Theme 2 - Genetic and environmental cause of disease: Part 2 Flashcards

(66 cards)

1
Q

What is aneuploidy?

A

Additional or less chromosomes deviating from the normal haploid number
e.g trisomy, monosomy

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2
Q

What is polyploidy?

A

More than two paired sets of chromosomes

e.g triploidy, tetraploidy

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3
Q

What is mosaicism?

A

when a person has 2 or more genetically different populations of cells
-one is genetically normal, one is genetically abnormal

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4
Q

What is non-disjunction?

A
  • meiotic errors

- Failure of chromosome or chromatid separation

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5
Q

Could fetal monosomy be viable?

A

Fetal monosomy is lethal and fatal trisomy could be viable

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6
Q

Which 3 trisomy are viable?

A

Trisomy 21 - downs syndrome
Trisomy 13 - patau syndrome
Trisomy 18 - Edwards syndrome

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7
Q

Why are only these 3 trisomys viable?

A

Because there are fewer genes on these chromosomes than others

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8
Q

Which syndromes are associated with sex chromosome aneuploidy?

A
  1. Turner syndrome (45, X)

2. Klinefelter syndrome (47, XXY)

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9
Q

What are two types of cytogenic chromosome analysis?

A

G-banding and FISH (FISH has much higher resolution than G-banding)

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10
Q

What are three types of DNA-based methods?

A

Chromosomal microarray, QF-PCR, WES

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11
Q

There is a deletion of which chromosome in DiGeorge syndrome?

A

22q11.2

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12
Q

Why is chromosomal microarray better than karyotyping?

A
  • only needs DNA, not live cells
  • higher resoltuion
  • accurate location & size of imbalances
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13
Q

What is pericentric inversion?

A

If the two break points are on different chromosome arms

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14
Q

What is paracentric inversion?

A

Both breakpoints are on the same arm

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15
Q

Why can’t you always use DNA based methods?

A

Cytogenic analysis is still needed for genome rearrangements e.g translocations

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16
Q

What is robertsonian translocation?

A
  • Whole arm fusion
  • a type of translocation in which two acrocentric chromosomes are fused
  • where a certain type of chromosome becomes attached to another
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17
Q

What is Williams syndrome?

A

microdeletion of chromosome 7

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18
Q

What does Acrocentric mean?

A

having the centromere situated so that one chromosomal arm is much shorter than the other

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19
Q

What is non-disjunction?

A

The failure of one or more pairs of homologous chromosomes to separate normally during nuclear division, usually resulting in an abnormal distribution of chromosomes in the daughter nuclei

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20
Q

What is mosaicism?

A

involves the presence of two or more populations of cells with different genotypes

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21
Q

What is pallister Killian syndrome?

A
  • mosaic tetrasomy 12p (isochromosome) - this means chromosome 12 is made up of two p arms
  • intellectual deficit, seizures, dysmorphic features, skin pigmentation
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22
Q

What is an isochromosome?

A

A chromosome with two identical arms. Normal chromosomes have one long (q) arm and one short (p) arm, but isochromosomes have either two q arms or two p arms.

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23
Q

What is a population/genetic bottleneck?

A

a sharp reduction in the size of a population due to environmental events e.g famine, earthquakes, genocide

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24
Q

What is a somatic mutation?

