Genetic Disorders Flashcards
Sickle-cell anemia is caused by a mutation in which chain of hemoglobin?
Beta chain
What is the product of FMR1? What is its function?
FMR protein (FMRP)
RNA binding protein associated with polysomes; regulate protein synthesis at synapses
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Do chromosomal abnormalities have high or low penetrance?
High
Do Mendelian disorders have a high or low penetrance?
High
Why does sickling lead to decreased NO?
Released Hb binds to NO, thereby depleting it
What is a neurofibroma and what is it composed of?
Peripheral nerve sheath tumors composed of a mixture of Schwann cells and fibroblasts
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People with 22q11.2 deletions are at an increased risk of:
Schizophrenia
Bipolar disorder
ADHD
What is a nondisjunction mutation?
Failure of two homologous chromosomes (or two sister chromatids) to separate at metaphase of meiosis I (or meiosis II/mitosis)
Define polymorphism
the occurrence of different forms among the members of a population or colony, or in the life cycle of an individual organism.
What does it mean when FMR1 is said to have “nonclassic inheritance”?
Mutations don’t cause loss of function
How is phenylketonuria inherited?
Autosomal recessive
What is the function of CTLA4?
Cytotoxic T-lymphocyte associated protein 4
Negative regulator of immune response
Describe the clinical presentation of PKU.
Postnatal growth retardation
Moderate to severe intellectual disability
Recurrent seizures
Hypopigmentation
Eczematous skin rashes
What are some of the lesser-known symptoms of Down syndrome aside from intellectual disability and physical abnormalities?
40% have congenital heart disease
Digestive problems
10-20x increased risk of leukemia
Abnormal immune responses of unknown etiology (thyroid autoimmunity and lung infections)
Degenerative neurological disorder similar to Alzheimer’s
What is the significance of “sticky patches” in HbS?
Causes aggregation of deoxygenated sites
Caused by hydrophobic reside being replaced with a hydrophilic residue
Aside from the brain, what is the other major location for FMRP expression?
Testes
What causes symptom onset in Amyloidosis?
Amyloid build-up impinging on neighboring structures
How many gene candidates have been implicated in Type 1 diabetes? Which ones are most important?
20-30
Insulin gene
HLA region on Chr 6p21
PTPN22
IL2RA
CTLA4
Characteristic physical appearances for Fragile X Syndrome are not always present. What are they when they ARE present?
Long face
Large jaw
Why can PKU cause seizures?
Accumulation of Phe inhibits amino acid transport across the blood-brain barrier
What are the two hallmark symptoms of Ehlers-Danlos syndrome?
Elastic skin that bruises easily
Overly flexible joints
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95% of cases of Trisomy 21 are a result of _____. 4% of cases are caused by ______.
95%: three chromosome 21
4%: translocation of extra chromosomal material
What environmental exposures would be required for someone that has a genetic predisposition as a result of polymorphisms to develop Type 1 diabetes?
Hypersensitivity reactions
Certain autoimmune diseases (ex: Lupus)
Describe the clinical presentation of Neurofibromatosis I
Neurofibromas
Optic nerve gliomas
Lisch nodules
Cutaneous hyperpigmented macules
Most phenotypical characteristics are a result of ______.
interaction of multiple polymorphisms
What is the function of Ras?
Promotion of survival and proliferation