Genetic Disorders And Gene Therapy Flashcards

1
Q

Why do mutations change the integrity of cells❓

What is the significance of this❓

A
1.
Mutation in gene
⬇️
Change of codon
⬇️
Change of amino acid
⬇️
Change of conformation of protein 
⬇️
Change of function of protein 
  1. Genetic disorders result from genomic mutations
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2
Q

What is gene therapy❓

What is germ-line gene therapy❓

A

1.
•Correction of defective genes that are responsible for disease development
•Cures only affected cells

  1. •Permanent transfer of a gene into sperm or eggs to correct chromosomal or single gene diseases
    •Cures future generations
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3
Q
  1. What are the approaches in gene therapy❓
  2. Which approach is the most common❓
  3. Which approach involves homologous recombination❓
  4. Which approach involves selective reverse mutation❓
A
1.
•Insertion of normal gene to compensate for a nonfunctional gene 
•Abnormal gene is traded for normal gene
•Abnormal gene repair
•Change regulation of gene pairs 
  1. Insertion of normal gene to compensate for a nonfunctional gene
  2. Abnormal gene is traded for normal gene
  3. Abnormal gene repair
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4
Q

Chromosomal diseases (abnormal chromosome numbers) are usually caused by nondisjunction in meiosis

True or false

A

True

Offsprings inherit extra chromosome or are missing a chromosome

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5
Q

What is Down’s syndrome❓

What are the characteristics of a child with Downs Syndrome❓

How can a confirmatory diagnoses be made❓

A

1.
•Chromosomal disease •Results from the presence of an extra (3) of chromosome #21 in each cell nuclei

2.
•Wide, round face 
•Mental retardation 
•Enlarged tongue
•Speech difficulty 
  1. Karyotyping (visual display of chromosomes)
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6
Q

What happens in a single gene disease❓

A

There is:

  • Correct number of chromosomes
  • One chromosome contains gene responsible for the disease
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7
Q

What are alleles❓

What do they control❓

They can be dominant/recessive/codominant
True or false

A

Different forms (expressions) of genes

Traits

True

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8
Q

What is a genotype❓

What is a phenotype❓

A

1.
•Genotype refers to which alleles are found on the chromosomes
•eg WW, Ww, we

  1. •Phenotype refers to which expression is seen b/c of the allele
    •eg Widows peak or straight line
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9
Q

What is Huntington’s disease❓

Is it caused by a dominant or recessive allele❓

Prevalence❓

A

1.
•Neuromuscular genetic disease
•Loss of psychomotor control

2.
Dominant allele

3.
1 in 10,000 people

*Asymptomatic till after 30yrs

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10
Q

What is Cystic fibrosis❓

Is it caused by a dominant or recessive allele❓

A
  1. •Disease of respiratory system
    •Excessive production of mucus in the bronchi of the lungs
    •Breathing difficulty
  2. Recessive allele
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11
Q

What is Sickle Cell disease❓

Is it caused by a dominant or recessive allele❓

How come a person who has sickle cell trait is more resistant to malaria❓

Prevalence❓

A
1.
•Irregularly-shaped Hb of RBC 
•Causes sickle shaped RBC
•Circulatory problems 
•Anemia, pain
  1. None. Codominant
  2. Plasmodium cannot survive easily in a sickle cell RC
  3. ⬆️in ethnic groups in areas where malaria is a problem (African Americans)
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12
Q

What is Hemophilia❓

Is it caused by a dominant or recessive allele❓

Prevalence❓

A
  1. Disorder of impaired blood clotting
  2. X-linked, recessive
  3. 1 in 10,000 males
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13
Q

What is Adenosine Deaminase Deficiency❓

Is it caused by a dominant or recessive allele❓

A
  1. Severe immunodeficiency
  2. Autosomal recessive
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14
Q

No gene therapies have been approved by the FDA, but what are some gene therapy successes❓

A

Successfully treated:
1. Melanoma

  1. Severe combined immunodeficiency
  2. Hereditary blindness
  3. Sickle cell anemia
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15
Q

How is gene therapy done❓

A
Infect a viral vector with health gene
⬇️
Insert vector into the cell
⬇️
Vector inserts healthy gene into cell
⬇️
Activate the gene so transcription and translation takes place 
⬇️
Functional proteins are created from healthy gene
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16
Q

Which viruses can be used as vectors❓

What are the advantages and disadvantages of using viruses as vectors in gene therapy❓

A

Adenovirus
+infects many cell types
-🚫integrate into host genome

Adeno-associated virus
+integrates into host genome
-difficult to work with

Retrovirus
+integrates into host genome
-can cause cancer

Herpes simplex virus
+DNA stays in nucleus w/o integration
-only infects CNS

17
Q

Neurologix used (AAV)Adeno-associated virus in their Phase I trial of gene therapy for Parkinson’s disease

True or false

A

True