Lecture 46: Structural Chrom Abnormalities Flashcards

1
Q

Reciprocal Translocation

A

-Exchange of genetic material between non-homologous chroms (diff chroms)

Possible Effects:

  • Silent = normal
  • Cancer/incr. growth of cells
  • Spontaneous abortion
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2
Q

Examples Translocations:

  • t(9;22)
  • t(8,14)
A
  • t(9;22): (philadelphia chrom)
  • Activation of BCR-ABL tyrosine kinase made + stimulates uncontrollable cell division = CANCER
  • t(8,14): (Burkitt Lymphoma)
  • Disreg of c-Myc = gene expression alway on = CANCER
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3
Q

Robertsonian Translocation

Outcomes

A
  • Between acrocentric chroms 9, 13, 14, 15, 21, 22
  • Loss of short arms of the two chroms
  • Fusion of long of the two chroms

-Both go through meiotic pairing

Outcomes:
1) Alternate segregation = compatible with life
-Normal gamete (Gamete 1)
-Translocation carrier (Gamete 2) on fertilization
(balanced chrom material)

2) Adjacent segregation = Not compatible with life
-Result in syndromes:
-Trisomy 14= (Gamete 3)
-Trisomy 21 = (Gamete 4)
(unbalanced chrom material)

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4
Q

Microdeletion syndromes

A

1) Large deletions (>5Mb)
- Test by karyotype
- Must effect band pattern
- However some very large deletions appear normal

2) Small deletions (<4Mb)
- Test by FISH

*Microarray can detect common deletions and small deletions/duplication

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5
Q

Microarray CGH

A
  • Each spot on the array is an immobilized probe for a specific place in the genome
  • Allows the use of almost a million probes = HIGH DENSITY
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6
Q

Cri-du-chat Syndrome

A
  • Deletion of chrom 5p
  • 46, XX, del(5)(p15.3)(pter) or 46,XY del(5)(p15.3)(pter)

Symptoms:

  • High pitched cat like cry
  • Speech problems later in life
  • Sever intellectual disability
  • Microcephaly
  • Hypertelorism (widely spaced eyes)

Testing:

  • Sometimes detected by Karyotype, but not always
  • FISH and Microarray CGH can detect
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7
Q

22q11.2 Deletion Syndorme

A
  • Degeorge Syndrome
  • Microdeletion of chrom 22q11.2

Symptoms:

  • Congenital heart defects
  • Absence of thymus
  • Cleft lip and palate, speech problems
  • Learning disability
  • Facial abnormalities

Testing:

  • Detected by FISH
  • Comparitive geonome hybridization can detect
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8
Q

Wolf-Hirschhorn Syndrome (WHS)

A

-Deletion of chrom 4p

Symptoms:

1) Seizures
2) Skeletal abnormalities and congenital heart defects
3) Intellectual delay (mild-severe)
4) Facial anomalies:
- (widely spaced eyes
- high arched eye brows
- broad and flat nasal bridge
- ROMAN HELMET
- Small chin

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9
Q

Deletions in Chrom 15:

15q11 to 15q13

A
  • Results in Prader Willi and Angelman Syndrome
  • Can also develop from uniparental disomy of chrom 15

Prader Willi:

  • Paternal chrom deletion (SNRPN)
  • Methylated maternal SNRPN

Angleman:

  • Maternal chrom deletion (UBE3A)
  • Methylated paternal (UBE3A)
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10
Q

Uniparental Disomy of Chrom 15:

A
  • Inheritance of both chrom 15 from the same parent)
  • Can be due to Trisomy rescue (kicks out extra chrom)
  • Prader = Inheriting both maternal chrom 15’s
  • Angelman = Inheriting both paternal chrom 15’s
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11
Q

Structural abnormalities:

Inversion

A

1) Pericentric = centromere
2) Paracentric= no centromere involved

During crossing over in Meiosis:

  • Can result in duplications or deletions of chrom
  • high risk of spontaneous abortions
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12
Q

Structural abnormalities:

Isochromosomes

A
  • Loss of one arm of a chrom and duplication of the other
  • X isochromosome: long arm of the X chrom join to form isochromosome

Effects:

  • Gene dose imbalance
  • Usually lethal (but mosaic can be tolertated)

-Some children w Turners syndrome have this on one of the x chroms (One copy of short arm chrom, isochrom = inactive, haploinsufficiency)

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13
Q

Structural abnormalities:

Ring Chromosomes

A

-Chrom loses genetic material at the terminal portion and the end fuses to = ring structure

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