cytogenetics Flashcards
21;22 translocation DS risk
6%
meoisis in female
starts 4mo, 1st division at ovulation, 2nd at fertilization
maternal errors
3/4th are M1
mosaic etiology
if tri w/ rescue there is UPD risk
ifnormal w/ndh no UPD risk
UPD mechanisms
crossing over somatic, trisomy rescue(hetero), monosomy rescue(iso), gamete competion
partial mole
usual triploid
complete mole
euploid male, if female risk for choroicarcinoma
RR for +21
under 30 is 1-2% over age
risk w/ deletion worse if
distal smallers
tolerate liveborn
8 9 13 18 21, 4p, 5p, 18p, 18q
ring chroms-
growth reta, 99% inhertied assoc w/ UPD or trisomy rescue
jacobsen synm
11q
RB risk loca
13q14.2
XIST loc
Xq13, xist expressed from inactive X
AZF loc
Yq11.2 - make infertility
46X iXq10
long arm isochrom looks like turners
CMA cant see
inv, low lvl mosaic, inversion
coeffic of inbreeding
F, portion that is IBD, cousins 1/16 or 6.25
ADA protections?
disbaility but not unexpressed
GINA
insuraer cant require gne info for elegibility, coverage, premium setting, cant compel, not for employment decisions
GINA exempt
VA, military feds, indian health, luxury insurance, state>fed,
WES rec’d for
nonspecific pheno, Fhx or genetic heterogeneity
WES mandatory
minimum list, ID as pathogenic, pre/post cousneling , can opt out
WES infromed consent
scope, describe, benefit, risk, vountary, alternatives, confidential, future use, incdentals
most common cause of TOF
22q
22q etilology
non allelic homologus recombiantion
3:1 segregation will have
partial monosomy or triosomy
balance translocation located where on chrom
distally more at risk
insertions risk for RR
32-36 high as 50%
XXY RR
3%
XXX XXY errors
M1 3/4THS
Greig Cephalosyndactyly cyto loc
del 7p13
Saethre Chotzen cyto location
del 7p21.1
alagille loc cyto
20p
transient neonatal DM d/t?
upd6pat
igf2 expressed on? does?
paternal copy| promotes growth
H19 expressed on? does
maternal? supresses growth
CDKN1C expressed on
maternall? supresses growth
Lit1 expressed on
paternal
pat UPD BWS/RS?
BWS 11p15 IGF2LIT1 on, H19/CDKN1C off
mat UPD BWS/RS
RS 11p15 GF2LIT1 off, H19/CDKN1C on
IC mutations pedigree PWS
father has mut from mother(he is normal) >males form this could be affected
BWS domiannt mutation pedigree
veritcal, only children of female heterozygotes
trisomy 21 risk at 35
1 in 338
trisomy risk at 20
1 in1440
trisomy risk at 40
1 in 84