Estimating risk of inherited genetic disease Flashcards

1
Q

Fitness =

A

relative ability of organisms to survive (long enough) to pass on their genes.

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2
Q

what can affect fitness

A

alleles:

  • not at all in most cases (neutral allele)
  • sometimes decrease (deleterious allele)
  • rarely increase (advantageous allele)
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3
Q

Few notable common recessive diseases

A
  • Sickle cell disease

- Thalassaemia

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4
Q

Mutation in recessive genes rarely affects

A

carriers

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5
Q

Mutation in dominant and X-linked genes can be

A

inherited or de novo

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6
Q

De novo mutation common in

A

dominant disorders esp. where disease reduces reproductive fitness
- Recently recognised as a common cause of many severe learning disability syndromes

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7
Q

Up to 1/3 of lethal X-Linked cases are due to

A

a de novo mutation

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8
Q

Dominant conditions (alleles) do not

A

become more common at the expense of recessive ones!

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9
Q

Relative frequencies remain

A

constant

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10
Q

Allele frequencies remain

A

constant generation to generation.

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11
Q

Relative proportion of genotype frequencies remain

A

constant generation to generation.

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12
Q

Hardy-Weinberg equilibrium (HWE) calculates

A

expected genotypes

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13
Q

Assumptions underlying HWE

A

Ideal Population

- Mutation can be ignored
- Migration is negligible (No gene flow)
- Mating is random
- No selective pressure
- Population size is large
- Allele frequencies are equal in the sexes
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14
Q

60% of men in northwest Scotland have

A

Norwegian DNA

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15
Q

Introduction of new alleles as a result of

A

migration or intermarriage leads to new gene frequency in hybrid population.

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16
Q

Mutations increase the

A

proportion of new alleles.

17
Q

Non-random mating leads to

A

increase mutant alleles, thereby increasing proportion of affected homozygotes.

18
Q

Assortative mating =

A

Choosing of partners due to shared characteristics

- Deafness & sign language

19
Q

Consanguinity =

A
  • Marriage between close blood relatives.
20
Q

Founder effects is caused by

A

physical or cultural isolation

21
Q

Natural selection =

A

A gradual process by which biological traits become either more or less common in a population.

22
Q

Negative selection

A
  • Reduces reproductive fitness.
  • decreases the prevalence of traits.
  • leads to gradual reduction of mutant allele
23
Q

Positive selection

A
  • Increases reproductive fitness.
  • Increases the prevalence of adaptive traits.
  • Heterozygote advantage.
24
Q

what recessive disorders lead to resistance to malaria

A
  • sickle cell anaemia
  • Thalassaemia
  • glucose 6 phosphate dehydrogenase deficiency
25
Q

what recessive disorders lead to resistance of cholera/typhoid

A

cystic fibrosis

26
Q

what recessive disorder leads to resistance of influenza B

A

congenital adrenal hyperplasia

27
Q

what recessive disorder leads to resistance of TB

A

GM2 gangliosidosis (Tay-Sachs)

28
Q

Large populations can balance out fluctuations, but small populations can exhibit

A

“genetic drift” and cause “founder effect”.

29
Q

Genetic drift =

A

Random fluctuation of one allele transmitted to high proportion of offspring by chance.

30
Q

Founder effect =

A

The reduction in genetic variation that results when a small subset of a large population is used to establish a new colony.
- a new colony is started by a few members of the original population

31
Q

Genetic drift:

Mutations (alleles) are

A

widespread and neutral

32
Q

Genetic drift:

Statistical drift of gene frequencies due to

A

chance or random events rather than natural selection in the formation of successive generations.

33
Q

Bottleneck effect:

A

Reduce genetic diversity.

34
Q

genetic drift causes

A

bottleneck effect which leads to repopulation and founder effect.

35
Q

Ellis-van Creveld syndrome

A

common in amish of Pennsylvania as they marry within their own community.

  • natal teeth
  • polydacyly - extra fingers
36
Q

Applications of HWE

A
  • Useful for calculating risk in genetic counselling

- Useful for planning population based carrier screening programmes