Basics Flashcards

1
Q

Biochemical process of methylation?

A

Addition of methyl group (CH5) to the C5 position of cytosine to firm 5-methylcytosine

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2
Q

2 main ways to modify his tones

A

Acetylation/deacytylayion

Methylation/demethylation

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3
Q

Examples of epigenetic diseases

A

Di George - DGCR8 -RNA binding protein

Rubinstein Taybi - CREBBP (histone acetylation)

ATRX - hypomethylation of repeat elements

Rett - MECP2 - 5MeC binding protein

FRAX - methylation promoter

FSHD

COFFIN - Lowry - RSK2 (histone phosphorylation)

SOTOS -NSD1 - histone methyltransferase

BWS/RS - abnormal methylation 11p

PWS/AS Ann methylation 15q11-13

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4
Q

How does methylation causes cancer?

A

Hypomethylation leads to increased genomic instability

Loss of imprinting e.g. IGF2 - lung, liver, CFC

Switching off TSG e.g. MLH1

Hypermethylation can lead to instability at micro satellites

Change in histone modification patterns - HAT genes altered leading to loss of H3 acetylation on TSGS

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5
Q

Imprinted genes - how many?

A

40-60 e.g. UBE3A, SNRPN, GNAS

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6
Q

Imprinting disorders

A
Beckwith- wiedemann 
Russell silver
Prader willi
Angelman
Maternal UPD14
Paternal UPD14
transient neonatal diabetes mellitus
familial nonchromaffin paraganglioma
PHP1b, Albright hereditary osteodystrophy
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7
Q

Mechanisms leading to imprinting disorder

A

UPD

Deletion e.g. Pws/AS
Duplication e.g. IC1 region of 11p
Mutation on active allele
Epimutation - loss or gain mutation without change to DNA sequence

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8
Q

How big is the mitochodrial genome and how many genes?

A

16.6kb circular dsDNA molecule With 37 genes (13 polypeptides of OXPHOS system, 2 ribosomal RNAs and 22 tRNAS)

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9
Q

Features of mitochondrial DNA

A

No introns
Very few non-coding based
Termination coding are created post transcriptionally
Higher mutation frequency than nDNA (10x) - possibly due to close proximity to inner mt membrane - increased damage through leakage of reactive oxygen species

Transmitted through maternal line
Each cell can contain thousands of copies of genome (depends energy demand)

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10
Q

What sorts of disorders do mt DNA cause?

A

Primary mt disease
Neurodegenerstion
Cancer

Also contributes to decline in tissue integrity with age

Dysfunction of mt respiratory chain (if cell can’t produce enough ATP via OXPHOS may shunt lyric are to lactate causing systemic lactic acidosis)

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11
Q

What tissues might be affected by mitochondrial disease?

A
Some multi organ typically Tissue with high metabolic rate 
E.g.
Nervous system, skeletal, cardiac
B cells of islets of langherhans
Inner hair cells of cochlea
Renal tubules

Some single organ e.g. eye in LHON

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12
Q

3 mitochondrial deletion syndromes

A

Pearson - pancytopoenia, anaemia, lactic acidosis, pancreatic failure, infancy

Kearns-sayre - progressive myopathy, deafness, opthalmoplegia, cardiomyopathy, adult

Chronic progressive external Opthalmoplegia -opthalmoplegia, ptosis, impaired eye movement

All several genes, all heteroplasmic, usually sporadic

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13
Q

7 point mutation mitochondrial genome conditions

A
MELAS
MERFF
LHON
LEIGH
AID
NARP
MIDD
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14
Q

MELAS - symptoms and gene

A

Mitochondrial Encepalopathy, lactic acidosis and strike-like symptoms

Mt TL1 gene

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15
Q

MERRF?

A

Myoclonic epilepsy and red ragged fibres

Myopathy, cerebral ataxia

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16
Q

NARP?

A

Neurogenic weakness, ataxia, retinitis pigmentosa. ATP6

17
Q

MIDD

A

Maternally inherited diabetes and deafness. Mt TL1 - sane mutation as MELAS

18
Q

Leigh/Leigh like mito syndrome?

A

Encephalopathy, lactic acidosis

19
Q

LHON?

A

Lever hereditary optic neuropathy

Sub acute bilateral vision failure and optic atrophy

20
Q

Mitochondrial mutation for aminoglycide induced deafness

21
Q

Mechanisms of mitochondria disease

A

Mutations in mt DNA

Mutations in nDNA affecting mtDNA maintenance and expression

Mutation nDNA NOT affecting mt maintenance/expression

22
Q

Features of ASO?

A

Antisense oligonucleotide

Small single stranded DNA/RNA molecule

Affect translation by binding mRNA and blocking or altering translational mechanism

Can block production of aberrant protein, correct aberrations by exon skipping or correction splicing mutations

Chemicals modified to prevent nuclear degradation

Enter cell via endocytosis so need to survive endosome until broken down and released cytoplasm

23
Q

Challenges of using ASO in drug treatment?

A

Delivery to target tissue
Achieve sustained effect
Require re administration
Difficult to achieve complete inhibition as large quantities of mRNA and lower levels ASO within the cell

24
Q

How many protein coding genes in exome?

25
What proportion of the genome is exome?
1-2%
26
What % pathogenic variants found in exome?
85%
27
How many variants found in WGS?
3.5 million
28
How many variants I exome? How many exonic/splice? How many affecting protein?
20,000 5000 150-500
29
EU definition of rare disease (number)? How many rare diseases? How many in uk affected?
less than 1:2000 7000 rare diseases (5000 monogenic & highly penetrant) 1:17 in UK affected
30
Benefits of molecular diagnosis in rare disease? (8)
``` Classification Prognostic information Accurate risk prediction for relatives Inform treatment Access to clinical screening Prevention strategies Clinical trial access Access support services/patient groups ```
31
Causes of non-maternity
``` Egg donation Sample mix-up Transfusion Wrong embryo implanted Mosaic/chinaerism Surrogate Adoption Blood transfusion BMT Not told us something about the family ```
32
Difference between incidence and prevalence?
Incidence is rate of new cases per timeframe Prevalence is number alive. Number of case/population x 100 Prevalence can increase as treatment gets better so more people living with it - incidence might be better to look at.
33
Basic steps for getting treatment from research to clinic
Identify bio marker (work out specifics how it works) Design prototype to target it Preclinical development - validate it Early clinical trials