Chromosomes and Chromosomal Abnormalities Flashcards

(96 cards)

1
Q

3 types of Chromosomal structure

A

1) Metacentric
2) Submetacentric (p and q subunits)
3) Acrocentric (entirely below central line)

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2
Q

3 types of Chromosomal structure

A

1) Metacentric
2) Submetacentric (p and q subunits)
3) Acrocentric (entirely below central line)

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3
Q

Metaphase chromosomal structure

A

Stains show compaction

*there are different bands/stains per stage (ie: prophase has a lot)

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4
Q

Giemsa stain

A

Imaging chromosomal banding pattern

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5
Q

Dark bands

A

gene poor

heterochromatin

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6
Q

Light bands

A

gene rich- 50+ genes per band

euchromatin

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7
Q

How do you profile chromosomes?

A

1) Size
2) Centromere position
3) Banding pattern

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8
Q

When is profiling chromosomes necessary?

A

1) Problems in early growth and development
2) Stillbirth and neonatal death
3) Infertility
4) Family History
5) Neoplasia
6) Pregnancy for mother of advanced maternal age

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9
Q

Tissue sources for profiling chromosomes

A
Blood (somatic cells)
Cheek Cells (somatic cells)

Amniocentesis or CVS (prenatal screening)

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10
Q

Chromosomal analysis- duration?

A

Grow cells and stain DNA

Few days in between taking sample and getting diagnostic

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11
Q

Polyploidy

A

Polyploid cells and organisms are those containing more than two paired (homologous) sets of chromosomes

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12
Q

Aneuploidy

A

presence of an abnormal number of chromosomes in a cell, for example when having 45 or 47 chromosomes when 46 is expected in a human cell.

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13
Q

Ploidy

A

the number of sets of chromosomes in a cell, or in the cells of an organism.

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14
Q

Euploidy

A

Euploidy is the state of a cell or organism having the same number of each homologous chromosome

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15
Q

Consequences of meiotic nondisjunction

A

trisomy and monosomy

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16
Q

Origins of nondisjunction

A

associated more with oocytes than spermatocytes

can be traces back to meiosis

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17
Q

Nondisjunction and maternal age

A

rate of nondisjunction pretty steady up until 34-35 with rise increase after that

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18
Q

ACOG

A

practice guideline on prenatal aneuploidy screening and maternal age

maternal age independent- b/c improved low risk/noninvasive screening methods

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19
Q

ACMG

A

Recommended for trisomy 13, 18, 21
can be offered for sex chromosome aneuploidy and possibly clinically relevant deletions

complications:
maternal weight
maternal aneuploidy 
organ transplant 
gestational stage
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20
Q

Chromosomes with viable aneuploidy

A

13, 18, 21, X, Y

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21
Q

Where do most nondisjunction events trace back to?

A

Meiosis 1 in mothe

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22
Q

Which nondisjunction event potentially results in the least clinically severe outcome for resulting conceptions or fetuses?

A

post-zygotic mitosis

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23
Q

Difference between triploid and trisomy?

A

triploid- 3N

trisomy- 2N + 1

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24
Q

Mitotic- post zygotic- nondisjunction

A

Results in number of normal cells and few trisomic and monosomic cells

The monosomic cells have a hard time surviving so die out

The trisomic (aneuploid) cells only 25% of total cell volume and thus less severe

