Human disease genetics Flashcards
What is a mutation
a permanent change to the DNA sequence
Why are vast majority of mutations neutral and have no effect at all
Because our genome is very large but the functional part is very small so there is a bigger chance of mutation occurring at a non-functional part of genome
Relate different ways in which mutations can be inherited
Germline mutations are inheritable. This is when mutations occur in cells that produce gametes and therefore can be inherited by the next generation
Silent mutation - define & where does it occur
Mutation with no effect on phenotype
Often occur in non-coding regions such as the intergenic regions and introns
Can occur in exons but can also cause no effect due to the redundancy of the genetic code
Missense mutations
Mutation that causes a change in amino acid due to changing a base that often does not produce serious phenotype alterations
Can change the sequence of protein and thus altering the protein’s ability to function
Can also have no effect if the amino acid changed was replace by a very similar one that does not alter the protein’s ability to function
Frameshift mutations
Insertion or deletion of a single base in a coding region that changes the readout of DNA so that the resulting protein is altered from that point on
Nonsense mutation/truncated mutation
Special case of point mutation when the base change results in the formation of a STOP codon resulting in truncated protein
Sickle cell anaemia is caused by what type of mutation
missense mutation
Triplet repeat expansion
Where a region containing triplet repeats undergo a catastrophic expansion that can alter protein function of destabilise a chromosome
Point mutation (single nucleotide polymorphism)
Single base change to NA sequence
Can result in change to amino acid but are mostly ‘silent’
Loss of function mutation
A mutation in the organism’s DNA resulting in the formation of either a protein that non longer functions, or complete loss of protein
Gain of function mutation
When the DNA sequence is altered so the protein becomes more active or takes on a new function
Example of loss of function mutation
Cystic fibrosis
Example of gain of function mutation
Huntington’s disease (triplet expansion)
somatic mutations
Changes to the DNA sequence of non-germline cells that are only inherited by daughter cells after division
Example of monogenic diseases
Haemophila A and B
Huntington Disease
Cystic fibrosis
What is haemophilia
disorders of blood clotting
Haemophilia A - effect, cause
Affects 1/5000 males worldwide
Results form impaired or absent clotting factor VIII which is most commonly caused by a mutation of inversion in Factor VIII gene on the X-chromosome
Haemophilia B - cause, what happens if untreated and treatment
Defect of blood clotting factor XI
If untreated, there is high risk of death from uncontrolled bleeding
Treatment by intravenous infusion of missing protein
Both Haemophilia A and B are what type of disorders
X-linked recessive disorders (1 intact copy protects against disease)
Why are women rarely affected by haemophilia
Because women have 2 X-chromosomes
Sons of women who are carriers of Haemophilia have what probability of inheriting the disease
0.5
Genetic cause of Huntington Disease
Mapped to chromosome 4 - autosomal
Caused by expansion of a CAG triplet repeat in HTT gene (Huntington gene) which codes for glutamine (protein has long polyglutamine tract which cause it to become unstable)
Symptoms of Huntington’s Disease (3)
Progressive tumor
Involuntary movements
Neurodegeneration
When does Huntington’s Disease normally develop
Onset in mid-life - usually 30-50