BIOCHEMISTRY- Genetics Flashcards
It´s when both alleles contribute to the phenotype of the heterozygote
Codominance
Give two examples of Codominance
Blood groups A, B, AB a1 antitrypsin deficiency
What is Variable expressivity?
When the phenotype varies among individuals with same genotype
2 patients with neurofibromatosis type 1 may have varying disease severity… its an example of?
Variable expressivity
Not all the individuals with a mutant genotype show the mutant phenotype
Incomplete prentrance
An example of incomplete penetrance…
BRCA1 gene mutations do not always result in breast or ovarian cancer
What is a pleiotropy?
One gene contributes to multiple phenotypic effects
Increase severity or earlier onset of disease in succeeding generations
Anticipation
This disease its an example of Anticipation
Trinucleotide repeat disease (Huntington disease)
Retinoblastoma and the Two-Hit hypothesis its an example of?
Loss of Heterozygosity
What is a loss of heterozygosity?
If a patient inherits or develops a mutation in a tumor supressor gene, the complementary allele must be deleted/mutated before cancer develops
What is a Dominant negative mutation?
Exerts a dominant effect. A heterozygote produces a nonfuctional altered protein that also prevents the normal gene product from functioning
Its the tendency for certain alleles at 2 linked loci to occur together more often than expected by chance
Linkage disequilibrium
What is a Mosaicism?
Presence of genetically distinct cell lines in the same individual. Arises from mitotic errors after fertilization
This kind of mosaicism mutation propagates through multiple tissue or organs
Somatic Mosaicism
What is a Gonadal Mosaicism?
Mutation only in egg or sperm cells
What is worst if the McCune-Albright syndrome is a somatic mutation or if it´s mosaicism?
If it´s somatic is lethal, but survivable if mosaic
Mutations at different loci can produce a similar phenotype
Locus heterogeneity
Which disease it´s an example of Locus heterogeneity?
Albinism
Diferent mutations in the same Locus produce the same phenotype
Allelic heterogeneity
This disease is an example of diferent mutations in the same Locus produce the same phenotype
B- thalassemia
Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrial inherited disease
Heteroplasmy
Offspring receives 2 copies of a chromosome from 1 parent and no copies from other parent
Uniparental disomy
What does a Heterodisomy (heterozygous) indicates?
Meiosis I error
Indicates a Meiosis II error or postzygotic chromosomal duplication of one of a pair of chromosomes, and loss of the other of the original pair
Isodysomy (homozygous)
Is the uniparental disomy an euploid or an aneuploid?
Euploid
When do we consider an Uniparental disomy?
In an individual manifesting a recessive disorder when only one parent is a carrier
What does the Hardy-Weinberg law assumptions include?
No mutations ocurring at the locus Natural selection is not occurring Completely random mating No net migration
What happens or what is affected in the imprinting?
At some loci, only one allele is active, the other is inactive
What is the factor that causes the imprinting?
By methylation
If there is one allele inactivated, what will happen?
Deletion of the active allele that will end up in disease
What´s wrong in Prader Willi and Angelman syndromes?
Imprinting, Mutation or deletion of genes on chromosome 15
In Prader Willi syndrome, who suffers the imprinting?
Maternal imprinting
Gene from mom is normally silent and paternal gene is deleted/ mutated
Prader Willi syndrome
How many cases of Prader Willi syndrome are uniparental disomy?
25% of cases
What does it mean uniparental disomy in Prader Willi sindrome?
Two maternally imprinted genes are received; no parental gene received
What kind of findings do we see in Prader Willi?
hyperphagia
obesity
intellectual disability
hypogonadism
hypotonia
This syndrome is related to a parental imprinting…
Angelman syndrome
Two paternally imprinted genes are received, no maternal gene received… How many percentage of cases of this syndrome do wee see?
It´s an paternal uniparental dismony of Angel syndrome which corresponds to the 5 % percentage of the cases
Characterized for inappropriate laughter (“happy puppet”), seizures, ataxia, and severe intellectual disability
Angelman syndrome
What is the explanation of Angelman syndrome?
Gene from dad is normally silent and maternal gene is deleted/mutated
Which are the modes of inheritance?
Autosomal dominant
Autosomal recessive
X-linked recessive
X-linked dominant
Mitochondrial inheritance
What is this pattern of inheritance?
