GEP (Life Cycle) Week 4 Flashcards

1
Q

Define these basic Genetic terminology:** Gene, Locus, Chromosome, Chromatid, Genotype, Phenotype, Allele**

A
  • Gene - a DNA segment with nucleotide sequence encoding RNA
  • Locus - a location of a gene or DNA sequence on a chromosome
  • Chromosome - a structure found in the nucleus of eukaryotes that contain genes
  • Chromatid - 2 identical strands of replicated chromosomes
  • Genotype - chemical composition of DNA
  • Phenotype - observable traits of an organism
  • Allele - a variant of a particular gene
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How many pair of chromosomes do we have

A
  • We each have 23 pairs of chromosomes
    22 autosomes, 1 sex
  • Each chromosome is made up of 2 sister chromatid which are joined by a centromere
  • P arm = short arm, no coded genes
  • Q arm = longer arm
  • Telomere = chromosome cap
    -Non coding DNA
    -Shortens every replication cycle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give a brief overview on DNA and Nucleotide, providing what they are and how they work

A

DNA – deoxyribose nucleic acid
Double helix
Read 5’-3’
Read in triplets (codons)
Sugar phosphate backbone joined by hydrogen bonds
Negatively charged molecule

Nucleotide – base molecule
Adenine (A) binds Thymine (T)
Cytosine (C) binds Guanine (G)
Adenine (A) binds Uracil (U) in RNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Histones

A

**Histones – group of proteins that bind to DNA and support structure of chromatin **
* Positively charged
* Four core histones forming an octet
* Imagine beads on a string
* Allow efficient super coiling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are chromatins

A

Chromatin – DNA and associated proteins forming a nucleosome
* Euchromatin – loosely packed – genes can be transcribed
* Heterochromatin – tightly packed – genes are silence

A nucleosome is the basic structural unit of DNA packaging in eukaryotes. The structure of a nucleosome consists of a segment of DNA wound around eight histone proteins and resembles thread wrapped around a spool. The nucleosome is the fundamental subunit of chromatin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Give a brief overview of Interphase Cell cycle

A

Interphase
* G1
Synthesis of RNA, proteins and organelles
One chromatid per chromosome
Lasts hours-months
* S
DNA replication → 2 sister chromatids per chromosome
Site of most mismatch repair
Once S phase is initiated, cell cycle must take place
Approx 8 hours
* G2
More protein synthesis required for mitosis
Repair of DNA replication errors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give a brief overview of Mitosis phase in cell cycle

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Now give an overview of Mieosis

A

Split into 2 key phases
Meiosis I → very similar to mitosis
Meiosis II → further division to form haploid cells
Creation of genomic diversity
Independent assortment = random orientation of homologous chromosome pairs in Metaphase I
Crossing over in Prophase I
Independent assortment to form haploid cells in Metaphase II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do we visualise chromosomes

A

Karyotyping / G banding - This is done with a giemsa stain and can be used to determine number of chromosomes, their morphology, banding pattern and length ratio of each chromosomal arm. It can be done with samples from tissues like the amniotic fluid, placenta, or bone marrow and is most helpful for diagnosing trisomy, monosomies and sex chromsomes disorders.

FISH - used to stain for SPECIFIC DNA SEQUENCEs using fluoresecent labelled DNA or RNA probes. It’s not limited to checking for specific chromosomal abnormalities but can also be used to check for known mutations in certain cancers

DNA microarrays - detect copy number alterations across the genome. There are two different ways of performing microarray testing: array comparative genomic hybridisation (aCGH) and single nucleotide polymorphism array (SNP array).

aCGH specific limitations: cannot detect triploidy, uniparental disomy or copy-number neutral loss of heterozygosity. SNP array specific limitations: coverage is limited to regions where there is SNP variation between individuals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the term used for chromosome abnormality

A

Aneuploidy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the most common forms of aneuploidy

A

Trisomy 13 - Patau Syndrome
Trisomy 18 - Edward Syndrome
Trisomy 21 - Down’s Syndrome

