MULTIFACTORIAL COMPLEX AND POLYGENIC TRAITS Flashcards
WHAT IS POLYGENIC INHERITANCE?
certain trait is inherited through numerous genes which have a small and additive effect on the phenotype
-deviation from mendelian genetics
-additive effect -> the more genes the stronger the given trait or disorder
WHAT IS MULTIFACTORIAL / COMPLEX INHERITANCE?
when multiple genes interact with environmental factors
EXPLAIN QUALITATIVE TRAITS
-unmeasurable
-discontinuous (either present or unpresent)
-2 or more alternative manifestations
-influenced by major genes
EG: EYE COLOUR -> brown / green / blue
EXPLAIN QUANITITATIVE TRAITS
-measurable
-continuous
-influenced by minor genes + environmental factors
-important for polygenic inheritance
EG: IQ, height, blood pressure, cholesterol levels
EXPLAIN NORMAL TRAITS WITH CONTINUOUS VARIATION
-expressed via Gaussian curve
-normal distribution
-abnormalities are taken as extreme variants (extreme value, which are found on both ends of the curve)
-average in middle of curve
-quantitative traits
EG: HEIGHT, IQ, BLOOD PRESSURE, CHOLESTEROL LEVELS ETC.
WHAT ARE ISOLATED MALFORMATIONS?
Threshold theory - only a hypothetic Gaussian curve can be constructed
-continuous variation in liability
-Manifestations of a disorder appear once the total number of polygenes steps above a threshold which divides the population between healthy and sick (only on one side of the curve)
EG: cleft lip/palate, neural tube defects (spina bifida = cleft spine, anencephaly -underdeveloped skull, large missing pieces of brain), congenital heart defects
GIVE EXAMPLES OF COMMON DISORDERS OF ADULT LIFE
coronary heart disease
hypertension
obesity
cancers
parkinsons
alzeihmers
peptic ulcers
diabetes mellitus
autoimmune diseases
allergies
autism
bipolar
SCHEME OF MULTIFACTORIAL HEREDITY
HOW DO CONGENITAL MALFORMATIONS OCCUR?
prenatally in organogenesis
-teratogenic factors
HOW DO DISEASES OF ADULT LIFE OCCUR?
post natal environmental factors
CHARACTERISTICS OF MULTIFACTORIAL HEREDITY
-risk for 1st degree relatives depends on population frequency (square root of population frequency)
-risk is sharply lower or 2nd degree relatives than for 1st degree relatives and declines for more remote relatives
-recurrence risk is higher when more than 1 family member is affected (liability is high in such family - different to mendelian)
-the more severe the malformation, the greater the recurrence risk (greater liability, more genetic factors)
-if a multifactorial trait is more frequent in one sex than in the other, the risk is higher for relatives of patients of the less susceptible sex (higher liability)
-increased risk when parents are consanquineous
DISCUSS MULTIFACTORIAL INHERITANCE.
when more than 1 factor causes the trait
-people have predispositions but environmental factors also play a role
WHAT IS THE AREA OF PREVENTION?
the area between the 1st and 2nd threshold
WHAT IS THE RELATIONSHIP BETWEEN THE GENETIC ROLE AND THE ENVIRONMENTAL ROLE?
Inverse
-the stronger the genetic role of a given disorder, the less of a role environmental factors (e.g. teratogens) play in the
manifestation of a disorder
WHAT IS USED FOR THE CALCULATION OF RISK?
Edwards formula / empiric risks
r = square root of population frequency
WHAT ARE THE POSSIBILITIES OF PREVENTION?
preconception care is the only prevention of polygenic disorders
-adjustment of healthy / hormonal state / lifestyle
-protection against mutagens, teratogens
-vitamin supplementation
GIVE AN EXAMPLE OF A TERATOGEN THAT CAUSES ISOLATED DISORDERS DURING OOGENESIS
teratogen thalidomide
DESCRIBE THE DEPENDENCE ON THE GENDER FREEHOLD
DESCRIBE THE DEPENDENCE ON THE LEVEL OF SEVERITY FREEHOLD
DESCRIBE THE DEPENDENCE ON MULTIPLE FACTORS
DESCRIBE THE EXAMPLE OF CLEFT LIP
- if it is part of a syndrome it is inherited as a monogenic disorder
- if it is the only cleft palate – polygenetically inherited
-it is necessary to reach the threshold for a unilateral cleft and even higher threshold for a bilateral cleft
UNILATERAL = male - less genetic, more environmental, better prevention
LATERAL = female - more genetic, less environmental, less prevention
-child of mother with a cleft has a higher risk of a cleft than the child of a man with a cleft because women need more polygenes for the development of cleft, thus pass on more of them to their children
-if there is a boy born and a girl born with the same number of polygenes, the boy can have a cleft lip but the girl can be healthy or the boy would have a bilateral cleft, while as the girl would have a unilateral one
-prevention of preconception care
WHAT DOES PRECONCEPTION CARE PREVENT?
polygenic disorders
DEFINE HERITABILITY
the degree to which genetics causes the trait
→ we find the proportion of genetic and nongenetic factors
-determined by twin studies (concordance rates)
EG: monozygotic twins (MZ) and dizygotic twins (DZ) are observed for a trait which they have in common (concordant) and which only one has (disconcordant)
WHAT FORMULA IS USED FOR HERITABILITY?
the lower the H, the higher the effect of the environment and the higher the possibility of prevention