Exam 2: Medical Cytogenetics Flashcards
medical cytogenetics
field of inherited diseases based on chromosomal problems
1/4 or more of miscarriages result…
from genetic diseases
20% of all human conceptions…
have a major chromosomal abnormality
wrong # of chromosomes
structurally abnormal chromosomes
haplotype
genotype of 1 chromosome
karyotype
whole set of chromosomes
aneuploidy
having the wrong # of chromosomes
gain or loss of one/several chromosomes
are aneuploidies common?
at conception yes, but most are lethal causing spontaneous abortion
almost all aneuploidies that survive involve…
chromosome 21, X, or Y
disomy
having a pair of homologs (normal)
autosomes are normally disomic
monosomy
having only 1 homolog
trisomy
having 3 homologs
does trisomy = triploidy?
no
down syndrome
most common example of aneuploidy (trisomy 21)
1/700 to 1/800 births
symptoms of down syndrome
many die from defects, some live over 50
extremely flexible joints, low muscle tone
link btw down and Alzheimer’s
why chromosome 21?
smallest so aneuploidy causes least abnormality
300-400 genes
what causes aneuploidy?
nondisjunction in mitosis or meiosis
nondisjunction
leads to chromosome gain or loss in daughter cell
mitosis occurs in any dividing cell
meiotic can occur in meiosis I or II
nondisjunction in meiosis I
MI: AABB + 0
MII: AB + AB + 0 + 0
nondisjunction in meiosis II
MI: AA + BB
MII: AA + 0 + B + B
determine origin of nondisjunction in Down syndrome
chromosome banding homologs can be distinguished
recognize which parental homologs caused trisomy
what is the origin of nondisjunction in Down syndrome
80% due to nondisjunction in mom vs 20% in dad
in female mammals meiosis begins in many _____ cells
germline
it goes as far as prophase I then stops in diplotene stage of prophase I
eggs go through ______ at ovulation
metaphase I (1st polar body)
eggs finish meiosis upon _____
fertilization
female vulnerability to nondisjunction may be due to …..
long period of arrest in diplotene
why nondisjunction is mostly female and meiosis I
maternal age effect, but no paternal age effect
trisomy 13, 18, 22
patau syndrome
edwards syndrome
over 30 cases reported
all 3 much more severe than Down
general symptoms of autosomal aneuploids
developmental abnormality
mental retardation
lethal b4 birth
incurable at any stage of life
extreme, but variable in severity
why is down the only common aneuploidy
they survive
smallest autosome (not proven)
in aneuploidy 16…
30% of all cases but none survive to birth
common sex chromosome aneuploidies
XXY klinefelter
XYY “XYY”
XXX “superfemale”
XO Turner syndrome
is aneuploidy in sex chromosomes tolerated better than in autosomes?
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
effects of sex chromosome aneuploidies
variable
sex nondisjunction MI (male)
MI: XXYY + 0
MII: XY + XY + 0 + 0
sex nondisjunction MII (male)
MI: XX + YY
MII: XX + 0 + Y + Y OR X + X + 0 + YY
sex nondisjunction MI (female)
MI: XXXX + O
MII: XX + XX + 0 + 0
sex nondisjunction MII (female)
MI: XX + XX
MII: XX + 0 + X + X