Genetics Review Flashcards

1
Q

Codominance

A

Both alleles contribute to phenotype. Example is blood groups or A1AT deficiency

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2
Q

Variable Expressivity

A

Where a phenotype varies in individuals with an given genotype. Example, NF1 (different disease severity with same mutation in ch 18

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3
Q

Incomplete Penetrance

A

Where not everybody with a given mutation shows the phenotype. BRCA1 gene mutations don’t always cause cancer.

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4
Q

Pleiotropy

A

One gene mutation can have many effects. PKU can have light skin, intellectual disability and musty body odor.

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5
Q

Anticipation

A

Where a genetic disease passed down increases in severity or presents earlier. Trinucleotide repeats.

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6
Q

Loss of heterozygosity

A

Essentially the two hit hypothesis. Loss of Rb doesn’t cause cancer, but loss of 2 does. This is shown with tumor suppressors, not oncogenes.

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7
Q

Dominant Negative mutation

A

This is where a mutated allele asserts dominant effects over another normal allele. The mutation of a transcription factor in its allosteric site. Nonfunctioning mutants can still bind DNA preventing wild-type tfs from binding.

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8
Q

Linkage Disequilibrium

A

In a population, the expected percentage of a phenotype due to independent assortment is altered because of two genes proximity on the chromosome. Genes can be inherited together. Can vary in different populations

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9
Q

Mosaicism

A

Where errors in mitosis after fertilization cause multiple genotypes in different cells. This is different than lyonization because these cells have the same genotype. Somatic mosaicism is where the mutation propagates through multiple tissues or organs. Gonadal mosaicism is where a mutation is only in eggs or sperm cells to affect offspring.

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10
Q

McCune Albright Syndrome

A

An example of mosaicism: a mutation in Gs-alpha subunit is survivable if mosaic, but not if somatic. Causes cafe-au-lait spots that do not cross the midline. Fibrous bones at the base of skull and in the femur.

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11
Q

Locus heterogeneity

A

Mutations at different loci can cause similar phenotypes. Like albanism or mutations that cause marfanoid phenotypes.

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12
Q

Allelic heterogeneity

A

Different mutations in the same locus produce the same phenotype. Like beta-thalassemia.

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13
Q

Allelic heterogeneity

A

Different mutations in the same locus produce the same phenotype. Like beta-thalassemia.

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14
Q

Heteroplasmy

A

The presence of both normal and mutated mitochondrial DNA allowing for different severities of a mitochondrial disease.

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15
Q

Heteroplasmy

A

The presence of both normal and mutated mitochondrial DNA allowing for different severities of a mitochondrial disease.

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16
Q

Uniparental Disomy

A

Where an offspring receives two copies of a chromosome from one parent and none from the other. Heterodisomy indicates a meiosis 1 error. Isodisomy is a meiosis 2 error. This is a euploid state and becomes important if a child is showing a recessive disease that only one parent is a carrier for.

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17
Q

Hardy-Weinberg population genetics

A

A technique to analyze the frequency of a gene or genotype in a population assuming that mating is random, national selection isn’t occurring, no migration, and no mutation is occurring. P+Q=1 and P2+2PQ+Q2=1

P indicates the frequency of a particular allele.
P2 indicates the frequency of a particular genotype.

However, this all changes if the disease is X linked because it will be P for males and P2 for women.

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18
Q

Imprinting

A

At some loci only one allele is active, the other is inactivated by methylation in a process called imprinting.

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19
Q

Imprinting

A

At some loci only one allele is active, the other is inactivated by methylation in a process called imprinting. With one allele imprinted, the deletion of the active allele leads to disease.
Angelman syndrome or prader willi syndrome are examples. This can also occur as a result of uniparental disomy.

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20
Q

Prader-Willi syndrome

A

Marental allele is imprinted, deletion of the Paternal allele on chromosome 15 leads to hyperphagia, intellectual disability, hypogonadism, and hypotonia. 25% of cases are due to maternal uniparental disomy where two maternally imprinted genes are received.

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21
Q

Angelman Syndrome

A

Paternal gene is imprinted and maternal gene is deleted on chromosome 15. This results in the happy puppet phenomenon. Inappropriate laughter, seizures, ataxia, severe disability.

