Lecture 2 Flashcards

1
Q

What is the cell cycle?

A

G1 - Hrs to years depending on cell type
G0 - Cells permanently in G1
S - Synthesis of DNA occurs
G2 - Prepping the cell for mitosis/meiosis
M - Nuclear and Cytoplasmic division

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2
Q

Interphase

A

G1 + S + G2

  • Chromosomes resemble fine fibers.
  • Extremely decondensed
  • Individual chromosomes are unrecognizable
  • Has gene transcription
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3
Q

During M phase what happens to the chromosomes?

A

Chromosomes become more condensed before M phase, and continue to condense during.

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4
Q

Metaphase

A
  • Replicated chromosomes line up on the spindle apparatus.

- Analysis requires disruption of spindle apparatus to get a spread.

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5
Q

How are G-bands produced?

A

By trypsin pretreatment, then staining with Giemsa.

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6
Q

Which autosome pair have unique banding?

A

X & Y

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7
Q

What are the Pseudoautosmal regions on X & Y?

A

Region 1 = 2.5 mb DNA with no less than 24 genes

Region 2 = 230 kb DNA with 4 genes

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8
Q

Autosomes

A

What chromosomes are collectively called in a karyotype.

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9
Q

A Group

A

(1;2;3)

Metacentric

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10
Q

B Group

A

(4;5)

Submetacentric

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11
Q

C Group

A

(6;7;8;9;10;11;12)

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12
Q

D Group

A

(13;14;15)

Acrocentric

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13
Q

E Group

A

(16;17;18)

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14
Q

F Group

A

(19;20)

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15
Q

G Group

A

(21;22)

Acrocentric

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16
Q

What groups are acrocentric with stalks and satellites?

A

Groups D & G

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17
Q

Homologues

A

2 pairs of a chromosome

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18
Q

Telomere

A
  • Protects the integrity of a chromosome structure
  • Without it, the chromosome would fuse and produce unstable structures
  • Has 6 base pair repeat
  • Shortens with each mitotic division
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19
Q

What has telomerase that can activate/elongate telomeres?

A

Stem cells

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20
Q

Centromeres

A
  • Site at which chromosomes attach to the spindle apparatus during cell division.
  • Composed of satellite DNA
  • Repetitive non-coding highly compacted DNA
  • Size varies between chromosomes and person to person.
  • Alpha-satellite DNA is predominate type
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21
Q

Kinetochore

A

Specialized protein that participates in the function of chromosome segregation

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22
Q

Chromatin

A
  • Composes centromere of one linear molecule of DNA and 2 classes of proteins.
  • Undergoes levels of folding and compaction to fit nucleus
  • Has 3.3. billion base pairs of DNA
  • Is 2 meters long
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23
Q

What are the 2 classes of proteins in chromosomes?

A

Histone - 5 major types (H1, H2, H2B, H3, H4)

Nonhistone - Have various functions

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24
Q

What are Nonhistone functions?

A
  • Structural
  • DNA replication / DNA polymerase
  • Chromosome segregation
  • Gene expression
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25
Q

Of the Nonhistone functions, which is the largest group?

A

Gene expression

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26
Q

What do the stalks of the acrocentric chromosomes do?

A

Code for rRNA at the Nuclear Organizing Regions (NOR)

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27
Q

What are the largest and smallest chromosomes?

A

Largest - Chromosome 1 - 250 million bp

Smallest - Chromosome 21 - 50 million bp

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28
Q

Nucleosome

A
  • Is the 1st level of chromatin compaction
  • Has a Histone core with 2 copies of H2A, H2B, H3, H4
  • Has a segment of DNA wrapped around the core twice
  • Has 160 base pairs per core
  • Is not evenly spaced but placement is crucial
  • This placement is transmitted from parent to daughter cell with high fidelity.
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29
Q

What is a chromatin compaction made of?

