Genetic Diseases I Flashcards

(35 cards)

1
Q

examples of autosomal dominant diseases

A

marfan
ehlers hanolos
huntington
NF 1 and 2

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2
Q

characteristics of autosomal dominant disease

A

reduced penetrance
variable expressivity
delayed onset
reduced production or inactive protein

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3
Q

what chromosome is affected in Marfan

A

chromosome 15

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4
Q

marfan has a mutation in gene that encodes for what

A

fibrillin-I

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5
Q

fibrillin-I

A

glycoprotein constituent of micrfibils

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6
Q

Where are problems due to marfan’s found

A

aorta
eye
skeletal system

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7
Q

what type of mutation causes marfans

A

missense

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8
Q

how does marfans affect heart

A

stiffening of aortic wall

mitral valve prolapse

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9
Q

what are the affects of fibrillin 1 mutations

A
increased TGF beta1 activity
inflammation
MMP upregulation
elastolysis
cell disarray
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10
Q

how does marfans affect the eye

A

ectopia lentis - displaced lens

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11
Q

how does mafans affect skeletal system

A

pectus carinatum
pectus excavatum
arachnodactylyl
joint hypermobility

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12
Q

what can ectopic lentis cause

A

nearsightedness

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13
Q

mitral valve prolapse

A

valve clicks shut

flopsy

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14
Q

aortic dissection

A

can be very deadily

pt has stabbing pain that radiates to the back

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15
Q

cystic medial degeneration

A

elastic fibers, instead of running in parallel arrays are disrupted by pools of blue mucinous ground substance

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16
Q

type I and II elhers danoles

A

characretised by mutations that contain COL5A1 or COL5A2 encoding alpha chians of type V collagen

17
Q

type IV elhers danoles

A

decreased amount of type III collagen - most deadily

18
Q

type V and VI elhers danoles

A

deficiences in lysyl hydrozylase and lysyl oxidase, important modifyin genzyme in collagen biosynthesis

19
Q

type VII elhers danoles

A

has amino-terminal procollagen peptidase deficiency

20
Q

what is elhers danoles characterized by

A

joint hypermobility
cutaneous fragility
hyperextensibility

21
Q

What is unique about NF1

A

highly variable expression but 100% penetrance

22
Q

what mutation results in NF1

A

downregulat function of p21 ras oncoprotein

23
Q

common symptoms of NF1

A
axillary and/or inguinal freckling
cafe-au-lait
lische nnodules
neurofibrosis
bone lesiosn
24
Q

lisch nodules

A

pigmented hamartomas of iris

25
lisch nodules
pigmented hamartomas of iris
26
where do neurofibroma grow
along nerve sheath
27
what do neurofibroma contain
multiple cell types from peripheral nerve
28
people with neurfibromtosis have a long term risk for what
malignant neoplasma - specifically MPNSTs
29
NF2
devastating autosomal dominant disorder that is different from NF1
30
what chromosomes do NF2 affect
17q | 22q
31
when do people develop NF2 symptoms
100% will develop symptoms by 60 y/o
32
how do tumors develop because of NF2
inactivation of merlin/schwannomin
33
what do people with NF2 develop
bilateral vesticular schwannoomas | meningiomas
34
common symptoms of NF2
hearing loss tinnitus headache balance problems
35
what do NF2 VS look like
bunches of grapes