GiM lectures 9,10,11 Flashcards

(45 cards)

1
Q

What is morphology

A

scientific study of the structure and form of either animals and plants or words and phrases

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2
Q

What % of births have congenital malformations?

- when are these malformations more likely to be genetic?

A

2-3%

multiple malformations, dysmorphic, family history

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3
Q

22q11. 2 Deletion
- phenotype
- frequency
- dysmorphology
- also known as?

A
Very variable phenotype
1/5000
Learning difficulties - 70%
Congenital heart defects 75%
hypocalcaemia 
Seizures
Immune deficiency
Renal malformation
Velopharyngeal insufficiency 32%
Cleft palate 15%
small lip and lower jaw
slanted eyes
short stature

aka - DiGeorge syndrome

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4
Q

Achondroplasia

  • frequency
  • mutation type
  • risk factors?
  • clinical features
A
1/20,000
autosomal dominant - often denovo
- increased with paternal age
- rhizomelic limb shortening
- short stature
- foramen magnum compression
- hydrocephalus
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5
Q

Beckwith-Wiedemann syndrome

  • frequency
  • clinical features
A

1/10000
Large tongue, ear pits/creases, exomphalos (umbilical herniation of guts), hemihypertrophy, neonatal hypoglycaemia,
microcephaly
increased risk of Wilms tumour

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6
Q

Down syndome

  • frequency
  • clinical features
A

1/800
learning difficulties, congenital heart defects, hypotonia in neonates, single palmar crease, cataracts, hearing impairment, hypothyroidism, leukaemia, atlanto-axial instability, alzheimers

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7
Q

What % of the normal population have a single palmar crease?

  • unilateral
  • bilateral
A
unilateral = 4%
bilateral = 1%
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8
Q

Kabuki syndrome

  • frequency
  • clinical features
A

1/30,000
learning difficulities, congenital eart disease 50%, poor growth, hearing impairment, cleft palate, premature breast development, persistent fetal finger pads 96%, flat broad nose, everted eyelids, cleft palate

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9
Q

mosaicism

  • how is it diagnosied
  • how can it be recognised
A

diagnosis by skin biopsy

can be hypo/hyper pigmented patches - may follow blaschko’s lines

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10
Q

What are blaschko’s lines

A

Blaschko lines are thought to represent pathways of epidermal cell migration and proliferation during the development of the fetus. only visible when a condition affecting the skin is present

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11
Q

Peutz-Jeghers Syndrome

  • frequency
  • clinical features
A
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12
Q

Treacher collins syndrome
Frequency
inheritance
clinical features

A

1/50000
autosomal dominant
very variable phenotype
cleft palate, hearing impairment,

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13
Q

Waardenburg syndrome

  • frequency
  • clinical features
A

1/250000
sensorineural hearing impairment, irisheterochromia, premature greying, white forelock, areas of skin hypo pigmentation, congenital malformations VSD, hirschprungs

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14
Q

William’s syndrome

  • what is it
  • frequency
  • clinical features
A
7q11 deletion
1/20,000
learning difficulties
cocktail party speech 
congenital heart disease - supravalvular aortic stenosis, peripheral pulmonary artery stenosis
hypercalcaemia,
wide mouth, sunken nasal bridge,
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15
Q

What is cocktail party speech

A

able to speak fluently in small talk but unable to go into deeper complex social issues due to learning difficulties

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16
Q

What is the structure of DNA

A
deoxyribose ring
(5 carbons) 
-OH on C1,3,5
C1 - binds to nucleotide base
C3 - binds to phosphate  
C5  - binds to phosphate
DNA is stable 
RNA is unstable (transient
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17
Q

What direction is DNA/RNA synthesised

A

5’ to 3’

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18
Q

What does the shorthand DNA sequence of

5’ AACGT represent

A

5’ AACGT
TTGCA 5’

Sense strand is the one written and is the one that makes the mRNA

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19
Q

What is the haploid genome size of the following organisms

1) Mycoplasma genitalium
2) E. Coli
3) Schizosaccharomyces pombe
4) Caenorhabditis elegans
5) drosophila melanogaster
6) Human
7) salamander

A

1) 0.6Mbp
2) 5Mbp
3) 14 Mbp
4) 80Mbp
5) 165Mbp
6) 3000Mbp
7) 50000Mbp

20
Q

Facts about the Human genome

  • how many Mb dsDNA are there per haploid genome?
  • What is the size of the largest and smaller chromosome
  • what % of DNA is non coding
  • How many protien coding genes are there
A
  • 3 000 Mb dsDNA per haploid genome
  • Chromosome 1 – 263 Mb
  • Chromosome 22 – 39 Mb
  • > 90% is non-coding DNA
  • Approx. 20 000 protein-coding genes
21
Q

What are single copy sequences in the human genome

22
Q

what are repetitive sequences within the human genome

A

Interspersed repeats - e.g. Alu repeats

Satellite DNA - large blocks or repetitive sequence, heterochomatin

23
Q

What are Genes?

