Genetics 11 - Genetic Diversity and Complex Genetic Diseases Flashcards

1
Q

learning outcomes

A
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2
Q

monozygotic twins

A

single zygote that underwent mitosis post fertilisation

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3
Q

sources of genetic diversity

A

differing patterns of random X inactivation

somatic mutation/recombination (e.g. cells of the immune system)

different degrees of heteroplasmy (mtDNA)

copy number variants (CNVs)

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4
Q

CNVs

cause of…

relevance of variation it causes

A

very highly variable regions in human genome

cause of structural variation

comprised of variable number of repears (>90% identical) of a particular unit of sequence

contribute to human genetic variation (5-10% of genome)

play an important role in evolution

represent functional (disease causing) mutations as well as genomic polymorphisms of uncertain relevance (CNPs)

genes associated with disease are least affected by CNVs whereas paralogous genes are most affected (2+ genes descended from same ancestral gene but original gene was duplicated and received some type of mutation that gave rise to new function which is closely related to ancestral gene - usually changes in species - form of evolution)

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5
Q

paralogous genes

A

2+ genes descended from same ancestral gene but original gene was duplicated and received some type of mutation that gave rise to new fucntion which is closely related to ancestral gene - usually changes in species - form of evolution

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6
Q

categories of CNV

A

smaller CNVs (<10kb)

copy number polymorphisms (CNPs)

common in the general population (freq < 1%)

often encode proteins involved in drug metabolism and immunity

associated with susceptibility to complex inflammatory/immune disease e.g. psoriasis and Chron’s

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7
Q

larger CNVs

size

type of mutations

prevalence

associated with

A

10kb - 5Mb

microdeletions/microduplications

rare in general population

associated with susceptibility to neurocognitive diseases

autism, schizophrenia, behavioural, language, sleep, intellectual, complex types

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8
Q

William Syndrome

A

micro del 7q11.23

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9
Q

Smith-Magenis syndrome

A

micro del 17p11.2

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10
Q

Potocki-Lupski syndrome

A

micro dup 17p11.2

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11
Q

duplication vs deletion

A

Microdeletions are usually more severe than duplication syndromes

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12
Q

detection of larger CNVs (microdeletions) - SNP array

A

copy # - will tell us if there is something missing/extra

genotype - heterozygosity, along middle line - no dots on the middle line ⇒ LOH - may indicate deletion

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13
Q

immunoglobulin structure

how is it formed

A

2 heavy chains - (γ,α,μ,ε,δ - G, A, M, E, D)

2 light chains - either 2λ or 2κ

each chain (heavy and light) has both:

constant region (C)

variable region (V)

building an Ig requires 2 of 3 families of genes on 3 different chromosomes - Irreversible recombination of germline genes during prenatal development

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14
Q

Ig gene organisation

A

V = variable

J - junction

C = constant

D = diversity with heavy chain, as well as V, J and C

For either light or heavy only use 1 type of exon

Spliced at random to make different type of globulin

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15
Q

κ gene family

regions present

A

C REGION

1 C (constant) region

V REGION

250 V regions (2 exons - L codes for a leader region and V for most of variable region

several J exons

J exons are located between V and C regions

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16
Q

λ gene family

A

C REGION

4 C region genes, 1 for each subtype of λ chain

V REGION

30 V regions

J (joining) regions, in between Cs

the L, V, J and C exons are separated by introns

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17
Q

arrangement of κ and λ light chain genes in germ line of undifferentiated cells

A
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18
Q

4 steps in making a κ light chain

A
  1. somatic DNA recombination
  2. transcription of pre-mRNA
  3. RNA splicing
  4. translation into protein
    5.
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19
Q
  1. somatic DNA recombination
A

occurs in B cell precursors (somatic DNA recombination)

V and J are joined together to encode the variable domain of the Ig light chain

any 1 V and any 1 J can join (intervening introns and exons excised)

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20
Q
  1. transcription of pre-mRNA and 3. RNA splicing
A
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21
Q
  1. translation into protein
A

translation into protein

light chain protein transport to ER, carried out by leader sequence

removal of leader sequence (L)

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22
Q

a light chain rearrangement of the exons

A
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23
Q

making a heavy chain - what is needed

when is heavy chain made

A

germ line

9 C genes

> 1 for each class M (μ), D (δ), G 1-4 (γ1-γ4), E (ε), A 1-2 (α1-α2)

H gene for hinge region

V gene (L and V)

J gene

D genes (D for diversity)

