Genetics and After Midterm Flashcards

1
Q

Malaria Example

A

Malaria highly prevalent in Africa
&raquo_space; Caused by a parasite transmitted by mosquitos. Invades mature RBCs (red blood cells)

First line of defense against malaria is genetic: alteration in hemoglobin or glucose-6-phosphate dehydrogenase (G6PD) deficiency

Hemoglobin = oxygen-transport protein

G6PD = critical enzyme that prevents free radical damage in RBCs by converting glucose to ribose-5 phosphate; NADPH produced, protects against build up of free radicals (reactive oxygen species)

G6PD deficiency can lead to premature destruction of RBCs (hemolysis)

However, G6PD-deficient individuals are somewhat resistant to malaria: parasite infects mature RBCs. In G6PD deficiency, RBCs are cleared rapidly before they mature, thus parasite dies as well

Sickle Cell is caused by a one amino acid substitution (glutamate replaced with valine) in hemoglobin

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2
Q

Sickle cell anemia

A

Changes in hemoglobin structure (due to mutation in the Hb gene) result in distortion of RBC shape from biconcave to half-moon (sickle) shape - Sickle cell anemia

Sickle cells get trapped in capillaries and cannot carry enough oxygen to body tissues. Parasite cannot live in sickle cells because 1) not enough nutrients, 2) body eliminates sickle cells, thus the parasite too.

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3
Q

Hardy-Weinberg Equilibrium Law

A

Genotype frequencies will remain in equilibrium (stable) from generation to generation in an infinitely large and randomly mating population in the absence of
mutations, migration and immigration of the population, and selection against a genotype

p = fr(A) frequency of dominant allele (A)
q = fr(a) frequency of recessive allele (a)

Sum of allele frequencies p + q = 1 (100%)

Genotypic frequencies p2 + 2pq + q2 = 1

p2 = frequency of genotype AA
2pq = frequency of genotype Aa (carriers)
q2 = frequency of genotype aa
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4
Q

Multiple Alleles: ABO Blood Groups

A

Multiple alleles: 3 or more alleles of the same gene

When multiple alleles exist, an individual diploid organism still inherits only 2 alleles

Example: ABO blood groups
ABO blood group system was discovered in 1901 by
Karl Landsteiner

Significant for blood transfusions: ABO incompatibility
between donor and recipient can result in life threatening situations

4 different blood groups/types: A, B, AB, and O

Each blood group characterized by the presence of an antigen on the surface of RBCs and the absence of its corresponding antibody in the serum

Different blood types due to different glycoproteins (sugars) on the surface of RBCs. Individuals inherit the gene which codes for the sugars to be added to the red cell
&raquo_space;>A allele codes for an enzyme (transferase) that
adds N-acetylgalactosamine to the terminal sugar

> > > B allele codes for an enzyme (transferase) that
adds D-galactose to the terminal sugar

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5
Q

Landsteiner’s Law

A

If an individual possesses an ABO antigen, must not have the corresponding antibody

If an individual lacks an ABO antigen, must have the corresponding antibody

Type A – A antigen present; has anti-B
Type B – B antigen present; has anti-A
Type O – no antigen present; has both anti-A and anti-B
Type AB – A and B antigen present; has neither anti-A nor anti-B

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6
Q

Inheritance

A

IA and IB are dominant in a homozygous or heterozygous state

Both IA and IB are dominant to IO which is recessive

Both IA and IB are co-dominant to each other

AA or AO = Type A Classic Dominance
BB or BO = Type B Classic Dominance
OO = Type O Homozygous Recessive
AB = Type AB Co-Dominance

Hemolysis: If an individual is transfused with an incompatible blood group, destruction of the red blood cells will occur. This may result in the death of the recipient.

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7
Q

Rhesus (Rh) Blood Group System

A

most important blood group system after ABO

consists of 50 defined blood-group antigens. Most important are D, d, C, c, E and e

Rh system controlled by 2 closely linked genes: RHD and RHCE: Rh gene complex. (One Rh gene complex inherited from each parent)

RhD codes for presence of D antigen on the red blood cell surface (Rh+).

Rh+ individuals may be homozygous DD or heterozygous Dd

“d” is non-functional and produces no antigen (Rh-) - dd
all Rh- individuals must receive Rh- blood.

Production of Ab to D requires exposure to the antigen. A person with Rh- blood does not have Rh Abs naturally in the blood plasma

RHCE gene codes for presence of C, c, E, and e

At the RHCE gene locus, depending on the allele present, one of four antigenic combinations are produced: ce, Ce, cE or CE.

C or c   ---   co-dominant
D or d   ---   classic dominance
E or e   ---   co-dominant
Most common Rh+ =  CDe/CDe
Most common Rh- =  cde/cde

Any and all combinations are possible
Only D confers Rh+ blood

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8
Q

Hemolytic disease of the newborn (erythroblastosis fetalis)

A

If a Rh- mother during pregnancy is exposed to Rh (D) antigen, she will produce antibodies to this antigen that can cross the placenta and destroy Rh (D) positive fetal cells, resulting in death of the fetus

Preventive treatment = RhoGam Therapy (prevents mother from producing antibodies by binding to fetal Rh+ antigen)

Intrauterine fetal monitoring with repeated ultrasound examination and amniocentesis

Fetus Rh+:
Intrauterine blood transfusion of ‘Rh-’ blood into the baby’s circulation

Exchange transfusion to the baby after birth
In cases of severely sensitized women, medical termination of pregnancy is considered

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9
Q

Mendel’s Pea Plants

A

The pea plants’ traits were often similar to their parents (purebred)

However, sometimes they showed obvious differences in these traits

The passing of traits from parent to offspring is called heredity

Experiment: He cut away the pollen-bearing male parts of a flower and dusted that flower with pollen from another plant

Followed F1 generation and then let F2 generation self pollinate and noticed that 3/4 of seeds were yellow and 1/4 were green, even if none of the parents were green.

