L3- Monogenic disorders Flashcards

1
Q

what are monogenic disorders

A

disorders caused by defects in a single gene

= gain or loss of function

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2
Q

define penetrance

A

frequency of a genotype to show a certain phenotype

= depends on both genotype and environment

not all organims of a particular genotupe shpw a phenotype = due to envirnmental factors

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3
Q

penetrance can be ………

A

complete or incomplete

complete –> 100% ov genotype shows trait

incomplete –> less than 100% of genotype show trait

example: just because you have bRAC mutation which increases succeptibility to breast cancer does not mean youll have cancer

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4
Q

what percentage of offspring would a autosomal dominant gene cause - Aa against aa

A

50%

= always gain of function mutations

Autosomal dominant are traceable through generations

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5
Q

defone variable expressivity

A

variation in the phenotye of affected indiviuals

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6
Q

define co-dominance

A

2 alleles are both expressed in heterozygous state

= AB = both A and B alleles are seen

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7
Q

what type of mutations are autosomal recessive and why are these diseases harder to keep track of

A

loss of function mutations

= can skip generations due to ‘carriers’

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8
Q

define pseudodominance

A

reccessive allele LOOKs dominant due to 1 carrier crossed with a infected

= mimics dominant inheritance

this is opposed to the normal inheritance of 2 carriers = 25% chance of kids having disease

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9
Q

give one example of a heterozygote advantage

A

sickle cell trait

= HbA turn to HbS due to mutation in beta-globulin chain

provides advnatage against malaria

= red blood cells infected with malaria ‘sickle’ faster and are destroyed = not enough time for parasite to replicate inside

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10
Q

who does X-linked recessive disorders affect the most

A

males

= only takes a single muated X chromsome for men to cause disease

women have 2

‘loss of function mutations = due to protein or gene not being expressed propelry causing the disease

if it was ‘gain of function’ then it would be dominant = women would experience it too with just inheriting 1

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11
Q

describe how X-inactivation produces a mosaic of cells in heterozygous females for recsssive disorder

A

X-linked inactivation ‘silenes’ randomly one of the 2-X chromosomes

means that some cells express paternal X chromsome and others the maternal X chromosome

‘loss of function’ recssive disorder means that although some cells do not produce the desired protein OTHER cells in the tissue can compensate for this

= mild symptoms

‘gain of function’ dominant mutation would mean that despite only some of the cells in the tissue producing harmful proteins this would still affect./damage tissue

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12
Q

describe how and why X-lined recessive disorders could affect females - 2 reasons

A
  1. skewed/non-random inactivation of X-chromosme

= more than 50% of inactivated x-chromosomes are the ‘normal’ one

  1. numerical abnornamilities

= female has abnormal number of X-chromosomes
= Tuners syndrome with only 1 X = will always show symptoms in all cells

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13
Q

define hemizygous

A

only containing a SINGLE copy of a gene

= males will only have single copies of some X-chromososome genes

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14
Q

what is the name of the regions at the ends of X and Y chromosomes

A

PARs - Pseudoautosomal regions

= identical genes at the ends of both X and Y chromsomes that can recombine during male meioisis (sperm formation)

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15
Q

how do pseuodoautosomal regions (PARs) cause partial sex linkage and X-inactivation

A

sex chromsomes are fully sex-linked = genes on X chromsome only pass down through the X

BUT genes in PARs are shared between X and Y

= can be inherited from either parent through X or Y

‘partial’ sex linkage as although on sex chromosomes they behave like autosomes –> can recmobine and swap

= PARs escape X-inactivation –> still expressed on inactivated X

autosomnal pattern of inheritance of the genes on PARs

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16
Q

how do PARs affect genetic disorders inheritance

A

inheritance pattern looks autosomal

= defective genes in PARs can pass from father to son despite rececing a Y gene from father

affects males and females equally due to x-inactivation escape

17
Q

what is the hardy weinberg principle

A

allelic frequencies will not change in population if conditions are met

= they are never met = its an ‘ideal’ state

18
Q

what type of disorder is Duchenes muscuolar dystophy (DMD)

A

X-linked recessive monogenic disorder

19
Q

what does DMD genes code for in duchenes muscular dystrophy and how is this affected in the disorder

A

DMD codes for ‘dystrophin’ protein

links actin cytoskeleton to plasma membrane and then to the outside connective tissue = stabilises msucle cell when contracting

deletions in the gene produce truncated or no protein

= sarcolemma becomes fragile and tears
= muscle wasting disease

20
Q

what are trinucleotide repeat disorders

A

microsatelite region of genome —> repeats can expand due to polymerase slipping in DNA synthesis

come from a rare ‘founder’ mutation

severity gets worse due to increasing number of repeats in generations = ‘anticipiation’

21
Q

what is anticipation

A

increasinging severity of symtpoms due to increasinging number of repeats

22
Q

name 2 trinucletide repeat disorders

A

Fragile x syndrome = fragile site

Hungtintins = neurodegenerate disease

23
Q

describe hungtintins disease

A

CAG repeat in hungtintin gene

= codes for run of glutamamine amino acids

in disease repeat is longer - neuron degeneration due to clumping of toxic protein

jerky involuntary movement

24
Q

describe what happens in Fragile X syndrome- Trinucleotide repeat disorder

A

CGG rpeat in FMR1 gene

= longer repeat = hypermethylation of bottom of `X chromome preventing transcription

intelluctual disability and mental retardation

25
what are haemoglobinopathies and 2 main forms
monogenic genetic disorders that affect hemoglobin = 2 main types are sickle cell and Thalassemia (alpha and beta)
26
what mutation occors in sickle cell disease and how does this cause symptoms
Single DNA mutation in the beta-globin gene = changes amino acid glutamic acid to valine at position 6 of the beta-globin chain form abnormal sickle-shaped cells under low oxygen conditions
27
is sickle cell recessive or dominant
autosomal recessive
28
what mutation occors in Thalassemia and how does this cause symptoms
Mutations in genes for either alpha-globin or beta-globin chains = insufficient production of one of these chains = red blood cells are smaller and fragile --> unable to carry oxygen properly