Biochemistry - Genetics Flashcards

1
Q

What is codominance? Two examples?

A

Both alleles contribute to phenotype of the heterozygote. Examples: Blood groups A, B, AB; alpha 1 antitrypsin deficiency.

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2
Q

What is variable expressivity? One example?

A

Phenotypes varies among individuals with same genotype. Neurofibromatosis type 1 (NF1) shows varying severity of disease between individuals.

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3
Q

What is incomplete penetrance? One example?

A

Not all individuals with a mutant genotype shows the mutant phenotype. BRCA1 does not always result in breast or ovarian cancer.

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4
Q

What is pleiotropy? One example?

A

One gene contributes to multiple phenotypic effects. Eg, Untreated phenylketonuria (PKU) manifests with light skin, intellectual disability, and musty body odor.

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5
Q

What is anticipation? Example?

A

Increased severity or earlier onset of disease in succeeding generations. Trinucleotide repeat diseases, eg. Huntington’s.

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6
Q

What is loss of heterozygosity, and the classic example?

A

The two hit hypothesis; if patient inherits a tumor suppressor gene defect, the complementary gene must be mutated before cancer develops. Eg, loss of function. Retinoblastoma.

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7
Q

What is a dominant negative mutation?

A

When a heterozygote has a nonfunctional altered protein that also prevents the normal gene from functioning. Eg, ineffective transcription factor that binds to allosteric site, thereby preventing regular transcription factor from binding.

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8
Q

What is linkage disequilibrium?

A

Tendency for certain alleles at 2 linked loci to occur together more of less often than expected by chance. Measured in population, not family, often varies.

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9
Q

What is mosaicism? Two different kinds of mosaicism?

A

Presence of genetically distinct cell lines in the same individual. Somatic mosaicism: mutation arises from mitotic errors after fertilization and propagates through multiple tissues or organs. Gonadal mosaicism: mutation only in egg or sperm cells. McCune-Albright syndrome is an example of somatic mosaicism.

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10
Q

Locus heterogeneity?

A

Mutations at different loci can produce a similar phenotype. Albinism.

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11
Q

Allelic heterogeneity?

A

Different mutations in the same locus produce the same phenotype. Eg, B-thalassemia.

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12
Q

What is heteroplasmy?

A

Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrially inherited disease.

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13
Q

What is uniparental disomy? Where is the error in heterodisomy vs isodisomy?

A

Offspring receives 2 copies of a chromosome from 1 parent and no copies from the other parent. Heterodisomy: meiosis I error. Isodisomy: Meiosis II error.

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14
Q

What are the assumptions for the Hardy-Weinberg law?

A

No mutation occuring at the locus. Natural selection is not occuring. Completely random mating. No net migration.

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15
Q

What are the Hardy Weinberg equations?

A

p squared + 2pq + q squared = 1 and p + q = 1, in which p and q are the frequencies of separate alleles. P2 is frequency of homozyg for allele p, 2pq = frequency of heterozygotes, and q2 = freq of homoz for allele q.

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16
Q

What is imprinting? Classic example.

A

At some loci, only one allele is active, the other is inactive (methylation!). With one allele inactivated (“imprinted”), mutation in the active allele = disease. Prader-Willi vs. Angelman’s = both mutation in Ch 15.

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17
Q

What is Prader-Willi syndrome?

A

Paternal gene on Ch 15 is deleted/mutated, mom gene usually imprinted. Sx: hyperphagia, obesity, intellectual disability, hypogonadism, hypotonia.

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18
Q

What is angelMan’s syndrome

A

Maternal gene on Ch 15 is deleted/mutated, dad gene usually imprinted. Sx: inappropriate laughter (happy puppet), seizures, ataxia, and severe intellectual disability.

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19
Q

What is the inheritance pattern and defect in ADPKD?

A

AD. Mutation in PKD1 (Ch. 16) - 85%, or PKD2 (Ch 4) leads to bilateral massive enlargement of kidneys due to multiple large cysts. Also associated with cysts in liver and berry aneurysm.

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20
Q

What is the inheritance pattern and defect in Familial adenomatous polyposis?

