Exam 2: Medical Cytogenetics Flashcards

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1
Q

medical cytogenetics

A

field of inherited diseases based on chromosomal problems

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2
Q

1/4 or more of miscarriages result…

A

from genetic diseases

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3
Q

20% of all human conceptions…

A

have a major chromosomal abnormality

wrong # of chromosomes

structurally abnormal chromosomes

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4
Q

haplotype

A

genotype of 1 chromosome

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5
Q

karyotype

A

whole set of chromosomes

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6
Q

aneuploidy

A

having the wrong # of chromosomes

gain or loss of one/several chromosomes

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7
Q

are aneuploidies common?

A

at conception yes, but most are lethal causing spontaneous abortion

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8
Q

almost all aneuploidies that survive involve…

A

chromosome 21, X, or Y

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9
Q

disomy

A

having a pair of homologs (normal)

autosomes are normally disomic

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10
Q

monosomy

A

having only 1 homolog

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11
Q

trisomy

A

having 3 homologs

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12
Q

does trisomy = triploidy?

A

no

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13
Q

down syndrome

A

most common example of aneuploidy (trisomy 21)

1/700 to 1/800 births

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14
Q

symptoms of down syndrome

A

many die from defects, some live over 50

extremely flexible joints, low muscle tone

link btw down and Alzheimer’s

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15
Q

why chromosome 21?

A

smallest so aneuploidy causes least abnormality

300-400 genes

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16
Q

what causes aneuploidy?

A

nondisjunction in mitosis or meiosis

17
Q

nondisjunction

A

leads to chromosome gain or loss in daughter cell

mitosis occurs in any dividing cell

meiotic can occur in meiosis I or II

18
Q

nondisjunction in meiosis I

A

MI: AABB + 0

MII: AB + AB + 0 + 0

19
Q

nondisjunction in meiosis II

A

MI: AA + BB

MII: AA + 0 + B + B

20
Q

determine origin of nondisjunction in Down syndrome

A

chromosome banding homologs can be distinguished

recognize which parental homologs caused trisomy

21
Q

what is the origin of nondisjunction in Down syndrome

A

80% due to nondisjunction in mom vs 20% in dad

22
Q

in female mammals meiosis begins in many _____ cells

A

germline

it goes as far as prophase I then stops in diplotene stage of prophase I

23
Q

eggs go through ______ at ovulation

A

metaphase I (1st polar body)

24
Q

eggs finish meiosis upon _____

A

fertilization

25
Q

female vulnerability to nondisjunction may be due to …..

A

long period of arrest in diplotene

why nondisjunction is mostly female and meiosis I

maternal age effect, but no paternal age effect

26
Q

trisomy 13, 18, 22

A

patau syndrome

edwards syndrome

over 30 cases reported

all 3 much more severe than Down

27
Q

general symptoms of autosomal aneuploids

A

developmental abnormality

mental retardation

lethal b4 birth

incurable at any stage of life

extreme, but variable in severity

28
Q

why is down the only common aneuploidy

A

they survive

smallest autosome (not proven)

29
Q

in aneuploidy 16…

A

30% of all cases but none survive to birth

30
Q

common sex chromosome aneuploidies

A

XXY klinefelter

XYY “XYY”

XXX “superfemale”

XO Turner syndrome

31
Q

is aneuploidy in sex chromosomes tolerated better than in autosomes?

A

yes

Y doesn’t code for much so extra copies don’t make a big difference

X has dosage compensation so extra X are inactivated

32
Q

effects of sex chromosome aneuploidies

A

variable

33
Q

sex nondisjunction MI (male)

A

MI: XXYY + 0

MII: XY + XY + 0 + 0

34
Q

sex nondisjunction MII (male)

A

MI: XX + YY

MII: XX + 0 + Y + Y OR X + X + 0 + YY

35
Q

sex nondisjunction MI (female)

A

MI: XXXX + O

MII: XX + XX + 0 + 0

36
Q

sex nondisjunction MII (female)

A

MI: XX + XX

MII: XX + 0 + X + X