A

Functional unit of DNA
Transcription - copied to RNA
Translation - RNA to protein

Components of genes
exons, introns, regulatory sequences (promoters, enhancers, locus control regions)

24
Q

What parts of protein synthesis occur in the nucleus

What parts of protein synthesis occur in the cytoplasm

A

Transcription, capping, cleavage and polyadenylation,

(splicing - takes RNA out into cytoplasm)

mRNA - Translation
Protein created
(post translational modificaitions)

25
What is alternative splicing
Exon Skipping | can lead to multiple mRNA forms - depending on how splicing occurs
26
What are gene families
All genes have an ancestral gene Evolution of genes progress via duplication and divergence most have similar structural families Psuedogenes - are genes that have lost the function to express - often occur by accumulation of mutation in gene not essential for survival
27
Explain Processed genes
intron less copied of other genes - remote from parent gene dispersed by reverse transcription and reintegration some remain functional (e.g. PGK2 testis specific) but majority non functional often one mutation away from becoming pseudogenes
28
How many of each of the following are present in the human genome 1) coding genes 2) short non coding genes 3) long non coding genes 4) pseudogenes 5) gene transcripts
``` Coding genes: 20,769 Short non-coding genes: 9,079 Long non-coding genes: 13,564 Pseudogenes: 14,165 Gene transcripts: 195,565 ```
29
What is satellite DNA
``` Large blocks at centromeres and heterochromatic chromosomal regions Simple tandemly repeated sequences Many types e.g. alphoid DNA Centromere repeat Chromosome-specific Size of blocks may be polymorphic 1, 9, 16, Y ```
30
What is Alphoid DNA
- type of satellite DNA found at centromeres - 171bp repeat unit - chromosome specific variation - needed for assembly of centromere
31
Explain interspersed repeats
scattered around genome individual copies present at many location, e.g. Alu repeat 500000 copies, 300bp, 5% genome Dispersed by retrotransposition can cause huntingtons
32
Causes of molecular pathology
Interspersed repeats causing unequal crossing over due to misalignment of sequence - results in frameshift +/- truncation
33
What are the types of mutation | with examples
-Deletions and insertions Duchenne muscular dystrophy = deletion -Charcot-Marie-Tooth Disease = duplication -Gross Rearrangement - haemophilia A -Point mutation -trinuceoptid repeat expansion - huntingtons
34
What is the haemophilia A mutation
Xq28 | Inversion of homologous sequence within chromosome
35
what are the types of point mutation?
Silent - if common = polymorphism - causes same ammino acid to be coded for but by differnet codon Missense - causes different amnio acid - can be conservative (within same amnio acid type) - can be non conservative (different type of amnio acid, generally more damaging) Non sense no amnioacid coded for truncated protein produced can be detected Frameshift mutation alters protein sequence beyond mutation truncated protein
36
``` What are the groups of amino acids? Acidic Basic Polar Non polar aromatic other ```
``` Acidic: Glu Asp Basic: Lys Arg Polar: Ser Thr Asn Gln Ser (His) Non-polar:Ala Val Leu Ile Met Aromatic: Phe Tyr Trp (His) Other: Gly Pro ```
37
what is the most common point mutation
CG --> TG =1/3 of mutations due to hyper mutability of CpG dinucleotides - methylation of C (addition of CH3) - deamination (change of C to T) - Mismatch repair G-->A
38
Mutation nomenclature
reference sequence needed genomic DNA, cDNA, Protein (g.), (c.), (p.)
39
What is the mutational spectrum
loss of function mutations usually recessive 50% gene function is adequate mutational heterogeneity is frequency - affected indivuals can be compound heterozygotes, mutation testing therefore challenging
40
give 2 examples of a recessive condition where the affected individual are compound heterozygotes
cystic fibrosis | beta thalassaemia
41
What is the carrier frequency equation?
``` p = mutant allele freq q = 1-p = normal allele freq p2 = affected individual 2pq = 2p(1-p) = carriers ```
42
What does dominant inheritance often result in?
gain or alteration of function - smaller mutational spectrum - new mutation comparatively common - e.g. achondroplasia FGFR3 G380R
43
what disease are caused by Polyglutamine repeats (CAG)
Neurodegenerative disorders - huntington's disease - spinocerebellar ataxias
44
What disease are caused by large non-coding repeat expansions
- fragile X syndrome - CGG repeat expansion (transcriptional silence) - myotonic dystrophy
45
What diseases have occasional and frequent instability
``` occasional = huntington's frequent = fragile X ```