Conclusion: individual factors must control the inheritance of traits that exist in pairs and remain separate instead of blending

they come in alternative versions resulting in variations in inherited characteristics, e.g. yellow peas and green peas

*genetic characteristics (such as height, color, shape, etc) are controlled by unit factors that exist in pairs and they are inherited as a unit

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10
Q

Mendel’s First Law of Segregation

A

During gamete formation, the paired unit factors (genes) for a specific trait separate (or segregate) randomly into their two alleles (MEIOSIS), so that each gamete receives one or the other with equal likelihood.

At fertilization, the two alleles – one from each parent – unite randomly.

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11
Q

Monohybrid cross

A

inheritance of a single trait

Ex) AA x Aa

Genotype = 1:1  (either AA or Aa) 
Phenotype = all dominant 

Aa X Aa
Genotype = 1:2:1 ( 1 AA, 2 Aa, 1 aa)
Phenotype = 3:1 (3 dom, 1 recess)

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12
Q

Dihybrid cross

A

inheritance of 2 traits together

Ex) Yellow and Round seeded plants (YyRr) X Yellow and Round seeded plants (YyRr)

Genotypic ratio:  
1YYRR
2YYRr
2YyRR
4YyRr
1YYrr
2Yyrr
1yyRR
2yyRr
1yyrr
Phenotypic ratio: 9:3:3:1 
9 yellow-round
3 yellow-wrinkled
3 green –round
1 green wrinkled
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13
Q

Mendel’s Second Law of Independent Assortment

A

the two alleles for seed color segregate independently of the two alleles for seed shape, producing four different pea phenotypes: yellow-round, yellow-wrinkled, green-round, and green-wrinkle

Therefore, each character is independently inherited

During gamete formation, segregating pairs (alleles) of unit factors (genes) assort independently of each other
genes for different traits are inherited independently of each other if they are on different chromosomes

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14
Q

Linkage

A

Linked genes cannot undergo independent assortment

Linkage: the failure of two genes to assort independently can occurs when genes are close to each other on the SAME chromosome and are inherited as a unit The closer the loci of the genes on the chromosome, the tighter the linkage

However, genes far apart from one another on the same chromosome can assort independently because
of recombination

Recombination (crossing over) = process in which exchange of genetic information occurs between 2 homologous chromosomes during meiosis

The frequency of crossing over (recombination rate) between any 2 loci on a single chromosome is proportional to the distance between them

The maximum rate of recombination is 50%

**A recombination frequency &laquo_space;50% between 2 genes shows that they are linked***

A recombination frequency of 50% (1:1:1:1:1) shows that the transmission of 2 linked genes is indistinguishable from that of two un-linked, independently assorted genes

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15
Q

Example of linked genes

A

2 closely linked genes control the expression of ALL Rh antigens: RhD gene & RhCE gene

The genotype is determined by the inheritance of 2 pairs of 3 alleles

Each locus on each chromosome has its own set of alleles which are Dd , Cc , and Ee

There are 8 gene complexes at the Rh locus

CDe, Cde , cDE, CdE, cDe, cdE, CDE, cde

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16
Q

Double Crossovers

A

2 crossovers both occurring between the two loci being examined

First crossover changes the parental configuration of alleles to the recombinant configuration

Second crossover changes the recombinant configuration back to the parental

The net result is that the genes are in the parental configuration, SAME AS IF NO CROSSOVERS HAD OCCURED

Thus, any even number of crossovers is the same as 0 crossovers, and any odd number is the same as 1 crossover

Since we only see the offspring and not the actual crossovers, it is very easy to undercount the number of crossovers that occurred

The further apart 2 genes are, the more likely it is that undetected double crossovers will occur between them

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17
Q

Interference

A

Interference (I) is the phenomenon through which a crossover event in one region of a chromosome influences (inhibits) the occurrence of a crossover in an adjacent region of the chromosome

Interference is measured by calculating the coefficient of coincidence (C)

Crossovers in adjacent chromosome regions are usually not independent. This interaction is called interference.

A crossover in one region usually decreases the probability of a crossover in an adjacent region.

Inference = 1 - (observed # of double recombinants)/ (expected # of double recombinants)

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18
Q

SRY gene

A

Sex-determining region of the Y chromosome
Located near the end of the short arm of the Y chromosome

Plays a major role in causing the undifferentiated gonad to develop into a testis

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19
Q

Patterns of Inheritance

A
Autosomal Dominant: 
affected individuals have an affected parent
either sex affected:
               Familial hypercholesterolemia
		Huntington disease
		Neurofibromatosis
		Marfan syndrome
		Von Hippel-Lindau disease
Autosomal Recessive:
affected individuals usually have un-affected (carrier) parents either sex affected
                     Sickle cell anemia
		     Cystic fibrosis
		     Phenylketonuria 

X-linked Dominant:
affected individuals have an affected parent of either sex affected; No male-to-male transmission!!!!
Fragile X syndrome
Hypophosphatemic rickets

X-linked Recessive:
affected individuals usually have un-affected (carrier) parents either sex affected (mother); No male-to-male transmission
Duchenne muscular dystrophy
G-6-PD deficiency
Hemophilia A and B

Mitochondrial Inheritance:

Inherited maternally because only mother contributes mitochondria during conception

Either sex affected

Usually neuropathies and myopathies because brain and muscle are highly dependent on oxidative phosphorylation

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20
Q

Sex-Linked Inheritance

A

Sex-linked trait: Traits only found on the X chromosome

Sex-linked disease: Disease or syndromes caused by recessive genes located on X-chromosome

Female -
Homozygous = disease

Heterozygous = variable expression (carriers)

Male – hemizygous

X linked alleles always show up in males whether dominant or recessive because males have only one X chromosome

EXAMPLES!!!!!!!!!!!!!!!!!!!!

