Chromosome Abnormalities Flashcards

1
Q

What some features of Trisomy 21?

A

Most common genetic cause of mental retardation

Can arise from nondisjunction in M1 or M2

Diagnosed at birth from dysmorphic features

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2
Q

What is Aneuploidy?

A

organism whose chromosome number is not an exact multiple of the typical haploid set for that species

Monosomic - zygote or diploid cell that is missing a chromosome (2N-1

Trisomic - “” has an extra chromosome (2N+1)

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3
Q

What is polyploidy?

A

Presence of an extra set or sets of total haploid genome

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4
Q

What is Nullisomic and Disomic?

A

Nullisomic -haploid cell that is missing a chromosome

Disomic - haploid cell that has an extra chromosme

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5
Q

How are karyotypes named?

A

Number of chromsomes –> sex chromosome designation –> Addition or deletion –> translocation

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6
Q

What can cause aneuploidy?

A

Chromosome nondisjuntion or chromosome loss during cell division in either mitosis or meiosis

Most are sporadic, but can be hereditary/familial

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7
Q

How can mosaicism occur?

A

Mitotic nondisjunction occurs after the first division but early in zygote development.

Some tissues will be normal, others will be trisomic

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8
Q

What is the difference between first degree and second degree nondisjunction?

A

First - nondisjunction occurs in cells with normal chromosome numbers

Second - nondisjunction occurs in aneuploid cells

Second has a higher frequency

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9
Q

Where does the nondisjunction occur for most autosomal trisomy cases?

A

During maternal meiosis

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10
Q

Why is Y chromosome deficiency or surplus well tolerated?

A

Y is largely heterochromatic

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11
Q

What autosomal aneuploidies are nonlethal?

A

21, 18, and 13

Only the trisomy 21 children reaches adulthood

All others are not compatible with survival

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12
Q

Meiotic nondisjunction accounts for what percentage of all trisomy 21 cases? What is the reason for the rest?

A

95%

The remainder is either caused by an unbalanced Robertsonian translocation or an isochromosome 21

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13
Q

What is the maternal age effect?

A

The risk for chromosomal abnormalities increases with increasing maternal age

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14
Q

What is a contiguous gene syndrome?

A

Syndrome that results from deletion of a segment of DNA containing portions from multiple adjacent genes, i.e. loss of function of genes located next to each other

Down syndrome is likely a result of this

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15
Q

What is Trisomy 13?

A

Most rare trisomy

Cleft lip and palate, ocular abnormalities, polydactyly, clenched fists and rocker-bottom feet

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16
Q

What is Trisomy 18?

A

95% aborted spontaneously, survival beyond a few months is rare

80% of patients are female, advanced maternal age is a factor

Hypertonia, Fists clench w/ 2 and 5 digits overlapping 3 and 4, rockerbottom feet, distinctive dermal patterns