Phenotype also depends on which cells have the trisomy

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25
FISH
hybridization using a probe with a complimentary sequence to chromosome you care about easier to do after baby is born
26
Microarrays
each spot represents a unique part of the genome normal reference- green fetal- red isolate DNA from each sample label DNA with fluorescent tags Mix samples and hybridize to the microarray Rinse away unbound material; scan with a laser microscope ~comparing relative quantities ~this lets you scan the entire genome at once and look for changes in copy number
27
What can a karyotype do?
> 7-10 million bp Detects copy number variation and positioning
28
What can a microarray do?
29
Trisomy 18
Edwards syndrome clench fist rocker bottom left foot low set, malformed ears mental retardation and cardiac malformations only 5% survive birth, only 10% of those live past 2 years
30
Trisomy 13
Patau Syndrome Bilateral cleft lip Polydactyl midline defects heart, nervous system, growth malformations
31
Trisomy 21
Downs Syndrome 1 in 800 Hypotonia- low muscle tone Short stature open mouth with large tongue Leukemia risk/ AD early onset
32
Robertsonian Translocation
46, XY, t(14;21), +21 46, XY, -14, t(14;21) -as long as you have 2 copies of each you can by asymptomatic but at risk of passing it to child
33
Form of trisomy 21 with the highest risk of reoccurrence in subsequent pregnancy?
Robertsonian Trisomy 21
34
Dosage compensation
Males only have 1 X chromosome and females have 2....body tried to make it so that the double X acts like a single X --> leads to x inactivation in mammals
35
X inactivation
Doesn't matter how many X always shutting it down so if female has 3 X, 2 are shut down if make has 2 X, 1 is shut down
36
Escape from X inactivation
some genes that are still expressed in an inactivated X chromosome (mainly a part of the p section of the chromosome) clincal phenotype is generally milder
37
Monosomy X
Turner Syndrome ``` Diagnosis at birth or puberty Webbed neck Short stature lymph edema amenhorrea- absence of period infertility normal intelligence ```
38
Trisomy XXY
Klinefelter Syndrome 2nd X goes thru X-inactivation but still some phenotype is expressed Infertility Hypogonadism Gynecomastia- male breasts Behavioral difficulties: learning, social, IQ
39
Paracentric inversions
pArA: an inversion that is away from centromere *Inversions usually do not cause any abnormalities in carriers as long as the rearrangement is balanced with no extra or missing DNA
40
Pericentric Inversions
perI- inversion includes chromosome
41
Consequences of an inversion
Paracentric: Unbalanced offspring and genome instability ^chromosome has 2 centromeres and if spindle tries attaching at 2 spots, can rip the chromosome Pericentric: Unbalanced offspring
42
Spectral Karyotyping (SKY)
Individual probe sets labelled in 24 different colors for each unique chromosome Makes it easier to determine origin of any extra DNA Especially useful to look for translocations..normal abnormalities would be obvious in normal G-banded karyotype only use if expect substantial changes in # and structure
43
Reciprocal translocation
2 parts are swapped--> balanced translocation (# is still the same) vast number are not going to create a fusion protein --> worry is at meiosis how will they be passed on
44
Chronic Myelogenous Leukemia
ie of reciprocal translocation the t(9;22) gene acts like a kinase at the wrong times and places --> causes leukemia 46,XX, t(9;22)(q34;q11)
45
Principles of X inactivation
1) normally choice of Xi is random | 2) choice may become non-random if one of the X chromosomes is severely defected in some way
46
What happens if one X chromosome is defective?
1) try to preserve the activity of one X equivalent | 2) (if possible) preserve autosomal sequences
47
Unbalanced rearrangement
isochromosome- either 2 p arms or 2 q arms on the same chromosome thru deletion --> crossing over --> ring
48
Unbalanced rearrangement - Turner's Syndrome
45, XO = 46, XX, i(Xq)
49
5p15 deletion
Cri du chat cry that sounds like a cat mental retardation microcephaly- abnormal head
50
Metaphase chromosomal structure
Stains show compaction *there are different bands/stains per stage (ie: prophase has a lot)
51
Giemsa stain
Imaging chromosomal banding pattern
52
Dark bands
gene poor | heterochromatin
53
Light bands
gene rich- 50+ genes per band | euchromatin
54
How do you profile chromosomes?
1) Size 2) Centromere position 3) Banding pattern
55
When is profiling chromosomes necessary?
1) Problems in early growth and development 2) Stillbirth and neonatal death 3) Infertility 4) Family History 5) Neoplasia 6) Pregnancy for mother of advanced maternal age
56
Tissue sources for profiling chromosomes
``` Blood (somatic cells) Cheek Cells (somatic cells) ``` Amniocentesis or CVS (prenatal screening)
57
Chromosomal analysis- duration?
Grow cells and stain DNA | Few days in between taking sample and getting diagnostic
58
Polyploidy
Polyploid cells and organisms are those containing more than two paired (homologous) sets of chromosomes
59
Aneuploidy
presence of an abnormal number of chromosomes in a cell, for example when having 45 or 47 chromosomes when 46 is expected in a human cell.
60
Ploidy
the number of sets of chromosomes in a cell, or in the cells of an organism.
61
Euploidy
Euploidy is the state of a cell or organism having the same number of each homologous chromosome
