IMMS HK Flashcards

Med 1

1
Q

Describe the structure of DNA?

A
•Double helix
•Complementary base pairs
Adenine   A= T  Thymine
Cytosine  C G Guanine    (3 lines in the bond)
-- Coils around nucleosomes
-- Coils again into super coils.
-- and again into chromosomes
> found in -nucleus --> mitochondria.
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2
Q

Describe chromosomes?

A

•Human genome –> 46 chromosomes–> each contains continuous DNA duplex/double stranded (10⁷ base pairs) –> several 100 genes.
• Centro-mere has Long arm (q) and short arm (p)
• Characterisically stained for identification and analysis with dyes.
> Giemsa - G banding
G banding, or Giemsa banding is a
technique used in cytogenetics to produce a
visible karyotype by staining condensed
chromosomes.
> Quinacrine -Q banding
is the first chromosome banding pattern
reported. It is done by treating the chromosomes
with quinacrine dihydrochloride.
(each band -> 6-8 Mbp mega base pairs)

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3
Q

What is mitosis for?

A
  • Producing 2 daughter cells –>genetically identical to parent cell.
  • Growth
  • Replace dead cells.
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4
Q

What is the cell cycle?

A

• Mitosis –> G1 growth phase –> synthesis phase (–>DNA/centrosome replication) –> G2 growth phase –> Mitosis

(Interphase

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5
Q

What is the clinical relevance and pharmacology of mitosis?

A
  • Detecting chromosomal abnormalities.
  • Categorising tumours as benign/malignant
  • Grading malignant tumours.
• Mitotic spindle
         --> Taxol
         --> Vinca alkaloids --> vinblastine/vincristine
• Anaphase --> colchicine-like drugs
• Spindle poles --> Ispinesib
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6
Q

What are the steps of mitosis?

A

PMAT
1) Prophase:
> chromatin condenses to chromosomes > centrosomes nucleate microtubules & move to opposite side of pole.
2) Prometaphase:
> nuclear membrane breaks down
> microtubules invade nuclear space.
> chromatids attach to microtubules.
3) Metaphase:
>chromosomes line up along equatorial plane (metaphase plate).
4) Anaphase:
> sister chromatids separate and are pushed to opposite poles of cell.
5) Telophase:
> nuclear membrane reforms, chromosomes –> chromatin cytokinesis begins

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7
Q

Describe meiosis?

A
•Similar to mitosis but differences 
> only in gametes
> recombination of genetic material > diversity.
• 2 cell divisions
• 4 haploid cells
• cross over in prophase 1 
> genes sort independently.
• Meiotic division 1 and meiotic division 2.
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8
Q

What is non-disjunction and how does Downs syndrome arise form it?

A
•Non-disjunction:
> failure of chromosome pairs to separate in meiosis I or sister chromatids to separate in meiosis II.
•Downs syndrome  75% maternal meiosis I
> 25% maternal meiosis II
> 3-5% paternal non-disjunction.
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9
Q

What is gonadal mosaicism?

A

One cell line normal and one cell line mutated.
• Occurs when precursor germline cells to ova or spermatozoa are a mixture of 2 or more genetically different cell lines. (parent is healthy but fetus has genetic disease).
> incidence increase w/ paternal age.
• Most commonly autosomal dominant/x linked.
• Osteogenesis imprefecta/duchenne muscular dystrophy

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10
Q

What are the different causes of disease?

A
Genetic (individually rare, cumulatively enough to have regional genetic services).
•Downs syndrome
•Cystic fibrosis
•Huntington disease.
•Haemiphilia

Multifactorial (main cause of disease in developed countries).
> Combination of environmental and genetic factors.
•Spina bifida
• Cleft palate
• Diabetes
• Schizophrenia

Environmental (main cause in developing countries + A+E)
• Poor diet 
• Drugs
• Infection 
• Accidents
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11
Q

What is the difference between genotype and phenotype?

A
  • Genotype > genetic constitution of an individual.
  • Phenotype > appearance of an individual (physical, biochemcial, physiological) which results from interaction of environment and genotype.
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12
Q

What is an allele and polymorphism?

A

Allele
•One of the several alternative forms of a gene at a specific locus.
>Normal allele is wild type
>Disease allele is carrying a pathogenic variant.

Polymorphism
•Frequent hereditary variations at a locus.

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13
Q

What are the different ways to describe alleles?