A
  • Nucleosome
  • 40 base pairs of Linker DNA between Nucleosomes
  • H1 that binds DNA where it enters or leaves the nucleosome
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30
Q

What does it mean that a chromatin structure is dynamic?

A
  • Changes allow protein access to DNA during Interphase

- Permits processes like gene transcription and replication

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31
Q

What are the 2 types of chromatin?

A

Euchromatin and Heterochromatin

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32
Q

Euchromatin

A
  • Contains protein coding DNA

- Genes actively transcribed

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33
Q

Heterochromatin

A

Has 2 types:

Constitutive - Repetitive DNA sequences and does not contain genes

Facultative - Euchromatin that is inactivated and genes are not transcribed

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34
Q

What are the 2 regulations of Chromatin?

A

Upper panel:

  • Methylation promotes tightly packed nucleosomes
  • Transcription factors cannot bind DNA
  • Genes not expressed

Lower panel:

  • Acetylation of histones results in loosely packed nucleosomes
  • Transcription factors access DNA
  • Genes expressed
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35
Q

Constitutive Heterochromatin

A
  • Always inactive
  • Vary in length and size
  • Vary in staining intensity of satellites
  • Occasional variation in # of satellites
  • Located in:
    - proximal long arms of chromosomes 1;9;16
    - distal long arm of Y
    • short arms and satellites of acrocentric
      - chromosomes
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36
Q

Facultative Heterochromatin

A
  • Can go back and forth between active and inactive
  • Inactive X is best example
  • Transcriptional inactivation of all X chromosomes in excess of one copy
  • Provides dosage compensation between males and females.
  • Appears in interphase cell as condensed darkly stained body (aka Barr body)
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37
Q

Process of Inactive X

A
  • Both X’s active at conception
  • During blastocyst stage one X becomes inactive
  • Inactive X turned back on during oogenesis
  • Becomes euchromatin again
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38
Q

X Chromosome Inactivation

A
  • Inactivation occurs through the action of the Xist gene.
  • Usually random
  • All descendants of a cell inactivate the same X
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39
Q

What is Xist stand for and how is it regulated?

A

X (inactive) Specific Transcript

  • Located on proximal Xq
  • Untranslated RNA coats X to help silence it

-It is regulated by methylation of CpG islands of promoters

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40
Q

Non-random or Skewed Inactivation

A
  • Lethal gene mutation on one X
  • Serious X-linked recessive diseases
  • Structural abnormality of X
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41
Q

Examples of X-linked recessive diseases

A

Duchenne Muscular Dystrophy
Hemophilia
Skewed inactivation in manifesting females

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42
Q

What percentage escape inactivation?

A

10% to 15%

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43
Q

Numerical Abnormalities

A

Aneuploidy - gain trisomy or loss monosomy of whole chromosome

Polyploidy - gain of haploid or diploid set of chromosomes

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44
Q

Structural Abnormalities

A

Balanced - rearrangement without gain or loss of chromatin

Unbalanced - rearrangement with gain, loss or both of varying amounts of chromatin

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45
Q

Uniparental Disomy (UPD)

A

Gain of DNA from one parent AND loss of same DNA from other parent

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46
Q

Constitutional Abnormalities

A

Present at birth

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47
Q

G-Banded Chromosome Analysis

A
  • Requires live cells arrested in metaphase
  • Used to detect:
    - Numerical abnormalities
    - Balanced and unbalanced structural abnormalities affection more than 5-10 MB of DNA
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48
Q

FISH

A
  • Can detect numerical and structural abnormalities
  • Applicable to interphase or metaphase cells
  • Detects / sees abnormalities too small to be seen by microscope
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49
Q

FISH Process

A
  • Fluorescently labeled molecule attached to piece of DNA from a specific chromosome region to create a probe
  • Probe solution applied to patient cells on a slide
  • Probe attaches to complementary sequences on specific chromosome
  • Counterstained and viewed with fluorescent microscope
50
Q

Example of microdeletion syndromes (22q11.2)?

