CHAPTER VI: A. GENETIC DISORDERS; B. CYTOGENETIC DISORDERS Flashcards
Associated defects of Mendelian Disorders
- Marfan Syndrome
- Ehlers-Danlos Syndrome
Associated with defects in receptor proteins
- Familial Hypercholesterolemia (FH)
Associated with defects in enzymes
- Lysosomal Storage Diseases
- Tay-Sachs Disease
- Niemann-Pick Disease
- Gaucher’s Disease
- Mucopolysaccharidoses
- Glycogen Storage Diseases
- Alkaptonuria
Associated with defects in proteins that regulate cell growth
- Neurofibromatosis
- Triplet Repeat Mutation Fragile X Syndrome
- Neurofibromatosis
a) Multifactorial
b) Single Gene Disorders with non-classic inheritance
CYTOGENETIC DISORDERS
a) Involving autosomes
b) Involving sex chromosomes
c) Mutations in Mitochondrial genes
a) Involving autosomes
Trisomy 21
Trisomy 18
Trisomy 13
Cri-du-Chat
b) Involving sex chromosomes
Klinefelter’s Syndrome
XYY Syndrome
Turner’s Syndrome
Hermaphroditism
Pseudohermaphroditism
c) Mutations in Mitochondrial genes
Leber’s Hereditary Optic Neuropathy
Prader-Willi Syndrome
Angelman’s Syndrome
Genomic Imprinting
Leber’s Hereditary Optic Neuropathy
is a disease caused in whole or in part by a change in the DNA sequence away from the normal sequence.
Genetic disorder
mutation in one gene
monogenic disorder
mutations in multiple genes
multifactorial inheritance disorder
disease caused by a combination of gene mutations and [?]
environmental factors
disease caused by damage to chromosomes
changes in the number or structure of entire chromosomes, the structures that carry genes
It is one of the most common inherited disorders of connective tissue.
Marfan Syndrome
Autosomal dominant condition
Marfan Syndrome
Cause: mutation in the FBN1 gene
Marfan Syndrome
are associated with a broad continuum of physical features ranging from isolated features to a severe and rapidly progressive form in newborns.
FBN1 mutations
Marfan Syndrome Symptoms
Bones
Heart
Lungs
Eyes
Ehlers-Danlos Syndrome Signs and Symptoms
Musculoskeletal
Skin
Cardiovascular
Vascular skin conditions
Orthostatic intolerance, Dilation and/or rupture of ascending aorta, Cystic medial necrosis, Varicose veins
Ehlers-Danlos Syndrome Other Signs and Symptoms
Orthostatic intolerance, Dilation and/or rupture of ascending aorta, Cystic medial necrosis, Varicose veins
Hyper-flexible joints
Musculoskeletal
Unstable joints that are prone to sprain, dislocation, subluxation and hyperextension
Musculoskeletal
osteoarthritis
Musculoskeletal
Chronic degenerative joint disease
Musculoskeletal
Swan neck deformity of the fingers
Musculoskeletal
Muscle fatigue that increases with use
Musculoskeletal
hypotonia in infancy
Musculoskeletal
Osteopenia
Musculoskeletal
Stretchy ligaments and tendons
Musculoskeletal
Tearing of tendons or muscles
Musculoskeletal
Deformities of the spine
Musculoskeletal
Myalgia and arthralgia
Musculoskeletal
Stretchy skin with a velvety texture
Skin
Fragile skin
Skin
Easy bruising
Skin
Abnormal wound healing and scar formation
Skin
Redundant skin folds
Skin
Molluscoid pseudotumors
Skin
Subcutaneous spheroids
Skin
Fatty growths on forearms or shins
Skin
Angioplasia
Skin
Fragile blood vessels
Cardiovascular
Life-threatening carotid-cavernous fistula
Cardiovascular
Unpredictable rupture of medium-sized arteries
Cardiovascular
Valvular heart disease
Cardiovascular
Raynaud’s phenomenon
Vascular skin conditions
Livedo reticularis
Vascular skin conditions
Autosomal dominant
Classical 1 and 2
Vascular 4
Dominant/Recessive
Hypermobility 3
Tenascin- X def.
