Genetics of Common disorders-with complex inheritane-Personalized Med Flashcards
Polymorphisms facts
1% of genome that separates us as people
can be small, or single
most are silent
small are functional and effect expression or activity of protein
Mutation defintion
DNA change that severely alters activity or expression of gene
SilentPolymorphism definition
Silent change in DNA that does not alter expression or activity of gene/protein
Functional polymorphism defintion
subtle changes that alter levels of activity on gene-still in normal range
-somewhat diffferent but not completely different
Relative risk
Pre of disease in relatives of affected person
/
Prevalence of disease in general population
Heritiability-what it means and how to calc
(Variance in dizygotic pairs-variacne in monozygotic pairs)/variance in dizygotic pairs
0-trait not due to heritability
1-trait is due completely to heritability
Genetic linkage analysis
Marker co-segregates with disease
Can say mutation is somewhere near to marker
Then sequence genes in area and look for mutation of family/different families, then confirmm mutation affects expression or activity of gene
Deep resequencing of human genome
Next gen sequencing allows identification of rare/individual mutations because so fast and cheap
HSCR
Hirschsprungs Disease
Neural crest defect for cells that go on to form enteric nervous system
-mutations in receptor/ligand needed for neural crest migration
Enlarged colon with no nerves
Complex hereditary
- males 2x more likely than females w/i fam
- MZ does not show perfect concordance
Found 3 alleles that somehow, together make disease
Phenotypic overlap of MS, survival bone marrow transplant, T1 diabetes
Autoimmunity
Phenotypic overlap of schizo, autism, biopolar
neurodev disorder
Multifactorial defintion and evidence
Refers to inheritance of phenotypic trait that is attributale to two or more genes and/or epigenetic
not simple recessive/dom
twin studies
Polygenic defintion and vs…
Character determined by combined action of number of genetic loci vs monogenic
Risk for genetic common/rare disease
functional polymorphism
mutations
Risk for epigenetic diseases
covalent mods to DNA or chrom
Influenced by non-genetic environmental factors