GENO- structural chromosomal abnormalities Flashcards

(28 cards)

1
Q

what are the types of structural abnormalities

A
translocations - reciprocal, robertsonian 
inversion
deletion
duplication
rings
isochromosomes
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2
Q

what is meant by translocation structural abnormality

A

exchange of two segments between non-homologous chromosomes - between non-paired chromosomes

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3
Q

how does tetravalence occur

A

during meiosis - chromosomes want to align with homologous pair- if there has been swapping of material they no longer math and cannot align so form a tetravalent / quadrivalent

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4
Q

what happens when a tetravalent cell divides

A

when the cell divides it takes with them one half of the tetravalent structure - it will take a complete copy and a variant - when they are fertilised they will then end up with trisomy of part of the translocated part and monosomy of the other

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5
Q

what happen if division occurs in a way in which the gamete contains both the translocated / complete chromosomes

A

the individual is a balanced carrier

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6
Q

what are the consequences of reciprocal translocation

A

may lead to miscarriage
learning difficulties, physical disabilities
tend to be specific to each individual so exact risks and clinical features vary

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7
Q

what is Robertsonian translocation

A

involves just the acrocentric chromosomes (p arms)

the p arms get lost and the q arms of the chromosome join together

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8
Q

which are the acrocentric chromosomes

A

13,14,15,21,22,Y

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9
Q

can you be ‘normal’ with 45 chromosomes

A

yes - Robertsonian translocation - you can still have all the relevant genetic material

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10
Q

what do the p arms contain

A

RNA

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11
Q

which Robertsonian translocations are relatively common

A

13: 14
14: 21
21: 21 - downs syndrome - 100% risk

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12
Q

what is meant by NHEJ

A

non-homologous end joining

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13
Q

what is the purpose of NHEJ

A

DNA repair mechanism
double stranded DNA breaks
rejoins the chunk of broken DNA

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14
Q

what happens the NHEJ goes wrong

A

can join the broken chunk of DNA into another chromosome

creating derivative chromosomes

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15
Q

are derivative chromosomes a problem

A

not usually in a healthy individual as they usually have one copy of the complete chromosome which makes up for the broken one - this person is known as a balance translocation carrier

it can be a problem though depending on what chromosomes are involved

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16
Q

what is the Philadelphia chromosome

A

generated due to translocation between chr 9 and 22

chromosome 9 contains ABL which is a protooncogene - when its on chromosome 9 it is non-oncogenic

on chromosome 22 there is the BCR gene (prone to breaking)

translocation of ABL onto C22 creates a fusion gene which triggers oncogenic potential of ABL leading to leukaemia / myeloma

17
Q

what are features of the outcomes of translocations

A

very difficult to predict
only have approximate probability of producing possible gametes
some unbalanced translations may lead to spontaneous abortion - early conception
some may lead to miscarriage later in conception
some may result in live-born baby with various problems

18
Q

what is meant by terminal deletion

A

genes at the end of the telomere is lost

19
Q

what is meant by interstitial deletion

A

genes in the middle of the telomere are lost and the ends are joined together - the greater the deletion the easier it is to detect and diagnose

20
Q

explain what is meant by unequal crossing over

A

at myosis - alleles should align perfectly and then exchange genetic material (normal)
if they have misaligned you can get simultaneous deletions and duplications
end up with normal non-recombinants but also one copy with deletion and one with duplication
meaning an individual with this unequal crossing over will either be monosomic or have three copies

21
Q

what are sources of sample for genetic testing

A

prenatal - invasive - amniocentesis (amniotic fluid), chorionic villus samples (placenta), cell free foetal DNA

post natal - blood, saliva

22
Q

explain how structural abnormalities can be detected using stained metaphase chromosomes

A

most common
g banding - giemsa stain
can be seen under the microscope and detect large scale abnormalities
looks for aneuploidies, translocation and large deletions

23
Q

explain how structural abnormalities can be detected using FISH

A

fluorescent in situ hybridisation - specific to parts of the genome
looks for aneuploidies, translocations and large deletions
traditional FISH - need to know what youre looking for

cultured cells - metaphase spread
fluorescent probe

24
Q

what is spectral karyotyping

A

painting all the chromosomes so no need for a hypothesis of what is wrong before hand - compare what is different to what you expected

25
explain how structural abnormalities can be detected using array CGH
array comparative genomic hybridisation for detection of sub-microscopic chromosomal abnormalities patient DNA labelled green control DNA labelled red complete process measure of fluorescent signals compare control and patient DNA looks for microdeletions and duplications
26
explain how structural abnormalities can be detected using QF-PCR
interested in peaks - healthy individual = 2 same size peaks / single large peak trisomy 2 peaks but one is twice size of other / 3 peaks quick looks for aneuploidies - have to know what youre looking for so know what microsatellites to target
27
NIPT/ NGS
non-invasive prenatal testing / next generation sequencing NIPT- cell free foetal DNA maternal blood sample trisomy testing NGS- high chance indicator for an invasive test
28
how do you detect microsatellites
isolate DNA from individual design primers specific to flanking sequence PCR amplification gel electrophoresis homozygotes - single product of a specific size heterozygotes - two different sized products