Autosomal Dominant
Which are the characteristics of the autosomal dominant pattern of inheritance?
Often pleiotropic
Family history crucial to diagnosis.
25% of offspring from 2 carrier parents are affected. Often due to enzyme deficiencies. Usually seen in only 1 generation
Autosomal recessive
Between an autosomal Dominant and autosomal recessive inheritance, which one is more commonly severe?
Autosomal recessive inheritance
When is more common for the autosomal recessive to present?
Patients often present in childhood
Which kind of patients have increased risk to have this mode of inheritance?
Consaguineous families
Who is affected in this mode of inheritance? and which percentage?
It is a X-linked recessive inheritance. Sons of heterozygous mothers have a 50% chance of being affected
Is it posible to have a male to male transmission on the X-linked recessive inheritance?
No male to male transmision
Is it posible to see a female affected by this mode of inheritance ?
Yes, but it has to be homozygous to be affected
In which disease do we see this mode of inheritance ?
This is a X-linked dominant inheritance. The Hypophosphatemic rickets follows this pattern of inheritance.
Who transmits the disease in the X-linked dominant inheritance?
Transmitted through both parents
If the mother is the carrier of X-linked dominant Hypophosphatemic rickets, Who can be affected?
Mother transmit to 50% of daughters and sons
Inherited disorder resulting in increase phosphate wasting at proximal tubule
Hypophosphatemic rickets
Who transmits this mode of inheritance? A clue is that all offspring of affected females may show signs of disease
Mitochondrial inheritance. Transmitted only through the mother
What is the explanation that there is a variable expression in a population or even within a family in mitochondrial inheritance?
Heteroplasmy
This inherite disease is characterized by myopathy, lactic acidosis and CNS disease. In the muscle biopsy often shows ragged red fibers
Mitochondrial myopathies
Name examples of Autosomal dominant diseases
Autosomal domiant polycystic kidney disease
Familial adenomatous polyposis
Familial hypercholesterolemia
Hereditary Hemorrhagic telangiectasia
Hereditary spherocytosis
Huntington disease
Marfan syndrome
Multiple endocrine neoplasias (MEN)
Neurofibromatosis type 1 and 2
Tuberous sclerosis
von Hippel-Lindau disease
This autosomal dominant disease manifest always bilateral, massive enlargement of kidneys due to multiple large cysts
Autosomal domiant polycystic kidney disease
Which genes are mutated in Autosomal polycystic disease?
85% of cases PKD 1
15% of cases PKD 2
Which chromosomes are affected in PKD 1 and 2?
For PKD 1 is chromosome 16 and for PKD 2 is chromosome 4
In this autosomal dominant disease there is a mutation on chromosome 5 (APC gene)
Familial adenomatous polyposis
For the familial adenomatous polyposis when does the colon becomes covered with adenomatous polyps?
After the puberty
What is the common evolution of Familial adenomatous polyposis?
Progresses to colon cancer unless colon is resected
This is an inherited autosomal dominant disorder of blood vessels
Hereditary hemorragic Telangiectasia
What other name does Hereditary Hemorragic Telangiectasia has?
Osler Weber Rendu
Which are the common findings in Hereditary Hemorragic Telangiectasia?
Arteriovenous malformations (AVMs), GI bleeding, hematuria, telangiectasia, reccurent epistaxis, skin decolorations
Which kind of inheritance mode does the Hereditary spherocytosis follows?
Autosomal Dominant inheritance
Where is the defect in the Hereditary spherocytosis?
Spheroid erythrocytes due to spectrin or ankyrin defect
Which laboratory findings do we see in the hereditary spherocytosis?
Hemolytic anemia
Increase MCHC
This is the ideal treatment for hereditary spherocytosis
Splenectomy
Which chromosome is affected in Huntington disease?
chromosome 4
Which neurotransmitter levels are decreased in the brain in Huntington disease?
GABA and ACh
What are the common findings in Huntington disease?
depression
progressive dementia
choreiform movements
caudate atrophy
What is affected in Huntington disease?
Trinucloetide repeat disorder CAG
On what depends the age of onset in Huntington disease?
The more CAG repeats the younger the age of onset
What mode of inheritance is Huntington disease releated?
Autosomal Dominant disease
The main affectance in this autosomal dominant disease is the conective tissue
Marfan syndrome
Where is the gene mutation in Marfan syndrome?
Fibrilin 1 gene