A
  • Homozygous - both alleles the same at a locus.
  • Heterozygous - alleles at a locus are different.
  • Hemizygous - only 1 allele refers to a locus on an x chromosome in a male.
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14
Q

What is imprinting?

A

•For some genes, only 1 out of 2 alleles is active (the other is inactive).

> For particular genes, it is always paternal or maternal allele.

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15
Q

How do you classify a disease?

A

•Chromosomal
•Mendelian
> autosomal dominant - manifest in heterozygous state.
> autosomal recessive - manifest in homozygous state
> X-linked - pathogenic variants in X chromosome.
•Non-traditional.
>mitochondrial
>imprinting
>mosaicism

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16
Q

Discuss altering the germ line?

A

• Germ cell lineage -eggs and sperm
>alter the germline and affects future generations.
>potential harm unknown.

17
Q

What is sanger sequencing?

A

MAYBE THIS CARD IS WRONG.

  • Uses PCR to amplify regions of interest followed by sequencing of products.
  • Useful for single gene testing
  • (primer)
  • Single DNA fragment sequnced.
  • High cost per gene.
  • Time consuming.
  • Simple analysis
  • Very accurate
  • Less noise
18
Q

What is next generation sequencing (NGS)?

A
MAYBE WRONG.
• Multi gene panels
• Can sequence whole genome.
• High output/massively parallel sequencing.
• Library of DNA fragments --> more noise.
• Low cost per gene.
• Fast
• Huge amounts of raw data to interpret.
• Moderately accurate.
19
Q

What is GWAS?

A

Genome wide association studies.
• Utilizes the fact that a gene can have several allele variants.
(most genetic variation –> functioning gene) polymorphism.
• SNP (single nucleotide polymorphism) > more frequent in disease population.

20
Q

What are environmental agents that act on embryogenesis?

A
  • Drugs and chemicals
  • Maternal infections
  • Physical agents e.g. radiation.
  • Maternal illness.
21
Q

What is the liability/threshold model?

A

NEED PICTURE USE ZAHRAS FLASHCARD,
• Factors that influence development of a multi factorial disorder, genetic and environmental can be considered as single entity.
• Closer relationship, greater shift to right.

22
Q

What is hereditability/heritability?`

A

MAYBE WRONG
• The proportion of aetiology that can be ascribed to genetic factors as proposed to environmental factors.
• Expressed as a proportion of 1 or %
• Can be calculated from concordance of MZ twins

23
Q

What is the concordance rate?

A

is a term that is used in statistics and by geneticists to describe the rate of probability that two people with shared genes will develop the same organic disease.

24
Q

What are family studies

A
  • Compare the incidence of a disease amongst relatives of an affected individual w/ general population.
  • (risk dramatically higher than in the general population)
  • Risk varies directly w/degree of genetic relationship.
  • Risk varies w/ severity of probands illness
  • RIsk varies w/ no. of relatives affected.
25
Q

What are twin studies?

A
  • Compare genetically identical (MZ) w/ genetically non identical (DZ) twins.
  • If condition –> genetic component –> concordance rate is high in MZ than DZ

concordance rate gives rough figure of hereditability of multi-factorial disorder.
MZ is found even when reared apart.

26
Q

What are adoption studies?

A
  • Adopted children of a parent w/ multi-factorial condition –> high risk.
  • High compare above w/ group of adoptees w/ normal biological parents and adoptive parent w/condition –> low risk. (high in biological families.)
27
Q

What are the characteristics of multi factorial inheritance?

A
  • Incidence of condition is greatest amongst relatives of the most severely affected patients.
  • Risk is greatest for 1st degree relatives.
  • If there is >1 affected close relative, risks high.
28
Q

What is homoplasmy and heteroplasmy?

A

• Homoplasmy
> an eukaryotic cell whose copies of mtDNA are all identical (identically normal or identical mutations.)

• Heteroplasmy
> multiple copies of mtDNA in each cell.
> denotes mutations which affect only a proportion of molecules in cell.
> level of heteroplasmy vary between cells in same tissue or organ, from organ –> organ in same person and between individuals in same family.

29
Q

What is mitochondrial genetic disease?

A

• Group of disorders caused by dysfunctional mitochondria.
> caused by mutations in mtDNA (15%)
> caused by mutations in nuclear genes, whose gene product –> mitochondria.
> acquired conditions (can be due to drugs)

30
Q

What are the categories of genetic disorders?

A

• Chromosome abnormalities
• Single gene disorders.
• Multi-factorial and polygenic disorder
> spina bifida/ cleft palate