Genetics 2 Flashcards

1
Q

AUTOSOMAL RECESSIVE DISORDER:

which gene is affected by the mutation in cystic fibrosis

A

the transmembrane conductance regulator (CFTR)

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2
Q

AUTOSOMAL RECESSIVE DISORDER:

what does CTFR gene control

A

it is a protein chanel + sits in epithelial lining of cells

allows export of chloride ions out of the epithelial cells of the airways

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3
Q

AUTOSOMAL RECESSIVE DISORDER:

what happens if CTFR gene fails

A

MUCOSTASIS
Cl- not moved across membrane of epithelial cells

build up of sticky mucus which bacterial pathogens invade leading to severe lung disease as bacteria grow on mucus

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4
Q

AUTOSOMAL RECESSIVE DISORDER:

what do sickle cell anaemias and thalassaemias affect

A

red blood cell (erythrocytes) activity + functionality

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5
Q

AUTOSOMAL RECESSIVE DISORDER:

what are sickle cell anaemia and thalassaemia’s characterised by

A

abnormalities in the haemoglobin structure

single base mutations in haemoglobin gene affect how beta globin molecules form structural tetramers that carry o2 in red blood cells

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6
Q

AUTOSOMAL RECESSIVE DISORDER:
what does selective pressure in areas where malaria is endemic mean for frequency of sickle cell anaemia and thalassemias

A

higher frequency than expected in a normal population because having this mutation gives a survival advantage that selects for this mutation (a balanced polymorphism)

heterozygosity leads to increased resistance

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7
Q

AUTOSOMAL DOMINANT DISORDER:

what is dentinogenesis imperfecta

A

leads to poorly formed dentine and results in early tooth loss

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8
Q

AUTOSOMAL DOMINANT DISORDER:

explain the form of dentinogenesis imperfecta where the DSPP gene (gene for dentin sialophosphoprotein) is affected

A

C to T substitution in the DSPP gene

DSPP gene = located on chromosome 4 at position 4q12-23

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9
Q

AUTOSOMAL RECESSIVE DISORDER:

what characterises this type of disorder

A

heterozygous carriers might not show phenotype symptoms / show minor symptoms

only when 2 carriers mate and produce offspring w 2 affected alleles that disease is expressed (reason incest is not permitted - leads to expression of heterozygous genetic diseases)

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10
Q

what is the effect of an autosomal dominant gene on a family

A

devastating effect because every individual who receives a copy of this affected gene in the offspring is affected by the disease and shows disease symptoms

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11
Q

what is important to realise when determining probabilities from pedigrees

A

doesn’t mean 50% of offspring all have disease but the probability for each individual offspring to be affected is 50%

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12
Q

AUTOSOMAL DOMINANT DISORDER:

what does huntingtons disease lead to

A

usually starts in middle age
depression
dementia
involuntary spasms (these are chorea - so aka chorea huntingtons)

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13
Q

AUTOSOMAL DOMINANT DISORDER:

what is the molecular basis of huntigtons

A

increase in number of repeats of CAG triplet sequence in the dna of a gene linked to the disease

normal people = around 15 copies of this repeat sequence
huntingtons sufferers = 36+

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14
Q

AUTOSOMAL DOMINANT DISORDER:

in huntingtons what is the correlation between number of copies of repeating sequences and the disease symptoms

A

the more copies = the move severe the symptoms

example of a gene dosing effect

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15
Q

which type of disease can be easily observed from a pedigree + identified by pedigree analysis and why

A

x-linked genetic disease (sex-linked)

look at pedigree and realise only males are affected

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16
Q

in x-linked disease what may females be

A

carriers that may not express symtpoms

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17
Q

in x-linked disease what will there be NO evidence of

A

no male carriers and no father to son transmission of the condition because disorder is located on the x chromosomes and male offspring cannot inherit x chromosome from father as they get Y from their father

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18
Q

give 2 examples of x-linked disorders in humans

A

1) haemophillia

2) amelogenesis imperfecta

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19
Q

X-LINKED DISORDER:

what is haemophillia

A

impaired blood clotting (mutation of important blood clotting factor) and bleeding cant be stopped quickly

have to take recombinant blood clotting factors

higher frequency where interbreeding has occured (european royal families, russian princes)

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20
Q

X-LINKED DISORDER:

what is amelogenesis imperfecta

A

poorly formed enamel and defects on teeth because of mutations in amelogenin / AMELX gene for the tooth enamel matrix protein

expression of the disease is patterned leading to an effect of striped teeth (stripes of functional enamel alternated with stripes of affected enamel)

21
Q

explain lyonisation / X-inactivation

A

mosaic like expression of a disease in females w x-linked disorders

1 X chromosome in females gets inactivated in every body cell but in a random pattern (so random pattern of distribution and also to striped teeth effect in amelogenesis imperfecta because some ameloblasts will produce functional amelogenin + others wont depending on lyonisation)

as 1 chromosome is randomly inactivated, only 1 of the alleles is expressed bc females have 2 x chromosomes (one has defective allele and other has unaffected allele)

can lead to sexually dimorphic phenotypic appearance of these disorders

22
Q

what are polygenic / multifactorial genetic disorders

A

multiple mutated genes contribute to formation of disease

environmental / external factors can make these diseases more severe

23
Q

how do genes act in polygenic / multifactorial genetic disorders

A

many involved in disease process

others supress / modify it (modifying genes / protective factors)

