MGD S10 - Chromosome Abnormalities Flashcards

1
Q

What are chromosomes made up off?

A

Chromosomes are made up of chromatin Chromatin is made up of:

  • DNA
  • Non-histone proteins
  • RNA
  • Histones (H1, H2A, H2B, H3, H4)
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2
Q

What components make up chromatin?

A

Histones, RNA, DNA and non-histone protein

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3
Q

List the types of histone and their characteristics

A

H1, H2A, H2B, H3, H4 H1 - Varies between species

H2A, H2B, H3 and H4 directly interact with the DNA H3 and H4 are highly conserved and are responsible for bead on a string structure

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4
Q

What is euchromatin?

A

Lightly packed chromatin, often under active transcription

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5
Q

What is heterochromatin?

A

Tightly packed chromatin and not under active transcription

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6
Q

What are numerical chromosomal abnormalities?

A

Number of chromosomes other than 46

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7
Q

What are the two types of numerical chromosomal abnormalities?

A

Polyploidy - cells containing more than two paired (homologous) sets of all chromosomes. Caused by polyspermy

Aneuploidy - (an abnormal number that is not a multiple of the haploid number) Monosomy is a loss of one chromosome i.e one chromosome pair missing Trisomy is a gain of one chromosome i.e one “chromosome pair” exists as a triplet

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8
Q

What are structural chromosomal abnormalities?

A

Physical changes to one or more chromosome

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9
Q

What are two types of structure abnormalities?

A

Balanced - Change does not result in missing or extra genetic information

Unbalanced - Change results in missing or extra genetic information

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10
Q

List all the mutations that can occur within one chromosome

A

1) Deletion
2) Duplication
3) Inversion
4) Ring chromosome
5) Isochromosome; balanced - the arms are mirror images

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11
Q

How does a ring chromosome form?

A

Loss of the telomeres at ends of both arms forming a ring

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12
Q

List the mutations that occur between two chromosomes?

A

1) Inversion
2) Reciprocal Translocation
3) Robertsonian Translocation

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13
Q

What is an inversion mutation?

A

No loss of genetic material, but as rearrangement of genetic material to a non-homologous chromosome

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14
Q

What is reciprocal translocation (chromosome abnormality)?

A

No loss of genetic material, but an exchange of genetic material between two non-homologous chromosomes

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15
Q

What is a robertsonian translocation?

A

Rearrangement of genetic material between two chromosomes; the q- arms (long arms) of two afrocentric chromosomes combine to form one ‘super-chromosome’ with the loss of both p-arms

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16
Q

What is the difference between reciprocal and robertsonian translocation

A

Reciprocal is the exchange of genetic material between two non-homologous chromosomes whereas Robertsonian involves the exchange of genetic material produced two q arms from two acrocentric chromosomes to form a super chromosome and loss of the two small p arms

17
Q

What is a karyotype?

A

Picture of the systematic assortment of the complete set of chromosomes of an individual, starting with chromosome 1 and ending with the sex chromosomes

18
Q

How is a karyotype produced?

A

Produced by ‘cut and paste’ of chromosome pictures by hand or computer to make organised set of metaphase chromosomes

19
Q

Describe chromosome nomenclature

A

Number of chromosomes-comma-X chromosomes-Y chromosomes + or – for loss or gain of genetic material State whether in p or q arm

E.g. Normal Female = 46,XX and a Normal Male is 46,XY

E.g. 5p- means ‘missing a segment of the p-arm on chromosome 5

20
Q

Why would a patient be referred for karyotyping?

A

Congenital: - Prenatal screening e.g. family history

  • Recurrent foetal loss
  • Infertility
  • Birth defects e.g. mental retardation
  • Abnormal sexual development e.g. Klienfelter’s Syndrome
  • Acquired Abnormalities - Leukaemia and related diseases
21
Q

What can be identified from FISH?

A

Rearranged chromosomes, marker chromosomes and microduplications and microdeletions

22
Q

What is microarray used for?

A

High resolution of 5-10 megabases means that microarray can be used to test for submicroscopic chromosome abnormalities Used for individuals with suspected unbalanced chromosomal abnormalities

23
Q

What is uniparental disomy? (UPD)

A

Uniparental disomy (UPD) occurs when a person receives two copies of a chromosome, or of part of a chromosome, from one parent and no copy from the other paren

24
Q

Why is imprinting significant to UPD?

A

Imprinted chromosomes show differential expression of specific genes depending on the parental origin of the chromosome If chromosome involved is not imprinted then UDP has no phenotypic effect

25
Name a UPD syndrome
Prader-Willi (15)
26
What is the most common mechanism to generate UDP?
Trisomy rescue
27
Describe non-invasive pre-natal testing (NIPT)
Cell free DNA is present in plasma fraction of maternal blood
28
What can NIPT be used to test for?
Chromosome aneuploidy, foetal sex, single gene disorders
29
What is the advantage of NIPT compared to invasive pre-natal testing
Removes miscarriage risk