Lecture 3: Clinical Applications of DNA Technology Flashcards

1
Q

What is the best way to describe the mode of inheritance for Fragile X syndrome

A

X-linked dominance with reduced penetration

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2
Q

Where does the risk for a full mutation for Fragile X come from (who had the premutation?)

A

carrier mother

premutation grandfather

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3
Q

Which restriction enzyme - EagI or EcoR1 - only cuts unmethylated DNA?

A

EagI

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4
Q

On a southern blot of an X chromosome from a normal male: if digested with EagI-EcoR1, what size kb fragment, and how many fragments, will there be? Is this fragment methylated?

A

1x 2.8kb fragment

Not methylated - active X chromosome

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5
Q

On a southern blot of the X chromosomes from a normal female: if digested with EagI-EcoR1, what size kb fragment, and how many fragments, will there be? Will they be methylated?

A

1x 2.8kb fragment - unmethylated (active xs)

1x 5.2kb fragment - methylated (inactive xs)

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6
Q

In a full fragile X mutation, how many repeats are present, and of of what sequence?

A

CGG>200

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7
Q

How many bands will be seen on a Southern blot of a premutation female for fragile X after EagI-EcoR1 digest?

A

4 bands
2 normal, 2 premutation
both methylated and unmethylated

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8
Q

What two cellular conditions result from CGG>200 repeats?

A

abnormal methylation

mitotically unstable

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9
Q

What are hemoglobinopathies?

A

mutations in the alpha or beta globin chain genes

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10
Q

What do alpha and beta globin chains do?

A

Complex together with heme to carry O2 in the blood

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11
Q

What are thalassemias?

A

Mutations in globin chain genes that cause an imbalance of QUANTITY of the alpha and beta chains

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12
Q

What is the result of a sickle cell mutation?

A

Structural changes (QUALITY) in the beta globin gene

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13
Q

Which restriction sites does the sickle cell mutation affect?

A

Mnl I

Dde I

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14
Q

What kind of gene mutations occur in beta thalassemia?

A

point mutations in beta globin gene

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15
Q

Why isn’t beta thalassemia detected before birth?

A

have gamma globin before birth

beta globin comes in after birth

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16
Q

what is the normal conformation of the beta globin gene?

A

cluster of 6 beta globin genes; 5 active, 1 inactive (=pseudogene)

17
Q

What happens with the alpha globin protein in beta thalassemia?

A

all the alpha can’t complex with beta
too much alpha
forms Heinz bodies (alpha4 homotetramers)

18
Q

How do Heinz bodies form, and what do they do?

A

excess alpha globin can’t bind beta globin

precipitate –> destruction of RBC

19
Q

What causes alpha thalassemia?

A

misalignment, unequal crossing over

results in deletion –> chromosomes have one alpha gene instead of 2

20
Q

What is alpha thalassemia 1?

A

2 alpha globin genes deleted from same chromosome

21
Q

what is alpha thalassemia 2?

A

1 alpha globin gene deleted from each of 2 chromosomes

22
Q

What structures coordinate the appropriate developmental expression of the alpha and beta globin genes within clusters?

A

locus control regions

23
Q

What is the alpha Hb Constant Spring Mutation?

A

mutation of stop codon at codon 142 –> longer, unstable alpha chain

24
Q

What forms in an individual with the alpha Hb Constant Spring mutation and 2 deleted alpha globin genes?

A

beta globin tetramer (Hb H) formation

25
Q

What is the most common mutation in cystic fibrosis?

A

F508

26
Q

For what disease have 1900 disease-causing mutations been detected?

A

Cystic Fibrosis

27
Q

What enzyme does Third Wave technology use? What is it used for?

A

Cleavase

used to detect most common Cystic Fibrosis mutations

28
Q

Where does cleavase cut the invading probe?

A

ONLY where/if it matches target nucleotide

29
Q

What happens in Third Wave technology after cleavase cuts?

A

flap is produced
flap is recognized by second cassette
fluorescent signal is produced
–> nucleotide being tested is present

30
Q

What can Next Gen Sequencing lead to?

A

individualized treatment

31
Q

How many functional beta globin genes does a normal person have?

A

2 (1 on each xs 11)