Medical Genetics Flashcards
SMA location
5q11
Huntingtons repeats
26nl,27-35 int, 36-39 red. pen, ,40+ full
Huntintons repeats
CAG
Parkinson genes risk
PACK2,PANK1, DJ1,VPS35
Parkinsons causing
SCNA
LRRK
parkinson risk
Frontotemporal degeneration
MAPT, C9orfF72, GRN-all AD
DM1 repeats
CTG
DM1 # repeats
38-49 pre, 50-150 mild, 1000+congenital (LD 500)
Merosin cong musc dystro gene
LAMA2 - AR
WAlker warburg sx
muscle ye brain limb girdle, lissencephaly, polymicrogyria
limb girdle muskle onset
teen
Fascio scapulo humeral gene
DUX4 zombie gene repeat contaction 1-10 dz
dystrophinglycanopathy gene
POMT FKTN (walk warb, LGMD
Nemaline Genes Sx
ACTA,CMOD3 sx: weakness
Core myopahty gene
RYR2, ACTA
Core myopathy Sx
weakness, hypotonia, gryposis
SMA testing via?
PCR d/t SMA1/2 differ by 1 bp
dformation
biomechanical compression ie potter se
Disruption
amniotic band, CP d/t big tongue
Klippel Field sx
fused cervical vertarae
bardet beidel sx
obese, RP, polydactyl
X linked hypohydrotic ectodermal gene
EDA1
pseudohypoparathyroid gene
GNAS(imprinted)
Wardenburg gene/location
pax3 _ 2q35
MECP2
Xq28
Aicardi goutire Sx
neurodegen + retinal
Greig cephalo sx
poly syndact
Greig cephalo gene
GLI3
otopalaral digital gene
Filamin A
ectrodac-ectoderm-cleft
P63
Gorlin gene
PTCH
BWS cause
point mut in CDKN1C or IGF2 pat exressed
RS causes
10%MatUPD, hypomethylation of h19, hypometh of H19/IGF2
Alport gene
Col4A5
Alpport sx -
X linked renal,HL, vision
FGFR3
achondroplasoa, hypochondro, thanatro
FGFR2/TWIST
synostosis (crouzon >saethre chotzen)
Diastrohic dysplasia gene
SLC26A
Diastrophic dysplasia sx
hitchhiker thumb, short bones
X linked seizure/lissen gene
ARX
noonan heart sx
pulm stenosis, HCM
CHARGE sx
coloboma,heart,choanal, restric growth, GU, ear
SLO
ID, 2.3syn ptosis
Zellweger
VLCFA,hypotonia,epiphyseal stippling, large ant font,hepatomegaly
MD1 located where repeats
3’UTR
FA repeats located where
introns
FraX S blot will mis
rare point mutation or del dup outside Cggrepeat
ACMG endorse Fra X
no to screening but ACOG does when requested`
NF1 location
NF17q11.2
NF1 penetracen
100% cvariant expree
Fabry pseudo allese
use of alpha gal-a levels tough for final Dx in males not useful infemales since variable
Fabry consider testing in
Fhx corneal whorls or two of: sweating dec, purple, kidneyfail, burning handsfee, excerise intol, HCM
CFTR related disorder
less than 2 mutations w/ CF sx, swwat cl int or nl —monitor for sx or refer to clinic
CFTR etabolic syndrome
hypertrypsin, less than 2 muts, repeat sweattest til r/o
CF pretest
carririter req and predicted RR
CF screen
standard 23 w/ .1>
CF expnaded when
in minority ethnic background
I148T deletrious w/
3199del if in CIS
if one partner w/ CF
warn about poss plus bayes risk
R117H 5,7,9T
R117h + 5t TG with a deleterious in trans have Panc suff CF whereas 7T asymptomatic
R117H after 57 9T
b. Reflx to TG T size when R117H found but not in absence of R117H
c. Not TG11 but TG12, TG13 in presence of 5T in trans to another mut can cause higher sweat chl
int can expand to
premut not full
RM causes
endo DM PCOS enciron immune iterine, chroms
% preg end in miscarriage
10-15%
% miscarries d/t chroms
50-70
chance of succeful preg w. anueploidy
higher than nl karyotype
If 3rd tri loss think
X linekd dom esp if male
miscarriage w/u
karyotype, Factor V leiden prothrombin
pseduohypoparathyroidism
pat UPD20 or mat del GNAS
Maternal UPD 14 (Temple Syndrome)
DD ID small ahnds hypotonia
Allelic heterogenity
multipe pheontype 1 gene ALL ONE FGFR2
LOCUS HETEROGENITY
RP -multiple regions LOST LOCUS