Block 6 Flashcards
Cytogenetics
The study of chromosomes, their structure, and inheritance
Centromere
Primary constriction of a metaphase chromosome where the kinetochore forms
Acrocentric
Centromere is located at either end of the chromosome
Sub-metacentric
Centromere is located closer to one end of the chromosome than the other
Metacentric
Centromere is located in the middle of the chromosome
Telomeres
Chromosome caps located at both ends of sub or metacentric chromosomes and one end of acrocentric chromosomes
Subtelomeric regions
Gene-rich regions located just above the telomere
Chromosome arm
Region(s) of the chromosome adjacent to the centromere
p arm
Smaller chromosome arm
a arm
Longer chromosome arm
Which tissues can be used for chromosome analysis?
Chromosome analysis requires dividing cells such as lymphocytes from peripheral/cord blood or bone marrow or fibroblasts from solid tissue biopsies, amniotic fluid, or chorionic villi
What is the procedure for chromosome analyses?
Obtain sample, culture and harvest cells, make a band, scan slides for metaphase cells, then analyze, capture, and karyotype the cells
Cytogenetic nomenclature
chromosomes, sex chromosomes, and +/- chromosome if an abnormality is present
Aneuploidy
Having a number of chromosomes not equal to a haploid number
Polyploidy
Having an abnormal number of chromosomes equal to a multiple of the haploid number, ie having an extra set(s) of chromosomes such as triploidy or tretraploidy
How does triploidy happen?
Dispermy or dygyny
Disermy
Fertilization of an egg by 2 sperm
Dygyny
Fertilization of disomic egg (n=46) by 1 normal sperm
Diandry
2 paternally-derived sets of chromosomes that results in a large placenta (often a partial hydatidiform mole) and a small fetus
How does dygyny happen?
Usually from a complete meiosis I or II error or retention of a polar body
Mosaicism
Presence of 2 or more cell lines in an individual or tissue sample
Meiosis in females
Oogonia begin division in week 12 and proceed through prophase I until the diplotene stage (~ week 12) and remain in a stage called dichytene until ovulation
Meiosis I errors
Occur during homolog pairing if both maternal and paternal chromosomes migrate to the same (instead of opposite) poles and then split as per usual; results in 2 disomic gametes and 2 nullisomic gametes (ie there will be 2 or 0 of a certain chromosome in each egg)
Meiosis II errors
Maternal and paternal chromosomes separate as expected but then the sister chromatids fails to separate so you get 1 disomic gamete,1 nullisomic gamete, and 2 normal gametes
Down syndrome
Trisomy 21; most common autosomal trisomy among liveborns
How does trisomy 21 occur?
Most cases are d/t errors in maternal meiosis (MI I more so than MI II) and the remaining result from paternal meiosis errors, mitotic errors (mosaicism), or Robertsonian chromosomal translocation (~5%)
Mosaic down syndrome
Down syndrome w/ the presence of a normal cell line in addition to the trisomy 21 line; the frequency of abnormal cells does not predict the severity of the phenotype
Translocation down syndrome
Functional trisomy 21 d/t presence of an extra portion of chromosome 21 attached to chromosome 14; results from an unbalanced Robertsonian translocation involving chromosome 21
Edward’s syndrome
Trisomy 18 characterized by prominent occiput, heart defects, low-set ears, rocker-bottom feet, and characteristic fist clenching; high infant mortality rate
Patau syndrome
Trisomy 13 characterized by growth retardation, midline defects, micropthalmia, polydactyly; rarer and more severe than trisomy 21 or 18
Turner syndrome
Monosomy X (45,X) is very rare and characterized by short stature, broad chest, cubitus vulgus, short webbed neck, congenital lymphedema of hands and feet, sensory motor integration dysfunction, streak ovaries; some cases involve mosaic or have 1 abnormal X chromosome
Klinefelter syndrome
(47, XXY); relatively common sex chromosome aneuploidy in males causing short stature and long legs, delayed puberty, infertility, small testes, tubular hyanalization, gynecomastia, menetal retardation