Chromosomal Abnormalities Flashcards
Turner’s Syndrome
Monosomy X chromosome
Down Syndrome
trisomy 21; MR, palmar crease, decreased tone, heart defects, facial appearance
Trisomy 21 cause
nondisjunction during maternal gametogenesis (complete trisomy)
Causes of Triploidy
2 sperm fertilize 1 egg (60%), fertilization of diploid egg by 1 sperm (20%), and fertilization of 1 egg by diploid sperm (5%)
Causes of Tetraploidy
chromosomes duplicate but segregate only to 1 daughter cell
Molecular Basis of Down Syndrome
Overexpression of a Down Syndrome critical region - SOD1, COL6A1, ETS2, DYRK, APP
SOD1
overexpression causes accumulation of H2O2
COL6A1
overexpression may cause heart defects
ETS2
overexpression may cause hypotonia
DYRK
overexpression may cause mental retardation
APP
overexpression may cause early Alzheimer’s
Causes of Down Syndrome
- Nondisjunction of maternal gamete (95%)
- Robertsonian Translocation (4%)
- Mosaicism (1-2%)
Robertsonian Translocation
Short arm of 14 replaced with long arm of 21, creating a hybrid chromosome; gamete with (21 + t21:14) results in Down Syndrome following fertilization
Mosaicism
46-47 chromosomes, variable presentation
Somatic origin: mitotic nondisjunction of fertilized egg
Meiotic origin: 47 chromosomes in egg; Anaphase lag rescues the trisomy in some mitotically dividing cells, resulting in some cells with 46, some with 47
Patau Syndrome
Trisomy 13 - low survival rate; small head, cleft lip, clenched hands, poldacytly