Lec 3: Numerical & Structural Abnormalities Flashcards

1
Q

Aneuploidy

A

gain or loss of chromosomes equaling less than one complete complement

–not inherited but are due to meiotic or mitotic nondisjunction

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2
Q

Trisomy 2N+ 1 = 47

A

Eg. Trisomy 13: 47, XX, +13

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3
Q

Monosomy 2N–1 = 45

A

Eg. Monosomy 8: 45, XY, –8

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4
Q

Mosaic

A

45, X/46, XX

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5
Q

For numerical anomalies the total chrom # is increased or decreased and the specific chrom gained or lost would be noted at the end

A

eg: Trisomy 13, Monosomy 8

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6
Q

For sex anumerical anomalies no need to use + or – since the sign change in chrom complement is noted directly

A

eg: Monosomy X: 45,X

47, XXY, 47, XXX or 47, XXY are gains of sex chromosome

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7
Q

Trisomy 13 or Patau Syndrome

A

if a meiotic error produces a gamete with two copies of an A chromosome (A1 and A2), fertilization with a normal gamete (A5) will result in trisomy for the A chromosome (see image)

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8
Q

If the embryo begins with 46 chromosomes, what kind of error could give rise to some cells with 3 copies of chromosome 21. And the reciprocal product being monosomy 21
—-you have a gain of trisomy

A

a mitotic error

The reciprocal product, monosomy 21 would not be viable and would die out, leaving the disomy and trisomy cell lines.

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9
Q

If the embryo begins with Trisomy 21, a non-disjunction error could result in a disomic cell.

A

Here the reciprocal product is a tetrasomy which is nonviable. Again the final complement would be a mosaic with both disomic and trisomic cells.

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10
Q

Mosaicism

A

having two different cell lines with at least one celear variation between them

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11
Q

The numerical change in mosaicism could be

A

45, X and 46, XX

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12
Q

The structural change could be

A

one cell with a translocation that doesn’t occur in the other

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13
Q

Trisomy 21 (Downs Syndrome)

Trisomy 18 (Edwards Syndrome)

A

TrIsomy 13 (Patau’s Syndrome)

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14
Q

Sex Chromosome Aneuploidies

A

Kleinfelter, 47, XXY
XYY Male
XXX Female
Turner Syndrome: 45, X

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15
Q

What type of abnormality in XXX Female?

A

is usually due to maternal meiosis 1 error

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16
Q

What type of abnormality in XYY Male?

A

Failure of paternal meiosis (nondisjunction)

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17
Q

What is Kleinfelter Syndrome (47, XXY) and which sex does it describe?

A

it usually describes males

usually due to Meiosis 1 error in father

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18
Q

Turner Syndrome (45, X)

A

usually describes females

  • usually due to meiotic nondisjunction
  • due to a missing region of of the short arm of the X chromosome just proximal to the centromere
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19
Q

45,X/46,XY Mosaicism

A

these people may have male or female phenotype depending on which cells are active at the time of development

20
Q

XY Female

A
  • Y chromosome is intact and TDF functions.
  • the TDF protein will initiate male development, but the pathway will be blocked at the point where the androgen receptor protein is required to form complex testosterone and dihydrotestosterone
  • due to androgen sensitivity which is known as testicular feminization
  • since this is not happening, further male differentiation is not possible and the phenotype will default to female.
21
Q

XX Male

A

the pseudoautosomal region on the short arms of X and Y chromosomes pair and recombine during male meiosis

22
Q

XX Male continued

A

the reciprocal translocation (TDF/SRY) is replaced by Xp material which is transmitted to a child) results in a Turner female phenotype with an apparent 46, XY karyotype.

23
Q

XX male again

A

in a male with a balanced translocation there will be no clinical abnormalities, since the genes are all present, though in alternate locations.

if this male transmits the rearranged X chromosome to an offspring who has received an X from the mother, the resultant child will have an apparent XX chromosome complement. If the TDF/SRY is fully functional, he male developmental pathway will be triggered and a male or Kleinfelter male phenotype will occur

24
Q

Structural Anomalies

A

Deletions, Duplication, Translocation and Inversion

25
Balanced structural anomalies
all the material is present but is rearranged ---may increase the risk of errors in meiosis
26
Unbalanced structural anomalies
some of the material is missing or is duplicated ---abnormal clinical phenotype (MR and developmentat delay)
27
Terminal Deletion
lose the distal end of the chromosome requires only 1 break
28
Interstitial Deletion
an internal region of the chromosome is lost requires two breals
29
Wolf-Hirschorn Syndrome (4p)
soldier mask with long face and surprised look due to deletion of short arm of chrom 4
30
How does this develop?
A parent could have be clinically normal but have a balanced chromosomal abnormality that, during meiosis, could give rise to a deleterious rearrangement.
31
Duplications
due to the presence of another copy of chromosome segment that leads to partial trisomy for that chromosome
32
Cornelia de Lange Syndrome
due to duplication of the long arm of chromosome 3 | missing arms etc
33
Reciprocal or Balanced Translocations
equal exchange involving two or more non homologous chromosomes
34
Unbalanced Translocation
XY recombination near the pseudoautosmal region The reciprocal translocation (TDF/SRY) is reokaced by Xp material which is transmitted to a child. results in a Turner female phenotype with an apparent 46,XX karyotye
35
Robertsonian Translocation
occurs only between two acrocentric chromosomes and appear as a fusion of the long arms at the centromere -translocation results in the loss of both short arms but it is not deleterious
36
How many chromosomes does a person with a Robertsonian Translocation have?
45 chromosomes due to the fusion of the 2 chromosomes -risk of transferring to the next generation and causing nondijunction errors
37
robertsonians can give rise to a
Down syndrome child is the fusion is between homolgs -Robertsonian 21:21 translocation if fertilized will give rise to a child with Down Syndrome
38
Inversion
reversal of chromosomal segment with respect to the normal gene arrangement,. -requires two breaks in one chromosome
39
Pericentric Inversion
the breaks occur on opposite sides f the centromere and the segment reverses order generating a new chromosome with the same genes in a different order.
40
Paracentric inversion
two breaks occur on the same side of the centromere (in the same arm) such that the centromere is not involved in the rearrangement.
41
Inversion can affect the fidelity of mitosis or meiosis?
meiosis
42
For paracentric inversion, in order for the chromosomes to pair properly, one of them must twist resulting in an
inversion loop
43
Pericentric inversion also has an inversion loop.
Recombination within the loop gives rise to recombined gametes with duplicatoin and deletion of the gene regions.
44
A large inversion is more viable than an smaller inversion because
recombination of a large inversion will result in smaller duplication/deletion errors.
45
More than one chromosomal abnormality
can occur in a single individual