genomics Flashcards
new, structured approach to disease discovery, diagnosis and management that prominently features next-generation sequencing and analysis
genomic medicine
public group consisted of ~20 international labs
2.7 bil under budget
took 13 years for first draft
sanger human genome project
human genome:
3.2 billion base pairs
~19,000 genes
human variation 0.5%= 16 million base pairs different
genertic variations:
size
location
impact on codon
impact on protein
impact on expression
DNA changes:
single nucleotide variants SND= common and account for 75% of all DNA changes
in-del= insertions and deletions
CNVs= large
what comes first in hierarchial gene control
coordinate genes
what is FALSE about NGS for children
single-gene sequencing
what is the purpose of NextGen Sequencing?
permit rapid interrogation of DNA and using parallel sequencing technology
Amelogenesis Imperfecta everything except
not routinely screened for in pediatric populations
(everything yes: associated with hypodontia, has varying levels of phenotypes, deals with gnomAD database, amd genes AMELX, AMTN, ENAM)
epigenetics:
1.the stresses “dont change the underlying human genome, but they affect gene expression”
2. social factors
3. environmental factors
the human genome…
3.2 billion base pairs
can be sequenced in one day
have common polymorphisms
DNA changes everything but
alternative splicing
(does change single nucleotide variants, insertions and deletions, aneuploidy)
important in embryological development:
1
2
3
4
- Universal Mechanisms
- protein across species
- inductive signaling
- regional determination
ACMG guidelines and secondary findings?
1
2
3
(all of the above answer)
- giving feedback on random variants that may not be associated with issues
- primarily cancer and cardiovascular syndromes
- something about pediatrics
purpose of genetic screening in pediatric populations?
a. not helpful for single genes
b. children present incomplete symptoms
c. rare diseases and the presentation in children
a. NOT helpful for single gene