Colorblindness: inability to distinguish the differences between certain colors
most common type is red-green colorblindness, where red and green are seen as the same color
Color vision genes are located on X chromosome

Hemophilia (The Royal disease): inability of blood to clot
absence of clotting factors VIII and IX, located on X chromosome
prolonged bleeding time in affected individuals can lead to death

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21
Q

Sex-linked Syndromes

A

of chromosomes is not an exact multiple of the haploid set -aneuploidy’

XO – Turner’s Syndrome (45 chromosomes, missing one X)
YO – Lethal Mutation
XXY – Klinefelter’s Syndrome (47 chromosomes, extra X)
XYY – Jacobs Syndrome (47 chromosomes, extra Y)
XXX – Triple X Syndrome (47 chromosomes, extra X)
Multiple XY – more than 2 X with a Y – like Klinefelter’s syndrome

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22
Q

Sex Influenced Traits

A

When the sex of an individual influences the expression of a phenotype that is not limited to one sex or the other.

Traits controlled by autosomal genes that are usually dominant in one sex but recessive in the other sex e.g. Pattern baldness

(Acts like a dominant trait in males and a recessive trait in females; different testosterone levels)

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23
Q

Sex-Limited Traits

A

When the expression of a specific phenotype is absolutely limited to one sex

Traits expressed only in females because males die before birth

Example: Male-lethal X-linked dominant traits such as Rett syndrome

Traits expressed only in males

Example: Duchenne muscular dystrophy (X-linked recessive); life expectancy 25 years
-Therefore X recessive not passed on from father onto daughters, very rare in females

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24
Q

Causes of Mutations

A

Substances Inducing Mutations

  • Mutagens (Substances that alter DNA structure in various ways and can cause DNA damage; cause bases to mispair and bond with the wrong base (most common mutation); like UV light and chemicals like Benzene)
  • Teratogens (Agents that cause harm or birth defects to an embryo or fetus)
  • Carcinogens (Chemicals or ionizing radiation that cause or promote cancer)
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25
Q

Aneuploidy

A

of chromosomes is not an exact multiple of the haploid set (related to increasing maternal age)

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26
Q

Monosomy

A

Monosomy – loss of a single chromosome from a diploid genome (2n - 1 chromosomes)

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27
Q

Trisomy

A

gain of one chromosome from a diploid genome (2n + 1 total chromosomes)

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28
Q

Euploidy

A

of chromosomes is exact multiple of the haploid set

humans are euploidy

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29
Q

Polyploidy

A

more than 2 complete sets of chromosomes

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30
Q

Triploid

A

one extra complete set of chromosomes (3n)

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31
Q

Tetraploid

A

2 extra complete sets of chromosomes (4n)

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32
Q

Cause of numerical chromosome abnormalities

A

Nondisjunction =
cell division error in which homologous chromosomes fail to separate during segregation in meiosis I or the sister chromatids of a chromosome fail to separate during meiosis II or mitosis

Consequence of nondisjunction: imbalance in the number of chromosomes, one daughter cell has two chromosomes or two chromatids, and the other has none

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33
Q

Mosaicism

A

presence of different chromosome constitution (karyotype) within cells of a single individual
condition in which a tissue may contain cells that have some chromosome abnormality and other cells with normal karyotype
females are naturally mosaics for genes on the X chromosome because one X chromosome (paternal or maternal) in every cell is randomly inactivated (Barr body). Therefore, some cells express maternally-derived and others paternally-derived alleles

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34
Q

Types of numerical chromosomal abnormalities

A

Sex chromosome abnormalities

Autosomal (non sex-linked) chromosome abnormalities

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35
Q

Turner’s Syndrome

A

XO – Turner’s Syndrome (45 chromosomes, missing one X)

CLASSIFIED AS FEMALE

Most XO fetuses die before birth

Surviving individuals are females – 1 in 5,000 female births

noticeable at puberty, when secondary sexual characteristics fail to develop

immature ovaries- sterile
poorly developed breasts
short stature
webbed necks
heart problems
retardation
unaffected lifespan
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36
Q

Klinefelter’s syndrome

A

(XXY, 47 chromosomes)

CLASSIFIED AS MALE

Male – incidence 1 in 1,000 male births
Small testes, low testosterone - sterile
Breast development in about 50% of XXY individuals
Sparse facial hair 
Subnormal intelligence in some cases
48, XXXY 
49, XXXXY
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37
Q

Jacobs Syndrome (XYY)

A

Jacobs Syndrome (XYY)

Male – 1 in 1,000 male births
Excessively tall
sometimes retardation – not severe
usually fertile but sometimes fertility affected
antisocial behavior patterns e.g. sociopathic, aggressiveness

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38
Q

Trisomy X (XXX)

A
Females – 1 in 1,500 female births
usually normal 
underdeveloped secondary sex characteristics
sterility
mental retardation
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39
Q

Autosomal chromosome abnormalities

A

Monosomies – loss of one chromosome (2n - 1) – lethal

Trisomies – addition of an extra chromosome (2n + 1):

Down Syndrome – Trisomy 21
Patau Syndrome – Trisomy 13
Edwards Syndrome – Trisomy 18

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40
Q

Down Syndrome

A

Caused by an extra chromosome 21 (trisomy 21);

nondisjunction in meiosis I;

father contributing extra chromosome in 15% of cases

The incidence of trisomy 21 is about 1 in 800 live births but SHARPLY INCREASES WITH MATERNAL AGE

