Exam #5: Single Gene Disorders Flashcards

1
Q

What are the five functions of proteins that can be impaired in the single-gene disorders?

A

1) Protein with catalytic activity (Enzymes) - Recessive
2) Proteins involved in transport & storage - Recessive
3) Proteins with structural function
4) Proteins involved in growth, differentiation, & development
5) Receptor & signaling proteins

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2
Q

Null Mutation

A

Destroys a protein

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3
Q

Loss of Function Mutation

A

Reduce protein activity

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4
Q

Gain of Function Mutation

A

Alter protein function and/or convey a new function

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5
Q

Dominant Alleles

A

Produce phenotype in heterozygous state

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6
Q

Recessive Alleles

A

Produce phenotype in homozygous state

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7
Q

Carrier

A

Patient w/ one defective allele but without disease

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8
Q

Compound heterozygote

A

Patient w/ two defective but non-identical alleles leading to disease phenotype

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9
Q

What defects generally show recessive inheritance? Why?

A

1) Enzyme defects
2) Mutations in proteins involved in transport & storage

  • One functional allele remains
  • Loss can be compensated for by regulatory mechanisms
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10
Q

What defects generally show dominant inheritance?

A

1) Structural protein defects
2) Defects in proteins involved in growth, differentiation & development
3) Defects in receptors & signaling proteins

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11
Q

Haploinsufficiency

A

Half of the gene does is not sufficient for the cell to carry out its function

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12
Q

Dominant Negative Effect

A
  • Mutation produces an abnormal protein that may compete with the wildtype form and impair function
  • E.g. structural proteins
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13
Q

Gain of Function Mutation

A
  • IF mutation produces a protein with a new function, it will have an effect no matter how many wildtype forms of a protein are present
  • Signal transduction proteins
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14
Q

Lack of Backup

A
  • Cancer development after inactivation of both alleles i.e. the “two hit” model
  • E.g. Rb
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15
Q

What determines sex in humans?

A

Presence or absence of Y chromosome

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16
Q

Why are X chromosome mutations in men dominant?

A

They only have one copy of the genes b/c they only have one X chromosome

17
Q

Why are females mosaics for X chromosomes?

A

One is inactivated early during embryogenesis in a RANDOM but FIXED manner

18
Q

Mitochondrial Gene Defects

A

DO NOT follow mendelian rules of inheritance

19
Q

Who are mitochondrial defects inherited from?

20
Q

Why is there variable expression of mitochondrial defects?

A

Cells have many mitochondria with many copies of the chromosome

21
Q

Consanguineous Mating

A

Mating of closely related individuals that increases risk for development of recessive disease

22
Q

Coefficient of inbreeding

A
  • Degree of homozygosity of a child
  • 1/4 for siblings
  • 1/8 for first cousins
23
Q

Autosomal Recessive Pedigree

A
  • Affected children usually have normal parents
  • Both sexes are equally affected
  • Consanguinity is often present
24
Q

Autosomal Dominant Pedigree

A
  • Affected child has at least one affected parent
  • Both sexes are equally affected
  • Disease can be transmitted from father to son
25
Incomplete penetrance
Not all people with disease genotype having phenotype
26
Expressivity
How severe a disease phenotype is
27
Neurofibromatosis Type 1
- Complete penetrance | - Variable expressivity
28
Premutation
- Seen in diseases caused by a specific number of repeats - Individual close to carrying number of repeats for disease phenotype but not yet - High chance of producing gametes with pathogenic number of repeats
29
Huntington Disease
- Permutation | - Anticipation
30
Anticipation
- Severity of disease phenotype increases when transmitted through a pedigree - Seen in repeat expansion diseases
31
Fitness
Chance of reproduction
32
Mutation Hotspot
- Chromosomal region where mutations occur frequently - CG dinucleotide repeat is common example - Cytosine is methylated to methylcytosine & deaminated, yielding tymine
33
Ova Mutations
Nondisjunction
34
Sperm Mutations
Point Mutation
35
X-linked Recessive Pedigree
- No father-son transmission - Affected boys usually have unaffected parents - Males are affected more frequently than girls
36
X-Linked Dominant Pedigree
- Male transmits to all of his daughters | - Female transmits to half of children regardless of sex
37
Mitochondrial Inheritance Pedigree
Mothers pass to all of their children