Mech and util. of molecular genetic testing Flashcards

1
Q

2 times molecular tests are used

A
  1. mutation targeting - know what we are looking for

2. mutation scanning - hunting

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2
Q

3 ways knowing is helpful

A
  1. diagnosis - confirm disorder
  2. prevention - offer prophylaxis
  3. therapy - can sometimes replace
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3
Q

3 ways genes are influenced

A
  1. age
  2. env.
  3. genetic susceptibility
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4
Q

what is sanger sequencing

A

DNA is PCR amplified and the sequenced for mutations

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5
Q

what is limit to sanger

A

can’t detect del. and dup that are larger than sequence

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6
Q

4 outcomes of SNP

A
  1. silent
  2. missense
  3. non-sense
  4. splice error
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7
Q

example of coding SNP

A

missense in AAT - aggregates in liver and get cirrocis - worse in drinkers

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8
Q

what is impact of intronic SNP

A

can cause diruption of translocation and exon skipping

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9
Q

what is basic molecular methodology

A
  1. extract DNA/RNA from tissue of interest
  2. PCR the DNA
  3. analyze the sequence
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10
Q

what is QF-PCR

A

qualitative flourenscence -

uses polymorphic loci called microsattelite repeats

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11
Q

what are QF-PCR outcomes

A

1:1 ratio if diallelic
2:1 if 3 alleles - 2 of the same length
3 peaks if triallelic

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12
Q

what would be seen in klinefelters

A

2:1 because 2X and 1 Y

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13
Q

what is seen in BRCA mutation

A

deletion of 39 bps leading to frameshift mutation

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14
Q

how to test for BCR-ABL

A

look at PCR banding against controls and people with known mutatiokns

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15
Q

what is treatment of BCR-ABL

A

give tirosine kinase inhibitor

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16
Q

what is next gen. sequencing

A

massive parralel sequencing allow loking at whole genome or exons

17
Q

what is non-invasive prenatal testing

A

highly sensitive screen for trisomies and sex chromo abnormalities

18
Q

what is NIPT methods

A

fetal and maternal free cell DNA is amplified using NGS

  • look at ratios
  • if positive must do invasive prenatal testing