A

AD. Mutation on Chromosome 5q (APC gene). Colon becomes covered with adenomatous polyps after puberty. 100% progression to colon cancer unless colon resected.

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21
Q

What is the inheritance pattern and defect in Familial hypercholesterolemia?

A

AD. Defective or absent LDL receptor, leads to elevated LDL and severe atherosclerotic disease early in life. Findings include corneal arcus and tendon xanthomas (classical on Achilles).

22
Q

What is the inheritance pattern and defect in hereditary hemorrhagic telangiectasia aka Osler-Weber-Rendau?

A

AD. Inherited disorder of blood vessels. Sx: Telangiectasias, recurrent epistaxis, skin discolorations, AVMs, GI bleeding, hematuria.

23
Q

What is the inheritance pattern and defect in Hereditary spherocytosis?

A

AD. Spectrin/ankyrin cytoskeleton defect. Results in spheroid erythrocytes, increased MCHC, Inc RDW, and hemolytic anemia. Treatment: splenectomy.

24
Q

What is the inheritance pattern and defect in Huntington?

A

AD. Gene on Ch 4 w/ trinucleotide repeat disorder (CAG). Demonstrates anticipation: greater number of repeats = lower age of onset. Findings: depression, progressive dementia, choreiform movements, and caudate atrophy. Inc dopa in the brain, dec GABA and Ach.

25
Q

What is the inheritance pattern and defect in Li-Fraumeni syndrome? Another name?

A

AD. Abnormalities in TP53 lead to multiple malignancies at an early age. SBLA cancer (sarcoma, breast, leukemia, adrenal gland).

26
Q

What is the inheritance pattern and defect in Marfan’s? Phenotypical findings?

A

AD. FBN1 gene mutation on Ch 15; defective fibrillin (elastin scaffolding). Connective tissue d/o affecting skeleton, heart, and eyes. Tall with long extremities. Subluxation of lenses, typically upward and out. Pectus excavatum, cystic medial necrosis of aorta (aortic incompetence, dissecting aortic aneurysems, floppy mitral valve). Hypermobile joints, arachnodactyly.

27
Q

What is the inheritance pattern and defect in MEN 1?

A

AD. MEN1 gene. Pancreas, pituitary, parathyroid.

28
Q

What is the inheritance pattern and defect in MEN 2A?

A

AD. RET gene. Parathyroid, medullary thyroid carcinoma, pheochromocytoma.

29
Q

What is the inheritance pattern and defect in MEN 2B?

A

AD. RET gene. Medullary thyroid, pheochromocytoma, mucosal neuromas, marfanoid appearance.

30
Q

What is the inheritance pattern and defect in Neurofibromatosis 1?

A

AD, 100% penetrance, variable expression. Mutation in NF1 gene on Ch 17 . Cafe au lait spots, cutaneous neurofibromas, optic gliomas, pigmented iris hamartomas (lisch nodules), pheochromo.

31
Q

What is another name for NF1?

A

Von recklinghausen disease.

32
Q

What is the inheritance pattern and defect in Neurofibromatosis type 2?

A

AD. NF2 gene on chromosome 22. Bilateral acoustic schwannomas, juvenile cataracts, meningiomas, and ependymomas.

33
Q

What is the inheritance pattern and defect in tuberous sclerosis?

A

AD. Neurocutaneous d/o with multi-organ system involvement, characterized by numerous hamartomas. Incomplete penetrance, variable expression.

34
Q

What is the inheritance pattern and defect in Von Hippel Lindau?

A

AD. Deletion of VHL gene on Ch 3. Cerebellar aneurysms, renal cell carcinoma, other numerous tumors both benign and malignant.

35
Q

What is the inheritance pattern and genetic defect in cystic fibrosis?

A

AR. Defect in CFTR gene on chromosome 7, commonly deletion of Phe508. Encodes an ATP gated Cl- channel that secretes Cl- in the lungs and GI tract and absorbs Cl- in the sweat glands.

36
Q

How does the mutation manifest in cystic fibrosis?