Hypermobility 3
Type 3 collagen
Vascular 4
Autosomal recessive
Kyphoscoliosis 6
Arthrochalasis 7A and 7B
Type 1 collagen
Arthrochalasis 7A and 7B
Lysyl hydroxylase def.
Kyphoscoliosis 6
COL5A1
Classical 1 and 2
COL5A2
Classical 1 and 2
COL1A1
Classical 1 and 2
Arthrochalasis 7A and 7B
COL3A1
Hypermobility 3
Vascular 4
TNX B
Hypermobility 3
PLOD1
Kyphoscoliosis 6
COL1A1
Arthrochalasis 7A and 7B
ADAMTS2
Dermatosparaxis C
abnormally longer than normal
Bones
dolichostenomelia
Bones
arachnodactyly
Bones
scoliosis
Bones
pectus excavatum
Bones
pectus carinatum
Bones
high palate
Bones
malocclusions
Bones
angina pectoris
Heart
tachycardia
Heart
cystic medial degeneration
Heart
aortic dissection
Heart
heart murmur
Heart
risk of spontaneous pneumothorax
Lungs
emphysema
Lungs
COPD
Lungs
collapsed lung
Lungs
sleep apnea
Lungs
myopia or hyperopia
Eyes
astigmatism
Eyes
glaucoma
Eyes
cataract
Eyes
detachment or tear in the retina
Eyes
An inherited condition that causes high levels of LDL cholesterol levels beginning at birth, and heart attacks at an early age.
Familial Hypercholesterolemia (FH)
It is caused by a defect on chromosome 19
Familial Hypercholesterolemia (FH)
The defect makes the body unable to remove low density lipoprotein from the blood.
Familial Hypercholesterolemia (FH)
This results in a high level of LDL in the blood
Familial Hypercholesterolemia (FH)
Familial Hypercholesterolemia (FH) Other names:
o Type II hyperlipoproteinemia;
o Hypercholesterolemic xanthomatosis;
o Low density lipoprotein receptor mutation
Fatty skin deposits over parts of the hands, elbows, knees, ankles and around the cornea of the eye
Familial Hypercholesterolemia (FH)
Fatty skin deposits
xanthomas
Cholesterol deposits in the eyelids
(xanthelasmas)
A physical exam may show fatty skin growths called xanthomas and cholesterol deposits in the eye.
Familial Hypercholesterolemia (FH)
cholesterol deposits in the eye
corneal arcus
A. Lateral borders of thickened [?] are shown with arrows.
Achilles’ tendons
B: can also occur in the extensor tendons of the hands (shown), feet, elbows and knees.
Tendinous xanthomas
C: are cholesterol deposits in the eyelids.
Xanthelasmas
D: results from cholesterol infiltration around the corneal rim.
Arcus cornealis
Lysosomal Storage Diseases
- Tay-Sachs Disease
- Niemann-Pick Disease
- Gaucher’s Disease
- Mucopolysaccharidoses
- Glycogen Storage Diseases
- Alkaptonuria
The disease is named for Warren Tay, a British ophthalmologist who in 1881 described a patient with a cherry-red spot on the retina of the eye.
Tay-Sachs Disease
Life-threatening disease of the nervous system passed down through families.
Tay-Sachs Disease
occurs when the body lacks hexosaminidase A
Tay-Sachs Disease
caused by a defective gene on chromosome 15
Tay-Sachs Disease
When both parents carry the defective gene, a child has a 25% chance of developing the disease.
Tay-Sachs Disease
The child must receive two copies of the defective gene, one from each parent, in order to become sick
Tay-Sachs Disease
The disease is most common among the Ashkenazi
Tay-Sachs Disease
Jewish population.
Tay-Sachs Disease