L20: Anomalies of chromosome structure Flashcards

1
Q

What can structural chromosome anomalies be caused by

A
  • translocation : reciprocal and robertsonian
  • deletions
  • duplication
  • inversions
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2
Q

What are the 3 causes of Down syndrome

A
  • trisomy 21
  • Robertsonian translocation
  • somatic mosaicism- non disjunction in mitosis
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3
Q

What is robertsonian translocation

A

When acrocentric fusion occurs so long arms of two non homologous chromosome join together and short arms are lost

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4
Q

When does robertsonian translocation occur

A

During paring of homologous chromosomes in meiosis

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5
Q

Why type of chromosomes undergo robertsonian translocation

A

Acrocentric chromosomes of 13,14,15,21,22

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6
Q

What is reciprocal translocation

A

When fragments of two non-homologous chromosomes exchange

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7
Q

What chromosomes does reciprocal translocation occur with

A

All chromosomes not just acrocentric

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8
Q

How does reciprocal translocation occur

A

When a balanced reciprocal carrier passes it to offspring

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9
Q

What are the outcomes of a balanced reciprocal parent with normal parent

A
  • normal
  • carrier
  • partial monosomy (lethal)
  • partial trisomomy (lethal)
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10
Q

What are the outcomes of robertsonian carrier parent with normal parent

A
  • normal
  • carrier
  • monosomy 21 (lethal)
  • trisomy 14 (lethal)
  • monosomy 14 (lethal)
  • trisomy 21
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11
Q

When does deletion and duplication occur in chromosomes

A

During crossing over in meiosis one when there are repeated sequences

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12
Q

How often is deletion and duplication in chromosomes

A

It is very rare and is usually a one off event

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13
Q

If a family has had a child with cru-di chat syndrome (deletion and duplication anomaly disorder) what are the chances of another child with the same

A
  • very small
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14
Q

If a deletion/duplication occurs twice in a family what are the likely causes

A

Gonadal mosaicism ( half normal and half mutated gonads)

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15
Q

What is fetal karyotyping

A

Looking at the fetus karyotype by chorionic villus sampling at 11 weeks of pregnancy to determine whether the baby has an unbalanced or balanced pattern of chromosome

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16
Q

What are the features of chromosomal disorders

A
  • Multiple malformations
  • growth retardation
  • development delay