Mendelian disorders and multifactorial disease Flashcards

1
Q

def. single gene disorders (mendelian)

A
  • single gene mutations

- follow specific pattern of inheritance that can be followed in pedigree

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2
Q

what does pattern depend on

A
  1. function of protein

2. how mutation affects the protein

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3
Q

3 ways mutatation affects function

A
  1. gain of function
  2. loss of function
  3. disruption of multiprotein complex
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4
Q

features of auto. dom.

A
  • passed from generations
  • male and female
  • male to male transmission
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5
Q

4 reasons disease occurs in autosomal dominant despite one normal gene

A
  1. haploinsufficiency - more than 50% needed
  2. dominant negative effect - abnormal protein interferes with normal protein
  3. mutation may enhance function of protein
  4. random somatic loss/mutation of other gene may occur
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6
Q

def. penetrance

A

proportion of indivs. with a mutation causing a disorder that show clinical signs of the disorder

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7
Q

how does penetrance work

A
  • all or nothing

- may be explained by modifier genes in the individual

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8
Q

def. variable expressivity

A
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9
Q

example of ADs

A

FAP, marfans, polycystic kidney, achondroplasia

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10
Q

example of a reccesive

A

CF

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11
Q

features of recessive

A
  • tend to be single sibship
  • not usually in multiple generations
  • both males and females
  • both parents not usually affectes
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12
Q

why are heterosygotes normal when they have one abnormal gene in recessive dis. (2)

A
  1. half normal amount of product is enough

2. often enzymes, structural proteins without critical thresholds

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13
Q

X linked to know

A

duschenne muscular dystrphy

  • muscle weakness
  • calf hypertrophy
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14
Q

patho. of DMD

A
  • gene encodes dystropin - role in maintenance of muscle membrane integrity
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15
Q

what will be seen in mother with germ cell mutation of DMD

A

germ-line mutation in all their cells

50% risk of son having

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16
Q

what will be seen in mother with germ-line mosaicsm

A

mutaiton in some of her eggs

- blood test will not show

17
Q

features of X linked dis.

A
  • all males affected
  • no male to male transmission
  • rarely expressed in females
18
Q

what is hemophillia A

A

def. in factor VIII

- X linked mutation in 98%

19
Q

what is X-inactivation in females

A
  • only one X active in cells
  • some early stage an X is inactivated and all daughter cells have this inactivatiokns
  • 50-50 chance of paternal or maternal cells
20
Q

how does X-linked disease occur in females (2)

A
  1. X linked dom.

2. skewed X-inactivations - most of the cells carrying the mutation have this one as active

21
Q

what are multifactorial disorders

A

multiple genes interacting with the environment

22
Q

what do mutlifactorials look like on pedigree

A

cluster in families, but without clear patterns

23
Q

2 ways multifactorial are different

A
  1. lower heritability

2. no single factor is responsible

24
Q

3 ways to determine if there is a genetic componeent

A
  1. family studies
  2. twin studies
  3. adoption studies