Chromosomal Abnormalities Flashcards

1
Q

What is chromatin made of?

A

DNA, non-histone proteins, RNA, histones (H2A, H2B, H3 & H4 octamer - H1 stabilises octamer)

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2
Q

What are the different types of numerical chromosomal abnormalities?

A

Polyploidy, aneuploidy, monosomy and trisomy

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3
Q

What are the different types of structural chromosomal abnormalities?

A

Physical changes to one or more of the chromosomes - balanced or unbalanced.

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4
Q

In a karyotype how are the chromosomes aligned?

A

Largest to smallest from (1-22) with 23 at the end

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5
Q

How do you write out a karyotype formula?

A

Starts with total number of chromosomes on the cell, followed by a comma, then the X chromosomes and Y chromosomes. + or - indicates an extra/missing piece e.g. 6p- means missing a segment of the p-arm on chromosome 6

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6
Q

Why would you perform a karyotype?

A

Congenital abnormalities (prenatal screening, birth defects, abnormal sexual development, infertility, recurrent foetal loss), acquired abnormalities

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7
Q

How would prepare cells for a karyotype?

A

Procure cells, add phytohaemagglutin, culture, add colcemid, culture, brief digestion with trypsin, Giemsa stain.

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8
Q

What is the culturing time length for bone marrow?

A

0-1 day

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9
Q

What is the culturing time length for blood?

A

2-3 days

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10
Q

What is the culturing time length for solid tissue, amniotic fluid and chorion villus?

A

7-21 days

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11
Q

When is chromatin activated?

A

When it’s acetylated

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12
Q

When is chromatin inactive?

A

When it’s methylated

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13
Q

What is non-disjunction?

A

Creation of a gamete with a missing chromosome or containing both homologous chromosomes i.e. failure of chromosome pairs to separate properly

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14
Q

What causes aneuploidy?

A

Non-disjunction

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15
Q

How can non-disjunction arise?

A

Failure of homologous chromosomes to separate in meiosis I or failure of sister chromatids to separate during meiosis II

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16
Q

What are the possible autosomal trisomies in humans?

A

21, 18 & 13

17
Q

What is anaphase lag?

A

Chromosome which are left behind at cell division (due to defects in the spindle fibres)

18
Q

What are the three types of chromosomal structures in humans?

A

Meta-centric, sub-metacentric and acrocentric

19
Q

What are the types of mutations that occur in one chromosome?

A

Deletion, duplication, inversion, ring chromosome and isochromosome

20
Q

What are the types of mutations with two chromosomes?

A

Inversion, reciprocal translocation, robertsonian translocation

21
Q

Where is polyploidy common?

A

Human muscle and liver

22
Q

What is sex chromosome aneuploidy?

A

Only one X is active in human cells. Inactive forms - Barr bodies in periphery of cells

23
Q

What are the symptoms of Down syndrome?

A

Intellectual disability, congenital heart disease, haematological malignancies, hypothyroidism, infertility, eye disorders, hearing disorders

24
Q

What is the karyotype for Edwards syndrome?

A

(47,XX,+18) - modal life span of ~5-15 days

25
What is the karyotype for Patau syndrome?
(47,XY,+13) - polydactyly. >80% die in a year
26
What is the karyotype for Turner syndrome and what are the effects?
(45,X). Short, broad chest, low hairline, webbed neck, CNS problem, renal, infertility
27
What is the karyotype for Klinefelter and what are its effects?
(47,XYY) - after onset of puberty gynocomastia, language/reading impairment
28
What is the karyotype for Triple X and what are its effects?
(47,XXX). Two/three X chromosomes are activated - tall, microcephaly, delayed motor skills, speech and learning disabilities
29
What is Philadelphia chromosome?
Chronic myelogenous leukaemia (CML) - reciprocal translocation between 9 & 22