14 Autosomal Disorders Flashcards

1
Q

what are the two mendel’s principles?

A

segregation -> two copies of a gene with an equal chance of one going to offspring

independent assortment -> each gene inherited does not affect any other gene no matter how related

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2
Q

what are the two rules of probability

A

multiplicative -> probability of several events occurring together -> overall risks is multiplication of each event’s risk

additive rule -> probability of one event occurring vs another in a set -> overall risks is the sum of all risks which will all add to one

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3
Q

what is the differences between genotype and phenotype

A

genotype is the genetic make up

phenotype is the results compounded by external influences

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4
Q

what are features of autosomal dominant disorders?

A

only need one allele for expression but homozygotes have extreme symptoms

usually one affected parent with one allele-> 50% offspring risk

relatively rare but does not skip generations

no sex linked pattern -> father to son possible = rule out x linked

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5
Q

give examples of a autosomal dominant disorders

A

retinoblastoma, postaxial polydactyly, achodroplasia

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6
Q

what are features of autosomal recessive disorders

A

requires homozygous alleles for phenotype

heterozygous alleles result in carrier

two carriers result in 25% affected and 50% carrier

skips generations

cosanguinity compounds risk

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7
Q

give examples of autosomal recessive disorders

A

albinism

cystic fibrosis -> disrupted chloride transport -> clogs pancreatic duct and lungs -> also excess chloride in sweat

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8
Q

how can a disorder be both dominant and recessive?

A

more than one gene takes part in the disease pathway

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9
Q

What are three incidences when new mutations can be suspected?

A

inheritance not following an expected pattern (esp auto dominant or x-linked)

parents of child confirmed biological parents and are homozygous normal

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10
Q

explain germline mosaicism

A

when only a portion of a germline cell (ie embryonic cell) mutates and the individual has only a portion of affected cells

mutants are usually x linked or auto dominant

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11
Q

what are two factors considered when considering odd phenotype expression

A

delayed onset -> age a factor -> may have passed down genes as well

incomplete penetrance -> modifying genes may reduce, exacerbate or abolish phenotype

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12
Q

what disease shows variable expression

A

neurofibromatosis is auto dom but some get few skin lesions while others get large numerous tumors

  • lesions called cafe au lait spots
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13
Q

what is pleiotropy and what two categories do they originate from?

A

one gene able to affect many tissues

DNA transcription factors or extracellular matrix proteins

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14
Q

give an example of a pleiotropic gene caused disorder

A

Marfans syndrome affecting bone/cartilage structure as well as cardiac structure

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15
Q

explain the two forms of heterogenicity and give examples

A

allelic heterogenicity -> one gene -> multiple mutant forms
ie. thalassemias, sickle cell

locus heterogenicity -> multiple genes -> one pathway -> similar disorder with different genes
ie. most urea cycle disorders

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16
Q

What is clinically significant about diseases with anticipatory factors?

A

some dom disorders like myoto dystro get worse after each generation

some age delayed disorders like huntingtons can occur earlier with each generation

17
Q

How does repeat expansions get longer with each successive generation

A

during meiosis there may be unequal cross over