A

DiGeorge Syndrome

Velocardiofacial Syndrome

51
Q

Interphase FISH

A
  • Detection of gene rearrangements in oncology studies
  • Dual color / dual fusion probe sets
  • Break apart probe sets
52
Q

Advantages and disadvantages of FISH?

A

Advantages:

  • Increased resolution over G-banded analysis
  • Faster TAT for interphase FISH
  • Genetic sex determination in newborn with ambiguous genitalia
  • Rule out lethal trisomy in critically ill newborn
  • Detection of mosaicism missed in dividing cells
  • Archival tissue (formalin fixed paraffin embedded) may be used in some cases

Disadvantages:

  • Only targets specific chromosome region
  • Probes not readily available for all known abnormalities
53
Q

Chromosomal Microarray Analysis (CMA)

A

Detects:

  • Numerical abnormalities
  • Unbalanced structural abnormalities including ones too small to be seen by conventional karyotyping or FISH
  • Some cases of uniparental disomy if array contains single nucleotide polymorphism SNP probes
  • Will not detect balanced structural rearrangements
  • Cannot determine exact nature of rearrangement
  • Uses extracted DNA to detect copy number abnormalities
  • Patient and control DNA labeled with different color fluorescent dyes
  • Laser scanner measures dye intensities of each probe
  • Computer software compares patient and control data
54
Q

Aneuploidy

A
  • Affects 4% to 5% pregnancies.
  • Affects 0.3% Newborns
  • Up to 4% Stillbirths
  • Most end in miscarriage.
  • Trisomies are most common groub seen (16;22;21;15) (Trisomy 16 most common)
55
Q

Full Trisomy

A
  • Autosomal
  • All cells abnormal
  • The following can result in live births (13;18;21)
  • Others are incompatible with life
56
Q

Mosaic Trisomy

A
  • Autosomal
  • Trisomic cells and normal cells (normal cells lessen severity)
  • (8;9) Well known syndromes
57
Q

Trisomy 21

A
  • Down Syndrome
  • Most common autosomal trisomy
  • Common cause of pregnancy loss.
  • Phenotypic result of 3 copies of 21

Example: 47,XY,+21

58
Q

Down Syndrome Phenotypes

A
  • Upslanting palpebral fissures
  • Flat nasal bridge
  • Small mouth
  • Protruding tongue
  • Single palmar crease
  • Increased risk of heart defect
  • Short stature
  • Hypotonia in infancy
  • Variable degrees of intellectual disability
  • Life expectancy 60 yrs
59
Q

Trisomy 18

A
  • Edwards Syndrome
  • More common at conception
  • 95% of conceptions end in miscarriage
  • Severe growth impairment
  • Failure to thrive after birth
  • Profound neurological impairment

Example: 47,XY,+18

60
Q

Trisomy 18 Phenotype

A
  • Severe neurological impairment
  • Very hypertonic – note contractures
  • Cardiac anomalies
  • Growth retardation pre and postnatally
  • Rocker bottom feet
  • Clenched hands
61
Q

Trisomy 13

A
  • Patau Syndrome
  • Majority of trisomy 13 conceptions lost prenatally
  • Median survival 2.5 days
  • Only 5% survive 6 months
  • Recurrence risk < 1%

Example: 47,XX,+13

62
Q

Trisomy 13 Phenotype

A
  • IUGR/Failure to Thrive
  • Severe Neurological Impairment
  • Craniofacial anomalies
  • Cleft lip and palate
  • Micropthalmia (very small eyes)
  • Malformed and low set ears
  • Scalp Defects
  • Microcephaly
  • Holoprosencephaly
  • Cardiac anomalies (~80%)
  • Polycystic kidneys
63
Q

What causes Aneuploidy?

