Cells and Genes Flashcards

1
Q

What is Lyonisation?

A

The process of X-inactivation.
Females transcriptionally silence one of their two Xs. The inactivated X chromosome, then condenses into a compact structure called a Barr body, which is maintained in a silent state.

The process of X-inactivation is random. There is no preference for the inactivation of paternal or maternal X chromosomes. It occurs very early in embryogenesis, soon after the fertilization of the egg by the sperm.
It occurs in all somatic cells of women.

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2
Q

Name the three types of aneuploidy that survive birth

A
  1. Trisomy 21 (Down’s syndrome) - 1 in 800 births
  2. Trisomy 18 (Edwards syndrome) - 1 in 6000 births
  3. Trisomy 13 ( Patau syndrome) - 1 in 10000 births
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3
Q

What are the features of Kleinfelter’s syndrome (XXY)?

A

Considerable variability. Many remain undiagnosed.
May have low testosterone, infertility (most but not all), speech and language issues and intellectual disability. More likely to be timid and unassertive (but usually no major issues with social interaction). Issues become more evident in puberty. Tend to be tall with long legs and small testes. Behavioural issues are not uncommon.

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4
Q

What are the features of XYY syndrome?

A

Considerable variability. Many remain undiagnosed.
Intellectual disability is not the norm but some degree of speech and language / educational issue is not uncommon. May be taller than expected. Normal sexual development and fertility is expected (although infertility can occur). Low set ears are associated.

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5
Q

What are the features of triple X syndrome?

A

Considerable variability, Many remain undiagnosed.
May have no features. May appear taller than average. Often global developmental delay and intellectual disability. Most have normal sexual development and can conceive children.

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6
Q

What are the features of Turner syndrome (X monosomy)?

A

Varies widely, short stature (usually apparent by age 5), webbed neck, widely spaced nipples. Absent periods and incomplete breast development are common. Most affected are infertile (although assisted reproduction is an option). Intelligence tends to be normal although rates of intellectual disability are increased.

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7
Q

What are the features of Edwards syndrome (trisomy 18)?

A

Severe intellectual disability, babies often die soon after birth. Kidney malformations, upturned nose, webbing of second and third toes, and clubbed feet (rocker bottom).

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8
Q

What are the features of Patau syndrome (Trisomy 13)?

A

Severe intellectual disability, babies often die soon after birth. Most have congenital heart malformations, anophthalmia and a cleft palate.

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9
Q

What conditions are related to 22q11 Deletion Syndrome?

A

DiGeorge Syndrome/Velocardiofacial Syndrome

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10
Q

Which condition is caused by a deletion in the short arm of chromosome 5?

A

Cri-du-chat syndrome

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11
Q

Which condition is caused by a deletion in the long arm of chromosome 15?

A

Prada-Willi syndrome (paternal microdeletion) and Angelman syndrome (maternal microdeletion)

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12
Q

Autism spectrum disorder is associated with abnormalities in which chromosome?

A

Chromosome 2, 7, 16, 19

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13
Q

What are the features of Angelman (Happy puppet) syndrome?

A

15q11 maternal origin
Flapping hand movements (uplifted, flexed arms when walking), ataxia, pronounced verbal delay (compared to comprehension), severe to profound learning disability, seizures and sleep problems

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14
Q

What are the features of Prada-Willi syndrome?

A

15q11 paternal origin
Hyperphagia, excessive weight gain, short stature, frequent skin picking, mild learning disability, small gonads, and hypotonia

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15
Q

What are the features of Cri du chat?

A

5p deletion
Characteristic cry like a meowing kitten, hypotonia, hypertelorism, a down-turned mouth, and microcephaly

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16
Q

What are the features of Velocardiofacial (Di George) syndrome?

A

22q (deletion)
Cleft palate, cardiac problems, and learning disabilities. A higher rate of psychiatric disorders is also seen

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17
Q

What are the features of Lesch-Nyhan syndrome?

A

Xq26-27
Self mutilation, dystonia and writhing movements

18
Q

What are the features of Smith-Magenis syndrome?

A

17p11
Pronounced self injurious behaviour, self hugging, and a hoarse voice

19
Q

What are the features of Fragile X?

