Gen Path Exam 2 - Genetics Flashcards
What type of disease?
Marfan syndrome
Autosomal dominant - single gene disorder
What type of disease?
Familial hypercholesterolemia
Autosomal dominant - single gene disorder
What type of disease?
Cystic fibrosis
Autosomal recessive - single gene disorder
What type of disease?
Lysosomal storage disease
Autosomal recessive - single gene disorder
What type of disease?
Cleft palate
Complex multigenic disorder
What type of disease?
Down syndrome (trisomy 21)
Cytogenetic disorder
What type of disease?
Edwards syndrome (trisomy 18)
Cytogenetic disorder
What type of disease?
Patau syndrome (trisomy 13)
Cytogenetic disorder
What type of disease?
Klinefelter syndrome
Cytogenetic disorder
What type of disease?
Turner syndrome
Cytogenetic disorder
Transmitted in the parents’ gametes
Hereditary
Increased incidence among family members
Familial
Not necessarily hereditary, but might be
Familial
Present at birth
Congenital
Not necessarily genetic origin
Congenital
Permanent changes in DNA
Mutation
Germ cell mutation can be transmitted to progeny
Mutation
Somatic cell mutation is not transmittable
Mutation
What are the 2 types of genetic abnormalities?
Within DNA
Epigenetic inheritance
What are the categories of genetic abnormalities within DNA?
Smaller - gene level
Larger - chromosome level
What type of genetic abnormality within DNA?
Mutation
Smaller - gene level
What type of genetic abnormality within DNA?
Amplification
Larger - chromosome level
What type of genetic abnormality within DNA?
Deletion
Larger - chromosome level
What type of genetic abnormality within DNA?
Translocation
Larger - chromosome level
What type of genetic abnormality within DNA?
Inversion
Larger - chromosome level
What type of genetic abnormality?
Changes in regulation of gene expression, not sequence
Epigenetic inheritance
What type of genetic abnormality?
Heritable
Epigenetic inheritance
What type of genetic abnormality?
Caused by chemical modification of DNA, often induced by environment
Epigenetic inheritance
3 categories of genetic disorders
Single gene
Complex multigenic
Cytogenetic
Which category of genetic disorders?
Mutation in single gene
Single gene
Which category of genetic disorders?
One mutated copy of gene needed for disease to occur
Autosomal dominant - Single gene
Which category of genetic disorders?
Child of affected parent has 50% chance of inheriting disorder
Autosomal dominant - Single gene
Which category of genetic disorders?
2 mutated copies of gene required for disease to manifest
Autosomal recessive - Single gene
Which category of genetic disorders?
If both parents are carriers, each child has 25% chance of inheriting disorder
Autosomal recessive - Single gene
Which category of genetic disorders?
Mutations on X chromosome
X-linked - Single gene
Which category of genetic disorders?
Can be dominant or recessive
X-linked - Single gene
Which category of genetic disorders?
More likely to affect males
X-linked - Single gene
What disease?
Caused by mutation in fibrillin-1 gene (FBN1)
Marfan syndrome
ECM component of elastic fibers
Fibrillin-1 gene (FBN1)
What disease?
Clinical presentation includes tall thin stature, long arms/legs/fingers/toes, flexible joints, high arched palate, dislocation of ocular lens, mitral valve prolapse, aortic aneurysm and dissection, scoliosis
Marfan syndrome
What disease?
Diagnosed by clinical evaluation and genetic testing
Marfan syndrome
What disease?
Tx is antihypertensive meds and surgical intervention for aortic disease
Marfan syndrome
What disease?
Caused by mutation in LDL receptor gene (loss of function, lack of LDL uptake into liver, elevated LDL in plasma)
Familial hypercholesterolemia
What is one of the most common Mendelian disorders?
Familial hypercholesterolemia
What disease?
Clinical presentation is elevated LDL cholesterol, premature atherosclerosis/coronary artery disease, cholesterol deposits in skin
Familial hypercholesterolemia
Cholesterol deposits in skin
Xanthelasmas
What disease?
Diagnosed by cholesterol panel and genetic testing
Familial hypercholesterolemia
What disease?
Tx is statins and dietary changes
Familial hypercholesterolemia
What is the most common autosomal recessive disorder?
Cystic fibrosis
What disease?
Caused by mutation in CFTR gene
Cystic fibrosis
Affects chloride ion transport
CFTR gene mutation
Causes thick mucous secretions from exocrine glands
CFTR gene mutation
What disease?
Affects individuals of European descent
Cystic fibrosis
What disease?
Clinical presentation includes chronic respiratory infections, pancreatic insufficiency (protein/fat malabsorption, vitamin deficiency), salty sweat, poor growth
Cystic fibrosis
What disease?
Diagnosed by sweat test and genetic test
Cystic fibrosis
What disease?
Tx is respiratory therapy, enzyme supplements, antibiotics
Cystic fibrosis
What disease?
Caused by deficiency of lysosomal enzymes
Lysosomal storage diseases
What disease?
60+ types, categorized by deficient enzyme and accumulated metabolites
Lysosomal storage diseases
What are the 4 examples of Lysosomal storage diseases?
Gaucher disease
Tay-Sachs disease
Niemann-Pick disease
Mucopolysaccharidoses