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41
Q

Patau Syndrome

A

Trisomy 13

Incidence 1 in 15,000 live births; maternal disjunction
50% of these babies die within the first month, 90% die within the first year, and very few survive beyond the first year

multiple dysmorphic features:
Small head
Small or missing eyes
Cleft lip/palate
Extra fingers 
Heart defects
Abnormal genitalia
Severe developmental and mental retardation
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42
Q

Edwards Syndrome

A

Trisomy 18

90% die within the first year, and very few survive beyond the first year
The surviving individuals have severe mental and developmental retardation
Small face
Small sternum
**Clenched fingers and toes*****

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43
Q

Variations in chromosome structure

A
Due to break(s) along the axis of a chromosome
Deletion
Duplication
Inversion
Translocation (Transposition)
        Unilateral
        Reciprocal
        Robertsonian Translocation
44
Q

Deletions

A

A chromosomal deletion occurs when a chromosome breaks and a fragment is lost. This chromosome will be missing certain genes (can be a terminal deletion or an internal deletion; ABCDEF&raquo_space; ABCEF or ABC/

Deletion Example: Cri du Chat Syndrome (46, 5p)

length of short arm of chromosome 5 deleted varies: longer deletions = greater impact

45
Q

Duplications

A

A duplication occurs when a chromosome fragment becomes attached as an extra segment to a sister chromatid and thus it is present more than once in the genome

It is usually caused by unequal crossing over between synapsed chromosomes during meiosis or through a replication error prior to meiosis

ex) ABCDEF&raquo_space;> ABCBCBCDEF

Examples: Bar-eyed Drosophila- Instead of normal
oval-eye shape, narrow slit-like eyes

Charcot-Marie-Tooth disease in humans –
neurological disease, chromosome 17 duplication

46
Q

Inversions

A

An inversion occurs when a piece of chromosome has been lifted out, turned around and reinserted. Thus a chromosomal fragment reattaches to the original chromosome but in the reverse orientation

No loss of genetic information

If the rearranged chromosome segment includes the centromere then the inversion is termed pericentric

If it excludes the centromere then it is a paracentric inversion

ABCDEF&raquo_space; ADCBEF

Individuals with one copy of a normal chromosome and one copy of an inverted chromosome are called inversion heterozygotes

For 2 such chromosomes to pair properly during meiosis I, an INVERSION LOOP is formed

The homologs will segregate resulting in 2 normal and 2 inverted chromatids

Inversions, unlike the other structural chromosomal abnormalities, do not affect gene dosage.

47
Q

Translocations

A

the movement of a chromosomal segment to a new location in the genome

A translocation can be UNILATERAL in which a section of a chromosome breaks off and is inserted into the end of another chromosome (either homologous or non-homologous)

48
Q

Reciprocal Translocations

A

exchange of segments between 2 non-homologous chromosomes (when a portion of one chromosome is transferred to another chromosome)

Usually generate so-called “balanced translocations”

In balanced translocations, there is NO NET GAIN OR LOSS of chromosomal material, just rearrangement of genetic material

Usually without phenotypic consequences

49
Q

Philadelphia Chromosome

A

Reciprocal Translocation with phenotypic consequences;

Philadelphia chromosome = translocation between chr. 9 and chr. 22 leading to chronic myeloid leukemia

altered chromosome 22 is called Philadelphia

50
Q

Burkitt’s Lymphoma

A

translocation between chr. 8 and chr. 2, 14 or 22

51
Q

Translocations and Gamete Production

A

Individuals carrying translocations have a greater risk of producing gametes with unbalanced combinations of chromosomes

This depends on the segregation pattern during meiosis I

During meiosis I, homologous chromosomes synapse with each other

For the translocated chromosome to synapse properly, a translocation cross is formed which contains 2 normal chromosomes and 2 with translocated parts

52
Q

3 Types of Meiotic Segregation

A
  1. Alternate segregation
    • Chromosomes on opposite sides of the
      translocation cross segregate into the same cell
    • Leads to normal and balanced gametes
    • Both contain a complete set of genes and are
      thus viable
  2. Adjacent-1 segregation
    - Adjacent non-homologous chromosomes
    segregate into the same cell
    • Leads to unbalanced gametes
    • Both have duplications and deletions leading to
      birth defects
  3. Adjacent-2 segregation
    - Adjacent homologous chromosomes segregate
    into the same cell
    - Leads to unbalanced gametes
    - Both have duplications and deletions leading to
    birth defects
53
Q

Robertsonian Translocation

A

Most common type of chromosomal rearrangement in humans

This translocation occurs as such:

Breaks occur at the extreme ends of the short arms of two non-homologous acrocentric chromosomes

The small acentric fragments are lost

The larger fragments fuse at their centromeric regions to form a single chromosome

Example:
Familial Down Syndrome

54
Q

Familial Down Syndrome

A

Caused by translocation between chromosomes 14 and 21 - the majority of chromosome 21 is attached to chromosome 14

Chance of the same parents having a second affected child is extremely low

However, there are cases where the syndrome occurs in a much higher frequency over several generations and this is known as Familial Down Syndrome

55
Q

Down Syndrome vs. Familial Down Syndrome

A
Down Syndrome: 
Nondisjunction during meiosis
47: (+21)
No association with prior pregnancy loss
Older mother
Very low recurrence rate

Robertsonian translocation
46: -14, +t(14;21)
May be associated with prior pregnancy loss
May be a younger mother
Recurrence rate 10-15% if mom is translocation carrier; 1-2% if dad is translocation carrier

56
Q

Spontaneous Mutation

A

changes in the nucleotide sequence of genes that appear to have no known cause (accidental)

Result from abnormalities in cellular/biological processes (ex. error in DNA rep.)

