DNA Based Diagnostics- Lecture 9/28/21 Flashcards

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1
Q

Silent mutation

A

The vast majority of mutations, happen randomly and will never know

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2
Q

Germ line mutations

A

Heritable, could be any cell in the body

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3
Q

Somatic mutations

A

Acquired, can’t be passed on, only in certain tissue

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4
Q

Specimens used for genetic testing

A
  • Whole blood (hereditary diseases)
  • Saliva (alternatives to blood)
  • Blood cards (hereditary diseases)
  • Fibroblasts (hereditary diseases)
  • Solid organ tissue/biopsies (solid cancer)
  • Bone marrow (hematologic malignancies)
  • Hair (crime scene)
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5
Q

Silent mutation

A

Mutation that does not alter gene product

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6
Q

Missense mutation

A

Mutation that alters one amino acid

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7
Q

Nonsense Mutation

A

Inserts a stop codon

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8
Q

Muscular dystrophy

A

Disease caused by deletion, disease severity determined by the amount of missing (normal) dystrophin

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9
Q

Tandem repeat sequences examples

A

Huntington and Fragile X

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10
Q

Insertions

A

Large range, can be very serious and alter gene product

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11
Q

Frameshift mutation

A

Caused by insertion or deletion not in groups of three

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12
Q

Splice site mutations

A

Mutation in GT or AG site of the introns, causes splicing issues

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13
Q

Null mutation

A

Loss of function, classic AR, one allele sufficient

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14
Q

Haploinsufficiency

A

AD/ incomplete dominant, heterozygous show more mild disease

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15
Q

Phenylketonuria

A

Classic null mutation, missing the enzyme that turns phenylalanine to tyrosine

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16
Q

Familial hypercholesterolemia

A

Example of haploinsufficiency, heterozygotes show slightly elevated LDL concentration

17
Q

Dominant negative

A

Loss of function, common in proteins that play a role in structural elements, mutant unit diminishes all

18
Q

Osteogenesis imperfecta

A

Defect in collagen 1, classic example of dominant negative

19
Q

Gain of function

A

Always dominant, new or enhanced activity of the protein

20
Q

DNA diagnostic methods (4)

A
  • PCR
  • Short tandem repeat polymorphism test
  • Sanger sequencing
  • Next-generation sequencing
21
Q

Benefits of DNA-based testing (5)

A
  • Diagnistic identification or clarification
  • Presymptomatic diagnostic
  • ID of predisposition
  • Prognostic prediction
  • Treatment decisions
22
Q

Challenges of DNA-based testing

A
  • Social stigma
    -Unravelling non-paternity
  • Pregnancy termination
  • Info overload
  • Results of unknown significance
    -negative results
    Costs vs benefits