Genetics 6 (Genetic Disorders) Flashcards

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1
Q

What are the three types of obesity?

A
  • Syndromic
  • Monogenic
  • Common
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2
Q

What is syndromic obesity commonly accompanied by?

A
  • Mental Retardation

- Dysmorphic features

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3
Q

What is the action of leptin?

A
  • Leptin produced by adipocytes in white adipocyte tissue
  • travels to brain to let it know how much fat is stored in the adipose cells
  • regulates feeding
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4
Q

What is the treatment for leptin deficiency?

A

Recombinant leptin

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5
Q

What are Genome Wide Association Studies and what are they used for in relation to obesity?

A
  • hypothesis free
  • common disease, common variant
  • identifies single nucleotide polymorphisms associated with obesity e.g. FTO
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6
Q

What is an allele?

A

alternate form of gene

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7
Q

What is a mutation?

A

heritable change in DNA sequence

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8
Q

What is a polymorphism?

A

mutation a >1% frequency in given population

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9
Q

How do heritability estimates vary?

A
  • between populations
  • across ages
  • sampling variance
  • baseline risk of disease in population
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10
Q

What is monogenic diabetes?

A
  • born with it and always going to develop diabetes

- single gene defect

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11
Q

What is polygenic diabetes?

A
  • compilation of genetic changes that increase predisposition to developing diabetes
  • dependent on environmental/lifestyle factors and genetic risk
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12
Q

What are the symptoms of monogenic leptin deficiency?

A
  • hunger
  • obesity
  • no puberty
  • poor growth
  • low thyroid
  • immune problems
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13
Q

What are some examples of monogenic and polygenic diabetes?

A
  • monogenic: MODY, PND and mitochondrial diabetes

- polygenic: type 1 and 2 diabetes

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14
Q

What is the difference between a point and frameshift mutation?

A
  • point = missense and nonsense

- frameshift = insertions/deletions

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15
Q

What are the features of monogenic disorders?

A
  • caused by mutation
  • clear inheritance
  • no environment
  • individually rare
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16
Q

What are examples of monogenic and complex disorders?

A
  • monogenic: Huntington’s, CF and Haemophilia

- polygenic: T2D, schizophrenia and Crohn’s disease

17
Q

What are the features of complex disorders?

A
  • caused by polymorphisms
  • no clear inheritance
  • environment essential
  • common
18
Q

What is incomplete penetrance?

A
  • symptoms not always present in individual with disease-causing mutation
19
Q

What is variable expressivity?

A

disease severity varies between individuals with same disease-causing mutation

20
Q

What is a phenocopy?

A

same disease but different underlying cause

21
Q

What is epistasis?

A

interaction between disease gene mutation and other modified genes affects the phenotype

22
Q

What is the clinical management of obesity?

A
  • lifelong prevention and lifestyle measures
  • medication
  • bariatric (weight loss) surgery