62
Consequences of meiotic nondisjunction
trisomy and monosomy
63
Origins of nondisjunction
associated more with oocytes than spermatocytes | can be traces back to meiosis
64
Nondisjunction and maternal age
rate of nondisjunction pretty steady up until 34-35 with rise increase after that
65
ACOG
practice guideline on prenatal aneuploidy screening and maternal age maternal age independent- b/c improved low risk/noninvasive screening methods
66
ACMG
Recommended for trisomy 13, 18, 21 can be offered for sex chromosome aneuploidy and possibly clinically relevant deletions ``` complications: maternal weight maternal aneuploidy organ transplant gestational stage ```
67
Chromosomes with viable aneuploidy
13, 18, 21, X, Y
68
Where do most nondisjunction events trace back to?
Meiosis 1 in mother
69
Which nondisjunction event potentially results in the least clinically severe outcome for resulting conceptions or fetuses?
post-zygotic mitosis
70
Difference between triploid and trisomy?
triploid- 3N trisomy- 2N + 1
71
Mitotic- post zygotic- nondisjunction
Results in number of normal cells and few trisomic and monosomic cells The monosomic cells have a hard time surviving so die out The trisomic (aneuploid) cells only 25% of total cell volume and thus less severe Phenotype also depends on which cells have the trisomy
72
FISH
hybridization using a probe with a complimentary sequence to chromosome you care about easier to do after baby is born
73
Microarrays
each spot represents a unique part of the genome normal reference- green fetal- red isolate DNA from each sample label DNA with fluorescent tags Mix samples and hybridize to the microarray Rinse away unbound material; scan with a laser microscope ~comparing relative quantities ~this lets you scan the entire genome at once and look for changes in copy number
74
What can a karyotype do?
> 7-10 million bp Detects copy number variation and positioning
75
What can a microarray do?
76
Trisomy 18
Edwards syndrome clench fist rocker bottom left foot low set, malformed ears mental retardation and cardiac malformations only 5% survive birth, only 10% of those live past 2 years
77
Trisomy 13
Patau Syndrome Bilateral cleft lip Polydactyl midline defects heart, nervous system, growth malformations
78
Trisomy 21
Downs Syndrome 1 in 800 Hypotonia- low muscle tone Short stature open mouth with large tongue Leukemia risk/ AD early onset
79
Robertsonian Translocation
46, XY, t(14;21), +21 46, XY, -14, t(14;21) -as long as you have 2 copies of each you can by asymptomatic but at risk of passing it to child
80
Form of trisomy 21 with the highest risk of reoccurrence in subsequent pregnancy?
Robertsonian Trisomy 21
81
Dosage compensation
Males only have 1 X chromosome and females have 2....body tried to make it so that the double X acts like a single X --> leads to x inactivation in mammals
82
X inactivation
Doesn't matter how many X always shutting it down so if female has 3 X, 2 are shut down if make has 2 X, 1 is shut down
83
Escape from X inactivation
some genes that are still expressed in an inactivated X chromosome (mainly a part of the p section of the chromosome) clincal phenotype is generally milder
84
Monosomy X
Turner Syndrome ``` Diagnosis at birth or puberty Webbed neck Short stature lymph edema amenhorrea- absence of period infertility normal intelligence ```
85
Trisomy XXY
Klinefelter Syndrome 2nd X goes thru X-inactivation but still some phenotype is expressed Infertility Hypogonadism Gynecomastia- male breasts Behavioral difficulties: learning, social, IQ
86
Paracentric inversions
pArA: an inversion that is away from centromere *Inversions usually do not cause any abnormalities in carriers as long as the rearrangement is balanced with no extra or missing DNA
87
Pericentric Inversions
perI- inversion includes chromosome
88
Consequences of an inversion
Paracentric: Unbalanced offspring and genome instability ^chromosome has 2 centromeres and if spindle tries attaching at 2 spots, can rip the chromosome Pericentric: Unbalanced offspring
89
Spectral Karyotyping (SKY)
Individual probe sets labelled in 24 different colors for each unique chromosome Makes it easier to determine origin of any extra DNA Especially useful to look for translocations..normal abnormalities would be obvious in normal G-banded karyotype only use if expect substantial changes in # and structure
90
Reciprocal translocation
2 parts are swapped--> balanced translocation (# is still the same) vast number are not going to create a fusion protein --> worry is at meiosis how will they be passed on
91
Chronic Myelogenous Leukemia
ie of reciprocal translocation the t(9;22) gene acts like a kinase at the wrong times and places --> causes leukemia 46,XX, t(9;22)(q34;q11)
92
Principles of X inactivation
1) normally choice of Xi is random | 2) choice may become non-random if one of the X chromosomes is severely defected in some way
93
What happens if one X chromosome is defective?
1) try to preserve the activity of one X equivalent | 2) (if possible) preserve autosomal sequences
94
Unbalanced rearrangement
isochromosome- either 2 p arms or 2 q arms on the same chromosome thru deletion --> crossing over --> ring
95
Unbalanced rearrangement - Turner's Syndrome
45, XO = 46, XX, i(Xq)
96
5p15 deletion
Cri du chat cry that sounds like a cat mental retardation microcephaly- abnormal head