Inheritance Flashcards

1
Q

Features of autosomal dominant inheritance

A

Affected people in each generation
Males and females
All forms of transmission incl male to male

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2
Q

Risk of inheritance in autosomal dominant

A

50%
Variable penetrance (likelihood disease manigest if gene change present)

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3
Q

Autosomal recessive inheritance features

A

Cant always follow disease through pedigree
Males and females affected

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4
Q

Risk of inheriting recessive disease if parents are carriers

A

25% if both parents carriers
50% - carrier but inaffected
25% chance not carrier or affected

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5
Q

Children of affected parent risk of carrying disease

A

100% - all children of affected individual will be carriers

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6
Q

Risk of siblings of affected individual being a carrier

A

2/3

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7
Q

Why do X linked conditions affect men

A

Women have two X chromosomes - other allele makes up for it

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8
Q

Clues in x linked recessive inheritance

A

More than one generation affected
Only males effected
No male to male tranmission - males dont pass chromosome to their son

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9
Q

Risk of disease inheritacne X linked recessive

A

25% risk affected male in each pregnancy

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10
Q

Risk of unaffected male per pregnancy X linked

A

25%

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11
Q

Risk of unaffected male each pregnancy X linked

A

25%

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12
Q

Chances of non carrier female without condition

A

25% chance

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13
Q

Risk of carrier daughters and sons

A

50% risk

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14
Q

What is important to ask in a family history of genetics

A

Relationship breakdonw - divorce/estrangement
Adoption/other biological relationships/non paternity
Causes of daeth other than natural eg accidental, suicide, drug/alcohol related
Bereavment incl miscarrigae and abortion
Consanguinity - incest

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15
Q

What is a genomic test types

A

Analysis of DNA
Diagnostic - Test which seeks to confirm a clinical diagnsois
Predictive - test offered to relatives of someone confirmed genetic cancer

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16
Q

What is SNV vs CNV

A

SNV - variation in a single nucleotide (A or G)
Ins/del of a series of nuelotides (base pairs)
CNV - large scale duplication or deletion

17
Q

What stain used to view chromosomes and how appear

A

Giemsa
Striped G banding
Allows chromosomes to be distinguished from each pther

18
Q

What is karyotype analysis used for

A

Detecting whole chromosome changes eg trisomy, monosomy and translocation
Starting to be replaced w CGH

19
Q

What is FISH used for

A

Microdeletion or microdulpication detection
Specific situations and cancer diagnoses

20
Q

What is (aCGH

A

Array comparative genome hybridisation

21
Q

How is aCGH done

A

DNA in solution broken into fragments labelled w fluroresent dye
DNA from control in equal quantities - diff colour dye
Hybridise - stick to matching sequence DNA

22
Q

What happens if patient missing DNA fragment in aCGH

A

If missing fragment -> more control DNA bind to corresponding detector molecule -> NORMAL colour on UV ligtj

23
Q

What colour signal given if patient and control sample the same

A

Fusion colour signal

24
Q

What does a patient colour signal mean aCGH

A

Duplication of fragment

25
What can and cant aCGH detect
Trisomy, CNVs, microdeletions and smaller ins/dels Wont detect single nucloetide changes and cannot detect balanced translocations
26
What is the key feature of next generation sequencing
Read and re-read fragments of DNA in solutino very quickly and reliably Allows check whole genome or panel, real or virtual controls, generate significant results without being asked specifically
27
What is an exome
1% of genoma - 18,000 genes
28
What is sensitivity of a genomic test determined by
Technical - how good is lab technique Gene coverage - can we test all relevant parts of genes ass w particular phenotype Phenocopy - existence of non genetic conditions mimicing a genetic diorder
29
What is specificity of genomic test
Variation in single gene can be caused by other diseases eg Huntingtons disease ONYL caused by CAG repeat of HTT gene whereas familial HCM - mutation in number of different genes - only 70% diagnostic sensitivitt Same genes may also cause different disease eg LV hypertrophy
30
Problems with genomic testing sensitivity and speciicity
Variable expressivity and peneterance - whether all genes that cause disease known or tested for and which disease genes can cause