24
Q

what do polygenic / multifactorial genetic disorders make difficult due to their complexity

A

genetic analysis and pedigree analysis

25
Q

what else may be involved in expression of these diseases

A

factors other than genes

26
Q

what has finding out more about the human genome + its relation to disease enabled

A

more disorders not previously thought to be genetic now known to have a genetic component / basis contributing to difference in expression + susceptibility

27
Q

genetic disorder with multifactorial genetic component:

give 3 congenital disorders of this nature

A

1) spina bifida
2) cleft lip + palate
3) congenital heart disease

28
Q

genetic disorder with multifactorial genetic component:

give 4 late onset disorders of this nature

A

1) rheumatoid arthritis
2) multiple sclerosis
3) diabetes mellitus
4) epilepsy

29
Q

genetic disorder with multifactorial genetic component:

give 4 psychiatric disorders of this nature

A

1) manic depression
2) alcoholism
3) alzheimers
4) schizophrenia

30
Q

genetic disorder with environmental component:

give 3 neoplasis disorders of this nature

A

1) oral cancer
2) breast cancer
3) congenital heart disease

31
Q

genetic disorder with environmental component:

give 3 cardiovascular disorders of this nature

A

1) hypertension (high BP)
2) multiple sclerosis
3) epilepsy

32
Q

genetic disorder with environmental component:

give 3 neuro-degenerative disorders of this nature

A

1) diabetes mellitus
2) alcoholism
3) alzheimers

33
Q

genetic disorder with environmental component:

what has evidence on oral cancers shown and how is it multifactorial

A

formed because of genetic background and multiple genes contribute to susceptibility.

very aggressive and poor prognosis.

multifactorial because tobacco, alcohol can exacerbate it or increase probability of developing / expressing it

34
Q

genetic disorder with environmental component:

how is genetic analysis helpful and give an example where it may help

A

can identify at risk individuals and encourage them to change their lifestyle = reducing disease incidence

hypertension (high BP) = modify by lifestyle changes like avoiding stress

35
Q

what measures would help reduce onset and incidence of disease

A

better public health measures

education

36
Q

multi-factorial disease w/ potential polygenic background:

what is periodontal disease

A

chronic disease leading to erosion of tissues supporting teeth (bone, gum, connective tissue) and tooth loss

37
Q

multi-factorial disease w/ potential polygenic background:

what was previously thought about perio disease

A

solely caused by bacteria

microbiota / microbiome composition = result of poor oral hygiene

38
Q

multi-factorial disease w/ potential polygenic background:

what became evident about perio disease with advances in oral healthcare

A

individuals with good oral health still develop it

other factors involved ie…

1) altered response to infection = increase severity of disease (like in autoimmune disorders)
2) genes acting as genetic modifiers of the periodontal inflammatory response

39
Q

multi-factorial disease w/ potential polygenic background:

what happens in periodontal disease expression in different individuals depending on individual genetic background

A

disease initiating factors (ie bacterial pathogens)

individual genetic response

so different expressions of disease severity

each responds differently to presence of pathogens in oral cavity

40
Q

multi-factorial disease w/ potential polygenic background:

why may periodontal disease severity be reduced over time

A

presence of protective alleles

individuals who have susceptibility genes will be affected more severely

41
Q

what types of methods are used for identification of diseased genes + genetic component determination in specific types of disease

A

molecular methods

42
Q

what 2 types of study can be observed to determine genetic component

A

family studies (ie pedigrees)

twin studies

43
Q

what do family studies give an idea of

A

if a disease is due to genetic factors

number of people w same disorder gives indication that observed disease has genetic component

44
Q

what do twin studies give an idea of

A

which components of a disease are
a) genetically determined
b) environmental
(nature vs nurture)

45
Q

what type of twins are used in twin studies and why

A

monozygotic (IDENTICAL)

same genetic makeup

46
Q

how do we find what the underlying genetic defects responsible for inherited disorders are at a molecular level

A

lab procedures for looking at genes

47
Q

what is the first used, lowest resolution procedure and what are these

A

linkage analysis

linkage is the tendency of 2 genes/genetic markers to be inherited together bc of their closeness on the same chromosome

molecular family studies giving idea of position of gene
determine which chromosome the genetic detect sits on by following the inheritance of known genetic markers that we can map to different chromosomes (assign chromosomal location)
find mapped linkage marker which always gets inherited along the genetic disease

48
Q

list 5 more refined and higher resolution tools used after linkage analysis to see where gene is located and the change on the molecular level / finding genes responsible for disorders / traits

A

1) southern blotting technique (techniques based on dna hybridisation)
2) PCR
3) nucleotide (dna) sequencing
4) gene chips / microarrays (CGH)
5) next generation sequencing (NGS)