Complex gene traits Flashcards

1
Q

Define genetic predisposition?

A

An individual has a genetic susceptibility to develop a certain disease, but does not guarantee that the person will develop a disease.

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2
Q

What is a complex disease?

A
  • Caused by a combination of genetic, environmental and lifestyle factors.
  • Does not follow the Mendelian pattern of inheritence
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3
Q

Describe how common/ rare complex disease is compared to Mendelian? Is is single gene or polygenic

A

Complex disease is more common, and polygenic

Mandelian diseases are rarer and single gene

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4
Q

Describe the frequency of genes in the population and the effect on gene function seen in complex vs Mandelian disease?

A

Common Disease–> Gene frequencies have high frequencies in the population, and a smaller effect on gene function
Mandelian Disease–> Gene frequencies have low frequencies in the population and a larger effect on gene function

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5
Q

Is penetrance higher or lower in Complex gene disease

A

Higher

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6
Q

Give some examples of complex disease

A

Alzheimers, hypertension, CHD, epilepsy, T2D

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7
Q

What can you tell by studying the degree of familial clustering?

A

The risk to a relative or sibling of an affected erson compared to the population risk
Higher value= higher the familial clustering

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8
Q

How do twin studies work?

A

Assess monozygotic twins vs dizygotic twins
Assess and measure the trait you are studying (eg HTN)
Higher the correlation= higher chance that genetics are involved

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9
Q

What situation is ideal for completing twin studies

A

Study twins seperated at birth

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10
Q

How would you conduct an adoption study?

A

Check disease status in biological and adopted family, and test for correlation between family members.

  • Similarity to biological parents= genetics
  • Similar to adopted parents= home environments
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11
Q

What are the difficulties in adoption studies?

A
  • Obtaining the info

- Selective placement of individuals

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12
Q

Why do scientists want to identify monogenic and complex traits?

A
  • Provide better understanding of aetiology
  • Identify molecular targets for developing new treatments
  • May help identify at risk individuals
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13
Q

What is linkage analysis in families?

A

Measuring trait of interest in affected sibling pairs

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14
Q

Why are rare monogenetic diseases difficult to detect?

A
  • Difficult to detect via linkage analysis due to locus heterogeneity
  • Only a small number of patients/ family available for study
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15
Q

What does genome wide association studies study?

A

The whole genome simultaneously

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16
Q

Name 4 genes identified as being involved in HTN

A

1- Guanylate Cyclase Units
2- Natruiretic peptide receptor 3
3- Adrenomedullin
4- miK- 425

17
Q

Where is mIR-425 expressed

A

Atria and ventricles

18
Q

What % of hypertension is thought to be genes, and what is lifestyle

A

30-50% genes

50-70% lifestyle

19
Q

What is the inheritence pattern of glucocorticoids remediate aldosteronism?

A

Autosomal dominant

20
Q

What is the inheritance pattern of apparent mineralcorticoid?

A

Autosomal recessive

21
Q

What is the inheritance pattern of Gordon’s Syndrome?

A

Autosomal dominant and recessive

22
Q

What is the inheritance pattern of Liddle’s Syndrome?

A

Autosomal dominant

23
Q

What happens in mIR-425 is inhibited?

A

Enhances atrial ANP release in response to salt excess in hypertension and heart failure

24
Q

What is the impact of genetic variant in the NPPA 3’ UTR rn5068

A

Impacts ability of a miR to target NPPA mRNA

25
Q

What is the role of SLC39A8

A

Transports Zn, Cd, Mn

26
Q

What is rs5068

A

It encodes ANP and regulates NPPA mRNA

27
Q

What happens if you increase copy of rs5068 minor G allele?

A
  • Increased plasma ANP levels
  • Decreased systolic pressure
  • Decreased diastolic pressure
  • Reduced odds of hypertension
28
Q

What is furin

A

A widely expressed member of subtilisin like proprotein convertase family

29
Q

What does furin activate

A
  • Receptors (insulin and growth factor)
  • Plasma proteins
  • Hormones
30
Q

Genetic risk score of ….. is associated with CV outcomes

A

29