Chromosomal Abnormalities Flashcards

0
Q

What is a karyotype?

A

Picture of the systematic assortment of the complete set of chromosomes of an individual

Chromosomes grouped by size and centromere location

note: humans have no telocentric chromosomes

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1
Q

How are chromosomes stained?

A

1) Obtain a dividing source of cells e.g. blood, amniotic fluid
2) Halt at metaphase
3) Giesma stain (stains phosphate groups of A-T pairs)
4) Light microscopy (show G-banding)

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2
Q

What is polyploidy? What can cause it?

A

Multiple of haploid chromosome no. greater than the diploid no.
e.g. 3n (triploidy)

Polyspermy = fertilisation of egg by more than one sperm

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3
Q

What is aneuploidy? What can it be caused by?

A

Abnormal no. of chromosomes which is not a multiple of the haploid no.

  • MONOSOMY = loss of one homologous chromosome
  • TRISOMY = gain of one homologous chromosome

Caused by non-disjunction

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4
Q

What is non-disjunction?

A

Failure of sister chromatids (mitosis) or homologous chromosomes (meiosis) to separate, leading to daughter cells with an abnormal no. of chromosomes

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5
Q

What is the difference between mosaicism and chimerism?

A

Mosaicism = two populations of cells with different karyotypes in one individual that have emerged from one zygote

Chimerism = two populations of cells with different karyotypes in one individual that have emerged from more than one zygote

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6
Q

What is anaphase lag?

A

Delayed movement in anaphase due to defects in spindle function or attachment to chromosomes, which often leads to the entire loss of a chromosome.

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7
Q

What are three examples of trisomies?

A

Down’s (trisomy 21)
Edward’s (trisomy 18)
Patau’s (trisomy 13)

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8
Q

Describe some of the signs and symptoms of Down’s syndrome.

A
Mild/moderate intellectual disability 
Congenital heart disease 
Constipation (GI lacks nerves) 
Infertility (males)/ reduced fertility (females) 
Simian crease in hands 
Epicanthial fold 
etc.
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9
Q

What are some examples of sex chromosome aneuploidies?

A

Females:
Turner’s syndrome (X)
Triple X syndrome (XXX)

Males:
Klinefelter’s syndrome (XXY)
XYY syndrome

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10
Q

What are Barr bodies?

A

Condensed X chromosomes found at cell periphery - inactivated (lyonisation)

Only one X chromosome active in any human cell

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11
Q

Describe the signs and symptoms of Turner’s syndrome.

A

Female (XO)

Short stature 
Broad chest 
Low-set ears
Webbed neck 
Infertility & amenorrhoea 
No mental retardation 
etc.
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12
Q

Why does Turner’s syndrome cause problems although males only have one X chromosome?

A

Both the X and Y chromosomes have pseudo-autosomal regions as well as sex-related genes

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13
Q

Describe the signs and symptoms of Triple X syndrome.

A

Female (XXX)

Tall stature 
Microcephaly (small head) 
Delayed motor skills + speech and learning disabilities 
Scoliosis 
Auditory processing defects
etc.
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14
Q

Describe the signs and symptoms of Klinefelter’s syndrome. What is the treatment?

A

Male (XXY)

Reduced testosterone
Gynaecomastia (note: increased breast tissue, not increased adipose tissue)
Language learning and reading impairment
etc.

Treatment: hormone replacement & surgery

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15
Q

Describe the signs and symptoms of XYY syndrome.

A

Male (XYY)

Phenotype essentially normal
Normal testosterone and fertility
Slightly lower IQ
Taller than average

16
Q

Give some examples of causes of structural abnormalities of chromosomes.

A
  • translocation e.g. Robertsonian
  • terminal/interstitial deletion (unbalanced -> use FISH to detect)
  • inversion
  • duplication (unbalanced?)
  • ring chromosome
  • isochromosome
17
Q

Give an example of diseases caused by translocations.

A

Robertsonian = Down’s syndrome 47,X?, t(14q;21q)

Translocation of Philadelphia chromosome = chronic myelogenous leukaemia (oncogenic fusion protein)

18
Q

What is translocation?

A

Breakage and reformation of chromosomes such that DNA is exchanged between chromosomes

Balanced = no functional "loss" of DNA 
Unbalanced = loss of DNA
19
Q

How can you increase the resolution of banding of chromosomes when using staining techniques?

A

multicolour FISH (mFISH)

multicolour banding (mBAND)

Fluorescent band/chromosome-specific probes are hybridised to chromosomes and the images analysed by a computer

20
Q

What is the difference between the products of meiosis when non-disjunction occurs in meiosis I or meiosis II?

A

Meiosis I = 2 x trisomic & 2 x monosomic

Meiosis II = 2 x normal & 1 trisomic & 1 monosomic