A
  • Recombination failure
  • Nondisjunction
  • Premature homologue separation
  • Premature sister chromatid separation
  • Anaphase lag
64
Q

DNA Replication Process

A
  • Double helix unwinds (both strands serve as a template)
  • DNA Polymerase adds new nucleotides
  • Synthesis occurs from 5’ to 3’
  • Leading strand synthesized continuously/lagging strand in short segments joined by ligase
  • Multiple origins of replication
  • Each DNA segment has own characteristic timing of replication
  • DNA replication only one part of process
65
Q

True or False, Heterochromatin is late replicating

66
Q

What is required to complete replication of telomeres at 5’ end?

A

Telomerase

67
Q

What are the effects of Low and Hight telomerase activity?

A
  • Low telomerase activity leads to progressive shortening of telomeres with each cell division
  • High telomerase activity seen in many tumor cells
68
Q

M (Mitosis) Phase of Somatic Cells

A
  • At end of S phase, each chromosome consists of two double helix strands (sister chromatids) held together at the centromere
  • During metaphase, chromosomes align on spindle apparatus
  • At anaphase, cohesin degrades allowing separation to opposite poles
  • Result is two daughter nuclei with exact same chromosome complement
69
Q

Cohesin

A

Protein that wraps around chromosome to prevent premature separation of sister chromatids during Mitosis.

70
Q

Cytokinesis

A

Division of cytoplasm

71
Q

Meiosis

A

1 round of DNA synthesis

2 rounds of nuclear/cytoplasmic division

72
Q

Synapsis

A

A another term for pairing during Meiosis

73
Q

What initiates chromosome pairing during Meiosis?

A

Synaptonemal complex forms between two homologous chromosomes

74
Q

Meiosis Basic Process

A
  • Diploid Germ Cell
  • Normal Miosis I
  • Haploid Gametocyte
  • Normal Miosis II
  • Normal Gametes
75
Q

Prophase of Meiosis

A
  • Chiasmata (physical links) form between homologues
  • Mediated by programmed double strand breaks
  • Allows exchange of chromatin between parental chromosomes
  • Helps homologous chromosomes remain paired until end of MI
76
Q

Pairing of X and Y in Male Meiosis

A
  • X and Y pair only in PAR 1 and PAR 2

- Unpaired sequences transcriptionally silenced during pachytene

77
Q

Meiotic sex chromosome inactivation (MSCI)

A

Unpaired sequences transcriptionally silenced during pachytene

78
Q

What is essential for male fertility?

A

Sequences becoming heterochromatin for duration of spermatogenesis during paring in male meiosis.

79
Q

What happens when there is a lack of Chiasmata?

A
  • Numerical abnormalities of X and Y are common

- Important for each chromosome arm to have at least one chiasma otherwise there will be Recombination failure

80
Q

Meiosis I (Part 1)

A

-Synaptonemal complex breaks down at end of prophase I
-Bivalents begin to separate
(Still held together at the points of the chiasmata)
-Metaphase I
(Bivalents align on spindle still connected by chiasmata)

81
Q

Anaphase I

A
  • Disjunction of homologous chromosomes
  • Chiasmata migrate toward telomeres and are removed
  • Cohesin between chromosome arms is cleaved
  • Cohesin around each centromere protected by protein called Shugoshin (guardian spirit) and thus not degraded
  • Homologous centromeres drawn toward opposite poles
82
Q

Meiosis I (Part 2)

A

-Independent assorting
-Telophase I
(One haploid set of chromosomes now grouped at each pole)
-Cytokinesis:
Cytoplasm equally divided between two haploid daughter cells in spermatogenesis
Cytoplasm shunted mostly to one daughter cell in oogenesis
Daughter cell with little cytoplasm becomes first polar body

83
Q

Meiosis II

A
  • No S phase in meiosis II
  • Similar to mitosis, sister chromatids separate
  • Shugoshin and cohesion around the centromeres break down to allow separation
84
Q

The end result of Meiosis II is?

A
  • Spermatogenesis is four sperm

- Oogenesis is one oocyte and two polar bodies

85
Q

When does Oogenesis begin and complete?

