Chromosomal Abnormalities Flashcards

1
Q

What is metaphase?

A
  • Chromosomes are condensed and can be karyotyped during metaphase
  • Each chromosome comprises two chromatids at this point
  • 4n prior to cell division
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2
Q

How is DNA compacted?

A

Chromatin
•Its not just about fitting a lot of DNA into the cell
•Proteins bound to the chromatin affect its regulation
•The 3D genome is important

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3
Q

What is G banded architecture?

A

Ideogram
•Chromosomes have some common structural features
•Giemsa staining leaves a recognizable pattern of bands

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4
Q

When is expression?

A
  • Can be tissue specific
  • Can be at a specific time in development
  • Can be in response to an event
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5
Q

What is the purpose of mitosis?

A
  • To create two identical daughter cells
  • For growth and repair
  • To replace exhausted cells
  • 2n to 2n
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6
Q

How do you culture and harvest?

A
  1. 0.5ml blood in 5ml culture medium
  2. Add phytohemagglutinin (stimulates lymphocytes to divide)
  3. Culture 48-72 hours
  4. Add colecmins (arrests cells in metaphase)
  5. Culture breifly; add hypotonic KCl to swell cells; fix in 3:1 methanol: acetic acid; drop on to microscopic slide
  6. Brief digestion with trypsin stain with Giemsa
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7
Q

What is the purpose of meiosis?

A
  • To achieve reduction from diploid (2n=46) to haploid (n=23)
  • To ensure genetic variation in the gametes
  • Enables random assortment of homologues and recombination
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8
Q

Why is there vulnerability of female meiosis?

A
  • Paused in utero until puberty
  • One primary oocyte yields only one ovum
  • Finite number of primary oocytes
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9
Q

What is female non-disjunction?

A

•Most aneuploidy caused by non-disjunction arises in oogenesis
•Likely due to degradation of factors which hold homologous chromatids together
-Risk of maternal non-disjunction increases with age
-First trimester risk for trisomy 13,18 and 21

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10
Q

When does most trisomy 21 arise?

A

Maternal non-disjunction

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11
Q

What is Chromosomal aneuploidy?

A

Meiotic non-disjunction
•Trisomy for all chromosomes has been detected prenatally
•Not all trisomies are compatible with life
•Monosomy is poorly tolerated

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12
Q

Why is sex chromosome imbalance tolerated?

A
  • X-inactivation of excess X chromosomes

* Low gene content of Y chromosome

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13
Q

What reciprocal chromosomal abnormalities have in common?

A
  • Carriers (1 in 1000) are usually phenotypically normal
  • Chromosomes have to contort into unusual figurations to achieve synapsis at mitosis and meiosis
  • Present a reproductive risk: increased chance of unbalanced gametes
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14
Q

What are unbalanced chromosomal abnormalities?

A
  • Severity of phenotype is dependent on gene content of affected segment
  • Trisomy is usually more tolerated than monosomy
  • May arise de novo or from a reciprocal parental abnormality
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15
Q

Describe Contiguous gene deletion syndromes:

The ‘phenotype first’ approach

A
  • Clinical approach to grouping children with similar developmental delay and/or dysmorphism, then looking for common genetic abnormalities
  • Yielded many ‘classical’ contiguous gene deletion syndromes
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16
Q

What are the symptoms of of Williams syndrome (7q11.23 deletion)?

A
  • Long philtrum
  • Short, upturned nose
  • Arched eyebrows
  • Supravalvular aortic stenosis
  • Friendly, social ‘cocktail party’ personality – an absence of social anxiety
17
Q

What are the phenotypes caused by in Williams syndrome (7q11.23 deletion)?

A

•Phenotypes caused by imbalance of genes which are unrelated apart from their genomic location

18
Q

What are continuous gene deletion/ duplication syndromes?

A
  • Have common breakpoints
  • Mediated by low copy repeats (LCRs)
  • Risk of NAHR may be increased by parental LCR inversions
19
Q

What re the symptoms of 7q11.23 duplication syndrome?

A

•Delayed speech development
•Autistic behaviours that affect social interaction and communication
•Dilatation of the aorta
•Flat eyebrows
•Broad nose and short philtrum
Duplications usually have a milder phenotype than the reciprocal deletion

20
Q

Describe genetic analysis

A
  • Cost of genomic analysis greatly reduced
  • Able to detect smaller imbalances
  • Increased appetite for a genetic diagnosis