Chromosomal Abnormalities Flashcards
How do you prepare a karyotype? (7)
(Big White Polar bears Will Kill Some Guys
- Collect heparinised venous blood
- Isolate white cells
- Culture in phytohaemagglutinin —> T cell growth
- Wait 48 hrs
- Add colchicine —> mitotic arrest
- In hypotonic saline on slide
- Fix and stain (giemsa)
Big —> Blood
White —> White cells
Polar bears —> Phytohaemagglutinin
Will —> Wait
Kill —> Colchicine
Some —> Saline
Guys —> Giemsa
What is a karyotype?
Visual representation of a cell’s chromosomes in order
Which stain is used for karyotypes?
Giemsa
What is the telomere?
Ends of a chromosome —> repetitive DNA sequence
What is the centromere?
Centre of chromosome —> sister chromatids join
What is the p-arm?
Short arm (top arm)
What is the q-arm?
Long arm (bottom)
Why is gisema staining used for chromosomes?
Leaves banding pattern
- Light —> more stain —> euchromatin
- Dark —> less stain —> heterochromatin
What are G-dark regions of chromosomes?
Dark bands (heterochromatin)
What are G-light regions of chromosomes?
Light bands (euchromatin)
What are the 4 parts of a chromosome?
- 2 Telomeres
- Centromere
- P arm
- Q arm
How are bands numbered?
_ _ . _
1. Band
2. Sub-band
3. Sub-sub-band
- eg. 31.2 —> Band 3, sub-band 1, sub-sub-band 2
What do G-dark bands contain?
Heterchromatin
What do G-light bands contain?
Euchromatin
What is bphs?
Bands Per Haploid Set
What is the difference between heterochromatin and euchromatin?
- Hetero —> more compact, fewer genes
- Eu —> more open, more genes
When is a karyotype usually taken?
Prophase
What is the human genome project?
Research project that mapped and understood all human genes
What is whole genome sequencing?
Method to determine complete DNA sequence of an organism
When is whole genome sequencing done?
- Cancer patients
- Children with suspected abnormality
What does ‘pter’ mean in chromosome nomenclature?
End of p-arm (terminal)
What did whole genome sequencing lead to the discovery of?
50-60 New genetic diseases
What does ‘qter’ mean in chromosome nomenclature?
End of q-arm (terminal)
What does ‘cen’ mean in chromosome nomenclature?
Centromere
What does ‘del’ mean in chromosome nomenclature?
Deletion
What does ‘der’ mean in chromosome nomenclature?
Derivative chromosome (contains extra material)
What does ‘dup’ mean in chromosome nomenclature?
Duplication
What does ‘ins’ mean in chromosome nomenclature?
Insertion
What does ‘inv’ mean in chromosome nomenclature?
Inversion
What does ‘t’ mean in chromosome nomenclature?
Translocation
What does +/- before the chromosome number mean?
Gail/loss of whole chromosome
What does +/- after the chromosome number mean?
Gain/loss of part of the chromosome
What can giemsa staining detect?
Chromosomal abnormalities via karyotype
What are the 2 types of chromosomal abnormalities?
- Aneuploidy
- Structural abnormalities
What is aneuploidy?
Abnormal number of chromosomes
(more/less than 2 of a homologous pair —> more/less than 46)
What are the 2 types of aneuploidy?
- Monosomy —> 1
- Trisomy —> 3
What is trisomy?
Gained one extra copy of a particular chromosome (3)
What is monosomy?
Missing one copy of a particular chromosome (1)
What is the purpose of meiosis?
Reduction from diploid to haploid —> ensure genetic variation
How does meiosis create genetic variation? (3)
- Random assortment
- Crossing over
- Recombination
How does aneuploidy arise?
Non-disjunction
Which daughter cells are effected if non-disjuntion occurs in meiosis II?
Only 2
Which daughter cells are effected if non-disjuntion occurs in meiosis I?
All 4
What types of aneuploidy does non-disjunction always result in after fertilisation?
Monosomy or trisomy
What is the most common form of aneuploidy?
Sex chromosome aneuploidy
What is the prevalence of sex chromosome aneuploidy?
- 1/400 males
- 1/650 females
Why may X chromosome aneuploidy be tolerated?
X-inactivation of excess X chromosomes (only 1 active)
Why may Y chromosome aneuploidy be tolerated?
Low gene content of Y chromosome
What is the PAR of sex chromosomes?
Pseudo-autosomal region
- Influence non-sex traits eg. immune system
Why does sex chromosome aneuploidy still have some effect even when the extra chromosome is inactivated? (2)
PAR in X and Y needed
When does X chromosome aneuploidy cause an effect? (3)
- Division of odd number —> not tolerated
- Not all excess X chromosome inactive
What is an example of aneuploidy?
Trisomy 21
What does trisomy 21 cause?
Down’s Syndrome
What is the karyotype of individuals with trisomy 21?
47 + 21
How does trisomy 21 usually arise?
Maternal non-disjunction
What is maternal age effect?
Correlation between mother age and effects on offspring
What is the maternal age effect of trisomy 21?
Older mum —> more likely trisomy 21 child
What is oogenesis?
Development of ovum in ovaries
When is oogenesis completed?
Fertilisation
What are the 3 stages of oogenesis?
- Oogonium mitosis —> primary oocyte
- Baby in utero
- Paused in prophase I till puberty - Oocyte meiosis I —> secondary oocyte + polar body
- Oocyte meiosis II —> ovum + polar body
- Paused in metaphase II —> ovulation
- Completed if fertilised
Why does an increased maternal age increase the risk of trisomy 21 specifically?