Underlying cause originates within the cell

The rate is exceedingly low and varies considerably between different organisms (even within the same species, the spontaneous mutation rate varies from gene to gene)

Hot spots = specific bases or regions that are more likely to be the site of a mutation within a gene

some genes have locations within the chromosome that make them more susceptible to mutation and some can be found within a single gene

57
Q

Induced mutations

A

Caused by mutagens: agents that have potential to damage DNA

These can be chemical or physical agents (uv light, ionizing radiation, toxins)

58
Q

Mutations can occur in germ-line or somatic cells

A

Germ-line mutations are those that occur in a sperm or egg cell - transmitted

Somatic mutations are those that occur in any cell in the body, except germ cells - not transmitted

Autosomal mutations are those within genes located on the autosomes

X-linked mutations are those within genes located on the X chromosome

59
Q

Forward Mutation v. Reversion

A

In a population, the wild-type (normal) is the relatively prevalent genotype

A forward mutation changes the wild-type genotype into some new variation

A reverse mutation changes a mutant allele back to the wild-type
It is also termed a reversion

60
Q

Loss or Gain of Function Mutations

A

Loss-of-function mutations: reduce/eliminate function of the gene product

When result in complete loss of function – null mutation

Gain-of-function mutations: result in a gene product with enhanced or new functions

ex) hereditary pancreatitis: mutation results in activation of a digestive enzyme (trypsin) that is normally inactivated in the pancreas

Sickle cell disease: mutation results in resistance to malaria (new function)

61
Q

Single Gene Mutations

A

Change in the nucleotide sequence of a gene

May only involve a single nucleotide

Point mutation = a change of one base pair to another in a DNA molecule

Point Mutations may be: 
  > Base Pair Substitutions
      -  Silent
      - Missense – new protein (amino acid substitutions)
      -  Nonsense – stop codon
> Base Pair Inversions
> Base Pair Insertions & Deletions
      - Frameshift Mutations
      - Triplet Repeats
62
Q

Base substitution

A

Change in single base pair

A transition is a change of a pyrimidine (C, T) to another pyrimidine or a purine (A, G) to another purine
A transversion is a change of a pyrimidine to a purine or vice versa

Transitions are more common than transversions

These mutations affect protein synthesis. If one nucleotide of a DNA triplet is changed, the corresponding mRNA codon will also be altered, resulting in the creation of a new triplet that codes for a different amino acid and thus codes for a different protein

63
Q

Silent Mutation

A

Silent mutations are those base substitutions that alter a codon but do not alter the amino acid sequence of the protein

Example: a change from normal codon CTC to CTT still codes for the same amino acid (Glu) in the protein, and thus, there is no alteration in function

64
Q

Missense Mutations

A

Base substitutions in which an amino acid change does occur due to altered codon

Example: Normal CTC&raquo_space; CAC leads to different amino acid (Glu&raquo_space; Arg) in polypeptide, so different function

Sickle Cell Anemia is the result of one nucleotide substitution - Glutamic Acid is replaced by Valine - in the hemoglobin gene

65
Q

Nonsense Mutations

A

those base substitutions that change a normal codon to a stop codon (UAG, UAA, or UGA) resulting in the termination of translation of the protein

66
Q

Base Insertion or Deletion

A

Mutations may also involve the insertion or deletion of one or more nucleotides at any point in the DNA sequence within the gene

Example: AACGTCTGCAAAT&raquo_space;> AACGTCTG AACGTCTGCAAAT&raquo_space; AACGTCTGCAGAGACAAAT

67
Q

Frameshift mutations

A

When loss or addition of nucleotides occurs, there is a shift in the reading sequence (frame) of DNA during protein synthesis

Change in the 3-letter codons - different amino acid sequence - completely different protein formed – frameshift mutation

If one of the many altered triplets is UAA, UAG, or UGA (the translation termination codons; stop codons) at that point polypeptide synthesis is terminated

Therefore, frameshift mutations can have severe consequences

68
Q

Inversion

A

may also occur in the DNA sequence and result in altered amino acid sequence

69
Q

Mutations Due to Trinucleotide Repeats

A

The term refers to the phenomenon that a tandem sequence of 3 nucleotides within a gene is repeated many times expanding the size of the gene

In normal individuals, these sequences are transmitted from parent to offspring without mutation

However, in persons with TNRE disorders, the length of a trinucleotide repeat is increased above a certain critical size

The number of repeats continues to increase in future generations

Occurs within the coding sequence of a gene:*
Trinucleotide repeats lead to increased presence of a particular amino acid (e.g. CAG expansion which codes for glutamine)
The encoded protein will contain long tracks of this amino acid
This causes the proteins to aggregate with each other; protein aggregates are usually toxic and implicated in many diseases

Occurs in a noncoding region of a gene
Trinucleotide repeats can become chemically modified and cause changes in RNA structure

This can result in gene inactivation/silencing

70
Q

Examples of Trinucleotide Repeats mutations

A

Fragile X syndrome (CGG repeat - arginine)
> X-linked dominant trait
> When the number of repeats reaches over 230,
the CGG regions of the gene become chemically
modified (methylated) –
causing inactivation of the gene and this part of
the chromosome where this gene is located
becomes susceptible to breakage.

