Chapter 11: Principles of Molecular Disease: Lessons from the Hemoglobinopathies Flashcards

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1
Q

type of mutation due to nucleotide substitutions, deletions, insertions, or rearrangements

A

loss of function mutations

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2
Q

due to deletions a-globin genes

A

alpha-thalassemias

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3
Q

due to a reduction in the abundance of b-globin

A

beta-thalassemias

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4
Q

missense mutation which locks hemoglobin in its high oxygen affinity state (gain of function mutation)

A

Hemoglobin Kempsey

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5
Q

novel property mutation due to amino acid substitution

A

sickle cell

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6
Q

the yellow breakdown product of normal heme

A

bilirubin

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7
Q

a blood disorder caused by a genetically determined change in the molecular structure of hemoglobin

A

hemoglobinopathy

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8
Q

What do mutations in the coding region result in?

A

structurally abnormal proteins that have a loss or gain of function or a novel property that causes disease

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9
Q

What do mutations on noncoding regions result in (2)?

A

mutations that alter the stability or splicing of the mRNA or mutations that disrupt regulatory elements or change gene dosage

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10
Q

What do mutations in regulatory elements result in?

A

they alter the abundance of mRNA or the time or cell type which the gene is expressed

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11
Q

What do mutations in the coding region or regulatory domains result in?

A

a decrease in the amount of the protein produced

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12
Q

α and α-like chains-genes are clustered on what chromosome?

A

16

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13
Q

β and β-like chains-genes are on what chromosome?

A

11

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14
Q

How many β-globin genes are in the diploid genome?

A

2

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15
Q

How many α-globin genes are in the diploid genome?

A

4

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16
Q

Which type of globin gene has prenatal consequences, α or β?

A

α - it is seen in fetal and postnatal life; β has no prenatal consequnces

17
Q

What are the two most conserved amino acids?

A

His92 and Phe42

18
Q

What is the percentage of HbF in adults?

A

1%

19
Q

What is the percentage of HbA2 in adults?

A

2%

20
Q

What is required for expression of all genes in the β-globin cluster?

A

LCR

21
Q

Which is an embryonic α-like globin?

A

zeta-globin

22
Q

When is onset of β-thalassemia apparent?

A

2-6 months after birth