Developmental genetics and teratology Flashcards

1
Q

What are 6 Wilson principles of teratology?

A
  • Susceptibility depends on genotype and environmental interact
  • Susceptibility varies with developmental stage
  • Teratogenic agents act in specific ways
  • Mutagenic access depends on nature of agents
  • Four manifestations: death, malformation, growth retardation and functional deficit
  • Dosage effect
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2
Q

What is teratoma?

A

A tumour that develops from inappropriate cell specialisation

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3
Q

What is human organiser?

A

Node

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4
Q

How does human organiser influence the layout of body?

A
  • Cells in node contain specialised cilia whose structure and angle create a leftward current
  • Left sided rise in intracellular Ca2+ increases cascade of nodal expression in left lateral plate mesoderm
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5
Q

What are another names of Down syndrome, Edwards syndrome and Patau syndrome?

A
  • Down syndrome: Trisomy 21
  • Edwards syndrome: Trisomy 18
  • Patau syndrome: Trisomy 13
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6
Q

What syndrome(s) are associated with aneuploidy?

A
  • Turner syndrome

- Klinefelter syndrome

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7
Q
  1. Every affected person has an affected parent
  2. Every affected father passes it on to all of his daughter and none of his sons

What is mode of inheritance?

A

X-linked dominant

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8
Q
  1. Every affected person has an affected parent
  2. Every affected father passes it on to his daughter and sons

What is mode of inheritance?

A

Autosomal dominant

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9
Q
  1. Every affected person does not have an affected parent
  2. There is an affected female without an affected father

What is mode of inheritance?

A

X-linked recessive

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10
Q
  1. Every affected person does not have an affected parent
  2. There is an affected female with an affected father
  3. More males are affected than females

What is mode of inheritance?

A

X-linked recessive

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11
Q
  1. Every affected person does not have an affected parent
  2. There is an affected female with an affected father
  3. Equal sex ratio

What is mode of inheritance?

A

Autosomal recessive

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12
Q

What is an example of autosomal dominant?

A

Achondroplasia

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13
Q

What is an example of autosomal recessive?

A

Tay-Sachs disease (HexA deficiency leading to lipid accumulation in brain)

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14
Q

What is an example of X-linked dominant?

A

Rett syndrome (neurological disorder of grey matter)

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15
Q

What is an example of X-linked recessive?

A

Duchenne muscular dystrophy

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16
Q

What is an example of Y linked?

A

Slyer syndrome (gonadal dysgenesis)

17
Q

What is an example of mitochondrial inheritance?

A

LHON

18
Q

What are multifactorial disorders?

A

Complex diseases: genes + environment

19
Q

What are multifactorial disorders that develop early?

A
  • Autism
  • Asthma
  • Cleft palate
20
Q

What are multifactorial disorders that develop late?

A
  • Heart disease
  • Diabetes
  • Hypertension
21
Q

What does TORCH stand for?

A
  • Toxoplasmosis
  • Other (e.g chicken pox, chlamydia, HIV, syphilis, hepatitis, zika)
  • Rubella
  • CMV
  • HSV2
22
Q

Examples of maternal illnesses that lead to congenital abnormalities

A
  • Diabetes mellitus

- Phenylketonuria

23
Q

Examples of drugs that lead to congenital abnormalities

A
  • ACE inhibitor
  • Streptomycin
  • Warfarin
  • Valproic acid
24
Q

Examples of chemicals that lead to congenital abnormalities

A
  • Thalidomide
  • Alcohol
  • Smoking
  • Cocaine
25
Q

What are features of foetal alcohol syndrome?

A
  • Low birth weight
  • Facial features such as low nasal bridge, small eye opening, short nose, thin upper lip, smooth philtre and small head
  • Failure to thrive
  • Developmental delay
  • Organ dysfunction
  • Mental retardation
  • Learning and social disabilities
26
Q

What are compounds in smoking that cross placenta?

A
  • Nicotine
  • Carbon dioxide
  • Cyanide
  • Heavy metals
27
Q

What are effects of smoking on foetus?

A
  • Low birth weight
  • Premature birth
  • Heart defect
  • Cleft lip/palate
  • SIDS (sudden infant death syndrome)
  • Aggression
  • Malformation of bowel, ears, eyes and spinal cord