Midterm 1 Flashcards
(268 cards)
According to WHO, it is now universally acknowledged that DNA determines not only the congenital malformations that kill millions of children, but also…
Provide an example
Predisposes people postnatally to mental illness and major non-communicable disease such as cancer, cardiovascular disease, hypertension, asthma, diabetes, rheumatoid arthritis, etc.
Ex: In individuals with a single copy mutation in a gene called adenomatous polyposis coli or APC (a hereditary condition named familial adenomatous polyposis or FAP), there is a nearly 100% chance of developing colorectal cancer by 39 years old if the condition is left untreated.
What are the five roles of modern medical genetics?
- Identify and characterize mutations that cause genetic diseases
- Understand how mutations affect health
- Improve diagnosis
- Improve disease management
- Find a cure
The degree of impact of genetics on individual diseases varies from what 3 levels?
- Entirely causative
- Major role
- Minor role
Describe how genetics could play an entirely causative role in individual diseases
You have the mutation, you will get the disease
- e.g. single gene disorders (like cystic fibrosis), chromosomal disorders (like down syndrome)
Describe how genetics could play a major role on individual diseases
Major risk conferring genes, several mutations that make us vulnerable to certain diseases.
- e.g. carriers for BRCA1 mutations have a 30% chance of developing ovarian cancer
What genetic disorders play a minor role on the impact of genetic diseases?
Multifactorial models, severity of the disease is impacted by many factors
- e.g. spina bifida (neural tube defect that affects the spine)
- lots of different genes could potentially be involved in the development of the disease.
What is the most common type of genetic disease? Which is the least common?
Most common: multifactorial
Least common: chromosomal
__% of children by age 5 will have genetic disorders, while __% of people will have acquired a genetic disease throughout their entire life
5, 67
Continuum of disease causation
Environmental (e.g. influenza, measles, infectious diseases) to genetic (cystic fibrosis, hemophilia A)
- diabetes and heart disease fall in between
True or false: identifiable multifactorial genetic causes of childhood death have been on the rise
True
- partly due to increased frequency of genetic analysis
Multifactorial disorders are believed to account for approximately 1/2 of…
All congenital malformations
True or false: multifactorial disorders also include common chronic disorders of adulthood with genetic components like hypertension, rheumatoid arthritis, etc.
True
True or false: multifactorial diseases do not include any mental disorders
False; multifactorial diseases include many common psychological disorders of childhood, including dyslexia, ADHD and specific language impairments.
What are 5 components of modern medical genetics?
- Inheritance of diseases
- Disease gene identification
- How mutations affect health (molecular mechanisms)
- Diagnosis and treatment of genetic disease (DNA based diagnosis for several thousand inherited conditions; gene therapy for some)
- Genetic counselling
What are 6 components of clinical genetics?
- Diagnosis (prenatal, pediatric, adults)
- Prognosis (likely course and clinical outcome of a disease)
- Management
- Risks assessment/counselling
- Reproductive options (in some cases, genetic mutations limit reproductive options)
- Support
What is likely to be the greatest growth area for genomic medicine?
Diagnosis in adults
What is the promise regarding genomic medicine?
To identify individuals with genetic predispositions to:
- cancer, heart disease, stroke, diabetes, etc
- be able to do primary prevention via targeted risk reduction (losing weight), early use of medical therapy (treat borderline hypertension), and gene therapy.
What are three potential treatment methods when needing to target a gene? What is important to note about the viral options?
- DNA viruses
- RNA viruses
- Liposomes
Viral options can be carcinogenic or induce an immune response
True or false: the cost for sequencing the human genome is decreasing
True
What is the definition of a gene?
A segment of DNA that contains the necessary code to instruct the production of proteins or molecules that perform specific function(s) in the body.
Direction of transcription RELATIVE TO THE CODING STRAND/UPPER STRAND is…
5’ to 3’
Housekeeping genes
Gene products are needed in almost every cell, and are constitutively expressed.
- e.g. genes encoding ribosomal proteins, RNA polymerases, tRNA synthesizing genes, heat shock proteins, histones, etc.
Tissue/cell type-specific genes
Highest expression in certain cells (opposite of housekeeping genes)
Enhancer
Often several hundreds or thousands of base pairs away from promoter, also influence transcription through activators and co-activators