genetic testing and treatment Flashcards

1
Q

A service that helps people understand how their genes may affect their health or their family’s health.

A

genetic counseling

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2
Q

What do genetic counselors explain to families?

A

They explain inheritance patterns, disease risks and symptoms, tests and treatments for medical conditions.

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3
Q

How do genetic counselors assist healthcare professionals?

A

They interpret genetic tests and help healthcare providers include genetic information in patient care.

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3
Q

What are two common types of genetic counseling?

A

Prenatal counseling: Helping expectant families understand genetic risks for their baby.

Counseling families coping with a specific disease.

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4
Q

What is the main goal of genetic counseling?

A

To make genetic information easier to understand and use for better health decisions.

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5
Q

who are genetic testing performed on and why

A

Before birth and on newborns: To check for specific genetic diseases.

Children: To help diagnose conditions.

Adults: To diagnose diseases or see if they carry genes for conditions they could pass to their kids.

Human remains: For identifying people or studying genetics after death.

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6
Q

A test done in a lab to examine the genes and chromosomes of an early embryo to detect issues before implantation.

A

preimplantation genetic diagnosis (PGD)

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7
Q

Detects small deletions and copy number variants in chromosomes, mostly used for children.

A

chromosomal microarray analysis

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8
Q

Who regulates some genetic tests to ensure accuracy?

A

The Clinical Laboratory Improvement Amendments (CLIA).

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9
Q

They may provide inaccurate, inappropriate, or incomplete information about traits like athletic ability and dietary habits.

A

consumer genetic tests

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10
Q

it provide information on how individuals metabolize certain drugs

A

pharmacogenetic and pharmacogenomic test

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11
Q

Gene Therapy vs. Gene Editing

A

Gene therapy
- adds a new gene to help fix a problem.
- introduces genes nonspecifically

Gene editing
- is more precise—it can add, remove, or replace a gene. (at specific loci)

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12
Q

Other Treatments for Genetic Diseases

A

Enzyme replacement therapy: Adds missing enzymes.

Substrate reduction therapy: Lowers the amount of harmful substances the body makes.

Pharmacological chaperone therapy: Helps proteins fold and work properly.

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13
Q

Types of Gene Therapy

A

Germline gene therapy: Changes genes in eggs, sperm, or embryos, affecting future generations. (Not done in humans.)
Somatic gene therapy: Changes genes in regular body cells and doesn’t affect offspring.

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14
Q

Where Gene Therapy Happens

A

Ex vivo: Genes are added to cells outside the body, and these cells are then put back into the body.

In vivo: Genes are delivered directly into the body.

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15
Q

How Genes Are Delivered in Gene Therapy

A

Vectors, like viruses, carry therapeutic genes to the cells.

Sometimes the new gene becomes part of a chromosome or stays as a small circle of DNA (episome).

16
Q

Why are stem or progenitor cells targeted in some gene therapies?

A

Because they can divide and move to where they’re needed, making them ideal targets for long-lasting effects.

17
Q

CRISPR-Cas9 in diagnosis

A

Scientists can use genome editing to create animal models that have human mutations

[mimic human genetic mutations. This helps them study diseases and test treatments.]

18
Q

CRISPR-Cas9 in treatments

A

can correct the beta globin mutation behind sickle cell disease in induced pluripotent stem cell–
derived red blood cell precursors, or it can reactivate fetal hemoglobin genes.

[It can also turn on genes for fetal hemoglobin (a type of hemoglobin made before birth), which can compensate for the defective adult hemoglobin.]

19
Q

reasons to seek genetic counseling

A
  • Family history of abnormal chromosomes
  • Elevated risk of single-gene disease
  • Family history of complex disease
  • Family history of cancer
20
Q

genetic counselling sessions

A
  • Family history
  • Pedigree construction
  • Information provided on specific
    diseases, modes of inheritance, tests to identify at-risk family members
  • Testing arranged, discussion of results and treatments
  • Links to support groups, appropriate services, clinical trials
  • Follow-up contact
21
Q

a health care professional with a master’s degree who can help patients and their families understand the inheritance pattern of a specific medical condition, evaluate risk and navigate the path of genetic testing.

A

Genetic counselor

22
Q

who coined the term “genetic counseling”

A

Sheldon Reed

23
Q

where did the first class of specially trained genetic counselors graduated from

A

Sarah Lawrence College

24
Q

what are the branches (specialty) of genetic counseling

A

cancer
cardiovascular disease
neurology
hematology
ophthalmology

25
Q

what are the advantages that the genetic testing guide drug selection

A

■ Identifying patients likely to suffer an adverse reaction to a drug
■ Selecting the drug most likely to be effective
■ Monitoring response to drug treatment
■ Predicting the course of the illness (prognosis)