GENETICS OF COMPLEX DISEASES Flashcards
how common are single gene mutations in disease?
rare
what are single gene mutations in disease?
Mutations in a gene Dominant/recessive pedigree patterns
Structural proteins, enzymes, receptors, TF
how common are Multifactorial/Complex?
common
how many genes are affected in Multifactorial/Complex?
> 1 gene affected, gene variants
how common are Chromosomal changes?
common
how many genes are affected Chromosomal changes?
100’s of genes affected, e.g. gain/loss of chromosome
how common do Environmental factors affect disease?
very common
give examples of environmental factors that effect disease?
Includes viral/bacterial infections, affect disease penetrance
what is multifactorial inheritance?
The inheritance and expression of a phenotype being determined by the cumulative action of multiple genes at multiple loci.
what effect do the genes have in multifactorial inheritance?
Each gene contributes a small amount to a final phenotype that is also significantly influenced by environmental factors.
what is the effect of each gene contributing to the phenotype in multifactorial inheritance?
As a result these multiple genes are not viewed as being dominant or recessive to each other.
how are the genes arranged in multifactorial inheritance?
These multiple genes do segregate in a Mendelian manner, but the phenotype does not.
what are monogenic diseases?
Have a single strong highly penetrant phenotype
how common are monogenic diseases?
very rare
what are modifiers?
Other genes that affect phenotype severity (e.g. regulate expression of the disease allele) but the primary gene dominates
how common are polygenic diseases?
very common
what are polygenic diseases?
Have lower penetrant phenotypes
Not dominated by one gene though a genetic locus could have a predominant effect (e.g. BRCA1/2 genes in breast/ovarian cancers)
what effect does environmental contribution have on polygenic diseases?
reduces penetrance
what are pedigrees?
more complex
what is penetrance?
the fraction of cases carrying a given gene that manifests in a specified phenotype
what are the 2 factors that cause any trait?
genetics
environment
give examples of polygenic complex diseases?
Obesity, Schizophrenia, Alzheimer’s, Asthma, Multiple sclerosis, Autism, Cancer
Why study genetics of multifactorial disease?
Identify individuals with an increased risk of disease
Understanding may identify targets for better therapy
Untangle complexity of gene-environment interactions
why is complex inheritance the underlying factor for most common human diseases?
Multifaceted interactions of genotypes at multiple loci
Environmental factors that trigger, accelerate or worsen disease development