47XXY - Klinefelter
45 XO - Turner Syndrome
47 XXX - Triple X syndrome

A trisomy is a chromosomal condition characterised by an additional chromosome. A person with a trisomy has 47 chromosomes instead of 46.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do aneuploidy happen

A

Aneuploidy occurs during meiosis when pairs of chromosomes don’t complete the process of cell division and fail to separate. Aneuploidy is random and unpredictable

Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give an overview on what klinefelter syndrome

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Give an overview on Turner’s syndrome

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Trisomy 13 and give an overview of the condition

A

-1 in 100,000 births
-Nondisjunction / Robertsonian translocation
-Poor prognosis, only 5% survive past 6 months
**Clinical features **
Midline defects
Post axial polydactyly
Congenital heart defects
Renal abnormalities

Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division.

Robertsonian translocations are a specific class of translocations in which two acrocentric chromosomes fuse at their centric ends (45). In humans, chromosomes 13, 14, 15, 21, and 22 are acrocentric, and all of these chromosomes are associated with Robertsonian translocations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Trisomy 18 and give an overview of the condition

A

-1 in every 6000 births
-30% die within 1 month, 50% in 2 months and 90% within a year
RFs:
Older maternal age
FHx
Female birth (3x)
Clinical features
Fixed flexion
Short sternum
Renal abnormalities
Congenital heart defects
Inguinal and diaphragmatic hernias

17
Q

What is Trisomy 21 and give an overview of the condition

A

1 in 650-1000 live births
Nondisjunction (95%), Robertsonian (4%) and Mosaicism (1%)
Biggest risk factor is maternal age
Screening programme for trisomy 21 is in place

Mosaicism occurs when a person has two or more genetically different sets of cells in his or her body

18
Q

What are the clinical features of Trisomy 21

A

General: Hypotonia, Below average weight and height
Face and Head: Small nose, flat nasal bridge, small mouth tongue may stick out, Epicanthic folds, small head with flat back- brachcephaly
Hands and Feet: Broad hands, short fingers, singular palmar crease, incurved 5th finger, gap between first and second toe.

Hypotonia: reduced muscle tone
Epicanthic foldsare folds of skin covering the medial portion of the eye and eyelid.

19
Q

What are the complications of Trisomy 21

A
  • Learning disabilities
  • Heart defects: most commonly ventricular septal defects
  • GIT: coeliac, Hirschsprung’s disease
  • Hearing and visual impairments: recurrent OM, glaucoma
  • Increased suseption to infections
  • Dementia: same gene as Alzheimer’s (amyloids)
  • Thyroid: hypothyroidism
  • Leukemia: AML / ALL
  • MSK: scoliosis

Hirschsprung’s disease: absence of parasympathetic ganglion cells of myenteric plexus, responsible for peristalsis of the bowel.

20
Q

What are the prognosis of Trisomy 21

A

Prognosis: has dramatically improved and life expectancy increased in recent decades due to improved surgical repair of congenital heart defects. Leading causes of death in adults with Down’s syndrome are respiratory infections and cardiac causes. Dementia is also a big contributor to deaths. Average life expectancy now 60 years.

21
Q

What are Antenatal screening for down syndrome

A

Combined Test which includes:
1. Nuchal translucency ultrasound (11-14 weeks) -> great than 6mm
Fluid filled subcutaneous space at back of foetal neck, thickening is associated with trisomies and Turner’s

  1. Maternal blood tests (10-14 weeks)
    PAPP-A = pregnancy-associated plasma protein A
    Beta hCG
    AFP = alpha-fetoprotein

Quadruple test (14-20 weeks)
No ultrasound
1. Beta hCG
2. AFP
Serum oestriol
Inhibin-A

**High risk blood results for Down’s Syndrome:
Decreased PAPP-A, AFP, serum oestriol
Increased beta hCG and inhibin A **

AFP = Protein synthesised by yolk sac and foetal liver (foetal homologue of albumin). ↓ in pregnancy associated with: Down Syndrome, Turner Syndrome, trisomy 13, trisomy 18, Cornelia de-Lange syndrome.
PAPP-A = protein produced by placenta.
↓ PAPP-A levels in 1st trim associated w. aneuploidy, miscarriage, hypertension, intrauterine growth restriction, gestational DM.

