Birth Defects Flashcards
What is synpolydactyly?
extra digits that are fused with other digits
What are two types of txn factors?
specific and unspecific
The HOX family of genes is important for what?
patterning along the anterior-posterior border
What are the late HOX genes, 11 to 13, involved in?
development of the distal pole of the limbs
What is a morphogen?
substance secreted by cells in one part of the embryo
Where is Shh secreted from?
notochord and floor plate of neural tube
A defect in Shh secretion leads to what?
midline defects
What developmental protein must interact with cholesterol to function?
Shh
What disease features an impairment of Shh function due to a defect in cholesterol biosynthesis?
Smith-Lemli-Opitz Syndrome
What two genes are involved in detecting fluid flow in the developing kidney?
polycystin 1 and polycystin2
What do defects in polycystin 1 and 2 cause? What disease develops?
patient to not polarize cells and cysts to develop
polycystic kidney disease types 1 and 2
Where does development of the CNS begin from?
neural tube
What gene interferes with migration of neural cells?
LIS1
What condition results from defects in the LIS1 gene?
lissencephaly
What is true hermaphroditism?
patient has both testes and ovarian tissue
What is pseudohermaphroditism?
pts have either testes or ovarian tissue but the phenotype does not represent the sex
Where is the testes determining factor located?
SDR of the Y chromosome (SRY)
What happes if SRY is deleted on the Y chromosome?
female with XY karyotype
What happes if SRY is translocated to the X-chromosome?
the embryo develops into a male with an XX karyotype
What are female pseudohermaphrodites?
normal ovaries but ambiguous or male genitalia
What is the most common cause for female pseudohermaphroditism?
congenital adrenal hyperplasia
CAH often involves a defect in what enzyme?
21-hydroxylase
What does a defect in 21-hydroxylase result in?
block in cortisol synthesis with intermediates being shunted into androgen synthesis pathways
Where/when do specific txn factors function?
specific cells at specific times
HOX 11-13 are involved in what?
development of the distal pole of the limbs