Midterm 1 Flashcards
(247 cards)
Operation Sea-Spray
S. marcescens was released over San Francisco to study dispersal patterns of biological agents (bacteria has a red pigment so it was easy to track)
Consequences of Operation Sea-Spray. Why did this happen?
Some people exposed to the bacteria either fell ill or died; they were immunocompromised due to genetic defects, making them more susceptible to infection
What are congenital malformations?
Malformations that occur before birth
What does it mean to be genetically predisposed to a disease?
People who are genetically predisposed are more at risk of developing/contracting the disease due to their DNA
What is APC? How is it inherited?
A hereditary condition where people carrying this disease have almost 100% chance of developing colorectal cancer by 39yo if left untreated; single gene disorder where one copy of the mutant causes it. Two copies is lethal (autosomal dominant)
What are the objectives of modern medical genetics?
- identify and characterize mutations that cause genetic diseases (what is the disease and what are its characterizing traits?)
- understand how mutations affect health
- improve diagnosis
- improve disease management
- develop cure
What are the degrees of impact of genetics on individual diseases?
- entirely causative
- major role
- minor role
Entirely causative gene disorders
Single gene disorders and chromosomal disorders are the deciding factors on whether the individual has the disorder or not
Major role gene disorders
Major risk conferring gene (presence of mutation increases risk of disorder)
Minor role gene disorders
Multifactorial models (phenotype relies on more than one mutation and/or environmental factors)
Multifactorial to single gene to chromosomal genetic disease relative ratio
Multifactorial > single gene > chromosomal
What is the percentage of people with genetic disease by ages 5 and lifetime, respectively?
5%, 67%
Environmental disease
Entirely caused by environment, preventable (ex. the flu)
Genetic disease
Entirely caused by DNA (if you have the mutation, you have the disease)
Predisposed disease
Both environment and genetics play a role. Preventable if you know you are genetically predisposed and treat it before it becomes an issue
What is the trend in nongenetic causes of childhood deaths as time goes on? Why?
Decrease in deaths due to environmental causes because we are generally better fed, more hygienic, and better health overall
What is the trend in genetic causes of childhood deaths as time goes on? Why?
Increase in deaths due to an increased understanding of the genetic diseases (more are identified as genetic now than before)
What percentage of persons in the population will have a genetic disorder in their lifetime?
3-7%
What is the most common type of genetic disorder?
Multifactorial disorders (both genetic and environmental) (~60%)
What are the components of modern medical genetics?
- inheritance of diseases
- disease gene identification
- how mutations affect health (molecular mechanisms)
- diagnosis and treatment of genetic disease
- genetic counselling
What life stages can genetic diseases be diagnosed?
Prenatal, pediatric, and adult
Diagnosis
Identification of disorder
Prognosis
Likely course and clinical outcome of disorder
What are the components of clinical genetics?
- diagnosis
- prognosis
- management
- risks assessment/counselling
- reproductive options (do you want to have a kid knowing they might have the same disorder)
- support