Genes and genetic mechanisms Flashcards
What are the causes (percentages) of RSS?
11p15.5 / chr 7 regions
missing paternal or paternal variant
35-50% imprinting defect of 11p15.5
10% maternal UPD 7
rare del/dup
rare sequence CDKN1C or IGF2
What is the most common cause of RSS?
imprinting defect of 11p15.5
What are the causes (percentages) of PWS?
15q11.2-13 region
missing paternal or paternal variant
70% deletion
25% mat UPD
<1% imprinting defect
What are the causes (percentages) of BWS?
11p15.5 region
missing maternal or maternal variant
55% imprinting defect
20% pat UPD
10% CDKN1C variant
10% del/dup
What are the causes (percentages) of Angelman syndrome?
15q11.2-q13 region
missing maternal or maternal variant
70% deletion
11% UBE3A variant
5% pat UPD
4% imprinting defect
What is the most common cause of PWS?
deletion of 15q11.2-13 region
What is the most common cause of BWS?
imprinting defect of 11p15.5 region
What is the most common cause of Angelman syndrome?
deletion of 15q11.2-13 region t
What are normal, intermediate, premutation, and full mutation sizes for FMR1 related disorders?
6-44 normal
45-54 intermediate
55-200 pre
>200 full
What type of repeat is seen in FMR1 related disorders?
CGG repeats
Can’t Go Golfiing
AGG repeats affect stability
What are normal, intermediate, reduced penetrance, and full mutation sizes for Huntington’s disease?
10-26 normal
27-35 intermediate
36-39 reduced penetrance
>40 full penetrance
What type of repeat is seen in Huntington’s disease?
CAG
Chorea And Grumpy
What are normal, premutation, and full mutation sizes for Fredreich’s ataxia?
5-33 normal
34-65 premutation
66-1300 full
usually 600-1200
What type of repeat is seen in Fredreich’s ataxia?
GAA
Gait AtaxiA
What are normal, premutation, intermediate, and full mutation sizes for Myotonic dystrophy type 2?
<30 normal if uninterrupted
11-26 normal if interrupted
30-54 premutation
55-74 intermediate
75-11000 full
What type of repeats in what gene cause Myotonic dystrophy type 2?
CCTG repeats in CNBP
Cx2- Can’t Touch Grip
What are normal, mild, classic, and congenital mutation sizes for Myotonic dystrophy type 1?
35-49 normal
50-150 mild
100-1000 classic
>1000 congenital
What type of repeats in what gene cause Myotonic dystrophy type 1?
CTG repeats in DMPK
Can’t Touch Grip
What type of repeats in what gene cause SCA type 1?
CAG repeats (same as HD) in ATXN1
What chromosome deletion causes Cri du Chat?
5p
80-90% terminal deletions
Is cri du chat usually paternal or maternal in origin?
80-90% paternal
What chromosome deletion causes Wolf hirschhorn?
4p
How often is 22q deletion syndrome inherited?
90% de novo 10% inherited
What deletion can cause Sotos syndrome? What population is more likely to be affected by Sotos caused by deletion vs a single gene cause?
5q35 deletion
Japanese
What gene is involved with the skin findings for William’s syndrome?
ELN, also causes AD cutis laxa
What gene is involved with tertology or fallot in 22q deletion syndrome?
TBX1
What gene causes acute intermittent porphyria?
HMBS
What condition is associated with HMBS?
acute intermittent porphyria
What is the penetrance of acute intermittent porphyria?
extremely low 0.5-1%
What is the cause of adrenal hypoplasia congenita?
NR0B1 - XL
or Xp21 deletion
What condition is associated with NR0B1?
adrenal hypoplasia congenita
What gene causes androgen insensitivity syndrome?
AR gene- XL
What condition is associated with the AR gene?
androgen insensitivity syndrome
What is the genetic cause of McCune Albright?
somatic mutation in GNAS
What can somatic mutations in GNAS cause?
Mccune albright
What is the common HFE variant of reduced penetrance?
p.Cys282Tyr
His63Asp also common
What is the penetrance for male homozygote HFE p.cys282tyr?
low 28% men
(1% women)
What is the penetrance for men with compound heterozygote HFE mutations: Cy282Tyr and His63Asp?
extremely low 0.5-2%
What is the carrier frequency for the two common HFE variants in European populations?