Trisomy 21 diagnosis = karyotyping via amniocentesis or CVS (chorionic villus sampling)

22
Q

What are the 4 main areas of development

A

4 main areas:
Gross motor
Vision and fine motor
Hearing and communication
Social, emotional and behavioural

→ Biological, psychological, physical and emotional; changes occurring in humans as they progress from dependence to autonomy, usually for clinical application the first 5 years of childhood

23
Q

Development milestones

A
24
Q

What are the different classification of diagnosing delayed development.

A

Global Development Delay:
Significant delay in at least 2 developmental domains of gross/fine motor, speech/language, cognition, social/personal, activities of daily living, affecting children under 5 years of age
Usually present in first 2 years of life

Specific developmental delay
Delay affecting one or two developmental domains only

25
Q

What are the development reg flags seen

A

AT ANY AGE:
Parental concerns
Asymmetry
Regression
Discordant development
**
AT SPECIFIC AGES**
At 10 weeks – no social smile
At 6 months – persistent primitive reflexes (neonatal reflexes that are not lost), no interest in people, noise, hand preference
At 8 months – not sitting
At 12 months – no pincer grasp
At 18 months – not walking, no words, drooling, mouthing
At 2 years – no phrases (not joining two words together), not interactive
At 4 years – unintelligible speech

26
Q

Define these key embryology terminologies: **Morula,

A
  • Morula – 16 cells Surrounded by zona pellucida.
27
Q

Define these key embryology terminologies: **Blastocyst,

A

32 cells
Compaction of morula
Fluid enters to form a cavity (blastocoele)
Zona pellucida will dissolve, allowing implantation.

28
Q

Define these key embryology terminologies: Syncytiotrophoblast, Hypoblast, Epiblast, Tropoblast

A
  • Trophoblast – tropho (feed), blast (sprout). Trophoblast will one day become placenta which feeds the embryo
  • Syncytiotrophoblast – syn (together), cyto (cell). Together cells as there aren’t clear demarcation between each cell.
  • Hypoblast – hypo (lower) blast (sprout)
  • Epiblast – epi (upper), blast (sprout)
29
Q

Describe embryogenesis from day 8 to day 13

A

Day 8 of embryogenesis: formation of the amniotic cavity
The blastocyst is partially implanted within the endometrial stroma. The embryoblast is surrounded by a mononuclear cell layer, the cytotrophoblast. From here, cells migrate into the syncytiotrophoblast, the part of the trophoblast that is in contact with the endometrium. The syncytiotrophoblast is a multinucleated layer that lacks cell boundaries. In the embryoblast, the germinal disk is formed from hypoblast and epiblast. Between the epiblast and cytotrophoblast, the amniotic cavity is formed. The amniotic cavity is lined on the cytotrophoblast side by amnioblast cells (from the epiblast).
**Day 9 – formation of yolk sack **
Cells from the hypoblast migrate laterally (yolk sac epithelium), which gradually cover the entire blastocyst cavity and form the lining layer of the yolk sac epithelium (Heuser membrane). The Heuser membrane surrounds the former blastocyst cavity, which from this point on is referred to as the primary yolk sac.
**Day 12 of embryogenesis: formation of the extraembyonic mesoderm **
The blastocyst implants into the endometrial stroma. The syncytiotrophoblast erodes the epithelium of the maternal sinusoids as it embeds into the endometrium, resulting in blood flow through the communicating trophoblast lacunae. This is exponential in comparison to the hypoblasts and epiblasts. The embryoblast increases in size in relation to the trophoblast and the resulting gaps between cytotrophoblast and embryoblast are filled by loose connective tissue, the extraembryonic mesoderm. This form cavities which then fuse together to form the chorinioc cavity.
Day 13 – a large portion of the extraembryonic mesoderm is pinched off forming a smaller cavity, the secondary yolk sac. Bilaminar disc is joined to the trophoblasts by the connecting stalk (future umbilical cord)
Syncytiotrophoblastbegins secretinghCG(detectable in blood and urine one week and two weeks afterconception, respectively)