Huntington disease (HD)
> Autosomal dominant neurodegenerative disorder
(CAG repeat-glutamine; HTT gene)
> 36-39 repeats: later onset of the disease/slower
progression of symptoms; 40+ repeats seriously
affected
> affects normal protein expressed in the brain;
increased number of repeats = altered protein =
increased decay rate of certain types of neurons

Myotonic muscular dystrophy
> Autosomal dominant (CTG repeat – leucine; MDPK
gene)
> normal protein expressed in skeletal muscle;
increased number of repeats = altered protein =
muscle wasting

71
Q

Types of Genetic Disorders

A

Chromosome disorders
> Sex chromosome abnormalities
> Autosomal chromosome abnormalities

Single – gene disorders
     > Autosomal Dominant
    >  Autosomal Recessive
    > X-linked dominant
    > X-linked recessive

Multi-factorial disorders
> Multiple genes
> Environmental factors

Mitochondrial DNA disorders
> Damage to mitochondrial DNA

72
Q

Autosomal Dominant Diseases

A

caused by an autosomal dominant allele

often encode structural proteins

both homozygotes and heterozygotes are affected
either sex is affected, exhibit the trait in approximately equal proportion, and equally likely to transmit the trait to their offspring

no skipping of generations: disease phenotype is usually seen in one generation after another – vertical transmission

if an individual has the disease, one parent must also have it

if neither parent has the trait, none of the children has
it

offspring usually heterozygous for the dominant allele (inherited from one parent)
50% of children inherit it
Examples: Huntington disease
       Familial hypercholesterolemia
     Von Hippel – Lindau disease
	  Neurofibromatosis
     Marfan Syndrome
73
Q

Familial hypercholesterolemia

A

AUTOSOMAL DOMINANT

(= subgroup of hyperlipoproteinemia)

**most frequent Mendelian disorder - 1:500

mutation in gene encoding low-density lipoprotein (LDL; bad cholesterol) receptor

high levels of LDL in blood because too little taken up by cells

narrowing of arteries (atherosclerosis), heart attacks at young age

heterozygotes 2-3× elevated plasma cholesterol level – heart attack by 40-50

homozygotes 5-10× elevated plasma cholesterol levels – heart attack as early as 5 years of age and before 20 and death likely by that age

74
Q

Von Hippel – Lindau disease

A

AUTOSOMAL DOMINANT

Rare mutation in VHL (tumor-suppressor gene) on chr. 3

growth of tumors in the body (e.g. CNS, brain, spinal cord, kidney) and formation of cysts in internal organs

higher risk for renal cell carcinoma

75
Q

Neurofibromatosis

A

AUTOSOMAL DOMINANT

disorder of the nervous system

mutation in NF1 or NF2 gene on chr. 17

affects how nerve cells form and grow causes tumors to grow on nerves/tan or dark spots on skin

“elephant man”

76
Q

Marfan Syndrome

A

AUTOSOMAL DOMINANT

connective tissue disorder

caused by mutation in fibrillin-1 gene on chr. 15

defect results in too much growth of the long
bones of the body – arachnodactyly (spider-like fingers)

risk for aortic aneurism due to stretching of the aorta

77
Q

Autosomal Recessive Disorders

A

rare - disease occurs only when both recessive alleles are present

females and males affected equally

parents are usually normal / unaffected (heterozygotes)
25% of offspring of 2 heterozygous parents (carriers) will be affected

often encode catalytic proteins

nearly all inborn errors of metabolism are recessive
onset is frequently early in life

Examples: Sickle cell anemia
Cystic Fibrosis
Phenylketonuria (PKU)
Tay-Sachs

78
Q

Cystic Fibrosis

A

Most common lethal genetic disorder

AUTOSOMAL RECESSIVE

Mutation in CFTR gene on chromosome 7

1 in 25 Caucasian Americans is a carrier

Thick mucus builds up in lungs and digestive tract
Difficulty breathing & lung infections, pneumonia, bronchitis

Death by lung complications – average lifespan 37 years

79
Q

Phenylketonuria (PKU)

A

AUTOSOMAL RECESSIVE

Can’t break down amino acid phenylalanine (missing critical enzyme)

Phenylalanine builds up and interferes with nervous system leading to mental retardation (IQ below 50) and even death

Early screening&raquo_space; phenylalanine restricted diet for children with disorder

80
Q

Tay-Sachs

A

AUTOSOMAL RECESSIVE

Lethal disease of the nervous system

Mutation in HEXA gene on chr.15 encoding hexosaminidase (enzyme that breaks down a fatty substance found in nerve tissue called ganglioside)

Fatty substance builds up in neurons

Newborns appear normal first few months; gradual paralysis and loss of nervous function, mental retardation, blindness by age 4-5 – no cure

Heterozygote carriers do not have disorder, but are protected from tuberculosis – mechanism unknown

more prevalent in Ashkenazi Jews (1 in 30)

81
Q

glucose-6-phosphate dehydrogenase (G6PD)

A

X-LINKED RECESSIVE

G6PD = critical enzyme for preventing free radical damage in RBCs

Converts glucose to ribose - NADPH production
NADPH prevents building up of free radicals within cells

G6PD deficiency can lead to rupture and break down of RBCs (hemolytic anemia)

fava beans and napthalene contain compounds that produce free radicals

G6PD deficiency = resistance to malaria

Reason = malaria parasite infects mature RBCs and cannot survive in immature RBCs. In G6PD deficiency, RBCs are cleared rapidly before they mature, thus parasite dies as well

400 million people worldwide affected

82
Q

Duchenne Muscular Dystrophy

A

X-LINKED RECESSIVE

Caused by a mutation in the dystrophin gene, an important structural component within muscle tissue

both sexes can carry the mutation, but females rarely exhibit signs of the disease

Affected individuals have learning difficulties and mental retardation

Most importantly: they have muscle weakness leading to muscular deterioration which starts as early as 3-5 years of age

ability to walk is lost by the age of 12 and have to use a wheelchair

They rarely survive past 20; death from breathing difficulty and heart disease

DUCHENNE = X-LINKED RECESSIVE DISORDER WHEREAS MYTONIC MUSCULAR DYSTROPHAGY IS AN AUTOSOMAL DOMINANT DISORDER CAUSED BY TRINUCLEOTIDE REPEATS

83
Q

Multi-factorial Disorders

A

Caused by combination of multiple genes and environmental factors (e.g. diet and lifestyle) which can directly influence the expression of the genes involved