A

Misfolded protein from CFTR gene on Ch 7, Phe508; protein is retained in RER, not transported to cell membrane. Increased intracellular Cl- results in compensatory Na+ reabsorption via epithelial Na+ channels. Water follows sodium. Secreted mucus isn’t “watery” enough - thick mucus in lungs and GI tract. Also more negative transepithelia potential difference.

37
Q

Symptoms of cystic fibrosis?

A

Recurrent pulmonary infections. Nasal polyps. Pancreatic insufficiency, malabsorption with steatorrhea. Meconium ileus in newborns. Infertility in males (absence of vas deferns), subfertility in females (amenorrhea, thick cervical mucus.

38
Q

Diagnosis of CF?

A

Cl- concentation > 60 in sweat is diagnostic. Newborn screening for increased immunoreactive trypsinogen.

39
Q

What metabolic abnormalities may be found in a patient with cystic fibrosis?

A

Contraction alkalosis and hypokalemia (kidney senses ECF losses, leads to concomitant renal K+/H+ wasting).

40
Q

Treatment of cystic fibrosis?

A

N-acetylcysteine to loosen mucus plugs (cleaves disulfide bonds within mucus glycoproteins). Dornase Alfa (DNAse) to clear leukocytic debris.

41
Q

What are the high-yield X-linked recessive disorders to know?

A

But (bruton gammaglobulinemia) Wendy (wiskott-aldrich), Fabio’s (Fabry) Got (G6PD) One (ocular albinism) Large (lesch-nyhan) Dick (Duchenne/becker), He Should (hunters syndrome) Hump (Hemophilia A and B) Often (ornithine transcarbamylase deficiency.

42
Q

What is the inheritance pattern and defect in Duchenne’s?

A

X-linked d/o typically caused by frameshift (deletions/nonsense) to dystrophin protein. DMD gene. Largest protein coding gene, high chance of spontaneous mutation. Dystrophin connects intracellular actin to transmembrane proteins alpha and beta dystroglycan, which connect to ECM. Loss of dystrophin results in myonecrosis. Dilated cardiomyopathy is common COD.

43
Q

What is the inheritance pattern and defect in Becker’s?

A

Same as Duchenne’s, but non-frameshift. Less severe. Onset in adolescence or early adulthood.

44
Q

What is the inheritance pattern and defect in Myotonic type 1?

A

Autosominal dominant. CTG trinucleotide repeat in DMPK gene, abnormal expression of myotonin protein kinase. My Tonia, My Testicles (testicular atrophy), My Toupee (frontal balding), My Ticker (arrythmias), + cataracts.

45
Q

What is the inheritance pattern and defect in Fragile X?

A

X-linked defect affecting the methylation and expression of FMR1 gene. Trinucleotide repeat of CGG. 2nd most common cause of intellectual disability. fragile X- Xtra large testes, jaw, ears. + autism, mitral valve prolapse.

46
Q

What is the defect in Friedrich’s Ataxia?

A

GAA trinucleotide repeat.

47
Q

What is a Robertsonian translocation? What are the most commonly involved chromosomes?

A

Chromosomal translocation where two sets of long arms fuse at the centromere and short arms are lost. Balanced translocations = normal. Unbalanced: miscarriage, stillbirth, chromosomal imbalance (Downs, Patau).

48
Q

What is the defect in cri du chat syndrome?

A

Microdeletion of short arm of chromosome 5. Findings: microcephaly, high pitched crying/mewing, epicanthal folds + mod-severe intellectual disability, VSD.

49
Q

What is Williams syndrome?

A

Microdeletion of long arm of chromosome 7 including elastin gene. Findings: “cocktail party personality” -Elfin face, well-developed verbal skills, extreme friendliness, intellectual disabilities, hypercalcemia due to Vit D sensitivity, cardiovascular problems.

50
Q

What does 22q11 deletion cause?

A

Aberrant development of 3rd and 4th branchial pouches. DiGeorge: Thymic, parathyroid, and cardiac defects. (T cell deficiency, + hypocalcemia). Velocardiofacial: palate, cardiac, facial defects.