1
Q

What are the two translocations?

A

➝ Reciprocal

➝ Robertsonian

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2
Q

What are the 7 structural abnormalities?

A
➝ Translocation
➝  Inversion
➝  Deletion
➝  Duplication
➝  RIngs
➝  Isochromosomes
➝  microdeletions/microduplication
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3
Q

How do the structural abnormalities occur?

A

➝ Double strand DNA breaks
➝ occur throughout the cell cycle
➝ misrepair leads to structural abnormalities

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4
Q

How are double strand breaks usually repaired?

A

➝ DNA repair pathways

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5
Q

What is translocation?

A

➝ two double strand breaks each on a different chromosome

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6
Q

How do balanced translocations arise?

A

➝ DNA repair mechanisms stitch the chromosome in incorrect pairs
➝ there is no net loss or gain of genetic material it is just in a different place

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7
Q

What does der mean?

A

➝ Derivative

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8
Q

What is a balanced translocation?

A

➝ The right amount of each chromosome just in the wrong place

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9
Q

What is an unbalanced translocation?

A

➝ too much or too little of a particular chromosome

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10
Q

What is a Philadelphia chromosome?

A

➝ abnormal chromosome 22

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11
Q

What does the Philadelphia chromosome lead to?

A

➝ Chronic myeloid leukaemia

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12
Q

What is a BCR?

A

➝ Break point cluster region (function of normal protein is unknown)

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13
Q

What tends to happen in the BCR region?

A

➝ Tendency to have double stranded breaks

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14
Q

What is an ABL?

A

➝ a proto oncogene

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15
Q

What does fusion of genes in the Philadelphia chromosome lead to?

A

➝ An activated oncogene ABL

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16
Q

What is a reciprocal translation?

A

➝ exchange of two segments between non-homologous chromosomes

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17
Q

When does a deleterious phenotype occur?

A

➝ when the breakpoint affects the regulation of a gene

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18
Q

What is a carrier of a balanced translocation at risk of?

A

➝ producing unbalanced offspring

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19
Q

What are unbalanced individuals at significant risk of?

A

➝ Chromosomal disorder

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20
Q

Describe how an unbalanced individual with partial trisomy for chromosome 11 and partial monosomy for chromosome 22 arises?

A

➝ In the cell you have one copy of normal 11 and normal 22 and the two derivative chromosomes ( 22 with a piece of 11 and 11 with a piece of 22)
➝ In the gametes you want one chromosome 11 and one 22
➝ you can get the normal intact copies or the derivative copies
➝ if you inherit the normal copy of 11 (from both parents so you have 2 copies of 11) and the derivative copy of 22 with a piece of 11 on it during fertilisation
➝ there is an extra piece of chromosome 11 on the end of one of the 22 chromosome
➝ partially trisomic for chromosome 11

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21
Q

When do homologous chromosomes align?

A

➝ in metaphase 1

22
Q

How do derivative chromosomes align with their homologs?

A

➝ They form a quadrivalent structure
➝ chromosomes are trying to find their partners so the pieces align with each other
➝ pulling apart can occur in 4 orientation

23
Q

What can an unbalanced reciprocal translocation lead to?

A

➝ Miscarriage

➝ learning difficulties, physical disabilities

24
Q

What should you do if there’s a woman who has a high number of unexplained miscarriages?

A

➝ Screened for a balanced translocation

25
What is a Robertsonian translocation?
➝ When two acrocentric chromosomes break at or near their centromere ➝ the fragments that are joined together are the long arms of both the acrocentric chromosomes and there is loss of the small arms
26
What are the acrocentric chromosomes?
➝ 13,14,15,21&22
27
How many chromosomes does a balanced carrier have?
➝ 45 chromosomes
28
Why is it not deleterious to lose acrocentric chromosomes?
➝ the p arms that are lost encode rRNA (multiple copies)
29
What are the two common Robertsonian translocations?
➝ 13:14 | ➝ 14:21
30
What does a 21:21 translocation lead to?
➝ 100% risk of Downs syndrome
31
How do you get Downs syndrome from a Robertsonian translocation?
➝ If you have a robertsonian copy of 21 and get an intact copy of 21 from the other parent with normal chromosomes ➝ you get 2 copies of 14 but 3 copies of 21
32
What are the other outcomes apart from Downs with Robertsonian translocations?
➝ one normal copy of both (2) ➝ one robertsonian chromosome (1) - carrier ➝ other forms are not consistent with life
33
How many trisomy 21 patients have Robertsonian translocations?
➝ 4%
34
What are the three outcomes of translocations?
➝ some may lead to spontaneous abortion ➝ some may lead to miscarriage ➝ some result in live born baby with various problems
35
What are 3 examples of an Interstitial deletion?
➝ Prader Willi ➝ Di George syndrom ➝ Cri du chat
36
If the end of a chromosome is lost what is this called and how can it be stabilised again?
➝ Terminal deletion | ➝ a telomere is added
37
How many live births have deletions?
➝ 1 : 7000
38
What can deletions be?
➝ terminal or interstitial
39
What do deletions cause?
➝ a region of monosomy ➝ haploinsufficiency in some genes ➝ the monosomic region has phenotypic consequences ➝ phenotype is specific for size and place on the deletion
40
How are gross deletions seen?
➝ on metaphase spread of G banded karyotype
41
How is Cri du chat caused?
➝ terminal deletion on chromosome 5
42
What does cri du chat present with?
➝ microcephaly | ➝ developmental delay
43
How can you visualize microdeletions/duplications?
➝ FISH ➝ high resolution banding ➝ CGH
44
What does unequal crossing over lead to?
➝ unequal distribution of the loci of the gametes | ➝ this can lead to microdeletions and duplications because the regions they affect are smaller
45
How does unequal crossing over occur?
➝ homologous pairs misalign
46
How does CGH work?
➝ If you take two individuals they should have the same number of chromosomes and copies ➝ you have a healthy persons DNA and a patients DNA which are both tagged with a color ➝ they should hybridise equally to the microarray ➝ if the patient and the control have two copies the color will be a mix of the two tage
47
What happens if a patient has a microdeletion in CGH?
➝ the patient DNA binds to less probes than the control ➝ the DNA fights for binding to the probes ➝ the color shows up the tag of the control DNA
48
How do double strand breaks and non homologous end joining result in translocations?
➝ Two chromosomes undergo a double strand break | ➝ the non-homologous end joining repair system incorrectly sticks together two different chromosomes
49
How does a balanced carrier of a translocation lead to an unbalanced offspring?
➝ Trivalent or quadrivalent formation in meiosis I results in gametes which are partially disomic and partially nullisomis ➝ this leads to zygotes that are partially trisomic and partially monosomic
50
How can abnormal karyotypes be detected using stained metaphase chromosomes?
➝ Large structural abnormalities can be seen with G banding and FISH ➝ microdeletions and microduplications can only be seen with CGH