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24
Q

heavy chain gene family

A
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25
heavy chain DNA rearrangement
26
making a heavy chain - alternative ways of processing of the same pre-mRNA
1. LVDJ spliced to be contiguous with Cmu 2. LVDJ spliced to be contiguous with Cdelta expression of IgM heavy chain or IgD heavy chain
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heavy chain transcription and translation
Goes to ER and leader sequence is cleaved off
28
how is DNA rearrangement co-ordinated
recombination signal sequences non-coding DNA sequences that are found directly adjacent to the points at which recombination takes place (VDJ) function as signals for the recombination process that rearranges the gene segments located 3' side of each V segment, 5' side of each J segment and both sides of D segments
29
recombination of signal sequences (RSS)
nonmer heptamer 1 (12 bp) or 2 (23 bp) turn signals Rag-1 and Rag-2 - Cleave out introns and exons in between
30
how does rearrangement occur kappa, lambda and heavy chains
ONLY between a 1 and 2 turn signal - 12/23 rule **_κ light chains_** a 1 turn signal downstream (3') of V a 2 turn signal upstream (5') of J so κ V and J can join, but V won't join to another V **_λ light chains_** a 2 turn signal downstream (3') of V a 1 turn signal upstream (5') of J so λ V and J can join, but V won't join to another V **_heavy chains - 2-1-1-2_** a 2 turn signal downstream (3') of the V gene 1 turn signals on each side of the D exon a 2 turn signal upstream (5') of the J exon only 2 to 1 and 1 to 2 recombination is permitted V cannot recombine directly to J
31
recombination - removal of itrons
catalysed by Rag-1 and Rag-2 (also involved with TCRs) mutations in the genes for these proteins results in severe combined immunodeficiency disease (SCID) as the recombination mechanisms are also involved in generation of TCRs
32
terminal transferase - diversity
randomly inserts nucleotides at the junction between D and J further diversity in this hypervariable region - junctional diversity result = 107 - 108 idiotypes of Ig
33
order of Ig gene expression
Heavy chain expressed first Recombination - in frame - go on to form heavy chain - pre b cell (either maternal or paternal) B cell is diploid - only 1 allele expressed so whatever allele makes a heavy chain first is going to be expressed
34
how is the mature B cell formed
35
somatic hypermutation enzyme involved mutation rate
a process of affinity maturation of the V segments which occurs in the subset of B cells that can bind to a specific foreign antigen post-stimulation involves activation-induced deaminase (AID) mutation rate increase to 103 per bp per generation some Igs have high affinity binding and B cells with these Igs are selected and proliferate extensively result = population of mature plasma cells secreting highly specific Ig
36
Ig gene expression - irreversible somatic genetic change
excision of introns and somatic hypermutation constitutes irreversible somatic genetic change considerable element of random recombination and mutation Fred and George - almost certainly end up with a different repertoire of their 1010 - 1011 idiotypes of Ig similarly different TCR idiotypes and olfactory receptors
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things to remember
38
learning outcomes
39
Copy Number Variants
for most of maternal chr 1 the sequence in both monozygotic twins are identical for CNV loci the number of copies at a given locus on maternal chr 1 may differ between the 2 twins in a twin with a duplication of the CNV on mat chr 1 the 2nd/duplicate copy (paralogous sequence) may differ slightly from the original copy
40
importance of CNVs in MZ twins
if twin A develops complex disease and twin B does not - regions of the genome with CNV can be investigated further changes in CNV may identify whether a missing gene, or multiple copies of a gene, are implicated in disease onset pathogenic CNVs are particularly enriched for genes involved in development link to dosage sensitivity and neurodevelopmental disorders
41
haploinsufficiency
bi-allelic expression is usual - from both maternal and paternal some genes normal physiological function requires full gene dose - 2 functional alleles individual with only 1 functional allele is haploinsufficient may be because of: heterozygous with 1 functional and 1 non-functional (null) allele OR hemizyogus (del) - allele deleted on 1 chr e.g. CNV microdeletion syndrome - Smith-Magennis syndrome (SMS) - haploinsufficiency of RAI1. microdel 17p11.2
42
genetic determination triangle
43
inheritance of genes vs characters
genes - mendelian characters (phenotype) - never entirely Mendelian environmental influence genetic interactions chance (stochastic) events \* Penetrance and Expressivity
44
multifactorial traits/disorders
traits/disorders showing familial clustering, but no recognised Mendelian inheritance pattern determined by the additive effects of many genes at different loci (polygenic), combined with effects of environmental factors e.g. height, T2DM, hypertension, CV disease, schizophrenia, Alzheimer's disease
45
mendelian vs complex traits
46
polygenic theory
a useful framework for considering the inheritance patterns of traits/disorders that rely on the interaction of a large number of genetic factors, each of which make a small contribution to overall phenotype
47
2 main concepts of polygenic theory
HERITABILITY estimates how much of differences between populations are down to their genes THRESHOLDS explains how dichotomous characters can be polygenic
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heritability
proportion of total phenotypic variance that is attributable to genetic variance in a population how much of differences between people in a group are down to genetic differences between them, and how much is down to differences in their environments nature (genes) vs nurture (environment) heritability is not about individuals - relates to populations
49
heritability compares what does a heritability of 0.5 mean
