Autosomal dominant/Mitochondrial Flashcards

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1
Q

Achondroplasia

-caused by? on what ch?

A

substitution on G1138A in fibroblast growth factor receptor 3 (FGFR3) gene on ch 4p16

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2
Q

Paternal age effect is seen in achrondroplasia in at what age?

A

> 40

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3
Q

What is the highest known mutation rate known to man?

A

G1138A

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4
Q

Neurofibromatosis type I

cause by? on what ch?

A

mutation in neurofibromin (NF1) n ch 17q11
NF1 is a tumor suppressing gene

  • loss in function mut.
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5
Q

Neurofibromatosis type I

phenotype?

A
cafe au lait spots
neurofibromas
lisch nodules
freckling in axillary or inguinal area
optic glioma
osseous lesions
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6
Q

Osteogenesis Imperfecta type I

cause by? on what ch? results in?

A

Mut in COL1A1 gene (collagen type I alpha I) on ch 7q21

-results in reduced production of pro alpha 1 chains that reduce type I collagen production by half

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7
Q

Marfan’s syndrome

cause by? on what ch? results in?

A

mut in FBN1 gene/splicing defect in fibrillin gene on ch 15q21

-results in reduced # of microfibrils (helps things be elastic)

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8
Q

Polycystic kidney disease

cause by? on what ch?

A

mut in either:

  1. PKD1 on ch16p13 (85%)
  2. PKD2 on ch4q22 (15%)
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9
Q

Polycystic kidney disease

phenotype?

A

bilateral renal cysts
vascular abnormalities
end stage renal disease by 60 yrs in 50%

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10
Q

Polycystic kidney disease has locus homogeneity/heterogeneity?

A

heterogeneity

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11
Q

Hypercholesterolemia

caused by:

A

mutations in 3 genes:
LDLK
APOB
PC5K9

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12
Q

Hypercholesterolemia

phenotype

A

high cholesterol (>310) and LDL levels(>190)
xanthomas (cholesterol under skin)
premature coronary artery disease

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13
Q
What is the new mutation rate of:
Achondroplasia?
Neurofibromatosis Type I?
Marfan's syndrome?
Polycystic kidney disease?
hypercholerolemia?
A
Ac: 80%
NF: 50%
M: 25%
PKD: 5%
HC: very low
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14
Q

Trinucleotide Repeat disorders are gained in which phase of development?

A

gametogenesis

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15
Q

Name that repeat! and # of repeat
Huntingtons
Myotonic dystrophy type I
Fragile X

A

Huntingtons: CAG > 40
Myotonic dystrophy type I: CTG > 50
Fragile X: CGG > 200

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16
Q

Name that mutated region!
Huntingtons
Myotonic dystrophy type I
Fragile X

A

Huntingtons: exon region
Myotonic dystrophy type I: 3’ region
Fragile X: 5’ UTR

17
Q

Fragile X syndrome

cause by?

A

FMR1 gene on Xq27

18
Q

Fragile X syndrome

phenotype?

A
dysmorphic features: large ears, long face, macroochidism
Intellectual disabilities
autistic behavior
social anxiety,
hand flapping/biting
aggression
19
Q

Lesh Nyhan syndrome

cause by? results in?

A

mut in HPRT1 gene coding for HPRT1 protein,

results in ineffective purine recycling

20
Q

Duchenne Muscular dystrophy

Cause by? what ch?

A

premature termination of DMDXp21 gene coding for dystrophin

21
Q

Hemophilia A is caused by? what ch?

A

Mut in factor VIII gene on chXq28

22
Q

4 unique features of mitochondrial inheritance

A

maternal inheritance
replicative segregation
homoplasmy/heteroplasmy
threshold effect

23
Q

What is the threshold effect?

A

too much mut mtDNA past threshold = disease phenotype

24
Q

What is homoplasmy/heteroplasmy?

A

some mut/some norm mtDNA present and you are fine

25
Q

What mode of inheritance is Fragile X?

A

x linked dominant

26
Q

what mode of inheritance is marfans?

A

Autosomal dominant

27
Q

What mode of inheritance is Lesh Nyhan?

A

x linked recessive

28
Q

What mode of inheritance is Polycystic kidney disease?

A

Autosomal dominant

29
Q

What mode of inheritance is Osteogenesis imperfecta?

A

Autosomal dominant

30
Q

What mode of inheritance is Kearns sayre?

A

Mitochondrial inheritance

31
Q

What mode of inheritance is Neurofibromatosis?

A

Autosomal dominant