Lecture 21 - Inherited Disorders Flashcards

1
Q

What are genetic mutations

A

Mutations within our genome can occur via mistakes introduced when the genome is being replicated, or during cell division

In heritable genetic diseases, these mutations are present in the germline

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2
Q

Where do most mutations that cause diseases occur

A

Coding sequence of protein coding genes

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3
Q

What are numerical chromosome abnormalities

A

Polyploidy refers to when a there is an extra set of chromosomes

Aneuploidy refers to when there is either an extra or missing single chromosome

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4
Q

What are recessive/dominant mutations

A

Both copies of a gene usually need be inactivated by mutations for a genetic disease to manifest i.e. the diseases display a recessive mode of inheritance.

Sometimes, mutation in one copy is sufficient for a given disease phenotype i.e. they display a dominant mode of inheritance. ‘Haploinsufficiency’ is an example

…or in other cases, the single mutated gene copy may have a ‘dominant negative’ effect. This can occur in Osteogenesis Imperfecta which can be caused by mutation in a single copy of a collagen-encoding gene

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5
Q

What occurs at a nondisjunction

A

Failure of attachment on one side of the spindle so both chromosomes end up on the same side

SLIDE 6+7

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6
Q

What is Trisomy 21

A

Extra copy of chromosome 21 leading to down syndrome

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7
Q

What are splice site mutations

A

Where there is a mutation in the splice acceptor site - affects the efficiency of the speciesome, like extension of t repeats or tg repeats . which can lead to diseases such as cystic fibrosis

Aberrant splicing and normal splicing

SLIDE 8

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8
Q

What is Mendelian (monogenic) inheritance

A

When referring to genetic diseases, Mendelian inheritance refers to the situation when the presence of mutation in a single gene is sufficient for disease manifestation

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9
Q

What is locus heterogeneity

A

One phenotype or disease can be caused by a mutation in any one of a number of genes (slide 14)

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10
Q

What is an example of phenotypic rescue

A

Slide 15

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11
Q

What is incomplete penetrance

A

Genetic mutations sometimes display a varying degree of penetrance i.e. they may not cause disease when otherwise expected

For example, according to the standard definition, a dominant mutation should result in 100% penetrance i.e. the disease will always manifest if a mutated allele is present (slide 17+18)

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12
Q

What is X mosaicism

A

Males possess one copy of the X chromosome and one copy of the Y chromosome

Females possess two of the X chromosome: this is one too many and one of them needs to be inactivated

This happens in the female early embryo and is a random process

This can lead to deviations from expected Mendelian predictions

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13
Q

What is mitochondrial inheritance

A

Though the mitochondrial genome (mtDNA) is very small, we do sometimes encounter disease that is caused by mutations in mtDNA genes

Inheritance of mitochondrial disease display their own characteristic patterns

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14
Q

Where is mtDNA inherited from

A

EXCLUSIVELY from the mother

Each egg contains thousands of mitochondria

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15
Q

What is Heteroplasmy

A

the presence of more than one type of organellar genome within a cell or individual

SLIDE 22

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16
Q

How does the threshold of mutated mitochondria affect different organs

A

Higher energy use of organ eg. brain or skeletal muscle takes a little amount of weakness to fail, whereas other organs have a higher threshold as they require less energy use