A

Elongated face, large ears, large testicles, hand flapping, shyness, and little eye contact

20
Q

What are the features of Wolf Hirschhorn syndrome?

A

4p
Mild to severe intellectual disability (majority are severe), severe growth delay, microcephaly, seizures, down turned fishlike mouth, Greek warrior helmet face, and cleft lip

21
Q

What are the features of Rett syndrome?

A

Normal for the first 12 months. Regression and loss of skills from around 18 months onwards. Hand-wringing movements are the most common feature. Associated learning disability is profound. Affects girls almost exclusively

22
Q

What are the features of Williams syndrome?

A

7q11 deletion
Elfin like features, social disinhibition, and abnormal friendliness towards strangers. Very sensitive hearing is also seen. Advanced verbal skills, speech is articulate but superficial (referred to as cocktail party speech). Cardiac issues (most common being supravalvular Aortic Stenosis).

23
Q

What is the role of astrocytes?

A

A type of macroglia that provide structural and metabolic support to neurons, ensuring that synapses function properly.
- Nutrient supply
- Neurotransmitter recycling
- Blood brain barrier support
- Homeostasis

24
Q

What are the two main types of astrocytes?

A

Protoplasmic Astrocytes: Found in grey matter, they interact extensively with synapses and support neuronal function.

Fibrous Astrocytes: Predominant in white matter, they contribute to structural integrity and repair.

25
What is the role of oligodendrocytes?
A type of macroglia responsible for the production of myelin sheaths in the CNS. Each oligodendrocyte extends multiple processes that wrap around the axons of neurons, creating insulating layers of myelin. This myelination is critical for: - Signal Conduction - Protection - White Matter Appearance Oligodendrocytes differ from Schwann cells, which perform a similar function in the peripheral nervous system, as a single oligodendrocyte can myelinate multiple axons.
26
What are the roles of ependymal cells?
A type of macroglia that form the lining of the brain's ventricular system and the central canal of the spinal cord. They are ciliated and play a key role in CSF dynamics: - CSF Circulation - Fluid Homeostasis: regulate the movement of water, ions, and solutes between the brain tissue and CSF Specialised Ependymal Cells: The choroid plexus, composed of modified ependymal cells, is the primary site of CSF production. These cells secrete CSF, which cushions the brain, removes waste, and provides nutrients.
27
What is the role of microglia?
Immune cells of the CNS, functioning as the brain's primary line of defence against pathogens and injury. - Phagocytosis - Immune surveillance - Synaptic pruning
28
What are the two purines found in nucleotides?
Adenine and Guanine Both have a double ring structure
29
What are the three pyrimidines found in nucleotides?
Cytosine, Thymine (found in DNA only) and Uracil (found in RNA only) Single ring structures
30
What are the 3 genes of importance in Early Onset (familial( Alzheimers?
- Amyloid precursor protein (APP) - Chromosome 21 - Presenilin one (PSEN-1) - Chromosome 14 - Presenilin two (PSEN-2) - Chromosome 1
31
What is the only gene that has been identified for late onset Alzheimers cases?
APOE (Apolipoprotein E) - Chromosome 19
32
What are the 3 alleles of APOE in late onset Alzheimers?
APOE2 - protective APOE3 - neutral APOE4 - increases risk
33
34
How does SORL1 gene (chromosome 11) variants or mutations contribute to risk of Alzheimers?
Increased production of amyloid-beta due to dysfunction of its usual role of trafficking and processing of the APP
35
What is the Hardy-Weinberg principle?
A genetic principle that explains how allele frequencies can remain constant under specific conditions: - Large population size - No new mutations occur - No gene flow e.g. migration - Random mating - Differences in genotype do not confer disparate survival or reproductive success i.e. no natural selection occurs
36
Which chromosome is affected in Huntington's disease?
The short arm of chromosome 4. It is a trinucleotode repeat disorder.
37
What is a mutation that changes a codon that codes for an amino acid into a stop codon?
Nonsense
38
What is a mutation in which a new nucleotide alters the codon so as to produce an altered amino acid in the protein product?
Missense
39
What is a deletion of a number of nucleotides that shifts the sequence resulting in a completely different translation than the original?
Frameshift
40
What are the psychiatric features of Fragile X syndrome?
Features of autism ADHD Anxiety Aggression