genetic counselling and linkage Flashcards
preimplantation test and prenatal test
- select disease free embryos for implantation
- detect potential genetic disease in foetus
screening test and pre-symptomatic test
- population-based test, providing a personalised risk assessment
- individual with no symptoms but has family history
carrier test and diagnostic test
- detects genetic variant which increases likelihood offspring will have a disease
- confirm in symptomatic patient a suspected diagnosis
societal implications of genetic counselling
- availability
- cost
- education to public
- privacy laws
research merit and integrity
potential benefit, well designed, follows principles of research conduct
justice
fair recruitment, and distribution and access of benefits
beneficence
likely benefit must outweigh the harm
non-maleficence = avoid doing harm
respect
autonomy of participants
respect privacy, confidentiality and cultural beliefs
what is genetic counselling
- interpretation of family and medical history
- education about inheritance, testing, management, prevention
- counselling to promote informed choices
when is genetic counselling needed
- diagnosing
- risk determination of carriers
- plan gestation in carriers
- if prenatal tests reveal abnormality or risk
why generate genetic maps
- determine whether mutations affect different genes
- clone genes and their map positions
- predict inheritance patterns.
- genome sequencing projects
linkage with no exchange
ratio of 3A_B_:1aabb
linkage with exchange
linkage on a single pair of homologs with exchanging occurring between non-sister chromatids.
the linked genes can be separated by recombination, shuffling alleles.
depends on how often recombination occurs and how close the genes are
coupling phase
cis. 2 dominant alleles of different genes on same homolog
repulsion phase
trans. 2 2 dominant alleles of different genes do not stay together. heterozygous on each homolog