Cytogenetics Flashcards

1
Q

numerical abnormalities

A
  • change number of chromosomes
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2
Q

structural abnormalities

A
  • change structure of chromosomes
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3
Q

robertsonian translocation

A
  • fuse two small chromosomes into a very large chromosome
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4
Q

historically

A
  • chromosome rearrangements have involved large regions of genome because they have been detected by karyotyping
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5
Q

limits of karyotyping

A
  • requires viable cells

- low resolution limited to 3-5 MB or greater

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6
Q

karyotyping used for

A
  • permits evaluation of entire genome

- used to detect gains and losses of entire chromosomes and fairly large chromosomal regions

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7
Q

why do chromosome abnormalities result in disease

A
  • cause an increase and/or decrease in gene products

- alter the gene product itself by producing a fusion protein with altered function

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8
Q

what phenotypes are typically associated with chromosome abnormalities

A
  • cancer
  • abnormal growth and development in children or pregnancies
  • early death
  • clinically normal individuals with a personal or a family history of clinical abnormal offspring, miscarriages, or infertility
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9
Q

FISH

A
  • high resolution - usually 100 KB
  • requires clinically directed search
  • very specific search
  • interphase FISH can be performed on nonviable cells
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10
Q

FISH technique

A
  • chromosome prep and denaturation
  • labelled probe and denaturation
  • in situ hybridization
  • detection
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11
Q

micro deletion and micro duplicating syndromes characterized by

A
  • by small, recurring interstitial deletions or duplications

- each associated with a well described phenotype

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12
Q

DiGeorge syndrome

A
  • facial features - prominent nose w/ squared nasal root, small yes, small ears with abnormal folding
  • abnormal palate
  • heart abnormalities
  • learning disabilities
  • hypocalcemia
  • immune deficiency
  • psychiatric disorders
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13
Q

DiGeorge syndrome FISH

A
  • green control maps just fine
  • red probe which normally maps to DiGeorge critical region does not hybridize
  • that region is deleted on chromosome 22
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14
Q

microarray tech allows us to

A
  • survey entire genome for gains and losses
  • very high resolution
  • can use nonviable cells
  • allow us to identify consanguinity and probably uniparental disomy
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15
Q

how affymextrix cytoscan array works

A
  • patient DNA is labelled with fluorochrome probe and allowed to hybridize to a chip containing arrayed DNA of interest
  • intensity of hybridization signal at each locus is compared to the in silico data obtained from 270 normal controls to assess copy number
  • data for each locus plotted as a log 2 ratio of 0
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16
Q

when above the 0 log

A
  • duplication or amplification
17
Q

when below 0 log

A
  • deletion
18
Q

importance of follow up by FISH due to changes identified in microarray

A
  • provides info about mechanisms responsible for the gain/loss identified by microarray
  • less expensive test to do follow up parental testing
19
Q

best test to determine if a parent carries a balanced translocation?

A
  • metaphase FISH
20
Q

uniparental disomy

A
  • the inheritance of both copies of an allele from a single parent
  • detected by SNP microarray
21
Q

consanguinity

A
  • mating between related individuals

- detected by SNP microarray

22
Q

importance of consanguinity

A
  • related individuals more likely than unrelated individuals to carry same mutant recessive genes
  • offspring more likely to manifest a recessive disorder
23
Q

hallmarks of consanguinity

A
  • long stretches of homozygosity scattered throughout genome in offspring
24
Q

greater level of consanguinity

A
  • the greater number and length of homozygous stretches
25
Q

what tier test is the chromosomal microarray

A
  • first tier
26
Q

microarray exceptions that it can’t recognize

A
  • balanced rearrangements

- low level mosaicism