Mapping Mendelian Disease Flashcards

1
Q

What is the Lymphatics system known as?

A

The Cinderella of the circulatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the functions of the Lymphatic system?

A
  • Fluid homeostasis
  • Immune function
  • Fatty acid transport
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the lymphatics system in regards to the capillary bed?

A

An integral part of the interweaving network in the capillary bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is primary lymphoedema?

A
  • It is a chronic Oedema
  • Often progressive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two causes of primary Lymphoedema?

A
  • A developmental abnormality
  • A dysfunction of the lymphatics system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does the phenotypes of primary lymphoedema vary?

A
  • Age of onset
  • Site
  • Inheritance patterns
  • Associated features
  • Genetic causes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the physical implications of primary lymphoedema?

A

Lymphoedema can be
- Debilitating
- Embarrassing
- Stressful
- Causes recurrent infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is this research important?

A

Has no medical cure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do we study genetic diseases? (PART 1)

A

Clinically first Through:
- Patients
- Families

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do we study genetic diseases? (PART 2)

A

It then gets sent to the laboratory for:
- Genetic identification
- Functional studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do we study genetic diseases? (PART 3)

A

It then gets sent back to the clinic for:
- Diagnostic tests
- Counselling
- Treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do we study genetic diseases?
How is gene identification carried out?

A

Gene identification by gene mapping
- Homozygosity mapping
- Linkage analysis
- GWAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do we study genetic diseases?
How do we find disease causing mutations?

A

Through Sequencing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do we study genetic diseases?
How do we prove they cause disease?

A

Using in silico, in vitro and in vivo tools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is genetic linkage?

A

Genetic linkage is the tendency for alleles at neighbouring loci to segregate together at meiosis. Therefore to be linked, two loci must lie very close together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a haplotype?

A
  • Defines multiple alleles at linked loci
  • Mark chromosomal segments which can be tracked through pedigrees and populations
17
Q

When is crossing over likely to happen?

A

Most likely to happen During meiosis between loci separated by some distance than those close together

18
Q

How can we use information about linked alleles to identify disease causing genes?

A

1). If an allele is linked to a disease locus, the same allele will be inherited by 2 affected relatives than expected by chance
2). If the alleles and the disease locus are linked, all the affected individuals in a family are more likely to inherit this haplotype block

19
Q

How can we use information about linked alleles to identify disease causing genes?

A

3). If the alleles and the disease locus are unlinked to the disease locus, the affected individuals in a family are less likely to inherit the same marker alleles.

20
Q

How is linkage analysis used?

A
  • Gene mapping tools
  • Using observed loci (alleles) to draw interferences about an unobserved locus (disease gene)
  • Family based design
  • The goal is to find genomic regions linked to the disease
21
Q

What two processes that identifies the cause of primary lymphoedema?

A

Traditional linkage analysis and Sanger sequencing identifies the cause of autosomal recessive form of primary lymphoedema

22
Q

What is generalised lymphatic dysplasia? Hennekam syndrome (HS)

A
  • Antenatal hydrops with ascites and pleural effusions
  • Oedematous at birth
  • Intestinal lymphangiectasia
  • Peripheral lymphoedema; arms, legs, face
  • Mild developmental delay
23
Q

Steps for something idk

A

1). First take a pedigree and get as many DNA samples as possible
2). Use some kind of tool to observe alleles (generating genotyping data for your pedigree)

24
Q

Steps for something idk (PART 2)

A

3). Generate a file with your pedigree information plus the genotyping data from the SNP array
4). Run your file in a linkage programme

25
Q

What does NPL stand for?

A
  • Nonparametric linkage
  • Gives you a plot for each chromosome
26
Q

What is the problem with NPL?

A
  • No rules are imposed
  • Inheritance pattern is not taken into consideration
27
Q

What is the advantage of using parametric analysis?

A

Imposes rules about inheritance and disease frequency
- If you have a pedigree showing autosomal recessive inheritance, you apply a rule for affected family members to be homozygous for the mutant allele
- If you have a pedigree showing autosomal dominant inheritance you apply a rule for affected family members to be heterozygous

28
Q

After carrying out an autosomal recessive model, what do you do next?

A

The parametric test results are displayed for each of the 23 chromosomes

29
Q

What happens to LOD scores above 3.0 (>3.0)?

A
  • LOD scores >3.0 are taken as significant evidence for linkage
30
Q

What does an LOD score (>3.0) mean?

A
  • These results are taken as significant evidence for linkage
  • A LOD score > 3 translates to a p-value of approximately 0.05
  • This means the genetic locus is significantly linked to disease
31
Q

What happens to LOD scores below -2.0?

A
  • LOD scores below -2.0 show significant non linkage
  • LOD scores between -2 and 3 are inconclusive
32
Q

What are some features of 4 limb lymphoedema?

A
  • Autosomal dominant
  • Pubertal/adult onset
  • Associated with venous incompetence
  • No other abnormalities
33
Q

How do we find disease causing mutations?

A
  • Traditional Sanger sequencing: Candidate gene screen
  • Next generation sequencing (NGS) (WGS (WES)
34
Q

Summary (Open answers)

A
  • Rare disease is often caused by mutations in a single gene
  • Genetic analysis can identify the causative mutations
  • Linkage analysis is an examples of such technique
  • Things are not always straight forward and a good understanding of genetics and the tools applied is necessary