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22
Q

How to tell if autosomal dominant?

A

All generations affected.

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23
Q

How to tell if autosomal recessive?

A

Usually only one generation affected. Increased risk in inbreeding.

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24
Q

How to tell if X-linked recessive?

A

Affected mother will pass mutation to all sons. Carrier mom will pass mutation to 50% of sons.

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25
Q

How to tell if X-linked dominant

A

Father will pass mutation to all daughters but no sons. Mother will pass to 50% of sons.

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26
Q

Hypophosphatemic Rickets

A

Example of an x-linked dominant disease. Inherited disorder that causes phosphate wasting at proximal tubule causing a rickets-like presentation.

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27
Q

How to tell if mitochondrial inheritance?

A

Transmitted only through the mother, all offspring of affected female will have disease. Variable expression in a population or even a family due to heteroplasmy.

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28
Q

Mitochondrial myopathies

A

Rare disorders with mitochondrial inheritance that cause myopathy, lactic acidosis and CNS disease. Usually due to a failure in oxidative phosphorylation. Ragged red fibers are the hallmark.

29
Q

List as many autosomal dominant diseases as possible

A
ADPKD
FAP
Familial hypercholesterolemia
Hereditary hemorrgahic telangiectasia
Hereditary spherocytosis
Huntington's 
Marfan's
30
Q

List as many autosomal dominant diseases as possible

A
ADPKD
FAP
Familial hypercholesterolemia
Hereditary hemorrgahic telangiectasia
Hereditary spherocytosis
Huntington's 
Marfan's
MEN
NF1 and NF2
Tuberous Sclerosis
VHL
Li-Fraumeni Syndrome.
31
Q

List as many autosomal dominant diseases as possible

A
ADPKD
FAP
Familial hypercholesterolemia
Hereditary hemorrgahic telangiectasia
Hereditary spherocytosis
Huntington's 
Marfan's
MEN
NF1 and NF2
Tuberous Sclerosis
VHL
Li-Fraumeni Syndrome. 

Asian, marfanoid hunter, named Li and his group of MEN went for a hunt. They had to get their own food because people were terrified of them: covered in NFs. On the hunt they slaughtered (hemorrhagic telangiectasia) of animals and ate their kidneys with a side of tubers. Because they only ate meat they had super high cholesterol. To end the night they all FAPs and watched people ball on VHS.

32
Q

ADPKD

A

An autosomal dominant mutation in PDK1 on chromosome 16 (polycystic kidney has 16 letters). Causes large kidney cysts, berry aneurysms, mitral valve problems. Can also be due to mutation in PKD2 on ch 4.

33
Q

FAP

A

Autosomal dominant mutation in APC gene on chromosome 5. Thousands of polyps in colon. 100% chance of cancer. This is a defect in WNT signaling, so every cell thinks its in an embryo and needs to divide.

34
Q

Familial hypercholesterolemia

A

Elevated LDL due to absent or mutated LDL receptor. Can causes LDL>300 or even >700. Normal is under 200. Can lead to atherosclerotic disease and MI in 20s. Xanthomas in achilles tendon.

35
Q

Hereditary hemorrhagic telangiectasia

A

AD disease of blood vessels leading to dilated vessels, epistaxis, skin discolorations and AVMs. Can also cause GI bleeding or hematuria. Also known as Osler-Weber-Rendu syndrome.

36
Q

Hereditary hemorrhagic telangiectasia

A

AD disease of blood vessels leading to dilated vessels, epistaxis, skin discolorations and AVMs. Can also cause GI bleeding or hematuria. Also known as Osler-Weber-Rendu syndrome.

37
Q

Hereditary spherocytosis

A

A AD mutation in ankyrin or spectrin leads to spherocytes. Spleen will eat blebs and therefore MCHC will increase. Eventually spherocytes will be destroyed by spleen leading to a normocytic anemia. Splenectomy is curative.

38
Q

Huntington Disease

A

A mutation in the huntingtin protein on chromosome 4 that causes accumulation and caudate atrophy. Causes chorea, severe disability. Trinucleotide repeat CAG. Decreased ACh and GABA in brain. Shows genetic anticipation.