A

-Oogenesis begins during prenatal period but not complete until after fertilization of egg
-Oocytes arrested in prophase I before birth
MI resumes after puberty at ovulation
-MII not completed unless ooctye is fertilized

86
Q

Breakdown of Meiosis

A

meiosis I (prophase I, metaphase I, anaphase I, telophase I) and meiosis II (prophase II, metaphase II, anaphase II, telophase II).

87
Q

Breakdown of Mitosis

A

prophase, prometaphase, metaphase, anaphase, telophase, and cytokinesis

88
Q

Maternal Age Effect

A
  • Advancing maternal age increases risk of nondisjunction.

- Most pronounced in Trisomy 21

89
Q

Meiosis I errors that lead to Aneuploidy.

A
  • Asynapsis of homologous chromosomes
  • Recombination failure
  • Premature homologue separation
  • True nondisjunction
  • Premature sister chromatid separation
90
Q

Asynapsis of homologous chromosomes

A
  • Homologues do not pair

- Segregate randomly and independently

91
Q

Recombination failure

A
  • Chiasmata do not form between paired homologues

- When synaptonemal complex breaks down, two homologues segregate randomly and independently

92
Q

Premature homologue separation

A
  • Premature resolution of chiasmata
  • Reduced number of chiasmata
  • Abnormal placement of chiasmata

-Segregate randomly and independently

93
Q

True nondisjunction

A

Chiasma not resolved

Both homologues pulled to same pole

94
Q

Premature sister chromatid separation

A

Premature loss of shugoshin/cohesin between sister centromeres
Sister chromatids separate in MI instead of M2

95
Q

Meiosis II errors that may lead to aneuploidy

A
  • Nondisjunction

- Premature sister chromatid separation

96
Q

Nondisjunction

A

Failure to resolve the connection between the sister centromeres

97
Q

Anaphase Lag

A
  • Delayed movement of homologue or chromatid to one of the poles
  • May be due to failure to attach to spindle
  • Results in bivalent or chromatid not being included in nuclear membrane
  • Micronucleus may form in cytoplasm that contains the lone chromosome
  • Eventually lost during a subsequent cell division
  • May occur in meiosis or mitosis
98
Q

Most Aneuploidy Autosomal errors occur where?

A

Most autosomal aneuploidies result from errors in maternal meiosis

99
Q

Chromosomal differences in maternal meiosis

A

Trisomy 16 – almost all are M1 errors

Trisomy 21 – majority are M1 errors

Trisomy 18 – majority are M2 errors

100
Q

Mitotic Errors After Normal Conception

A
  • Nondisjunction or premature sister chromatid separation occurs in cell of developing embryo or fetus
  • Result is one trisomic cell and one monosomic cell
  • Monosomy 21 cell not viable
  • Trisomy 21 cell continues to divide producing a trisomy 21 cell line
  • Result: Mosaicism for abnormal cell line and normal cell line
101
Q

Timing of Mitotic Error

A

Timing and location of mitotic error determines type and location of mosaicism

  • Somatic Mosaicism
  • Confined placental Mosaicism
  • Gonadal Mosaicism
102
Q

Somatic Mosaicism

A

Prior to formation of inner and outer cell masses likely leads to mosaicism in placenta and baby

103
Q

Confined placental Mosaicism

A

Nondisjunction only in outer cell mass likely leads to it

104
Q

Gonadal Mosaicism

A

Nondisjunction in primordial germ cell may lead to it

-Individual does not show phenotype but can transmit abnormality to next generation

105
Q

47,XX,+13[9]/46,XX[11]

A

Example of Mosaicism

106
Q

Sex Chromosome Aneuploidy

A
  • Phenotypic manifestations of sex chromosome trisomies less severe than autosomal trisomies
  • Mitotic nondisjunction leads to mosaicism
  • Can see multiple different abnormal cell lines
107
Q

