
Children’s with deletions / insertions

24
Q

Two chromosome abnormalities

A

Insertions and translocation

If balanced does not affect carrier but may cause problems in off spring
Can cause partial trisomy or monosomy ( cri- du chat syndrome )

Can occur in somatic cells , cf, Philadelphia chromosome, cmL

25
Chromosomal deletions
Can either be microscopic or micro deletion microscopic criminal deletions can be easily detected in microscopes . micro deletions are were 20+ genes can be deleted Eg cri du chat syndrome
26
Williams syndrome
Deletion ``` Long philtrum Short upturned nose Arched eyebrows Suprvalvular aortic stenosis Friendly social personality and absence of social anxiety ``` Phenotypes caused by imbalance of genes which are unrelated apart from their genomic location
27
How can Williams syndrome be detected
Deletion is too small to detec5 using standard karyotyping Can be detected using targeted FISH Fluorescent in situ hybridisation - lack of elastin on affected chromosome
28
Difference between 7q11.23 deleti9n ( Williams ) and duplication syndrome
Duplication; Delayed speech development Autistic behaviours that affect social interaction and communication Dilation if the aorta Flat eyebrows Broad nose and short philtrum Duplications usually have a milder phenotype than the reciprocal deletion
29
Classes of chromosomes
Meta centric; short arm and long arm are equal lengths Submetacentric; short arm is a lot shorter than the long arm Acrocentric: short arm has been reduced down to a vestigial stump
30
What is a robertsonian translocation
Occurs between acrocentric chromosomes Most common 13 and 14, 14 and 15 , 14 and 21 Whilst silent in carriers, it can produce affected offspring
31
Mosaicism
Presence of two or more populations of cell with diff genotypes X inactivation results in mosaic expression Mosaicism can arise two mechanism; - non disjuncture during early development - loss of extra chromosome in early development Results in Generally milder phenotype - some lethal aneuploidy survivable if mosaic Most common mosaic 46,XX /45,X, mosaic 46,day/45,X