9 - Single Genes Disorders Flashcards

1
Q

What is a single gene disorder?

A

Also called “simply inherited trait”

Effect of one gene is responsible for the disorder. Inherited according to mendelian genetics.

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2
Q

What is forward genetics?

What is reverse genetics?

A

Forward: from phenotype to gene (start with disease and use linkage studies and positional cloning to find gene).

Reverse: from gene to phenotype (mutate gene and determine effect on phenotype. Most commonly done in exp organism in research setting)

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3
Q

What is positional cloning?

A

Finding genes of unknown function my mapping them relative to a gene or marker that you can clone and then walking down the chromosome to the desired gene.

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4
Q

What are informative markers?

A

Markers used to distinguish two parental alleles that are used to identify marker alleles that are co-inherited with a disease (and thus be causing the mutant gene)

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5
Q

What is the purpose of linkage analysis?

A

To identify a region of the genome that contains the mutation responsible for the gene.

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6
Q

When looking at a pedigree, what would lead you to believe that a marker is NOT closely linked to a disease?

A

If individuals who have the marker are healthy and do not have the disease.

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7
Q

What does the success of a linkage study depend on?

A
  1. Pedigree: more families means more meiosis can be observed to help identify chromosomal regions transmitted from affected parents to affected children
  2. Accurate phenotype: gene in question should have a large measurable effect. Diagnosis needs to be accurate.
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8
Q

Linkage between a genetic marker and the occurrence of the disorder is a function of ______?

A

The distance between the loci.

The closer together the marker and the gene involved, the better the linkage and usefulness of that marker in a diagnostic sense.

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9
Q

What are the steps in a linkage analysis?

A
  1. Collect DNA from large pedigree
  2. Genotype all individuals using ~300 markers
  3. Statistical analysis to determine which region of genome is linked to disease
  4. Analyze RNA expression of candidate genes (between healthy and control)
  5. Analyze DNA sequence differences paying attention to highly conserved regions or those that alter protein function.
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10
Q

What is the prevalence of CF? What type of disorder is it?

A

Aut recessive disorder. Most frequent lethal genetic disease of childhood. 1/3,900 live births.

Affects airways, pancreas, liver, sweat glands.

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11
Q

What is classic CF?

A

Chronic sinusitis with earlier and more severe deterioration of lung function.

Pancreatic insufficiency.

Greater incidence of malnutrition and severe liver disease.

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12
Q

What is non-classic CF?

A

Chronic sinusitis with later onset and milder lung disease.

Pancreas sufficient; less likely to have CF-related diabetes.

Later diagnosis, milder disease, more responsive to treatment.

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13
Q

What is the defect related to CF?

A

Defect in chloride ion transport, leading to thick viscous mucous secretions.

Causes respiratory problems with clearing mucous from airways, but also abnormalities in pancreas, liver, and sweat glands.

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14
Q

Where is the disease-causing mutation that causes CF located? How did they determine which gene in that region caused the disease?

A

A small region on 7q22.

In those with the disease, the interval contained 4 genes of which only one gene (CFTR) was expressed in all tissues affected by the disease but not in other tissues.

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15
Q

Describe the CTFR gene’s function. What is the result of a mutation in this gene?

A

Codes for membrane chloride channel that’s responsible for salt balance.

Mutations lead to impaired function or loss of channel protein from membrane.

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16
Q

What is the most common mutation found in CF patients of northern European descent?

A

delta F508

Causes a deletion of phenylalanine at position 508.

17
Q

What would a patient’s mutation that causes their CF tell you about their disease?

A

Homozygous for delta508F is likely to have severe lung disease and pancreatic insuff.

Male homozygous for R117H may have no lung or pancreatic problems but be infertile due to congenital bilateral absence of vas deferens.

18
Q

What is huntington’s disease? What is the prevalence? What is the age of onset?

A

A degenerative disorder of the brain with progressive dementia and uncontrolled movement.

30-70 per 1,000,000 individuals.

Variable age of onset: 17-60 yrs

No treatment

19
Q

How is huntington’s disease inherited?

A

In an autosomal dominant manner; however, not all affected individuals of a family have the same symptoms.

More than twice as many people with late onset inherit it from their mother than their father.

Children of late onset fathers have earlier onset.

20
Q

What are the three revised characteristics of the genetic basis of huntington’s disease after learning that the disease doesn’t effect individuals equally?

A
  1. Modifier genes affect disease severity and age of onset
  2. Genomic imprinting (parent of origin effect)
  3. Anticipation: disease onset in children from affected parents is earlier
21
Q

Describe the huntingtin gene?

A

180 kb long with 67 exons (big!)

Widely expressed in multiple tissues and is required for normal development.

Repeat of CAG in coding region.

22
Q

How does the coding region of the huntingtin gene differ in those with the disease and those unaffected?

A

Unaffected: 9-36 CAG repeats

Affected: 37-100 repeats

23
Q

What is the suspected function of the huntingtin gene? What does a high number of CAG repeats in the huntingtin gene result in?

A

Protein trafficking, vesicle transport, signaling, transcriptional regulation, and apoptosis.

CAG codes for glutamine and results in polyglutamine tract which causes neuronal death.

24
Q

The number of CAG repeats in the huntingtin gene increases as the gene is transmitted to the next generation. What is the term for this? What is this most likely caused by?

A

Trinucleotide repeat expansion.

Probably caused by errors in DNA replication, thought to be cause of genetic anticipation (age of onset is earlier and severity increases in each generation).

25
Q

What has been associated with decreased expression of the huntingtin gene and delayed age of onset?

A

An SNP variant in the promoter.

26
Q

What are other types of triplet expansion disorders? What do these have in common?

A

Fragile X syndrome, Kennedy syndrome, and myotonic dystrophy.

All are dominant and affect the brain.

27
Q

What is genomic imprinting?

A

phenomenon in which the sex of the transmitting parents determines whether the particular genes are expressed in the offspring.

Mediated by inactivation of individual genes and gene regions in paternal or maternal germ-line such that there is only one active copy of these imprinted genes.

28
Q

What happens to genomic imprinting during oogenesis and spermatogenesis?

A
  1. Erase old imprint

2. Establish new sex-specific imprint

29
Q

What two syndromes are characterized by a heterozygous deletion of 15q11 (encompassing ~7 genes) due to imprinting? Where is the deletion inherited from in each disease?

A

Prader-Willi Syndrome: inherited deletion from the father (intact copy of chromosome from mom)

Angelman Syndrome: inherited deletion from mother (intact copy of chromosome from father)

30
Q

What are the characteristics of Prader-Willi Syndrome?

A

Low muscle tone, short stature, incomplete sexual development, cognitive disabilities, chronic hunger leading to life-threatening obesity.

31
Q

What are the characteristics of Angelman Syndrome?

A

Neuro-genetic disorder.

Severe intellectual and developmental disability, sleep disturbance, seizure,s jerky movements, frequent laughter or smiling, happy demeanor.