Examples:
Heart disease
Cancer

84
Q

Mitochondrial DNA Disorders

A

Human mitochondrial DNA (mtDNA): 37 genes (13 encode proteins, 2 rRNAs and 22 tRNAs)

mtDNA is vulnerable to mutations because:
> High concentration of highly mutagenic free radicals
generated by cell respiration accumulate in such a
confined space

> Reduced ability to repair mtDNA damage than nuclear
DNA

> Inherited maternally: only mother contributes
mitochondria during conception; mitochondria in
sperm destroyed by the egg cell after fertilization
(mature oocyte >100,000 mtDNA copies, sperm <1000)

Either sex is affected

85
Q

Factors Affecting Genetic Diseases

A
Decreased Penetrance
Variable Expressivity
Delayed Onset of Genetic Expression
Genetic Anticipation
Genomic Imprinting
Germline Mosaicism
86
Q

Penetrance

A

% of individuals that exhibit some degree of expression of a mutant genotype

Reduced penetrance =
an individual who has the genotype for a disease but
not exhibit the disease phenotype at all, even though
he or she can transmit the disease gene to the next
generation

Example: familial cancer syndromes; many people with a mutation in breast cancer genes BRCA1 and 2 will develop cancer during their lifetime, but some people will not

Cause of reduced penetrance: combination of genetic, environmental, and lifestyle factors

Challenging to predict who will develop the disease and the risk of transmitting it to future generations

87
Q

Expressivity

A

Range of expression of mutant genotype

Penetrance may be complete, but severity of disease can vary greatly

Variable expressivity: range of signs and symptoms that can occur in different people with the same genetic condition

Example: Marfan syndrome;
although mutation in the same gene some people have only mild symptoms (tall and thin with long, slender fingers), while others experience life-threatening complications involving the heart and blood vessels

Cause of variable expressivity: combination of gene interactions, environmental, and lifestyle factors

88
Q

Onset of Genetic Expression

A

many inherited disorders are not manifested until after birth and even later in life thus not possible until later in life to determine whether an individual carries a mutation – delayed onset

Can cause difficulty in deducing mode of inheritance

Examples: Huntington’s, Tay Sachs, Duchenne Muscular Dystrophy

89
Q

Genetic Anticipation

A

The phenomenon whereby a genetic disorder exhibits a progressively earlier age of onset and an increased severity in each successive generation

Anticipation is common in trinucleotide repeat disorders:
Fragile X syndrome,
Huntington disease,
myotonic dystrophy

They all have:
variation in the severity of symptoms (mildly to severely affected and death)

Correlation between increased severity and earlier onset with successive generations

90
Q

Genomic Imprinting

A

the expression of a gene depends on whether it has been inherited from a male or a female parent and determines whether specific genes depending on their parental origin will be expressed or remain genetically silent

Examples:
Prader-Willi syndrome (PWS; results when paternal
chr. is deleted)
Angelman’s syndrome (AS; results when maternal
chr. is deleted)

Both caused by deletion of an identical region of chr. 15, different phenotypes:
PWS: mental retardation, eating disorder, obesity, diabetes
AS: mental retardation, involuntary muscle contraction, seizures

Therefore: same region in chr. 15 is imprinted differently in male and female gametes

91
Q

Gene Therapy

A

the therapeutic delivery of nucleic acid polymers into
a patient’s cells as a drug to treat disease

Is an approach to treat diseases based on modifying the expression of a person’s genes toward a therapeutic goal.

▪ Therapeutic genes are usually deliberately carried into the patient through a vector that transports the genes into target cells.

▪ Is potentially more effective, long lasting than protein therapy*****
gene delivery is much more controlled, sustaining,
and therapeutically benign

92
Q

Goal of Gene Therapy

A

• Replace a mutated inactive gene that causes disease with a healthy copy
• Inactivate, “knock out,” or suppress expression of a mutated gene that is functioning improperly.
Dominant negative, gain of function or overexpression mutations.
1. Target the mutated gene to make it inactive
CRISPR/Cas9
2. Introduce silencing RNA that target the mRNA of the gene to block protein production (using interfering RNA which is naturally produced by the body and have it silence bad gene production)
• Introduce a new gene into the body to help fight a disease (not a replacement of the bad gene, but a new gene that codes for like an “antigene”)

• Correct a defective gene sequence - gene editing
CRISPR/Cas9

93
Q

Disease Treatment

A

Fix a genetic defect

1. SCID - Severe Combined Immunodeficiency
2. Cystic fibrosis
3. Type 1 diabetes

• Treat cancer
1. Introduce a gene into immune cells to make them
fight the tumor.
2. Introduce a gene into tumors to make them die.

• Treat an infectious disease such as HIV/AIDS
1. Introduce a gene into immune cells to make them
fight HIV better.
2. Introduce a gene that makes cells resistant to
infection
3. Knock out CCR5 - the coreceptor for HIV to make
CD4 T cell uninfectible.

94
Q

To Fix the Cells (Somatic v. Stem)

A

You may have to fix the gene in all the cells, if it’s a disease such as Huntington’s, an
autosomal dominant disease, where the defective protein remains in cells - so just replace the defective gene with healthy ones in the cells of the body

However, the gene product may be released from cells and affects other cells, such as Type 1
diabetes. In this case you only have to “fix” a sufficient number of cells to generate enough of the gene product to restore health. The cells may or may not survive the life span of the patient- you may need to keep injecting yourself since the cells won’t stay alive

**Stem Cells**
You can replace the stem cells with genetically modified one so that they repopulate the
body with healthy cells - blood cell diseases.

Stem cell modification potentially lasts longer
than somatic cell editing.

Correcting immune system disorders is a likely use for this. Bone marrow stem cells could be modified and used in a bone marrow autologous transplant.

