Block 1 Genetics Flashcards
Lifetime frequency of genetic disorders, rate of chromosomal abnormality -> spont abortion, newborns with gross chr abn, % from 1-25 with genetic comp disease
Life: 670/1000
Spont: 50%
Gross: 1%
Gen comp: 5%
Variable penetrance
Gene doesn’t penetrate all the way to phenotype
Anticipation
Gets worse with each generation; ex: FRAX, HD, myotonic dystrophy
Polymorphisms
Gene with at least 2 alleles tin at least 1% population, each with modest effect and low penetrance
Down Syndrome
1/700
Flat, epicanthal folds, Simian crease, nuchal skin, congenital heart VSD, leukemia, TB, pneumonia, AD
Robertsonian translocation
14q21q chromosome, can cause trisomy 21
Down syndrome and AD?
Critical gene region for AD on chromosome 21
Genes important in Down Syndrome
DYRK1A (heart, brain), P Tau protein
DSCR1 - synapse malfunction
Both = regulate TF NFATc -> CNS development
Down Syndrome & green tea
EGCG in green tea –| DYRK1A
Down Syndrome & tumors
DSCR1 -> protein –| VEGF
Upregulated DYRK1A + DSCR1 –| tumor angiogenesis
Marfan syndrome
AD; increased height, ectopia lentis, double-jointed, arachnodactyly, aorta ruptures ~30
Due to fibrillin-1 defect (elastin scaffolding)
Ehlers-Danlos syndrome
Collagen problem, commonly AD, wound repair problems
Type 4: colon blows at 16 - type 3 procollagen *vascular
Type 6: most common, cornea slides off - lysyl hydroxylase
Type 10: copper
Familial hypercholesterolemia
AD; LDL-R defect -> atherosclerosis, elbow & eyelid lipoma; 1/500 heterozygotes in population
Cystic fibrosis
AR; 3-base deletion df508 –> CFTR; cystic and fibrotic pancreas -> malnutrition, steatorrhea, lung infections; meconium plug at birth, male infertility
Tay-Sachs disease
AR; HEX-A (chr 15), GM2 gangliosides; ~1 year, mental, physical degeneration -> 2,3 YOA. Cherry red spot on macula
Sandhoff disease
AR; HEX-B (chr 5) gene codes for protein essential to HEX-A,B, death by age 3
Niemann-Pick disease
AR; NPC1,2, SMPD1 genes -> sphingomyelinase
Neurons, liver, spleen, bone marrow, others; “onion-skin” myelin bodies on EM, cherry red spot