GENETIC COUNSELING, TESTING & TREATMENT Flashcards
Specialized health care service provided by professionals known as genetic counselors
Primary aim: to help individuals &
families understand and make informed
decisions about genetic conditions that
may affect them or their offspring
GENETIC COUNSELING
- Health care professional with a master’s degree who can help patients & their families understand the inheritance pattern of a specific medical condition, evaluate the risk, & possibly navigate the path of genetic testing.
GENETIC COUNSELOR
Reasons to seek genetic counseling:
i. Family history of abnormal
chromosomes
ii. Elevated risk of single-gene
disease
iii. Family history of multifactorial
disease
iv. Family history of cancer
Focuses on assessing & discussing the risk of genetic conditions or birth defects in a pregnancy
PRENATAL GENETIC COUNSELING
Focuses on helping individuals understand their risk of developing certain genetic conditions that typically manifest in adulthood (cardiac, neurologic, & hematologic conditions)
GENETIC COUNSELING FOR ADULT-ONSET DISEASES
Medical tests that analyze an individual’s DNA to identify changes in specific genes/chromosomes
GENETIC TEST
GENETIC TESTS THROUGH HUMAN
LIFE CYCLE
1) Preconception and Prenatal
2) Newborns
3) Children
4) Adults
5) Posthumous
- “GAMETE DONOR SELECTION
BASED ON CALCULATIONS” - Computer program that predicts the results of meiosis in the gametes of an individual
- Analyzes possible gamete phenotypes
of the “recipient” (presumably a woman) & a “plurality of donors” (presumably men), considering penetrance & epistasis - “Hypothetical offspring” Also detects if potential parents are
close blood relatives
PRECONCEPTION AND PRENATAL
- Sperm are labeled with fluorescent
markers: X-bearing sperm cells glow
more intensely than Y-bearing sperm
because the X chromosome is so much
larger. - Sperm are collected & separate them
into fractions that are enriched for X- bearing or Y-bearing cells, to attempt to
conceive a girl or a boy, respectively
FLOW CYTOMETRY
It identify genetic conditions or
disorders early in life to enable timely medical intervention, treatment, or
management.
GENETIC TESTING FOR NEWBORNS
analytical chemistry technique that detects abnormal metabolites
MASS SPECTOMETRY
aims to detect certain genetic, metabolic/congenital conditions shortly after birth, even before symptoms become apparent.
DNA TESTING
Involves analyzing a child’s DNA to identify genetic variations, mutations, or abnormalities that may be associated with specific medical conditions or
genetic disorders.
GENETIC TESTING FOR NEWBORNS
Detects small deletions, duplications, & other CNVs associated with certain
phenotypes.
CHROMOSOMAL MICROARRAY ANALYSIS
Diagnoses unrecognized syndromes/ atypical cases; family comparisons
distinguish de novo from inherited
mutations in children.
EXOME SEQUENCING
- Genetic testing after death
- Involve examining DNA samples
obtained during an autopsy, tissue
preservation, or using stored biological
samples from the deceased person
POSTHUMOUS GENETIC TESTING
- A service that allows individuals to obtain information about their genetic makeup directly from a company w/o involving a health care professional/medical provider
Marketed directly to customers via television, print advertisements, or the Internet, & the tests can be bought
online or in stores.
DIRECT-TO-CONSUMER GENETIC TESTING