Genetic Diseases I Flashcards

1
Q

examples of autosomal dominant diseases

A

marfan
ehlers hanolos
huntington
NF 1 and 2

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2
Q

characteristics of autosomal dominant disease

A

reduced penetrance
variable expressivity
delayed onset
reduced production or inactive protein

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3
Q

what chromosome is affected in Marfan

A

chromosome 15

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4
Q

marfan has a mutation in gene that encodes for what

A

fibrillin-I

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5
Q

fibrillin-I

A

glycoprotein constituent of micrfibils

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6
Q

Where are problems due to marfan’s found

A

aorta
eye
skeletal system

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7
Q

what type of mutation causes marfans

A

missense

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8
Q

how does marfans affect heart

A

stiffening of aortic wall

mitral valve prolapse

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9
Q

what are the affects of fibrillin 1 mutations

A
increased TGF beta1 activity
inflammation
MMP upregulation
elastolysis
cell disarray
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10
Q

how does marfans affect the eye

A

ectopia lentis - displaced lens

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11
Q

how does mafans affect skeletal system

A

pectus carinatum
pectus excavatum
arachnodactylyl
joint hypermobility

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12
Q

what can ectopic lentis cause

A

nearsightedness

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13
Q

mitral valve prolapse

A

valve clicks shut

flopsy

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14
Q

aortic dissection

A

can be very deadily

pt has stabbing pain that radiates to the back

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15
Q

cystic medial degeneration

A

elastic fibers, instead of running in parallel arrays are disrupted by pools of blue mucinous ground substance

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16
Q

type I and II elhers danoles

A

characretised by mutations that contain COL5A1 or COL5A2 encoding alpha chians of type V collagen

17
Q

type IV elhers danoles

A

decreased amount of type III collagen - most deadily

18
Q

type V and VI elhers danoles

A

deficiences in lysyl hydrozylase and lysyl oxidase, important modifyin genzyme in collagen biosynthesis

19
Q

type VII elhers danoles

A

has amino-terminal procollagen peptidase deficiency

20
Q

what is elhers danoles characterized by

A

joint hypermobility
cutaneous fragility
hyperextensibility

21
Q

What is unique about NF1

A

highly variable expression but 100% penetrance

22
Q

what mutation results in NF1

A

downregulat function of p21 ras oncoprotein

23
Q

common symptoms of NF1

A
axillary and/or inguinal freckling
cafe-au-lait
lische nnodules
neurofibrosis
bone lesiosn
24
Q

lisch nodules

A

pigmented hamartomas of iris

25
Q

lisch nodules

A

pigmented hamartomas of iris

26
Q

where do neurofibroma grow

A

along nerve sheath

27
Q

what do neurofibroma contain

A

multiple cell types from peripheral nerve

28
Q

people with neurfibromtosis have a long term risk for what

A

malignant neoplasma - specifically MPNSTs

29
Q

NF2

A

devastating autosomal dominant disorder that is different from NF1

30
Q

what chromosomes do NF2 affect

A

17q

22q

31
Q

when do people develop NF2 symptoms

A

100% will develop symptoms by 60 y/o

32
Q

how do tumors develop because of NF2

A

inactivation of merlin/schwannomin

33
Q

what do people with NF2 develop

A

bilateral vesticular schwannoomas

meningiomas

34
Q

common symptoms of NF2

A

hearing loss
tinnitus
headache
balance problems

35
Q

what do NF2 VS look like

A

bunches of grapes