Genetics Flashcards

1
Q

define penetrance

A

likelihood of having a disease features if you have a gene mutation

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2
Q

define variant

A

any change in the DNA sequence, can be benign or pathogenic

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3
Q

define mutation

A

pathogenic variant

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4
Q

define polymorphism

A

variant that is prevalent in the general population

may have low penetrance effect on common disease

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5
Q

what is the common disease-common variant hypothesis (CDCVH)?

A

if a disease is common in a population (>1%) then specific variations in the genetic code will also be common in the populations

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6
Q

what type of inheritance does the CDCVH work for?

A

polygenic disorders

multiple genes involved

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7
Q

factors that increase the chance of a variant being pathogenic

A
frame shift
premature stop codon
highly conserved area
introns remain in coding sequence
exon mutated rather than intron
splice site
known disease-causing mutation
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8
Q

what to question when finding a causative variant?

A

is it in a coding bit of gene- exon?
does it affect the gene? (consider degenerative nature of DNA)
exclude those variants known as polymorphisms
is it in a gene that causes disease?
does the pattern of inheritance match- FH?

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9
Q

classifying a variant

A
Class 1= definitely benign
Class 2= probably benign (>90%)
Class 3= variant of uncertain significance
Class 4= probably pathogenic (>90%)
Class 5= definitely pathogenic
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10
Q

what does NGS sequence?

A

the whole genome

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11
Q

what process should be done to NGS once the whole genome has been sequenced?

A

filtered to look at the part of the genome related to a specific disease

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12
Q

what is the exome?

A

sequencing the coding part of the DNA sequence

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13
Q

why is sequencing the exome better than the whole genome?

A

cheaper
less time-consuming
may find several diseases if sequence the whole genome (impossible to consent for)

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14
Q

what genetic test do you use to look at a specific gene?

A

PCR

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15
Q

what genetic test do you use to sequence several different genes/ parts of the exome?

A

NGS

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16
Q

role of karyotyping?

A

looks at individuals 23 pairs of chromosomes

17
Q

role of aCGH

A

detects genome copy number changes (gains or losses) in DNA

18
Q

what does aCGH stand for?

A

array comparative genomic hybridisation

19
Q

when should a genetic cause be suspected in sudden death?

A

young age
suspicious/ unusual circumstances surrounding death
family history present

20
Q

genetic consultation

A
ICE
consult emotions, can do another day, etc.
explain genetic fault and offer testing
letter explaining
questions