L27 Single Gene Disorders Flashcards

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1
Q

Define ‘consanguineous’.

A

People descended from the same ancestor.

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2
Q

A genetic study on a large consanguineous Pakistani family with a family history of Familial hypercholesterolemia (FH) identified what?

A

A common insertion mutation was identified in exon 17 of the LDLR gene.

c.2416_2417InsG

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3
Q

Familial Hypercholesterolemia is an example of what type of point mutation?

A

Insertion mutation

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4
Q

Cystic fibrosis is an example of what type of point mutation?

A

Deletion mutation

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5
Q

The majority of cystic fibrosis patients in Western Europe harbour a deletion mutation. What is this mutation?

A

Phenylalanine (F) is deleted from position 508 in the protein. UUU codon CFTR gene on chr 7.

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6
Q

What causes Duchenne Muscular Dystrophy?

A

A deletion mutation in an intron induces aberrant splicing of the DMD gene - causing Duchenne Muscular Dystrophy.

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7
Q

What is a homozygote?

A

An individual with 2 identical alleles for a specific trait.

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8
Q

What is a heterozygote?

A

An individual 2 different alleles for a specific trait.

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9
Q

Define ‘autosomal’.

A

Refers to the 44 non-sex chromosomes.

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10
Q

How can you tell whether or not an autosomal gene is dominant?

A

Look at the family tree: if all affected children have an affected parent then you know it is dominant. If not, it is recessive.

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11
Q

How can you tell whether or not an autosomal dominant gene is X-linked or not?

A

If affected males all have affected mothers, or affected females all have affected fathers then it is X-linked. Otherwise, it is not X-linked.

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12
Q

What is the chance of inheriting an autosomal dominant gene?

A

1 in 2

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13
Q

True or false: Recessive gene inheritance can produce an affected individual born to unaffected parents.

A

True

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14
Q

Why can’t males inherit X-linked mutations from their father?

A

Because males always receive the Y chromosome from their father.

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15
Q

In what type of mutation is the characteristic not manifested in a heterozygote?

A

Recessive mutations

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16
Q

Males pass on X-linked mutations to their __?__

A

Daughters

17
Q

Females pass on X-linked mutations to their __?__

A

Sons and daughters

18
Q

Define ‘genetic heterogeneity’.

A

Different mutation in the same gene can lead to different diseases

19
Q

What condition is caused by the following mutation?

FGFR-3 Gene
P250R

(P=proline, R=arginine)

A

Muenke’s syndrome

20
Q

What condition is caused by the following mutation?

FGFR-3 Gene
G308R

(G=glycine, R=arginine)

A

Achondroplasia

21
Q

Achondroplasia is caused by a ‘gain of function’ mutation.

Explain how this causes stunted growth in affected patients.

A

Mutation in the FGFR3 gene (fibroblast growth factor receptor (type 3)) promotes unregulated conversion of cartilage to bone - growth plates ossify prematurely, limiting growth.

22
Q

What is xeroderma pigmentosum (XP)?

A

Mutations in any of 8 different genes that affect DNA-damage repair.

Causes hypersensitivity to sunlight, often resulting in carcinomas.

23
Q

In addition to the mutation, what other factors influence the phenotype of single gene disorders?

A

Penetrance (determined by genetic and environmental factors)

Expressivity (variance in the severity of the symptoms)

Phenocopy (environmental modification mimics genetic disease)

Environmental effects

24
Q

What is phenylketonuria?

A

A genetic disease that means phenylalanine cannot be broken down by the body. But it can be regulated by maintaining a low phenylalanine diet.

Example of how environmental factors affect the phenotype of single gene disorder

25
Q

Give an example of a phenocopy

A

Rubella during pregnancy causes deafness, may be confused with genetic deafness.

26
Q

What can the chemical monocrotaline induce?

A

Pulmonary arterial hypertension