Mapping mendelian disease Flashcards

1
Q

What is mendelian disease?

A

disease that is caused by a single gene (monogenic), with little or no impact from the environment (e.g. PKD)

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2
Q

What is Non-mendelian Disease?

A

diseases or traits caused by the impact of many different genes (polygenic), each having only a small individual impact on the final condition (e.g. psoriasis)

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3
Q

What is multifactorial disease?

A

diseases or traits resulting from an interaction between multiple genes and often multiple environmental factors (e.g. heart disease)

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4
Q

How is mendelian disease studied?

A

1) CLINIC

Ø seeing patients and families in the clinic

1) LABORATORY

Ø patients are studied via gene identification to find out the underlying defect causing the disease

Ø functional studies are carried out

2) CLINIC

Ø laboratory findings are then used in the clinic to run diagnostic tests

Ø patients given counselling

treatment

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5
Q

What is gen idendification?

A

Finding the gene underlying disease of a patient by gene mapping:

  • homozygosity mapping
  • linkage analysis
  • GWAS
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6
Q

How do we find the exact gene-causing mutations?

A

When we find out where the gene defect is, sequencing is carried out to find the disease-causing mutations.

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7
Q

How do we prove that these genes cause the disease?

A

In silico experiments

In Vitro experiments (biopsy, cell culture techniques)

In Vivo experiments (animal models)

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8
Q

What is Genetic Linkage?

A

tendency for alleles of genes at neighbouring loci on the same chromosome to co-segregate at meiosis and be inherited together

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9
Q

What is a haplotype?

A

A group of alleles of different genes on a single chromosome at linked loci

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10
Q

What is crossing over?

A

Non-sister chromatids exchanging DNA segments during meiosis

more likely to occur between loci separated by some distance than closer together (if closer together they co-segregate and are linked)

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11
Q

What is the Aim of linkage analysis?

A

To find the genomic region(s) linked to the disease

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12
Q

How is linkage analysis used to identify disease causing genes?

A

DNA markers (observed locus) are used to draw inferences about a disease gene (unobserved locus) on a chromosome somewhere in the genome. If a marker is linked to a disease locus, the same marker alleles will be inherited by two affected relatives more often than expected by chance.

If markers from a specific region of the genome are always inherited together, it is very likely that the disease gene is in that region.

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

If the marker and the disease locus are linked, all the affected individuals in a family are more likely to inherit this haplotype block.

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13
Q

What are the Steps of Linkage Analysis?

A

1) Take a Pedigree
2) Blood samples taken from many family members
3) Genotype data used to generate a file with pedigree information plus the genotyping data from the microarray. File is put in a computer program
4) Run a linkage program on the computer

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14
Q

What is Non-Parametric Linkage Analysis?

A

NPL studies the probability of an allele being identical by descent with itself
-no rules imposed in NPL (no particular genetic model assumptions)

no peaks=no linkage

NPL highlights regions (with high LOD scores) where the variant calls for:
-all affected are equal/identical, but different to unaffected

Further analysis required to find the disease-causing gene

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15
Q

What Parametric linkage analysis?

A

studies probability that a disease-causing gene is linked to a genetic marker through the LOD score
-imposes rules about inheritance and disease frequency (genetic model assumptions)

highlights regions (with high LOD scores), where:

  • all affected are equal/identical, but different to unaffected
  • and the genotypes follow the imposed inheritance pattern
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16
Q

What do the LOD Scores show?

A

LOD scores>3.0 are taken as significant evidence for linkage.

LOD scores < -2.0 show significant non-linkage.

LOD scores between -2 and 3 are inconclusive.

17
Q

What is the Lymphatic system?

A

The lymphatic system is a network of tissues and organs that help rid the body of toxins, waste and other unwanted materials. The primary function of the lymphatic system is to transport lymph, a fluid containing infection-fighting white blood cells, throughout the body.

18
Q

What are the Functions of the lymphatic system?

A

fluid homeostasis
immune function
fatty acid transport

19
Q

What is Primary lymphoedema?

A

chronic oedema caused by a genetic defect, resulting in developmental abnormality of the lymphatic system

Phenotypes vary:

  • age of onset
  • site
  • inheritance patterns
  • associated features
  • genetic causes
20
Q

What is the Treatment of primary lymphoedema?

A

no cure for primary lymphoedema and the only treatment available is:

> Manual Lymph Drain (MLD) Massage

> Bandaging

21
Q

What is Hennekam Syndrome (Generalised lymphatic dysplasia)?

A

Swelling all over the body
-feet, legs, arms, abdomen and face

> Antenatal hydrops with ascites (fluid within abdomen) and pleural effusions (fluid between pleural membranes)
Oedematous at birth
Intestinal lymphangiectasia
Peripheral lymphoedema; arms, legs, face
Mild developmental delay

22
Q

What is 4-Limb lymphoedema?

A

Autosomal dominant
Pubertal/adult onset
Associated with venous incompetence
No other abnormalities

23
Q

Give some Methods Used to find disease-causing mutations.

A

Traditional Sanger Sequencing
-candidate gene screen

Next Generation Sequencing (NGS)

  • whole genome sequencing (WGS)
  • whole exome sequencing (WES)