Genetic 2.2: Autosomal Dominant Flashcards

1
Q

True or False,

Transmission autosomique dominante cannot have a Transmission homme à homme

A

False,

Transmission homme à homme possible

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2
Q

What can be said of the parents of someone who has an autosomique dominante?

A

One of the parents will also be affected by autosomique dominante.

Individus atteints dans chaque génération

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3
Q

achondroplasie -> personnes de petites tailles. What type of disease?

A

Transmission autosomique dominante

2 parents atteints ont 25% risque de
transmettre forme homozygote: sévère létale

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4
Q

What is Pénétrance? What example should remiond us of this?

A

Fréquence avec laquelle un génotype donné produit ses effets sur le phénotype

Ectrodactylie: Split-hand deformity

Probability of a affected genotype to show a phenotype (in domiant autosomal mutations)

Example, dominant disease, granpa has it, dad doesnt but child does…What happened?

Saute de generation

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5
Q

What is Expressivité?

A

The same mutation on the same gene can lead to different phenotypes
We talked about cystic fibrosis and how it can cause pneumonary issues but in other patients cause infertility (althouhg this is recessive and we are tlaking abt dominant here)

A better example.

polydactylie. Some patients have only one hand, some have both hands and legs etc

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6
Q

What is Syndrome de Marfan?

A

Syndrome à transmission autosomique dominante
Pénétrance complète
BUT: Expressivité variable intra-familiale et inter-familiale

Combinaison de facteurs génétiques et environnementaux qui influencent
l’effet de la mutation. Either factors that reduce or increase risk.

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7
Q

What is Neurofibromatose?

A

Penetrance avec age
Transmission autosomique dominante
Expressivité variable

However, more often than not the parents are usually not AFFECTED!!!!

mutations de novo;

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8
Q

Say you have a child with a autosomique dominant mutation but both his parents are not affected. What explains this?

A

Potential mutations de novo

(could have to do with penetrance or variable expressivity but if we knew more about the disease then we would be certain to say de novo)

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9
Q

Given a family who had a child with a dominant mutation de novo, what are the chances that they have another one?

A

Depends on masaicism or not

If the parents are mosaic and have a mutation in their gonadic cell line, the chances are high

However, most likely it was just a de novo and so the chances are 1%

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9
Q

What is a Mutation de novo?

A

A mutation that is not seen as a phenotype or genotype in the parent but is present in the child

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10
Q

What could we infer if we have a dominant “de novo” mutation that is commune aux 2 enfants if the parents are both tested negative for the mutation?

A

Mosaïcisme germinal!!! Chances for a child to have the disease up to 50%

The germinal cell line of the mother or father has the mutation althiugh the dad doesnt

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11
Q

What is an innactivationg bias?

A

Femmes ont deux copies de ces gènes
* Inactivation du chromosome X pour que le dosage génique soit équivalent à l’homme
Phénomène aléatoire Xp vs Xm

Inactivation biaisée: inactivation préférentielle vers un des chromosomes X
There can be certain signals that will bias choosing one X over the other. Example when one has a bad mutation.

This is sorta like mosaicism.

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12
Q

Hérédité liée à l’X récessif

rules of thumb

A

La mutation s’exprime chez tous les garçons qui la portent

femmes hétérozygotes ne manifestent habituellement pas les signes typiques
Peuvent manifester des signes si inactivation du X biaisée (rare)

** Toutes les filles d’un homme atteint seront automatiquement porteuses (100%)**

Aucune transmission d’homme à homme observée (0%)
Because he gives the healthy Y

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13
Q

La règle de Haldane

A

A. For a chromosome X disease that is lethal in guys (or reduces their reproductive potential)
1. if the disease continues to exist in a population
2. the risk of de novo mutations is 1/3
3. The risk of the mother being a carrier is 2/3
There is no way for the father to have transmitted due to A.

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13
Q

Disease Lié à l’X récessif (2)

A

dystrophie musculaire de Duchenne
(majorly deNovo due to decreased reproductive fitness)

hemophilie A
a woman can have homologous mutations

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14
Q

Given a lethal disease related to chromosome X. From the literature we know that de novo mutation chance is 5%. What is the probaility that the mother and the father are carriers?

A

Father -> 0% probability because he wouldn’t have reproduced
Mother -> 100% - changeDeNovo = 95%

15
Q

Mother has 4 daughters and has had 3 misscarrigies. What could be happening here?

A

Transmission liée au X dominante!!!

Exprimée chez les femme hétérozygotes MAIS Phénotype souvent plus léger chez les femmes (inactivation du X)

However, for guys becuase they only have 1 X: Often lethal and even prenatal!!

16
Q

All daughters of a couple seem to be affected by a disease but guys have NO SIGN OF MUTATIONS. Type of disease?

A

Transmission liée au X dominante
Transmission liée au X dominante
Transmission liée au X dominante

See page 104

17
Q

Syndrome de Rett type of disease and what is key?

A

Condition dominante liée au chromosome X

Filles presque exclusivement because Létal chez la majorité des garçons