45,X

A
  • Turner Syndrome
  • Only viable monosomy

-99% miscarry by 28 weeks
Remaining 1% survive to term

108
Q

Phenotypic Features of Turner Syndrome

A
  • Phenotypic females
  • Short stature (under 5 feet)

-Sexual immaturity
Lack of 2° sex characteristics
Streak gonads
Primary amenorrhea

-Common presentation in utero 
Cystic hygroma (top panel)
  • Lymphedema of hands and feet may be seen in newborns
  • Webbed neck
  • Broad shield shaped chest
  • Cubitus valgus
  • Cardiac defects in ~ 50%
  • Renal anomalies ~ 1/3
  • Cognitive function/possible learning disabilities
109
Q

47,XXX

A

-Triple X Syndrome

-Phenotype unremarkable
May be taller than normal siblings
May have mild dysmorphism

-IQ usually in normal range
Learning disabilities common

-Fertility:
Usually normal
May have earlier menopause
May be some risk for chromosomally abnormal children

110
Q

47,XXY

A
  • Klinefelter Syndrome
  • 1 in 1,000 newborn males
  • Taller than chromosomally normal brothers

-Hypogonadism:
May enter puberty normally or may experience delayed puberty
Secondary sexual characteristics underdeveloped
Often requires testosterone supplementation

-IQ is usually within the normal range
(10 or so points lower than normal siblings)
Increased risk of learning disabilities and speech delay

111
Q

Klinefelter syndrome patient comes to attention through:

A
  • Prenatal diagnosis for advanced maternal age or parental concern
  • Work up for speech delay as a child

-As an adolescent:
Development of a somewhat female body shape
Gynecomastia seen in up to 50%

-Work up for infertility
Spermatogenesis not complete

112
Q

47,XYY

A

-Incidence of ~ 1 in 1,000 males

-Phenotype subtle
Height tends toward tall beginning in childhood
Tendency toward truncal weight gain
Hypertelorism

-IQ usually within normal range

-Normal fertility
No empirically increased risk for chromosomally abnormal children

-May see behavior problems
Attention deficits
Hyperactivity
Impulsiveness
Temper tantrums and low tolerance for frustration
113
Q

Paternal meiotic errors common in sex chromosome aneuploidy

A

47,XXX – 10% due to paternal errors
47,XXY – 50%
47,XYY – 100%

114
Q

What are the 2 Polyploidy?

A

Tetraploidy - gain of one diploid set of chromosomes

Triploidy - gain of one haploid set of chromosomes

115
Q

Tetraploidy

A
  • 92 chromosomes
  • Common mosaicism with diploid cell line in long term cell cultures
  • Usually considered culture artifact or confined placental mosaicism
  • Mosaicism detected in the placenta but not in the fetus
  • Diploid/tetraploidy mosaicism documented in liveborn individuals
116
Q

Triploidy

A
  • Occurs in 1-3% of all conceptions
  • One of the most common chromosome abnormalities observed in first trimester miscarriages
  • Small percentage survive to term
  • Usually survive only a few days
  • Longer survival possible if normal cell line present
  • Rare
117
Q

Endoreduplication

A

DNA synthesis without subsequent cell division

118
Q

Possible karyograms:
69,XXX
69,XXY
69,XYY

A

Examples of Triploidy

119
Q

Parental origin of Triploidy

A
-Diandry (paternal)
Moderate growth retardation of fetus
Enlarged abnormal placentas 
Partial hydatidiform molar changes
Focal cell proliferation with mixture of normal and cystic type cells

-Digyny (maternal)
Severe growth retardation of trunk and limbs
Macrocephaly
Placenta small and non-cystic

120
Q

Etiologies (causes) of Triploidy

A
  • Dispermy - Simultaneous fertilization of one egg by two sperm
  • Fertilization of diploid egg by haploid sperm
  • Post-zygotic event leading to mosaicism with normal cell line
  • NOT considered hereditary