Molecular medicine I Flashcards

(53 cards)

1
Q

What are the two steps in gene analysis?

A

Finding a correlation between a mutation and a disease

Detecting or predicting a disease based on knowledge obtained in the first phase

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2
Q

What is the direct method of mutation detection? What are its limitations?

A

Correlating a disease with a particular fragment of DNA

Limit = really time intensive (decades)

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3
Q

What is the indirect method of mutation detection? What are its limitations?

A

Following the inheritance of a marker. Marker may crossover (5% chance of this, thus test only 95% accurate)

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4
Q

What is the sanger method of DNA sequencing?

A

recopying DNA stands 4 times, adding labeled ACTor G adenine, then putting together like a jigsaw

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5
Q

What percent of the human genome actually has open reading frames?

A

3%

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6
Q

What percent of the genome varies between each person?

A

<1%

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7
Q

What are the two limits for sequencing?

A

Does not show on which chromosome mutation is

Will not show deletions or duplications of a chromosomal region

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8
Q

What does the term copy number variant refer to?

A

The fact that normal humans beings have small chromosomal insertions and deletions which (usually) do not have a major effect. (there are non diploid states of chromosomes)

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9
Q

What is comparative genome hybridization used for?

A

To determine the presence of CNVs

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10
Q

When is fluorescence in situ hybridization used?

A

To identify a chromosomal locus on a metaphase chromosome

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11
Q

What is hybridization?

A

Annealing of DNA strands together–utilized when you want to see if a patient has a DNA stand segment or not.

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12
Q

What is the polymerase chain reaction?

A

Using Polymerase to amplify the number of DNA strands based on the template strand of a patient.

(carried out by adding specific primers to block off region of interest, then changing temp)

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13
Q

How does PCR detect mutations?

A
  1. By adding primers that will only bind to mutants

2. seeing if primers deleted (large length change in DNA)

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14
Q

What is PCR used?

A

Qualitative testing of mutations

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15
Q

What technique would you use to get quantitative data on gene mutations?

A

Real-time PCR

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16
Q

What are the two independent factors in real time PCR?

A

Amount of template

number of PCR cycles

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17
Q

What is the dependent factors in real time PCR?

A

Amount of amplified DNA

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18
Q

What is reverse-transcriptase PCR used for?

A

Detection of RNA amounts (HIV load, expression of CA genes)

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19
Q

What does the enzyme reverse transcriptase do in reverse transcriptase PCR?

A

Synthesizes a DNA strand from RNA (rest of procedure follows PCR technique)

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20
Q

Why is it important that small oligonucleotides have very high sequence complementarity in Allele-specific oligonucleotide mutation detection?

A

means that they are extremely selective in what they bind to (will only bind to mutant/normal gene, and thus will cause only one spot on the plate to become positive)

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21
Q

What are DNA microarrays?

A

Plates that contain all known DNA defects that lead to disease. Can use the ASO concept to screen patients for genetic diseases.

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22
Q

How can CA cells be analyzed by ASOs?

A

Change the mRNA to cDNA by reverse transcriptase, using labeled nucleotides. Release onto ship with known DNA mutations.

23
Q

What is malignant hyperthermia?

A

Mutation in Ryanodine receptor that causes the efflux of Ca in muscle cells, if there is halothane and succinyl-choline

24
Q

What does warfarin inhibit?

A

Vitamin K epoxide reductase

25
What are the two sources of possible mutations that can change the way warfarin is degraded?
Polymorphism in CYP2C9 (codes for p450) --> lower tolerance Mutation in subunit of vitamin K expoxide reductase (VKORC1) --> increased tolerance
26
What are the two ways to collect a sample from a fetus for genetic testing?
Amniocentesis (15/16 weeks withdrawn amniotic fluid) Chorionic villus sampling (cells from chorion taken at 10-12 weeks)
27
Why is chorionic villus sampling riskier than amniocentesis? What is the advantage?
Risky b/c chance of missing mosacism Able to do it earlier
28
How are epigenetic changes analyzed?
minute amount of DNA treat methylated DNA with chemicals
29
How are proteins detected and quantified?
With antibodies
30
The antibodies used in protein detection can do what three things?
Detect presence of antigen Quantify antigen localize antigens in vivo
31
What type of cells produce antibodies?
B cells
32
What is the area of the antigen that antibodies bind to?
Epitope
33
How many types of antibodies can B cells produce?
1
34
What are monoclonal antibodies? What are polyclonal antibodies?
Polyclonal = "Antibodies that are secreted by different B cell lineages within the body (whereas monoclonal antibodies come from a single cell lineage)": -Wikipedia
35
What is the sandwich model of ELISA?
Antibodies for protein on bottom Antigen/protein in the middle Receptor molecule on top
36
What is the sandwich model of ELISA used for?
Quantification of proteins | PTH, HbA1c, CRP
37
What is the indirect model of ELISA?
Anitgen linked to bottom. Serum added General antibodies with receptor added.
38
What is the indirect model of ELISA used for?
HIV and autoimmune diseases
39
What protein detection technique would you use to test for RA? What is the antigen in this case?
Indirect ELISA--immunoglobin G
40
What is western blotting used for?
Indicated molecular weight
41
What are the two specific used for Western blotting in the handout?
``` Confirm HIV (Need two tests) Diagnose parasite infections ```
42
What is the sample used, and what is it detecting: Direct sequencing
DNA Point mutations/SNPs
43
What is the sample used, and what is it detecting: Whole exome sequencing
DNA | Point mutations/SNPs in the entire genome
44
What is the sample used, and what is it detecting: SNP typing
DNA | SNPs in the entire genome
45
What is the sample used, and what is it detecting: Polymerase chain reaction
DNA | Small insertions and deletions
46
What is the sample used, and what is it detecting: Reverse transcriptase PCR
RNA | Expression levels for a small number of genes
47
What is the sample used, and what is it detecting: Allele specific oligonucleotides
DNA | Point mutations, small insertions/deletion
48
What is the sample used, and what is it detecting: Gene expression array
RNA | Expression levels of thousands of genes-not intergenic region or introns
49
What is the sample used, and what is it detecting: methylated DNA PCR
DNA | Epigenetic changes, DNA methylation
50
What is the sample used, and what is it detecting: comparative genome hybridization
DNA | insertions, deletions, and aneuploidies in the kilo to megabase range
51
What is the sample used, and what is it detecting: FISH
DNA | Copy number of a selected chromosome
52
What is the sample used, and what is it detecting: ELISA
Proteins | Amounts of protein in a sample
53
What is the sample used, and what is it detecting: Western blot?
Proteins | Amounts and size of proteins in sample