39
Q

Marfan syndrome

A

Mutation in fibrillin 1 causes a connective tissue disorder that affects everything. Long extremities, tall, pectus excavatum, medial cystic degeneration predisposes to AAA and aortic dissections, floppy mitral valves. Lens subluxations

40
Q

MEN

A

Multiple endocrine neoplasias. MEN 2A and 2B are associated with mutations in the RET gene (also seen with Hirschsprung disease).

41
Q

MEN

A

Multiple endocrine neoplasias. MEN 2A and 2B are associated with mutations in the RET gene (also seen with Hirschsprung disease).

42
Q

NF1

A

Also known as Von Recklinghausen Disease. Defect in NF1 gene on chromosome 17. Causes cafe-au-lait spots, cutaneous neurofibromas, Wilms tumors, litsch nodules on retina.

43
Q

NF2

A

Associated with mutation in NF2 on chromosome 22. Hearing loss due to bilateral acoustic schwannomas.

44
Q

Tuberous Sclerosis

A

Neurocutaneous disorder characterized by multiple benign hamartomas and fatty kidneys (renal angiolipomas). Shows incomplete penetrance and variable expression.

45
Q

Von Hippel Lindau

A

Mutation in VHL tumor suppressor on chromosome 3. This leads to less ubiquitination of HIF causing angiogenesis. Causes hemangioblastomas and many other tumors.

46
Q

Li-Fraumeni Syndrome

A

Loss of p53 leads to many diseases.

47
Q

Li-Fraumeni Syndrome

A

Loss of p53 leads to many diseases.

48
Q

Autosomal Recessive Diseases

A

Albinism, ARPKD, CF, glycogen storage diseases, hemochromatosis, Kartagener syndrome, mucopolysaccharidoses (except hunter syndrome), phenylkentonuria, SCD, sphingolipidoses (except Fabry), thalassemias, Wilson’s disease.

49
Q

CF

A

Mutation in CFTR on chromosome 7 where the protein is degraded before it reaches the membrane. Poorly folded at the RER and retained for degradation. Decreased Cl- (and therefore compensatory decrease in Na and then H2O) in lungs and pancreas, decreased reabsorption of Cl in salivary glands. Diagnose with sweat test (high cl). Can also cause hypovolemia because of renal H/K wasting and then loss of H2O and Na. Pseudomonas infections. Meconium ileus, ADEK deficiency, no vas deferens. Use N-acetylcysteine to break up mucus. Dornase alfa to clear leukocytic debris.

50
Q

X-linked recessive disorders

A

Brutons Agammaglubulinemia, Wiskott-adrich syndrome, Fabry’s disease, G6PD deficiency, Ocular albanism, Lesch-Nyhan syndrome, Duchenne Muscular Dystrophy, Hunter Syndrome

51
Q

X-linked recessive disorders

A

Brutons Agammaglubulinemia, Wiskott-adrich syndrome, Fabry’s disease, G6PD deficiency, Ocular albanism, Lesch-Nyhan syndrome, Duchenne Muscular Dystrophy, Hunter Syndrome, Hemophilia A and B, Ornithine Transcarbamylase deficiency.

52
Q

X-linked recessive disorders

A

Brutons Agammaglobulinemia, Wiskott-adrich syndrome, Fabry’s disease, G6PD deficiency, Ocular albanism, Lesch-Nyhan syndrome, Duchenne Muscular Dystrophy, Hunter Syndrome, Hemophilia A and B, Ornithine Transcarbamylase deficiency.

Be Wise, Fools GOLD Heeds silly HOpe.

Female carriers affected variably due to X-inactivation.

53
Q

X-linked recessive disorders

A

Brutons Agammaglobulinemia, Wiskott-adrich syndrome, Fabry’s disease, G6PD deficiency, Ocular albanism, Lesch-Nyhan syndrome, Duchenne Muscular Dystrophy, Hunter Syndrome, Hemophilia A and B, Ornithine Transcarbamylase deficiency.

Be Wise, Fools GOLD Heeds silly HOpe.

Female carriers affected variably due to X-inactivation.