95
Q

Transgenic Animals

A

Contains a gene for a fluorescent protein in their germline

Example: Zebrafish
Added a gene for fluorescent protein, added a controlling promoter so that each cell of the body has this gene to express fluorescence, add UV light, and BAM! glowing fish!

96
Q

In vivo Gene Therapy

A

Take a vector (some mode of transmission of the synthesized gene) and directly inject it into the individual where they find their target cells

97
Q

Ex vivo Gene Therapy

A

Obtain host cells from individual (draw blood), purify them, and then combine with vector. Then, take the engineered cells containing the therapeutic gene and inject them back into the individual

98
Q

Non-viral “transfection”

A

Cationic Polymers - which bind directly to the negatively charged DNA and allow for it to diffuse across lipid mem.

Lipids - which form a micelle around the DNA and fuses with lipid mem. to allow for DNA to enter cell

Naked DNA- into muscle cells where myocytes take up DNA at useful rate

*None allow specific targeting to cells and are
inefficient compared with viruses

Basically you just take DNA, mix it with the polymers or liposomes and wait a few min.
Then you mix this with the cells and the DNA is delivered into the cells’ nuclei where
transcription begins.

Naked DNA can be injected into muscle tissue which takes it into the cells.

99
Q

Viral “transduction”

A

Viruses are the most common way to deliver genes into the body*

Adenovirus (Ad) = High cytotoxicity/immunogenicity
(problem is your body might have
seen this virus already which means
you will develop an immune response
to it which 1) inactivates vector you’re
trying to use therapeutically and 2)
you might add so much and the body
produces such a strong immune
response that it KILLS you..)

Retrovirus = Integration into the genome and long-term
gene expression; can cause cancer

Lentivirus - form of a retrovirus = HIV-derived vectors
“Lentivectors;” Don’t
seem to cause cancer
(can get into cells that
are not proliferating)

Adeno-associated virus(AAV) = Low toxicity/, low
immunogenicity
Gene insert must be
short

Problems with viral vectors – Viral vectors carry the risks of toxicity, inflammatory
responses, and gene control and targeting issues

100
Q

Jesse Gelsinger Case

A

Ornithine transcarbamylase deficiency, an X-linked genetic disease of the liver, the symptoms of which include an inability to metabolize ammonia – a byproduct of protein breakdown.

Entered a clinical trial at the University of Pennsylvania in 1999 usingadenoviral vectors to deliver a corrected gene.

The vector triggered a cytokine storm and he died from multiple organ failure - the first death from human gene therapy.

He probably had an earlier natural exposure to the virus used to develope the vector so that he made a memory response that was very strong when a lot of vector was injected into him.

The team led by James Wilson was faulted for not following proper procedures:

  1. Gelsinger’s ammonia levels were too high for inclusion in the study
  2. Failure of the team to report two prior similar but nonfatal incidents in other patients
  3. Failure to disclose similar incidents and death in monkey trials

This incident set back human gene therapy for about a decade

101
Q

Viral Vectors used outside the body

A
  1. Remove the viral genes required for continual virus replication
  2. Remove any genes that are toxic
  3. Inert the gene you want to express into the viral genome (needs to be short DNA)
  4. Generate a stock of virus in the lab
  5. Infect cells
  6. Select for successfully infected cells that make the factor you want
  7. Put the cells back into the patient

Vectors that do not integrate their DNA into the cell’s chromosomes will only last for weeks or months. Retroviral vectors integrate into the cell DNA and will last for the life of the cells. However, cell’s protect themselves from retrovirus integration, and often
shut down the inserted DNA through epigenetic silencing.

102
Q

ADA deficiency

A

ADA deficiency was an ideal target for the first set of gene therapy trials for a number of reasons:
• The effects of the disease are reversible and do not cause irreversible, long term damage in the individual.
• The disease results from the loss of function of a single gene. It is much more difficult to treat multiple genetic defects.
• The adenosine deaminase gene is very small and easy to manipulate in the laboratory.
• The target cells for the therapy are stem cells for lymphocytes (white blood cells), that are accessible, easy to grow and easy to put back into the body of
a patient.
• Defect is autosomal recessive, so you don’t have to repair either or both genes, just put a new good gene into a cell to fix the problem.
• You don’t have to replace all the defective cells, just a few is enough.
• The alternative treatments are expensive and/or hazardous

103
Q

Studies on Retrovirus

A

Retroviruses can cause cancer by inserting near
oncogenes and turning them on.

However, a retrovirus therapy for ADA-SCID has not
caused cancer in test and has recently been approved
for use in Europe

104
Q

Treating Cancer or AIDS

A

(i) Collection of PBMC’s and transfer to GMP manufacturing facility
(ii) viral gene transfer of TCR
or CAR into PBMCS
(genetically modified cell)
(iii) propagate gentitically
modified tumour-reactive T cells
(iv) transfer cells from manufacturing centre to
patient
(v) precondition patient (chemotherapy) and transfuse T-cell therapy

105
Q

CRISPR/Cas9 aka CRISPR

A

Bacteria have a defense mechanism against viruses that targets their DNA in a sequence-specific manner and cleaves it using the enzyme Cas9.
This system has been modified to allow the targeting of any gene in animal genomes, allowing any gene to be disabled or edited.
• Bad sequences can be corrected by editing or removal.
• New DNA sequences can be inserted.

106
Q

CRISPR/Cas9 aka CRISPR

A

Bacteria have a defense mechanism against viruses that targets their DNA in a sequence-specific manner and cleaves it using the enzyme Cas9.
This system has been modified to allow the targeting of any gene in animal genomes, allowing any gene to be disabled or edited.
• Bad sequences can be corrected by editing or removal.
• New DNA sequences can be inserted.

A problem with CRISPR is that is has “off target” effects: Sometimes the wrong DNA target is modified