Inheritance Flashcards
What is a multifactorial condition
Disease that is due to a combination of genetic and environmental factors
Most common diseases are multifactorial
What are family studies
Compare the incidence of a disease amongst relatives of an affected individual with the general population
Family Studies
With risk for a multifactorial condition - fill in the gaps
- The risk of a condition in relatives of an affected individual is than the general population
Dramatically higher
What does proband mean
Individual affected with a disorder who is the first subject in a study (as of a genetic character in a family lineage)
What are the three ways of studying if a condition
has a genetic component
Family studies
Twin studies
Adoption studies
What does prevalence mean
How common a disease is in a given population
What does incidence mean
Onset of new cases in a given period of time
What are twin studies?
Compare genetically identical (MZ) with genetically non-identical (DZ) twins
What does concordance rate stand for?
% of twin pairs studies that both have the condition
Would expect it to be higher in monozygotic twins
Gives a rough figure for hereditability of a multifactorial disorder
What are adoption studies?
Adopted children of a parent with multifactorial condition have a higher risk of developing the disease
Higher in biological families only
Define hereditability
Proportion of the aetiology that can be ascribed to genetic factors as opposed to environmental factors
Expressed as a proportion of 1 or as a %
What is a way you can calculate hereditability
Concordance rate in monozygotic twins
Name the three characteristics of multifactorial inheritance
- The incidence of the condition is greatest amongst relatives of the most severely affected patients
- The risk is greatest for the first degree relatives and decreases rapidly in more distant relatives
- If there is more than one affected close relative then the risk for other relatives are increased
Define liability
When combine factors that influence the development of a multifactorial disorder, genetic and environmental
In the liability/threshold model which direction is the curve shifted in relatives compared to the normal population
Right
When the relationship is closer which direction does the curve shift in the liability/threshold model
Further to the right
What is the threshold marker in the liability/threshold model
Beyond this the abnormal phenotype is expressed
What is the definition for in the general population the proportion beyond the threshold (in the liability threshold model)
Population incidence
What is the definition for amongst relatives the proportion beyond the threshold (in the liability threshold model)
Familial incidence
What is the genome wide association studies
Utilises the fact genes can have several variants (alleles)
Compares the frequency of markers in a sample of patients and a sample of healthy controls
What would a pathogenic variation of a disease be
Variation in a gene which causes the gene to be inactivated or behave abnormally
Define polymorphisms
Genetic variation which still results in a functioning gene
What are the 4 environmental agents acting on embryogenesis
- Drugs and chemicals
- Maternal infections
- Physical agents
- Maternal illnesses
Name 4 post-natal environmental factors
- Type 2 diabetes - obesity
- Breast cancer - hormonal factors e.g. contraception
- Lung cancer e.g. smoking
- Schizophrenia e.g. recreational drugs
What is the 3 underlying principles of genetics are deduced by Mendel
- Segregation
- Dominance
- Independent assortment
What are the two types of mendelian inheritance
- Autosomal and sex-linked
- Dominant and recessive
What are the four types of non-mendelian inheritance
- Imprinting
- Mitochondrial inheritance
- Multifactorial
- Mosaicism
What are the three categories of genetic disorders
- Chromosome abnormalities
- Single gene disorders
- Multi-factorial and polygenic disorders