Genetics Flashcards
Familial risks
What is the incidence of a disorder in relatives compared to the incidence in the general population?
Twin studies
What is the incidence in monozygotic compared to dizygotic twins?
Adoption studies
What is the incidence in adopted children of the disorders which their parent had?
Population and migration studies
What is the incidence in people from a particular ancestry group when they move to a different geographical area?
Huntingdon’s disease
- Autosomal dominant disease with high penetrance
Huntingdon’s features
- Progressive degenerative disorder of the CNS - dementia, movement disorder, personality changes
- Incurable, treatment for symptoms only
- Mutations due to CAG repeat expansion
Huntingdon’s Peak age of onset
40 years
Huntingdon’s transmission
Vertical transmission
Anticipation
Age of onset can decrease with generations
Huntingdon’s aetiology
11 - 34 CAG repeats are normal –> encodes run of 11 - 34 glutamine amino acid residues in the protein
A run of > 35 glutamine residues causes the protein to aggregate in the brain cells –> progressive cell death
>35 CAG repeats in the gene expand further (esp in male meiosis) –> earlier age of onset in children of affected men - anticipation
Toxic-gain-of-function genotype
Penetrance
the chance that a genotype results in the associated phenotype
Hereditary Haemochromatosis
Autosomal recessive condition characterised by iron overload
Hereditary Haemochromatosis aetiology
Due to mutations of HFE gene –> missense mutations, single nucleotide polymorphisms, point mutations
–> change in amino acid - specifying codon
Recessive diseases are usually assoc w/ mutations that cause loss-of-normal-protein function
Hereditary Haemochromatosis Presentation
Life threatening disease associated with high morbidity and mortality
Iron overload –> organ damage
- Regular venesection provides an effective treatment - quantitative reduction in iron stores
Expressivity
Degree to which the range of signs/symptoms for a given trait differ between individuals
Pleitropy
mutations in a single gene can influence multiple phenotypic traits