Increased risk of maternal non-disjunction
How many mitotic divisions occur to primary spermatocytes per year?
23
What is the paternal age effect?
Correlation between father age and effects on offspring
Why does an increased maternal age increase the risk of some gene disorders?
Degradation of factors holding homologous chromatids together over time —> chromatids don’t align at mitotic equator
What do egg and sperm cells start as?
- Egg - oogonium —> oocyte
- Sperm - spermatogonial stem cells —> spermatocyte
What are the products of the 2 divisions of a primary oocyte?
Ovum + 3 polar bodies
Is there a paternal effect on aneuploidy?
No
Which disorders have a paternal age effect?
Single gene disorders
What are 3 examples of gene disorders with paternal age effect?
- RET
- FGFR2
- FGFR3
Which 3 gene mutations have a paternal age effect?
- Pfeiffer
- Apert
- Crouzon
What enhances the paternal age effect?
Selfish spermatogonial selection
What does selfish spermatogonial selection refer to?
Certain mutations have a selective advantage to the spermatogonial stem cells
What is a paternal risk factor for aneuploidy?
Smoking
What proportion of still births and spontaneous abortions are a result of aneuploidy?
- 5% of still births
- 50% of spontaneous abortions
How prevalent is aneuploidy?
5% of all pregnancies
When can trisomy of any chromosome be detected?
Prenatally
Why does trisomy often lead to still births or spontaneous abortions?
Most not compatible with life
Which 3 trisomies are compatible with life?
- 21
- 18
- 13
Is aneuploidy usually compatible with life?
No
What is genetic mosaicism?
Presence of populations of cells with 2 or more different genotypes
What proportion of the population is thought to have genetic mosaicism?
100% —> everyone
What are the 2 causes of genetic mosaicism?
- Non-disjuncture in early development
- Loss of extra chromosome in early development
What can mosaicism in aneuploidy lead to?
Lethal aneuploidy becoming survivable
- eg. Trisomy 8 or 9
What are the most common genetic mosaics?
45, X
When does crossing over occur?
Prophase I of meiosis
What are the 2 stages of crossing over?
- Pairs of chromosomes align
- Chiasma forms —> cross over
How many times does crossing over occur per chromosome per meiosis?
1-3
What does crossing over increase?
Genetic diversity
What is a chiasma?
Location of chromatids crossing over
When does crossing over lead to genetic abnormalities?
Unequal crossover (chromatids misalign —> chromosome with duplication and deletion)
What are the 3 results of unequal cross over?
- Duplication
- Deletion
- Inversion
What is chromosome deletion?
Part of a chromosome is missing or deleted
What is chromosome duplication?
Portion of a chromosome is copied —> extra genetic material
What is the most common result of unequal cross over?
Paracentric inversion
What is chromosome paracentric inversion?
Rearrangement of chromosomal segments in one same arm (doesn’t include centromere)
What does paracentric inversion lead to? (2)
- Usually unaffected carriers (may have reproductive problems)
- Children with deletions/insertions
How can structural chromosomal abnormalities of carriers impact their offspring?
Partial trisomy or monosomy
How can paramentric inversion influence cancer?
t(9;22)(q34;q11) in Philadelphia chromosome
Are most structural chromosomal abnormalities inherited?
No - most de novo
How can chromosomal deletions be detected?
Microscope
- Microdeletion —> v. high resolution banding
What are 2 examples of chromosomal deletion disorders?
- Cri-du-chats syndrome - 46,del(5p)
- Williams syndrome
What type of disorder is Cri-du-chat syndrome?
Chromosomal deletion
What is the karyotype of Cr-du-chat syndrome?
46,del(5p)
What is an example of a chromosomal microdeletion disorder?
DiGeorge syndrome
What type of disorder is DiGeorge syndrome?
Chromosomal microdeletion
What is the karyotype of DiGeorge syndrome?
22q11.2 del
What type of disorder is Williams syndrome?
Chromosomal deletion
What are the 5 symptoms of Williams syndrome?
- Long philtrum
- Short, upturned nose
- Arched eyebrows
- Supravalvular aortic stenosis
- Cocktail party personality (no social anxiety)
What is Williams syndrome genetically?
7q11.23 deletion
How is Williams syndrome detected and why?
FISH (fluorescent in situ hybridisation) —> detects lack of elastin
- Deletion too small
What are the 6 symptoms of 7q11.23 duplication syndrome?
- Broad nose
- Short philtrum
- Flat eyebrows
- Aortic dilation
- Autistic behaviours
- Delayed speech development
Do duplications or deletions of the same chromosome have a milder phenotype?
Duplications —> less effect
What is Robertsonian translocation?
Translocation in acrocentric chromosomes resulting in a single chromosome with 2 q arms
What are the 3 classes of chromosomes?
- Metacentric —> p=q
- Submetacentric —> p<q
- Acrocentric —> no p
Which class of chromosomes can undergo Robertsonian translocation?
Acrocentric
Which 5 chromosomes are acrocentric?
13, 14, 15, 21, 23
What are the 3 most common Robertsonian translocations?
- 13 and 14 join
- 14 and 15 join
- 14 and 21 join (think multiple of 7)
What is usually the effect of Robertsonian translocations and why?
No effects
- No genetic material lost
What does chromosomal balance refer to?
Whether the genetic material in a chromosome in correct proportions
- Unbalanced —> genetic abnormalities
What does ‘rob’ mean in chromosome nomenclature?
Robertsonian translocation