A
  • Occur in nongermline tissues

- cannot be inherited

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25
What is a germline mutation?
- present in egg or sperm | - can be inherited
26
What are the two classes of variation?
1. Variation that does not alter the DNA content (number of nucleotides is unchanged) e.g single nucleotide replacements 2. variation that results in a net loss or gain of DNA sequence - can be large (whole chromosome) or small (single nucleotide)
27
What is an SNP?
DNA sequence variation occurring when a single nucleotide - A,T,C or G - in the genome differs between members of a species (or between paired chromosomes in an individual)
28
What is a missense mutation?
an amino acid change
29
What is a nonsense mutation?
change of amino acid to a stop codon
30
What is a silent mutation?
the codon for an amino acid is changed, but the same amino acid is still coded for
31
What is an example of negative selection of a gene variant?
Mutations causing late onset disease can be more frequent whereas mutations that compromise early development or neonatal health will not persist in a population
32
What is an example of positive selection of a gene variant?
the inverse correlation between skin pigmentation and latitude is thought to have been shaped by selective pressures favouring lighter skin to facilitate vitamin D synthesis in regions far from the equator
33
What is allelic heterogeneity? give example
Different pathogenic variants in a single gene - multiple different phenotypes example - mutation in FGFR3 (fibroblast growth factor receptor 3) can cause many different phenotypes e.g achondroplasia
34
What is locus heterogeneity?
mutations at multiple genomic loci are capable of producing the same phenotype (ie. a single trait, pattern of traits, or disorder), and each individual mutation is sufficient to cause the specific phenotype independently.
35
How can abnormalities in chromosomes arise? | How can abnormalities in genes arise?
``` Chromosome problems: -chromosome number -chromosome structure -missing or extra chromosomal material Gene problems: -point mutations -single or multi-exon deletions/insertions -repeat expansions ```
36
What is a conservative missense?
Amino acid substitution within same group e.g alanine and leucine
37
What is a non-conservative missense?
Amino acid substitution to one in a different group e.g phenylalanine and glutamine
38
What is the start codon and what does it code for?
AUG - codes for methionine
39
What are canonical splicing variants?
variants that occurs at the boundary of an exon and an intron (canonical splice site) and therefore impact splicing
40
What is achondroplasia?
increased activity of FGFR3, severely limiting bone growth e.g dwarfism
41
What is the normal function of FGFR3?
Slow down the formation of bone by inhibiting the proliferation of chondrocytes
42
How do we classify variants?
``` class 1: benign class 2: likely benign class 3: variant of uncertain significance class 4: likely pathogenic class 5: pathogenic ```
43
What is CHARGE syndrome?
``` C-coloboma H- heart defect C - choanal atresia R- retarded growth and development G- genital hypoplasia E- ear anomalies ```
44
What type of mutations can cause Duchenne muscular dystrophy?
large deletions - one or more exons are missing from the dystrophin gene large duplications - one or more axons have extra copies in the dystrophin gene
45
Which two recurrent deletion syndromes are due to unequal crossing over?
- williams syndrome | - Di George syndrome
46
Why does Huntington's show anticipation?
Bigger expansions throughout generations - earlier age of onset
47
What are monozygotic twins?
identical
48
What are dizygotic twins?
non-identical twins
49
How can you prevent NTDs?
maternal folic acid supplementation
50
What is the neurology behind Alzheimers?
shrinkage of brain, tangles of B-amyloid protein in nerve fibres of hippocampus
51
What are genetic association studies?
they seek to relate variation in human DNA sequence with a disease or trait
52
What is the p level?
the probability of rejecting the null hypothesis given that it is true - often set at 0.05
53
what is linkage disequilibrium?
non-random association of alleles at different loci in a given population
54
What is GWAS?
- genome wide association study - examination of all or most of the genes of different individuals of a particular species see how much the genes vary from individual to individual
55
What is hardy Weinberg equilibrium (HWE)
The situation where allele and genotype frequencies in a population remain constant from generation to generation in the absence of other evolutionary influences
56
What is minor allele frequency?
the frequency of the less common variant in a population
57
Why is BRCA1/2 gene testing advantageous?
- women with breast cancer may have better responses to cancer treatments that are specifically designed for BRCA positive patients e.g cisplatin - can encourage prophylactic surgery (removes ovaries) - preventative mastectomy
58
How and when can you diagnose a genetic disorder in an infant?
amniocentesis - 17 weeks chorionic villus sampling - 11 weeks NIPD - 10 weeks
59
What is gene therapy?
- the use of genetic material (DNA, RNA) as a medicine | - introduction of functional genes, in the form of DNA, to replace mutated genes
60
What is preventative medicine?
information about a persons genotype used to tailor medical care to prevent disease
61
What are cytochrome P450 oxidases and what do they do?
- multigene family of enzymes found mostly in liver - responsible for the metabolic elimination of most drugs currently used - important for converting pro-drugs to their active forms
62
How does array CHG work?
- DNA is extracted and fluroescently labelled - co-hybridise normal reference DNA and test genomic DNA - both DNAs compete to combine to the same sites - signal is analysed by computer - if signal is less than control its a loss of a chromosome and if its more than control its a gain of a chromosome
63
What is FISH?
A cytogenetic technique that uses a DNA probe to examine a single locus
64
Where is the chromosomal translocation that causes wolf Hirschhorn syndrome?
unbalanced t(4;8) translocation top region of chromosomes. 4 has replaced top region of chr 8 T(4,8) is a highly recombinant region
65
What is hypotonia?
low muscle tone
66
What are the features of wolf Hirschhorn syndrome?
- delayed growth and development - charachteristic facial appearance - intellectual disability