Developmental Genetics + Clinical Genetics + Genetic variations Flashcards
Structural variation vs substitution variation
Structural: In/dels
Substitution: SNPs
Common vs Rare variant
Common: both alleles @ +1% frequency
Rare: allele present @ less than 1% frequency
SNP definition
Less common allele of a single nucleotide substituition is present @ +1%
Usually bi-allelic
If muation is in coding region, usually silent or conservative missense
Sickle cell anemia mutation
Glu6 >> Val6 (missense)
Beta thalassemia mutation
Glu6>>STOP (nonsense)
Non coding region mutations can occur in __, __ and ___.
Give 2 examples of this
Promoter, enhancer/silencer, 5’ and 3’ UTR
Beta thalassemia mutation in promoter region
Repeats in CFTR gene (Intron 8)
Structural variants: What are the 2 ways you could get CF?
Phenylalanine deletion at position 508
(TG)n(T)n repeats in Intron 8 >> exon exclusion of Exon 9
How do repeats that cause Huntington’s disease and Fragile X syndrome vary in terms of phenotype + which repeat? (HD)
HD: CAG repeat
Fragile X: CGG
HD: CAG repeats in ORF; more repeats = earlier age of onset
Fragile X: repeats in 5’ UTR = loss of function
Fragile X repeat phenotype
Copy number variants: what’s the effect of a mutation in the AMY (amylase) gene?
More copies = faster carbohydrate breakdown + improved glycemic homeostasis/decreased diabetes risk
Use alpha thalassemia to explain copy number variations
Repeats can become misaligned, results vary based on mutation (nonsense >> 1/2 normal, missense >> 1/4 normal)
How does an inversion cause hemophilia?
Mispairing of similar factor 8 sequences
Genotype and phenotype correlation:Osteogenesis imperfecta (what’s the effect of a missense vs a nonsense mutation?)
Missense: 1/4 normal
Nonsense: 1/2 normal
What is a frameshift mutation?
Frameshift is an inserted or deleted fragment that is not divisible by 3
Explain why a deletion of Exon 45 in the DMD gene would lead to classical DMD but a deletion in a larger fragment will lead to Becker’s Muscular Dystrophy (a much milder disease)
The DMD gene is such that each segment contributes to a protein that on the whole will act as a shock absorber (a lot of individual components lined together). A del in Exon 45 (total number of genes NOT divisible by 3) will disrupt the remainder of the gene, thereby destabilizing all the other pieces of the protein/shock absorber. A del in a larger chunk of genetic material, however, would cause less damage b/c the remaining exons would still be translated to functional pieces of the shock absorber thus some function would be retained.
Disease associated (susceptibility) variants:
The MATP gene codes for ___. A mutation in this gene could lead to ___, resulting in___.
Melanin production.
Lighter skin.
Vitamin D deficiency/Malignant malinoma
A lower copy number of an AMY mutation could lead to___
Increased predisposition to obesity
Malformation definition
Damage that results from intrinsic GENETIC abnormalities
Major malformation
If uncorrected/incorrectable, defect impairs normal function/reduces life expectancy
Minor malformation
Defect that is of mostly cosmetic significance
Major malfomation examples
NTDs
cleft lip +/- palate
Brachydactyly
Fetal alcohol syndrome
Trisomy 13
Fetal alcohol syndrome cause + symptoms
Cause - Teratogen
Symptoms -
Thin upper lip
Growth retardation
Learning disabilities
Smooth philtrum
Cleft lip +/+ palate characteristics
More common in males than females
Usually isolated
One of the most common multifactorial birth defects
Cleft palate
More common in females more than males
Usually syndrome-associated
Not as common