Exam V: Genetics II Flashcards

1
Q

Bands and Genes

A

Arm, region, band, sub-band

p is short arm and q is long arm

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2
Q

Molecular Cytogenetics

A

Molecular biology techniques allow more information about chromosomes to be visualized
DNA probes can be hybridized to chromosomes and cell nuclei
Fluorescent labels make probes visible
A number of techniques have been developed for different purposes
Cost more but get more information
If you can see it on a karyotype then that is cheaper, but sometimes you can’t

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3
Q

FISH

A

Fluorescent In Situ Hybridization
DNA probe from specific gene or region of chromosome
Label with fluorescent material
Hybridize to denatured DNA of chromosome spread or nucleus
Spots identify complementary sequence
FISH analysis of an interphase nucleus, using locus-specific probes

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4
Q

SKY

A

Spectral Karyotyping
Multiple dyes, probes along all chromosomes
Lots of computer analysis of data
Can have all 23 pairs of chromosomes appear different on screen
Can identify large rearrangements, such as in tumor cells
Combination of probes, metaphase spread

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5
Q

DNA Analysis

A

May look at specific genes or test for markers
Markers may be genes or repetitive DNA
Can look at gene of interest or linked markers
Choices depend on availability of tests, knowledge of gene’s identity and/or location, feasibility, cost, etc.
Use many methods applicable to other DNA studies
Linkage analysis: looking at markers associated with phenotype

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6
Q

RFLP Analysis

A

RFLP = Restriction Fragment Length Polymorphisms
Restriction enzymes digest DNA by breaking backbone only at specific DNA sequence
Sites are short and usually palindromes
Different people may have sequence differences that disrupt a restriction site
Changes the length of fragments produced by digestion with the enzyme
Palindromes: short fragments that read the same forwards as backwards
Polymorphisms interfere with restriction sites and different lengths of fragments
Factor V for example

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7
Q

Analysis of Factor V

A

Factor V Leiden is an inherited disorder of blood clotting. It is a variant of human factor V that causes a hypercoagulability disorder. Factor V Leiden is the most common hereditary hypercoagulability disorder amongst Eurasians. Dominant disorder; but displays incomplete dominance. Causes vascular thrombosis, esp DVT which can lead to pulmonary embolism.

DVTs are more likely in these individuals
Mnl 1 site is cut/fragmented
Enzyme usually cuts twice in the top orange arrows
With mutation: homozygous, just cuts once, but if heterozygous, see bands from both homozygous and normal = 4 bands of different sizes
Easy way (PCR and restriction digestion) to get diagnosis

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8
Q

RFLP Pedigree Analysis

A

RFLP anaylsis: gel with banding and pedigree to get information
Pedigree shifted to right and directly below it is the patient’s banding pattern
Not looking at actual mutation in gene, but linkage analysis
Disease that don’t know the exact mutation, but know of a mutation that is linked (extra restriction site associated with mutant gene)

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9
Q

Microsatellite Analysis

A

Microsatellites have short repeat unit, number of repeats varies considerably
Flanking DNA generally identical, use for primers
Many alleles and sensitive detection

DNA fingerprinting is another name
Variable number of repeats, and this particular region of genome, the highest number of repeats is associated with polycystic kidney disease
Flanking region is same so use same PCR primers
Largest one is associated with disorder

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10
Q

Down Syndrome

A

Trisomy 21
Mental retardation, abundant neck skin, congenital heart defects, leukemia development, epichanthic folds, single palmar crease, umbilical hernias, hypotonia, gap between first and second toe, intestinal stenosis leading to GI issues

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11
Q

Edward’s Syndrome

A

Trisomy 18
Mental retardation, low set ears, fingers overlap, heart defects, renal malformation, rocker bottom feet, short neck, prominent occiput, micrognathia (small mouth), limited hip abduction

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12
Q

Patau Syndrome

A

Trisomy 13
Microcephaly, mental retardation, polydactyly (pinky finger or outside, and sometimes toes too), rocker bottom feet, cleft lip and palate, renal defects, umbilical hernia, cardiac defects

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13
Q

Turner Syndrome

A

45, X
This is the only survivable monosomy
Wide and webbed neck, widely spread nipples, shorter stature, higher angle of arms, under-developed ovaries, beauty marks (hyperpigmented nevi), hyperlipidemia from birth
Short 4th metacarpal

Different anomalies have been mapped to specific regions
Having only one copy of a region leads to problems
Partial aneuploidy may have partial phenotype