compares incidence in relatives of affected individual vs incidence in general population heritability of 0.5 does not mean that a trait is 50% caused by genetic factors - it means that 50% of variability in the trait in a population is due to genetic differences among people e.g. heritability of religion is 0 intelligence is somewhere between 0 and 1
50
Phenylketonuria (PKU) gene symptoms
caused by mutations in the PAH gene - phenylalanine hydroxylase mutations prevent conversion of the AA phenylalanine to other compounds builds up toxic levels, affecting nerve cells - brain damage
51
what is the heritability (proportion of total phenotypic variance that is attributable to genetic variance in a population) of PKU in Ireland
as we screen for PKU now, heritability of PKU is close to 0 - diet adjusted
52
concordance
co twin also affected higher rate with monozygotic twins
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discordance
co twin unaffected higher rate in fraternal (dizygotic) twins - share 50% of genes - siblings
54
family studies - evidence for genetic involvement in complex diseases
weaker evidence as family environment is shared and so could be responsible for the effect
55
adoption studies - evidence for genetic involvement in complex diseases
stronger evidence than family studies as separates the effects of genes and family environment
56
adopted twin studies - evidence for genetic involvement in complex diseases
rare, but very strong evidence as genetics are matched and family environment is different
57
threshold theory what does it explain
explains how dichotomous characters can be polygenic susceptibility to a disease is a continuous character that depends on combined effect of many genes if your susceptibility exceeds a threshold you will manifest the disease - all or nothing relatives will therefore be more likely to also manifest the disease, than the general population explains why complex diseases tend to run in families
58
Julie Already have 2 children with cleft palate - threshold is low - a lot of susceptibility genes
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multifactorial inheritance recurrence risk rules
polygenic threshold characters run in families parents with several affected children have more high risk alleles than parents with one affected RECURRENCE RISK RULES the more seriously affected, the higher the risk for siblings the more affected children you have, the higher risk of recurrence the closer the relative to the index case, the higher the risk of recurrence
60
gender biased polygenic inheritance e.g. symptoms
hypertonic pyloric stenosis projectile vomiting and failure to thrive 5x more common in males must be higher threshold for girls than boys
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offspring of affected males vs offspring of affected females - who is more likely to manifest hypertrophic pyloric stenosis
offspring of affected females As females have higher threshold, she must have a lot of susceptibility genes for this disorder so more likely to pass on gene
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the Carter effect
higher recurrence risk if the index case is of the less commonly affected sex e.g. HPS - Male - lower threshold Most likely to have it - a male child of an affected female
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how do we finds genes involved in complex disorders
linkage analyses - microsatellites association candidate gene testing - gene you think might be involved - haplotyping genome-wide association studies (GWAS)
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linkage analysis
relationship between loci not alleles specifically genetic phenomenon linkage analysis looks at physical chunks of the genome of related individuals with the phenotype and associates them with given traits PRINCIPLE if we find a common genetic marker (e.g. microsatellite, SNP) we assume that the gene that causes the disease is somewhere in the same area
65
genetic association - phenomenon goal method
purely statistical phenomenon and not specifically genetic GOAL = identify 1 or more allels within a population that co-occur with a particular phenotypic trait more often than would be expected by chance METHOD = gather some people with a disease (cases) and some people without a disease (controls) in a population and look to see what alleles are present more in cases than controls association is not causation - may be on same haplotype, or by chance present in higher frequency in subgroup with the disease - Gene involved - but molecular investigation must prove it
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linkage analysis vs association
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candidate gene testing
targets can be informed by: knowledge of the disease apthology (functional cloning) - quicker, but need prior knowledge to make an educated guess linkage and association testing (positional cloning)
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GWAS
scans all genes in genome no prior knowledge needed high resolution SNP chips used WGS also used
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cases of diabetes
70
DM
HYPERGLYCAEMIA \> 7mmol/L fasting \> 11 mmol/L non fasting TYPE 1 = sudden onset in youth related to autoimmune pancreatitis TYPE 2 = gradual onset in middle/later years associated with obesity and inactivity (diabetes epidemic)
71
MODY
mature onset diabetes of the young autosomal dominant pattern of inheritance not associated with obesity or sedentary lifestyle 7 different single gene defects identified
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mitochondrial T2D
severe single gene defects some associated with deafness
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T2DM - evidence for genetic factors
ethnic differences family and twin studies - 2.4x risk for families 15-25% of first degree relatives develop impaired glucose tolerance or T2D \> 30 genes with susceptibility alleles (linkage/GWAS studies)
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things to remember