Chromosome Abnormalities Flashcards

1
Q

What percentage of trisomy 21 cases arise from meiosis nondisjunction

A

95%

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2
Q

Monosomic

A

Zygote or diploid cell that is missing a chromosome 2n-1

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3
Q

Trisomic

A

Zygote or diploid cell that has an extra chromosome 2n+1

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4
Q

Polyploidy

A

Extra set of total haploid genome

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5
Q

Nullsomic

A

Haploid cell or gamete that is missing an chromosome n-1

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6
Q

Disomic

A

Haploid cell or gamete that has an extra chromosome

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7
Q

What are common mechanisms for the arisal anueploidy

A

Chromosome NDJ or loss of chromosome during cell division

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8
Q

Sporadic Aneuploidies

A

Most common and caused by mutations

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9
Q

Hereditary Aneuploidies

A

Less common, but the mutation is present in the Germline and can be transmitted to the offspring

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10
Q

Meiotic NDJ

A

Improper segregation of chromosomes during meiosis with either homologous or sister chromatids

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11
Q

Mitotic NDJ

A

Failure of sister chromatids to migrate to opposite poles during anaphase

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12
Q

Mosaicism

A

Presence of two or more cell lines of different genetic or chromosomal constitution

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13
Q

Trisomy 21 Mosaicism

A

NDJ occurs in the second division after zygote formation

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14
Q

Primary NDJ

A

NDJj occurs at a low frequency in cells with normal chromosome numbers

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15
Q

Secondary NDJ

A

NDJ occurs at a higher frequency in Aneuploid cells

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16
Q

X polysomies (XXX/XXY)

A

Better tolerated than autosomal polysomies

17
Q

Why are Y chromosome deficiencies/surpluses better tolerated than autosomal

A

Y chromosome is largely heterochromatic

18
Q

What happens when there are autosomal monosomies

A

Death

19
Q

Which autosomal trisomies are survivable

A

13,18, 21 because they are small

20
Q

What is hereditary Down syndrome

A

The aberrant chromosome exists in the parents gametes and is transmitted to the offspring

Occurs bc of a Robertsonian translocation or by an isochromosome 21

21
Q

What percentage of trisomy 21 cases are because of mosaics

A

2-4% and the germ cells would be Trisomic leading to the transmission to half of the children

22
Q

Which parental lineage are most trisomy 21 cases attributed to

A

Maternal origin
MI errors=80%
MII errors=20%

23
Q

What is the age cut off where bearing children yields a spike in potential trisomies

A

35 years young

24
Q

Contiguous gene syndrome

A

Syndrome resulting from the deletion of a segment of DNA containing portions from multiple adjacent genes
Multiple genes lose their function

25
Q

What is the max survivability of trisomy 13

A

6 months

Associated with advanced maternal age and NDJ in MI

26
Q

Max survivability of trisomy 18

A

A few months max

Advanced maternal age is a factor

27
Q

What is a characteristic sign of trisomy 18

A

Clenched fist with digits 2/5 over 3/4

28
Q

NDJ during MI results in what

A

2o oocyte and 1st polar body a well as both 2o spermatocytes to be Aneuploid

29
Q

NDJ during MII results in what

A

2 or 4 meiosis products affected