Most autosomes, there are both alleles that are expressed
But X chromosome, one of them are silenced – barr bodies
In turner’s syndrome patients: neuro-cognitive, short statue, gonadal defects- mapped the genes that caused the traits to occur because lack of dose of the other X

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14
Q

Kleinfelter Syndrome

A
XXY
Tall, limbs disproportionately long for trunk
Hypogonadism, generally sterile
Gynecomastia
Low testosterone may lead to low libido
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15
Q

Fragile X Syndrome

A

Constriction of bottom of X = fragile X
Named because end of X can be lost in cell culture if folate is low in medium
Most common familial cause of mental retardation
Long face, large mandible, outstretched ears, macro-orchidism
Not true recessive or dominant, females affected half as often as males

Long face, prominent jaw, large ears, macro-orchidism
Similar across ethnic groups

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16
Q

Fragile X Inheritance

A

Fragile X can “appear” in an extended family in a single generation
Affected cousins will be born
May share maternal grandfather
He can be a normal transmitting male
Due to repeat expansion in female germline
Must reach >230 repeats to be affected

Father transmits his only X to daughters and makes them carries and expands during female meiosis
Females are most likely mosaic and not affected as much

17
Q

Molecular Dx of Fragile X

A

Use repeat size to diagnose condition or premutation
Can use PCR or RFLP
Use flanking sequence for primers or RE sites
PCR of full mutation may not amplify well

Use PCR, the normal and pre-mutation see them well, but full mutation the PCR will not work as well and won’t see it
Better to do RFLP if patient has disorder

18
Q

FMR1 Gene and Protein

A

Protein binds to mRNAs in nucleus
Aids in transport along axon and dendrites
Allow mRNAs to be transcribed at proper site, form of protein targeting
Not expressed, no delivery
A model for the action of familial mental retardation protein (FMRP) in neurons.

FMRP – fragile X if mutated gene
Protein that binds to other mRNAs in the nucleus and especially important in neurons and allows transports of specific mRNA to ends of axons and dendrites
They are translated only when needed because you strengthen memory and learning, and FMRP is what causes it, so if not expressed learning and memory won’t be regulated without FMRP

19
Q

Other Repeat Expansion Disorders

A

Similar changes seen in other diseases
Small repeated sequence expands over generations until large enough to have effect
Some like FMR1 are in noncoding region
Others are in coding region, usually CAG repeats cause polyglutamine tract
When long enough, aggregate in nucleus of neurons, cause problems

20
Q

Polyglutamine Tract Disorders

A

Best described is Huntington chorea
Progressive movement disorder, appears later in life
Progresses to inability to care for oneself, followed by profound dementia
Strikes at younger age and more severe as generations progress, termed anticipation
Due to greater length of polyglutamine tract
Many be more severe in sequential generations= anticipation because of more expansion of polyglutamine in each generation
Father gets it at 63, next gen gets it at 53, next gen is 43, etc.

Similar disorders: spinobulbular muscular atrophy, spinocerebellar ataxias (several forms)

21
Q

Mitochondrial Disorders

A

Mitochondria have their own DNA
Codes for rRNA, tRNAs, a few mRNAs
No DNA repair systems, easily mutated!
Unusual properties due to inheritance pattern
Strictly inherited from oocyte (maternal only)
Many mitochondria per cell, not all will have same DNA sequence (heteroplasmy)
High ATP requirements makes cells susceptible to mutations in mtDNA

22
Q

Leber Hereditary Optic Neuropathy

A

Optic nerve degenerates, around 3rd decade of life
Leads to blindness
Strict maternal inheritance due to mitochondrial mutation, not usually heteroplasmic

23
Q

Microdeletions

A

Deletions too small to be seen in normal karyotype
May cover one or more genes
May have named syndrome

24
Q

Genomic Imprinting

A

Some genes altered in gametogenesis
Expressed from only maternal or paternal chromosome in all individuals
Mutation may be expressed or hidden, depending on parent who contributed it
some genes you aren’t supposed to have double doses of and one is silenced via methylation; either have the gene from mom or dad always/strictly

25
Q

Imprinting of Chromosome 15

A

One region of chromosome 15 has adjacent genes imprinted oppositely
Known microdeletions of this region
Can cause either disorder depending on parent who contributes microdeletion
Prader Willi vs. Angelman’s Syndrome

26
Q

Prader Willi Syndrome

A

Hypotonia, obesity, hypogonadism, small hands and feet, mental retardation
Paternal inheritance of microdeletion or mutation

27
Q

Angelman Syndrome

A

Ataxic gait, seizures, inappropriate laughter, mental retardation
Other movements with arms out and hands down lead to “happy puppet” term
Inherit microdeletion or mutation from mother