epigenetics and personalised medicine Flashcards

1
Q

Epigenetics

A

“heritable changes in phenotype that do not involve changes in genotype’

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2
Q

Chromatin structure

A
  • DNA wrapped around histone octamer to form nucleosome
    • DNA inaccessible
    • Heterochromatin condensed during interphase
      ○ Contains non-actively transcribed genes
    • Euchromatin is loosely packaged during interphase
      Actively transcribed genes
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3
Q

Histone modification

A

N-terminal regions of histone can be altered

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4
Q

Types of modification (reversible)

A
  • Acetylation
    • Methylation
    • Phosphorylation
    • Most modifications are to H3 or H4
      They’re can be modified at multiple sites
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5
Q

Naming modifications

A
  • Typically lysine (K), serine (S), arginine ( R ), tyrosine (Y)
    • Named [histone][amino acid][position of AA in tail][type of mod][number of mods]
    • E.g. trimethylation of arginine 11 in histone 3 N-terminal region
      H3R11me3
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6
Q

Complexity

A
  • Different modification to the same Amino acid can have different effects (or opposite effects)
    • Modification typically act in combination
      ○ Active genes have combinations of modifications in genetic components
      Silent genes typically have uniform modifications
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7
Q

DNA methylation

A
  • Adding methyl group to position c5 of a cytosine
    ○ Added by DNA methyl transferases
    ○ methylated to cytosine normally adjacent to guanine base (CpG)
    Cpg methylation
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8
Q

Cpg island

A
  • Cluster of cpg sites in specific regions of the DNA sequence
    ○ Typically found in promoter and enhancer sequence
    • Methylation prevents binding of transcription factors
      ○ Silencing gene transcription
    • Allows for tissue/cell specific gene silencing
      ○ Same gene, tissue a, cell type x
      § Enhanced
      ○ Whereas same gene, tissue b, cell type y
      § Silenced
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9
Q

Genomic imprinting

A
  • Certain genes show expression ONLY in maternal or paternal alleles
    • DNA are methylated with parental methylation patterns
    • Upon fertilisation most methylation marks are erase
      ○ Allows for tissue-specific methylation for tissue development
    • Some genes escape demethylation
      These genes remain silenced
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10
Q

DNA methylation in cancer

A
  • Tumour-suppressor genes and oncogenes
    ○ If we turn off tumour-suppressor genes or turn on oncogenes, cancer forms
    ○ Hypermethylated tumour-suppressor genes - turn off
    Hypomethylated oncogenes - turn on
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11
Q

Non-coding RNA’s (ncRNAs)

A
  • RNA that does not encode a protein
    • 2 classes
    • Short (<30 RNAs)
      ○ microRNA (miRNA)
      ○ Short0interfering RNA (siRNA)
    • Long (<200 RNA)
      Long non-coding RNA (lncRNA)
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12
Q

miRNA

A
  • Single strand loop
    • Partial match target genes (3’-UTR)
    • 5’ part of loop is passenger strand
    • Pri-miRNA processed by drosha
      ○ Cleaves 5’ & 3’ tail
      ○ Exported from nucleus
    • In cytoplasm DICER cleaves loop
    • miRNA is protected by RISC and Ago
      ○ Passenger strand discarded
    • miRISC (miRNA + RISC) binds to target mRNA(s)
      Degenerative
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13
Q

siRNA

A
  • Encoded exogenous and endogenous
    • DsRNA no loop
    • No degeneracy
    • Dicer processed
    • siRNA protected by RISC and Ago
      ○ Passenger strand discarded
    • Activated RISC binds to complementary sequence in target mRNA
      Can mediated silencing (gene knockdown)
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14
Q

lncRNA

A
  • ssRNA
    • Guide
      ○ Help recruit proteins to local site
    • Scaffold
      ○ Add multiple proteins together to form complex that interacts with DNA
    • Decoy
      Act as decoy to sequester other miRNAs or transcriptional factors, preventing binding to DNA
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15
Q

Reasons for genetic testing

A
  • Likelihood of getting disease
    • Choosing the drug for treatment (pharmacogenomics)
      ○ Avoid side effects
      ○ The right drug is prescribed
      ○ The correct dosage and schedule
      ○ E.g. CYP2D6
      § If an ultrarapid metaboliser
      □ Youll need to increase dosage as the body metabolises it too fast
      § Poor metaboliser
      □ Need less as it will stay in the system for an extended period
      ○ Use genomic data to get therapies that suit unique genotype
      § Breast cancer shows HER-2 over expression - use Herceptin to block
    • Legal
      Ancestry
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16
Q

Genotyping

A
  • Detect SNPs over entire genome or in targeted sequence
    ○ For particular disease identification
    • Large-scale (SNP) genotyping
      ○ Use dyes to screen for heterozygous or homozygous base pairings (g-g = blue; G-A = green; A-A = red)
    • Whole genome sequencing
      ○ Context for genetic variations
      ○ Entire sequence
      § Identify rare mutations
      ○ Use next-generation sequencing (NGS)
      § Thermo
      Illumuna
17
Q

NGS vs Genotyping

A

complete information vs partial
all variants vs only known
expensive vs cheaper
diagnosis vs determination

18
Q

GWAS analysis

A
  • Manhattan plot
    ○ Each dot an SNP based on value of association
    Threshold for GWAS significance = 5 x 10^-8
19
Q

Polygenic risk score (PRS)

A
  • Person’s liability for a phenotype (disease)
    • Based on GWAS
      degree of substance to the predictive power of NGS or genotyping data
      ○ Higher PRS more likely to get disease
      Limited by size and lack of diversity (all white ppl)
20
Q

Utility of PRS

A
  • Better diagnosis than WGS
    • More accurate when WGS cost reaches genotype
      From diagnose to treat
21
Q

Direct to consumer

A
  • Ancestry etc.
    • Market increasing
    • Ethical considerations
      1. Do u wanna know
      2. Reliability for non-whites
      3. Ppl unprepared
      4. Who gets to know (fam)
      privacy