genetic conditions Flashcards

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1
Q

what does autosomal dominant mean

A

the disease is seen in all generations with a 50% risk of an affected child if one parent is affected

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2
Q

what does de novo mutation mean and when does it occur

A

this is a new, autosomal dominant mutation, neither parent will have it.

this mutation will occur in gametogenesis

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3
Q

what does autosomal recessive mean

A

these diseases often only affect one generation with a 25% risk of an affected child if BOTH parents are carrier

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4
Q

what is haploinsufficiency mutation

A

only one working copy of the gene

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5
Q

what is a dominant negative mutation

A

expression of an abnormal protein which interferes with the normal protein

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6
Q

what is a gain of function mutation

A

a mutant protein gains a new function which affects all cell processes

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7
Q

what is a complete loss of protein mutation

A

this is autosomal recessive, 2 fault copies of a gene will produce NO protein

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8
Q

what is tuberous sclerosis

A

common genetic disease which presents with benign tumours affecting most body systems

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9
Q

what type of mutation causes tuberous sclerosis, where does it occur

A

autosomal dominant but de novo are also common.

mutation occurs or chromosome 9 or 16

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10
Q

the production of what is affected in tuberous sclerosis

A

tuberin and hamartin

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11
Q

what are the symptoms of tuberous sclerosis

A
infantile seizure due to cortical tubers and/or calcification of fall cerebri
epilepsy 
ash-leaf macule
tumours
enamel pitting
shagreen patches
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12
Q

what tumours are found in tuberous sclerosis

A

can affect any body site

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13
Q

what is the treatment of tuberous sclerosis

A

MTOR inhibitor may help

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14
Q

what is epidermolysis bullosa (EB)

A

group of genetic skin fragility conditions

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15
Q

what causes epidermolysis bullosa

A

faults in genes encoding for type 1 and 2 keratins

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16
Q

what are the 3 types of epidermolysis bullosa, what do they affect

A
simplex = affect the epidermis
junctional = affect the junction
dystrophic = affects the dermis
17
Q

what are the symptoms of epidermolysis bullosa

A

widespread blistering

skin loss

18
Q

what is neurofibromatosis type 1

A

multisystem genetic disease

19
Q

what are the symptoms of neurofibromatosis type 1

A
cafe-au lait macules
learning difficulties 
neurofibromas 
axillary or inguinal freckling 
optic glioma
distinct bony lesion 
plexiform neuroma
2 or more lisch nodules
20
Q

what is a cafe-au lait macules

A

coffee coloured flat marks. these occur from birth.

> 5 suggests a genetic disease

21
Q

what are lisch nodules

A

dome-shaped gelatinous masses developing on the surface of the iris

22
Q

what is the treatment for neurofibromatosis type 1

A

MEK inhibitors