L6, L7, L8, L9 Patterns of Inheritance Flashcards
define gene
sequence of DNA that codes for protein, includes the regulatory regions
what is a regulatory region?
a segment of a nucleic acid molecule which is capable of increasing or decreasing the expression of specific genes within an organism.
define locus
location of a gene on a chromosome
define allele
different version of a gene that occur on a locus - defines the amino acid or base sequences
define polymorphism
multiple alleles of a gene in population - when an allele is found in > 10% of population and has a normal function - like different blood types
define homozygote
has same alleles at a locus
define heterozygote
has different alleles at a locus
define dominant
requires only one copy of the mutation to produce disease
define recessive
requires two copies of the mutation to produce disease
what does recurrence risk mean?
the probability that the offspring of a couple will express the genetic disease.
for single gene disorders, it does not depend on the number of previously affected/unaffected offspring
DEPENDS ON THE MODE OF INHERTIANCE
what is a pedigree
diagrammatic rep. of the family history
what is a proband
AFFECTED individual in the family who has gone to a physician for a consultation
what is a consultand?
a NOT AFFECTED individual who has gone to a physician for consultation
define consanguinity
people who share the same blood - the relationship of 2nd cousin or closer!
what are autosomal disorders?
when the mutant gene is present on autosomes
what is x linked disorders?
when the mutant gene is present on sex chromosomes (x chromosome)
are there any Y-linked disorders?
no transmission from Y gene, but there are certain traits we should be aware of.
what are mitochondrial disorders?
when there is a mutation in a gene encoded by mitrochondrial DNA - NON-MENDELIAN
define autosomal cominant
when the presence of one copy of the mutant allele on one chromosome is sufficient to cause disease
in what state do autosomal dominant disorders manifest in
heterozygous state!
what are characteristics of autosomal dominant disorders?
- affected child receives disease from affected parent
- does not skip generations (vertical inheritance)
- males and females are equally affected
- male to male - father to son transmission is seen
define vertical inheritace
when a disorder does not skip generations - common with autosomal dominant disorders
what are examples of autosomal dominant disorders?
- familial hypercholesterolemia - LDL receptor def.
- huntingtons disease - triple repeat expansion
- myotonic dystrophy - triple repeat expansion
- Marfan syndrome
- osteogenesis imperfecta
- achondroplasia
- neurofibromatosis type I
- acute intermittent porphyria
what is myotonic dystrophy?
- mutation in the DMPK gene
- most pleiotropic phenotype of all unstable triple repeats disorders (affects multiple systems)
- characterized by wasting of muscle, heart conduction defects, endocrine changes, myotonia
what is achondroplasia?
mutation in FGFR3 - fibroblast growth factor receptor gene
- FGFR3 codes for transmembrane receptor that is involved in differentiation of cartilage to bone
- results in severe growth stunting
what is neurofibromatosis (NF1) aka von Recklinghausen disease
-mutation in neurofibriomin NF1 gene
-NF1 is cuased by different mutations in the NF1 gene — allelic heterogeneity = same gene is mutant but different type of mutation in different families - single point vs. nonsense
-NF gene usually codes for tumor suppressor protein
-pts have neurofirbomas - painless swellings in skin and CN
HAS VARIABLE EXPRESSION - can be less or more severe
Cafe-au lait spots
neuro fibromas
Lisch nodules in iris of eye
what is osteogenesis imperfecta
DOMINANT NEGATIVE MODEL
- mutation in 1 allele of alpha 1 gene
- association of the triple helical molecules with atleast one mutant alpha 1, results in the degradation of collagen - 25% of collagen is normal and 75% of collagen is degraded
why do autosomal dominant mutations manifest in the heterozygous state?
- Haplo-insufficiency
- dominant-negative mutations
- Gain-of-function
what is halo-insuffiency and what is an example?
- loss of function mutations in which half normal levels of the gene product results in disorder
- familial hypercholesterolemia - LDL receptors
- rarely there is an enzyme deficiency
what is dominant-negative mutations and what is an example?
a mutant gene product interferes with the function of the normal gene product
- osteogenesis imperfecta
- marfan syndrome
what is gain of function and what are examples?
result from increased levels of gene expression or the development of a new function of the gene product
- huntingtons disease
- achondroplasia
what is the homozygous state of autosomal dominant disorders?
much more severe or lethal like of OI
what state are autosomal recessive disorders expressed in?
homozygous state
who are carriers of the mutant gene in autosomal recessive disorders
both parents
in autosomal recessive disorders, carriers are what?
phenotypically normal
autosomal recessive disorders are usually seen in only one___
generation - horizontal inheritance = siblings are more commonly affected - males and females affected equally
is it possible to trace mutant allele transmission through the family without genetic testing
no! - why- because carriers are phenotypically normal!
most enzyme deficiencies are what mode of transmission?
autosomal recessive
what are common autosomal recessive disorders?
cystic fibrosis MSUD homocystinuria * Sickle cell anemia Phenylketouria Tay-Sach's disease (Hexosaminidase A def.) Congenital deafness Hemochromatosis * Galactosemia
what do loss of function mutations (molecular basis for autosomal recessive disorders) result in?
- reduced activity (hypomorph)
- complete loss of gene product (null allele or amorph) = enzyme deficiencies
What is the mutations seen in Hemochromatosis?
C282 Y mutation of the HFE gene = most common
H63D and S65C are other mutations of the HFE gene
= ALLELIC HETEROGENEITY - same gene, different mutations possible to produce the same phenotypical manifestations!