Huntington's and Others Flashcards

1
Q

What is the pathogenesis of Huntington’s?

A

Expanded CAG repeated in hungtingtin protein that is toxic to basal ganglia cells > atropy eventually effects the whole brain

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2
Q

What are the genetics for Friedreich ataxia?

A

Autosomal recessive

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3
Q

How many repeats do you need to have to transmit Huntington’s to offspring?

A

27-35

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4
Q

What is the mean age of onset for Huntington’s?

A

35-44years

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4
Q

Where are the pathological effects of Huntington’s seen?

A

The basal ganglia, particularly the striatum

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4
Q

What happens at the biochemical level in Friedreich ataxia?

A

The frataxin protein isn’t produced.

Causing iron accumulation in mitochondria causing oxidative damage

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5
Q

What test is used for diagnosing Huntington’s?

A

PCR - fragment analysis

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6
Q

What are the symptoms of Huntington’s?

A

Movement disorder

Cognitive disorder

Emotional disorder

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6
Q

Which type of Spinocerebellar ataxia is most prevalent in Australia?

A

SCA3 (aka Machado-Joseph disease)

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7
Q

What is the usual cause of death in Friedreich ataxia?

A

Cardiomyopathy

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9
Q

How can the repeats effect the protein/RNA/DNA?

A
  1. Cause loss of protein
  2. Cause novel properties to RNA
  3. Cause novel properties to protein
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11
Q

What are the genetics of Huntington’s and Spinocerebellar ataxia?

A

Autosomal dominant

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12
Q

How many bases are usually contained in the repeats?

A

3

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14
Q

How many repeats must you have for Huntington’s to present?

A

>= 40

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15
Q

What does anticipation refer to in the context of Huntington’s?

A

The more repeat sequences the more severe the disease is and the early the onset is.

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16
Q

T/F Just the basal ganglia are effected in a Huntington’s brain

A

False, eventually the whole brain is atropied

17
Q

What effect do the repeats have at the protein level in Huntington’s?

A

Confers novel properties to the protein

18
Q

What are some characteristics of neurodegenerative diseases caused by repeat expansions?

A

Loss of movement control

Variable and overlapping clinical presentation

Late onset

Symptoms worsen over time

DNA testing can aid diagnosis

19
Q

What is the possible mechanism for insertion of repeats called?

A

Slipped mispairing

20
Q

T/F Repeat regions are always abnormal.

A

False, they are present normally too