1/3 carrier of either Cys282Tyr
or His63Asp
What variant in the F5 gene causes Factor V Leiden?
c.1691G>A
(AR)
What gene causes Hemophilia A?
F8 (XL)
What are genetic causes of hemophilia A?
F8 gene - XL
43-51% sequence
48% inversions of exons 1 and 22
What gene causes Hemophilia B?
F9 (XL)
What are possible genotypes for someone with beta thal trait?
B/ B0
B/ B+
What are possible genotypes for someone with beta thal intermedia?
B+/ B+
B+ / B0
some residual activity, no full functioning B
What is the possible genotype for silent carrier of alpha thal?
xHBA1 / HBA1
+
HBA2/HBA2
What are possible genotypes for someone with alpha thal trait?
xHBA1 / HBA1
+
xHBA2 / HBA2
or
xHBA1 / xHBA1
HBA2 / HBA2
two mutations total!
What is a possible genotype for someone with HbH disease?
three mutations total
xHBA1 / xHBA1
+
xHBA2 / HBA2
What is the genotype for someone with Hb Barts disease?
mutations in all 4
xHBA1 / xHBA1
+
xHBA2 / xHBA2
What mutation cause Sickle cell anemia?
HBB p.glu6Val
p.6146
What gene causes alpha thal ID syndrome?
ATRX (XL)
What condition does the ATRX gene cause?
alpha thal ID syndrome
What gene causes MPS1?
IDUA (AR)
Hurler/Schaie
What condition is associated with the IDUA gene?
Hurler MPS1
What gene causes MPSII?
IDS (XL)
Hunter
What condition is associated with the IDS gene?
MPSII Hunter
What gene causes MPSIII?
What is the most common gene associated with Zellwegger spectrum?
PEX1
What condition is associated with the GALT gene?
Galactosemia (AR)
What gene causes Galactosemia?
GALT
What condition is associated with the GAA gene?
Pompe disease
What gene causes Pompe disease?
GAA (AR)
What condition is associated with the ACADM gene?
MCAD
What gene causes MCAD?
ACADM (AR)
What condition is associated with the ACADVL gene?
VLCAD
What gene causes VLCAD?
ACADVL (AR)
What gene causes PKU?
PAH (AR)
What condition is associated with the GLA gene?
Fabry disease
What gene causes Fabry disease?
GLA (XL)
What condition is associated with the GALC gene?
Krabbe
What gene causes Krabbe disease?
GALC (AR)
What condition is associated with the GBA gene?
Gaucher
What gene causes Gaucher disease?
GBA (AR)
What condition is associated with the GCDH gene?
Glutaric acidemia type 1
What condition is associated with the BTD gene?
biotinidase deficiency
What gene causes biotinidase deficiency?
BTD (AR)
What condition is associated with the FGD1 gene?
Aarskogg
What gene causes Aarskogg syndrome?
FGD1 (XL)
What condition is associated with the RPS6KA3 gene?
Coffin Lowry
What gene causes Coffin Lowry syndrome?
RPS6KA3 (XL)
2/3 de novo
What condition is associated with the NIPBL gene?
Cornelia de Lange
What gene is the most common cause of Cornelia de Lange ?
NIPBL (AD)
80% of genetic causes
What gene is the most common cause of Leigh syndrome?
MT-ATP6 (m)
What is the most common variant causing MELAS?
MT-TL1 m.3243A>G
80%
What condition is associated with the MT-TL1 m.3243A>G variant?
MELAS
What is the most common gene associated with MERRE?
MT-TK
What condition is associated with the EYA1 gene?
branchiootorenal syndrome
What is the most common gene associated with branchiootorenal syndrome?
EYA1 (AD) - 40%
also SIX1 and SIX 5
What deletion syndrome is associated with aniridia?
11p13 deletion including PAX6 and WT1
What condition is associated with 11p13 deletions?
WAGR syndrome - WT and aniridia
What condition is associated with 17p13.3 deletion?
Miller dieker lissencephaly