lectures 35 & 36 Flashcards

genetic diseases (11 cards)

1
Q

Explain the differences between monogenic and polygenic traits.

A

Monogenic:
- only one pair of genes is involved
- also called single-gene traits; follows Mendel’s law
- ex: dimples, widow’s peak

Polygenic:
- many genes are involved; traits have Gaussian distributions
- the contribution of each gene to the traits may vary
- ex: height, skin coloe

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2
Q

Describe how variants occur.

A

inherited (hereditary):
- passed from parent to child
- present throughout a person’s life in almost every cell in the body
- present in sperm and egg cells

non-inherited:
- occur at some time during a person’s life
- not in every cell in the body
- somatic variants occur in somatic cells (not sperm/egg cells)
- not passed to children
- can be caused by environmental factors or an error in DNA replication

new (de novo) variants:
- found in a child but not in either parent
- may pass to his or her child
- may occur in a parent’s egg or sperm cell but not in any of their other cells or in the fertilized egg shortly after fertilization
- variants acquired during development can lead to mosaicism

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3
Q

Describe how silent mutations, missense mutations, nonsense mutations, insertions, and deletions impact protein function or expression.

A

silent mutations- no change in the amino acid sequence

missense mutations- change in amino acid sequence

nonsense mutations- addition of a stop codon

insertions and deletions:
- multiple of three bases= insertions or deletions of one or more amino acids
- not a multiple of three bases= frameshift

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4
Q

Distinguish loss of function, gain of function, and dominant negative phenotypes.

A

complete loss of function- no expression, mutated protein with no activity

partial loss of function- reduced expression, mutated protein with reduced expression

gain of function- mutated proteins with abnormal activity (ex. oncogenes)

dominant negative- inhibition of the activity of the un-mutated protein expressed from the normal allele

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5
Q

Explain the molecular basis of dominant and recessive phenotypes.

A

dominant: Dd, DD
recessive: dd

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6
Q

Distinguish autosomal dominant, autosomal recessive, X-linked dominant, X-linked recessive, and mitochondrial genetic disorders from inheritance patterns.

A

dominant disorders:
- 50% chance of passing the trait to each child
- same probability for male and female children
- unaffected relatives or siblings do not transmit the disorder
- in many cases, the age of onset is delayed
- represented by a capital letter
- ex: Huntington’s disease, Marfan syndrome

recessive disorders:
- if both parents are carriers, 25%:50%:25% chance of having DD:Dd:dd child
- same probability for male and female children
- unaffected siblings may be carriers
- all children of an affected parent are carriers
- age of onset is frequently early in life for many children
- symptoms tend to be more uniform than with dominant disorders
- ex: phenylketonuria, Tay-Sachs disease, and all inborn errors of metabolism

X-linked dominant:
- frequently embryonic lethal for males (XY) and for homozygous mutant females (xx)
- if mother is affected (Xx): both sons and daughters have 50% chance of being affected
- if father is affected (XY): daughters are 100% affected and sons are 100% normal

X-linked recessive:
- female Xx are unaffected carriers
- all xY males are affected
- if the mother is a carrier: daughters are 50% normal and 50% carriers; sons are 50% normal and 50% affected
- if father is affected: daughters are 100% carriers, sons are 100% normal

mitochondrial genetic disorders:
- mitochondria contain their own DNA (mtDNA); circular chromosome with 37 genes inherited only from the mother
- cells contain many mitochondria which have a mixture of normal and mutant DNA (heteroplasmy)
- the severity of the disorder depends on the proportion of the mitochondria that carry the mutated gene
- affect organs that depend most on oxidative phosphorylation (skeletal muscle, heart, brain)

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7
Q

Predict the chances of non-carrier, carrier, and affected children of genetic disorders based on genotypes of the parents and the type of disorders.

A

punnet squares

DD x DD:
100% DD

DD x Dd:
50% DD and 50% Dd

DD x dd:
100% Dd

Dd x Dd:
25% DD, 50% Dd, and 25% dd

Dd x dd:
50% Dd and 50% dd

dd x dd:
100% dd

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8
Q

Explain the concepts of penetrance and expressivity.

A

penetrance:
- the percentage of individuals with a particular genotype (or gene mutation) who express the associated phenotype (or symptoms of a disorder)
- complete = 100%, incolplete = < 100% (reduced penetrance)
- influences by genetic, environmental, and lifestyle factors, many of which are unknown

expressivity:
- the degree to which a genotype (or gene mutation) is expressed as a phenotype (or symptoms of a disorder) with an individual with the genotype
- some may have relatively mild symptoms of a conditions, while others are debilitating (variable expressivity)
- influenced by other genes, epigenetics, environmental factors, etc.

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9
Q

Explain the mechanisms that give rise to abnormalities in the chromosome number.

A

abnormal number of chromosomes = having more or less than 46
occurs due to unbalances segregation of chromosomes during meiosis (nondisjunction- produces germ cells with 22 or 24 chromosomes)

fertilization of gametes with aneuploidy:
- defects associated with monosomy of the autosomes are severe and often cause miscarriage in utero
- trisomy 13 and trisomy 18 are much more severe than trisomy 21 and rarely survive beyond the first year

mosaicism:
- caused by nondisjunction occurring in the early stages of development
- part of the cells in the body have abnormal number of chromosomes
- relatively mild symptoms compared to full trisomy or monosomy

prenatal testing:
- amniocentesis
- prenatal cell-free DNA (cfDNA) screening

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10
Q

Identify the genetic disorders occurred by abnormalities in the chromosome number.

A

down syndrome (trisomy 21)
turner syndrome (monosomy X)
klinefelter syndrome (XXY or XXXY)

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11
Q

Explain how imprinting affects the inheritance patterns of genetic disorders.

A
  • some regions of DNA are turned off in the copy received from mother or father
  • epigenetic process that involved DNA methylation and modification; about 200 imprinted genes known in humans, only one copy is functional
  • occurs in gametes and is then stably transmitted to all somatic cells derived from the zygote
  • if a gene is turned off in the maternal copy and mutated in the paternal copy, none of the copies will produce a functional protein

example:
- A has a mutated allele, which is turned off during spermatogenesis
- none of A’s children (B) are affected
- the mutated allele is turned on during oogenesis in B
- all of B’s children who inherit the mutant allele (D) are affected
- all of D’s children who inherit the mutant allele will be affected

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