54
Q

Duchenne’s MD

A

X-linked recessive mutation in dystrophin gene. Frameshift leads to severely truncated protein that anchors cytoskeleton (actin) to extracellular matrix. Loss of dystrophin leads to myonecrosis. Diagnose with increased CPK and aldolase. This causes weakness in pelvic girdle muscles and progresses upwards. Pseudohypertrophy of calf muscles, patients use Gower maneuver. Onset before 5 years of age. Cause of death usually dilated cardiomyopathy.

55
Q

Becker’s MD

A

Point mutation in dystrophin leads to less severe course. Onset in adulthood or adolescence.

56
Q

Myotonic Type 1

A

CTG repeat for DPMK gene leads to abnormal expression of myotonin protein kinase. Leads to myotonia, muscle wasting, frontal balding, cataracts, arrhythmia.

57
Q

Myotonic Type 1

A

CTG repeat for DPMK gene leads to abnormal expression of myotonin protein kinase. Leads to myotonia, muscle wasting, frontal balding, cataracts, arrhythmia.

58
Q

Fragile X Syndrome

A

Most common mental retardation after Down syndrome. Mutation affecting methylation of FMR. X-linked inheritance. Enlarged testes, long face with large jaw and everted ears, mitral valve prolapse.

Trinucleotide repeat which is
CGG.

59
Q

Fragile X Syndrome

A

Most common mental retardation after Down syndrome. Mutation affecting methylation of FMR. X-linked inheritance. Enlarged testes, long face with large jaw and everted ears, mitral valve prolapse.

Trinucleotide repeat which is
CGG.

60
Q

Trinucleotide repeat expasion diseases

A

Fragile X - CGG
Friedrich Ataxia- GAA.
Huntington’s Disease - CAG
Myotonic type 1 - CTG

61
Q

Trinucleotide repeat expasion diseases

A

Fragile X - CGG
Friedrich Ataxia- GAA.
Huntington’s Disease - CAG
Myotonic type 1 - CTG

62
Q

Trisomy 21

and 1st and 2nd trimester findings

A

Down Syndrome, 1:700. Intellectual disability, flat facies, prominent epithanthal folds, gap between first two toes, duodenal atresia, ASD, Hirschsprung disease, ALL. Alzheimer’s disease. 95% due to meiotic nondisjunction (associated with advanced maternal age). 4% of cases due to robertsonian translocation.

Findings:
First trimester: Increased nuchal translucency hypoplastic nasal bone. Decreased PAPP-A. Free beta HCG is up.

Second trimester: Decreased alpha fetoprotein, increased HCG, decreased estriol, increased inhibin A.

63
Q

Trisomy 18

A

Edwards Syndrome 1:8000. Severe intellectual disability, rocker bottom feet, micrognathia, low set ears. Death usually within 1 year.
PAPP-A and bHCG are down in first trimester

Quad screen: Decreased AFP, Decreased HCG, decreased estriol, decreased or normal inhibin A.

64
Q

Trisomy 13

A

Patau syndrome. Severe intellectual disability, rocker bottom feet, cleft lip/palate, holoprosencephaly, polydactyly. Death within 1 year.

First trimester screen shows decreased HCG, decreased PAPPa, increased nuchal translucency.

65
Q

Robertson Translation

A

Nonreciprocal chromosomal translocation that involves pairs 13, 14, 15, 21, and 22. Long arms of acrocentric chromosomes fuse and short arms are lost. Balanced translocations usually don’t cause trouble. Unbalanced translocations have problems.

66
Q

Cri-Du-Chat syndrome

A

Caused by a microdeletion of short arm of chromosome 5. Microcephaly, crys like cat, VSDs.

67
Q

Williams Syndrome

A

Deletion of long arm of 7. Causes extreme friendliness. Elfin faces.

68
Q

22q11 deletions

A

Cleft palate, abnormal facies, thymic aplasia, cardiac defects, hypocalcemia (due to parathyroid aplasia.

CATCH 22

Degeorge is thymic, cardiac, hypocalcemia.
Velocardiofacial - cleft palate, abnormal face, cardiac defects.

Due to failure of 3 and 4 branchial pouches to develop.