30
Q

Give an overview of what gastrulation is

A
  • The differentiation of the bilaminar disc to 3 germ layers
  • 15 days post fertilization
  • Consists of ectoderm (outer), mesoderm (middle) and endoderm (inner)
  • Epiblasts will migrate through the primitive streak between epiblast and hypoblast layers and form intraembryonic mesoderm.
  • Hypoblast is replaced by epiblast forming the endoderm.
  • Original endoderm becomes ectoderm.

Cranial end of hypoblast is the prochordal plate containing columnar cells.
Cells migrate down from the epiblast and differentiate, this forms a macroscopically visible primitive streak
At the cranial end, cells migrate quickly forming the primitive node.
Gradually the primitive streak will elongate.
Cells the differentiate into endoderm will replace the hypoblast layer. They are able to detach and slip into the interior of the embryo displacing the hypoblast completely and replacing it with the definitive endoderm.
Cells which stay in the epiblast layer will differentiate into ectoderm.
Some cells will force their way between the ectoderm and endoderm to form the mesoderm.
Around day 16

31
Q

Give an overview of what the germ level derivatives are

A
32
Q

Give an overview on Neurulation

A
  • This begins with the development of the notocord.
  • Notochord will migrate along the primitive streak and ends at the prechordal plate.
  • It is made of epiblast cells that migrate from the primitive node and extend to the cranial aspect of the disc.

Neurulation:
Formation of the neural tube and neural crests after gastrulation
Notochord will secrete signaling molecules -> triggers the differentiation of ectoderm cells to form neural cells
This will form the neural plate.
The neural plate will invaginate and become the neural groove.
Folds are found on either side and will converge
The neural groove will convert to a cylindrical neural tube.
The most dorsal part forms the neural crest
The neural crest will form peripheral nervous system neurons
There are a cranial and caudal neuropores which should close.

Neural tube forms and closes in week 4

33
Q

What are neural tube defects

A
  • Due to failure of the neural tube to close -> associated with folic acid deficiency *
  • Anencephaly: Cranial neuropore fails -> no brain -> fatal
  • Craniorachischisis: Cranial and caudal neuropore fails -> no brain and spinal cord -> fatal
  • Spina bifida: caudal neuropore failure
34
Q

Give an overview on somitogenesis

A

Somites = mesoderm mass formed from presomitic mesoderm after gastrulation.
* They are laid down sequentially from cranial to caudal end.
* Controlled by developmental clock/wavefront - gene expression cycles.
* Epithelial somites differentiate to:
Sclerotome - verterbrae and ribs, heart tissue
Myotome - muscle tissue, limb muscles, epimere and hypomere
Dermatome - dorsal dermis
Syndetome - tendons
* This is a continuous process - akin to sausage making.
Rapidly dividing cells being periodically segmented by opposing signalling mechanisms.

Somites are blocks ofmesodermthat are located on either side of theneural tubein the developing vertebrate embryo. Somites are precursor populations of cells that give rise to important structures associated with the vertebrate body plan and will eventually differentiate into dermis, skeletal muscle, cartilage, tendons, and vertebrae. Somites also determine the migratory paths ofneural crest cellsand of the axons of spinal nerves.

35
Q

Give an overview on teratogenesis

A
  • Teratogen: anenvironmental factorthat causes a permanentstructural or functional abnormality,growth restriction, ordeathof the embryo or fetus

**Teratogenic Drugs **
* Ethanol, valproate, warfarin, lithium
* Thalidomide – morning sickness cum anti cancer drug
* Retinoids – must be using contraception 1 month after finishing isotretinoin therapy FOR WOMEN ONLY