Qs Based off Practical Book Flashcards
(79 cards)
What Materials / Reagents are needed for Cell Cultures?
- Sodium Heparin
- Culture Medium
- Fetal Bovine Serum
- Antibiotics
- Mitogen
- Colchicine
- Potassium Chloride Solution
- Methanol
What are BONE MARROW Cultures used for?
- To Identify CHROMOSOME ANOMALIES
- IN Hematopoietic Cells
What are BANDING TECHNIQUES?
- Allow PRECISE Identification of EACH Chromosome
- DETECT STRUCTURAL Chromosomal Rearrangements
What are the Different Types of Banding Techniques?
1) Routine Staining = Stained w/ GIEMSA
2) Q-Banding = Requires FLUORESCENT Microscope
3) G-Banding = Treat w/ TYPRSIN, and THEN GIEMASA
4) C-Banding
- Tests CENTROMETRIC Region
- Tests for MULTIPLE Centromeres
- Test with HCL and THEN w/ RNAse + NaOH
- Chr 1, 9, 16
5) High Resolution = PROVIDES PRECISION in delineation of Chromosomal breakpoints + ASSIGNMENT of Gene Loci
6) Sex Chromatin Analysis = Indicates PRESCENCE of Chromatin Mass; Taking BUCCAL SMEARS
What is the X-Sex Chromatin?
Barr Body
Which Stage of Cell Division can we see Sex Chromatin?
INTERPHASE of Cell Cycle
Which Material is OBTAINED for Testing the X-Sex Chromatin?
Blood Culture
What is the Type X / Y
AND N.O of Sex Chromosomes in Individuals?
- 0 Barr Body = 45, X
- 1 Barr Body = 46, XX OR 47,XXY
- 2 Barr Bodies = 47, XXX
- 3 Barr Bodies = 48, XXXX
What is the Philadelphia Chromosome?
AND in Which Disease?
- t(9 ; 22)
- Chronic Myeloid Leukaemia (CML)
What is AUTOSOMAL DOMINANT Inheritance?
- Disorder is NOT transmitted by UNAFFECTED Family Members
- REGARDLESS of Male or Female
What are the CHARACTERISTICS of Autosomal DOMINANT Inheritance?
- BOTH M + F are EQUALLY affected!
- Disorder is TRANSMITTED BY BOTH M + F
- MALE-to-MALE Transmission Occurs
What are the EXAMPLES of Autosomal DOMINANT Inheritance?
- Osteogenesis Imperfecta
- Vitamin D-RESISTANT Rickets
- Incontinentia Pigmenti
- Rett’s Syndrome
- Huntington’s Disease
- Myotonic Dystrophy Type 1
- Familial Breast Cancer
- Familial Hypercholesterolemia
- Neurofibromatosis
- Tuberous Sclerosis
- Achondroplasia
- Autosomal Polycystic Kidney Disease
What are TRINUCLEOTIDE REPEAT DISORDERS?
- Mutation where Trinucleotide REPEATS in CERTAIN GENES
What is HUNTINGTON CHOREA?
**Autosomal DOMINANT Disorder
- PROGRESSIVE disorder of Motor, Cognitive, Psychiatric Disturbances
0 +ve Family History
0 MORE CAG Trinucleotide REPEATS
0 Asymptomatic Adults = 50% RISK
0 Prenatal Pregnancy = 25% Risk
What is MYOTONIC DYSTROPHY?
**Autosomal DOMINANT Disorder
- MULTI-SYSTEM Disorder, affecting SKELETAL / SMOOTH Muscle
a. Mild DM1
- Cataract
- Mild Myotonia
- Normal Lifespan
b. Classic DM1
- Muscle Weakness / Wasting
- Myotonia
- Cataract
- Cardiac Conduction Abnormalities
c. Congenital DM1
- Hypotonia
- Severe generalised Weakness at birth
0 CTG Trinucleotide REPEATS in NON-CODING Region
What is NEUROFIBROMATOSIS?
**Autosomal DOMINANT Disorder
- Multiple CAFE AU LAIT SPOTS
- Axillary / Inguinal Freckling
- Multiple Cutaneous Neurofibromas
- Iris Lich Nodules
- Learning Disabilities
What is ACHONDROPLASIA?
**Autosomal DOMINANT Disorder
- De Novo Mutation
- Disproportionate Small Stature
- Frontal Bossing
- Midface Retrusion
- Hypotonia
0 Mutation in FGFR3
What is OSTEOGENESIS IMPERFECTA?
**Autosomal DOMINANT Disorder
- COL1A1/2 - Related
- Fractures with MINIMAL / ABSENT Trauma
- Hearing Loss
- Severe Skeletal Deformities
- Mobility Impairments
- Very Short Stature
- Grey / Brown Teeth
a. OI Type 1 = Non-Deforming w/ Blue Sclera
b. OI Type 2 = Perinatally Lethal
c. OI Type 3 = Progressively Deforming
d. OI Type 4 = Common Variable w/ NORMAL Sclera
0 BIOCHEMICAL ANALYSIS of Type 1 Collagen
0 MOLECULAR GENETIC TESTING of COL1A1 / COL1A2
0 GONODAL Mosaicism
What is PKD, AUTOSOMAL Dominant?
**Autosomal DOMINANT Disorder
- Late-Onset MULTI-SYSTEM Disorder
- Bilateral Renal Cysts; Cysts in OTHER Organs
- Intracranial Aneurysms
- Dilation of Aortic Root
- Dissection of Thoracic Aorta
- Abdominal Wall Hernias
0 95% RISK with AFFECTED Parent
0 5% De Novo Mutation
What is AUTOSOMAL RECESSIVE Inheritance?
- Disorder in Individuals who are HOMOZYGHOUS
- For a Particular Gene Recessive Mutation
- RISK for Offspring = 25%
- Prenatal Diagnosis
0 Biochemical Assays
0 DNA Analysis
What are the CHARACTERISTICS of Autosomal RECESSIVE Inheritance?
- BOTH M + F are EQUALLY affected!
- BOTH PARENTS are UNAFFECTED Carriers
- 2/3 Siblings are UNAFFECTED Carriers
What are the EXAMPLES of Autosomal RECESSIVE Inheritance?
- Cystic Fibrosis
- Sickle-Cell Disease
- Tay-Sachs Disease
- Thalassaemia
- Congenital Adrenal Hyperplasia
- Homocysteinurea, Phenylketonuria
- Hurler Syndrome = MPS-1
- Spinal Muscular Dystrophy
- Glycogen Storage Type II Disease = Pompe’s Disease
- Wilson’s Diseas
What is CYSTIC FIBROSIS?
**Autosomal RECESSIVE Disorder
- AFFECTS:
0 Epithelia of Respiratory Tract
0 Exocrine Pancreas
0 Intestine
0 MALE Genital Tract = Infertility due to AZOOSPERMIA
0 Hepatobiliary System
- MUTATION in F508del EXON
What is CONGENITAL ADRENAL HYPERPLASIA?
**Autosomal RECESSIVE Disorder
- 46, XX
- DEFICIENCY in 21-Hydroxylase
- IMPAIRED Synthesis of CORTISOL from Cholesterol (Adrenal Cortex)
- Results in VIRILISATION + SALT WASTING
0 MOLECULAR GENETIC Testing of CYP21A2
0 MANAGE via HORMONAL THERAPY
- EMPTY Scrotum
- Penis RESEMBLES Clitoris