Genomics in Modern Medicine Flashcards

1
Q

what is next generation sequencing

A

technologies that permit rapid interrogation of DNA, up to and including entire genomes via massively parallel sequencing

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2
Q

what is the prevalence of common single nucleotide variants and rare single nucleotide variants? and what are they

A
  • Common: greater than 1% of population- can be advantageous, silent, risk associated
  • rare ones are less than 1% of population- can be advantageous, silent, risk associated and pathogenic
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3
Q

single nucleotide variants account for about ____ of all DNA changes

A

75%

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4
Q

single nucleotide variants are found in about 1 in every _____ nucleotides

A

100 to 300 nucleotides

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5
Q

describe insertion and deletion mutations

A

occur from 50-100 nucleotides

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6
Q

how often do insertion deletion mutations occur compared to single nucleotide variants

A

1/10th as often

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7
Q

90% of insertion deletion mutations are ____ nucleotides in length

A

1-10

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8
Q

Describe CNV mutations

A

least frequent but large so affect the most nucleotides

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9
Q

what is the purpose of library prep for NGS

A

add primers and barcodes to identify individuals

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10
Q

what does library prep for NGS involve

A

fragmenting DNA called shotgun sequencing

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11
Q

what is sanger PCR

A

gene by gene, exon by exon sequencing

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12
Q

how many base pairs are in the human genoe

A

3.2 bilion

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13
Q

how many nucelotides are in the human genome

A

6.4 billion

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14
Q

______ genes (1-2% of genome) which encode _____ proteins

A

19,000; 100,000

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15
Q

in a completed library, each DNA fragment has:

A

-sequencing primer
-adapters
-barcode

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16
Q

what does enrichment involve

A

selecting out specific regions of interest for sequencing using capture probes

17
Q

what are the cost and time considerations for enrichment

A

-pooling allows for samples to be mixed together before enrichment
- allows for more sequencing of targeted regions
- decreases cost and time per sample

18
Q

what is sequencing by synthesis (SBS)

A

-fluorescent nucleotides are incorportated one at a time
-lasers excite fluorescence which is read by the instrument

19
Q

what is variant detection

A

the analysis of sequence data to find the differences between an individuals DNA and the human reference genome

20
Q

what are the typical variant counts for small panel, exome, and whole genome

A
  • small panel: 8000
  • exome: 300,000
    whole genome: 4,000,000
21
Q

what are the sensitivity and specificity for SNPs in CPGM NGS variant detection

A

> 99%

22
Q

CPGM NGS variant detection can detect insertion deletion mutations up to _____ base pairs

A

40

23
Q

how fast can 6 sequel Ile sequence

A

1 genome in 90 hours

24
Q

what genes affect mineralization

A

PHEX, DMP1, FGF23

25
Q

what genes affect hypo/oligodontia

A

PAX9

26
Q

what gene affects amelogenesis imperfecta

A

ENAM

27
Q

what is the average diagnosis rate of NGS

A

about 30%

28
Q

what genes are involved in amelogenesis imperfecta

A
  • AMELX (amelogenin)
    -AMTN (amelotin)
  • ENAM (enamelin)
29
Q

what is the prevalence of amelogenesis imperfecta

A

1/700 to 1/14,000