Module 6 - Genetics Flashcards

1
Q

Gene

A

section of a DNA molecule

has the biochemical instructions for cells

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2
Q

Genetic information, stored in the structure of DNA, determines what things?

A

Directs cell structure and day to day cell function

determines appearance

environment response

unit of inheritance

disease susceptibility

how we react to drugs/medications

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3
Q

Genome

A

total genetic content

Human genome has about 20,300 protein encoding genes

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4
Q

The genome is __% the same in all people

A

99.9%

the 0.1% difference accounts for individual trait differences

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5
Q

___ create much of our identity

A

Proteins

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6
Q

Genetic information survives through what 3 things?

A
  1. Cell division
  2. Cell Renewal
  3. Tissue growth
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7
Q

DNA can ___

A

replicate

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8
Q

DNA converts to mRNA via ___

A

transcription

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9
Q

RNA makes proteins via ___

A

translation

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10
Q

What is the structure of Deoxyribonucleic Acid (DNA)?

A

Large stable macromolecule

Double helix and base pairing

“spiral staircase with the paired bases resembling steps”

It is a long double stranded helical molecule composed of nucleotides

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11
Q

Where is DNA primarily found?

A

Mostly in the nucleus but mtDNA is found in the mitochondria

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12
Q

What makes up a Nucleotide in DNA

A

Phosphoric Acid + 5 Carbon Sugar Deoxyribose _ 1 of 4 nitrogenous bases

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13
Q

2 Kinds of Nitrogenous Bases

A

Purines and Pyrimidines

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14
Q

Purines

A

2 nitrogen ring structures

  1. Adenine
  2. Guanine
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15
Q

Pyrimidines

A

Have one nitrogen ring

  1. Thymine (and Uracil)
  2. Cytosine
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16
Q

What are the complementary base pairs in DNA and RNA?

A

A-T (DNA only)

A-U (RNA only)

G-C

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17
Q

Nucleotide

A

single building block of DNA

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18
Q

Nitrogenous Bases

A

The basic structure of DNA and carry genetic information in 2 groups (purines and pyrimidines)

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19
Q

How many strands are there after DNA replication?

A

2 strands become 4 strands

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20
Q

What is the backbone of DNA?

A

alternating groups of sugars and phosphate with paired nitrogenous bases projecting inwards from the sides of sugar molecules

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21
Q

mtDNA

A

mitochondrial DNA

Mitochondria have their own DNA, different from that of the nucleus

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22
Q

What is the structure of mtDNA

A

packaged in a double stranded CIRCULAR chromosome

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23
Q

How is mtDNA passed on?

A

from mother to children

*so all mtDNA disorders come from the mother, not the father

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24
Q

What does mtDNA code for and why?

A

Codes for enzymes involved in oxidative phosphorylation reactions

without it/if mutated oxi phos cannot occur leading to energy and ATP abnormalities

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25
Which kind of DNA can repair itself and which cannot?
DNA - can mtDNA cannot repair itself
26
Mutations of mtDNA tend to cause dysfunction in what?
tissues with high utilization of ATP (ex: nerve, kidney, muscle, liver)
27
What is linked to aging?
mtDNA
28
What mutates more rapidly, DNA or mtDNA
mtDNA
29
What kind of genetic information is more likely to remain after extensive damage due to the sheer amount of copies there are?
mtDNA
30
Chromosomes
visible only ion dividing cells they are tightly packaged DNA
31
Chromosomes take shape...
before division
32
Centromere
Connects the sides of chromosomes and are found in the pinched region of the chromosome made of DNA and proteins it connects the chromosome
33
Chromatin
DNA molecules and structural proteins combined Seen in non-dividing cells It is unwound DNA and proteins together - DNA does its work in this less compacted form
34
Histones
Proteins that the double helix wraps around (histones = proteins) when DNA replicates for organization
35
What form does DNA take during division?
Chromosome
36
What form does DNA take when not dividing?
Chromatin
37
The genome is distributed in ___
chromosomes (it is through chromosomes that our genetic information is distributed)
38
Genes are linear along ___
chromosomes
39
Humans have __ chromosomes arranged in pairs
46
40
Each chromosome contains..
1 continuous linear DNA helix
41
Haploid
A complete set of one of each chromosomes (23 total)
42
Diploid
A cell containing 2 sets of the 23 chromosomes in pairs (46 total)
43
Autosomes
22 chromosome pairs that do not determine gender
44
Sex Chromosomes
X and Y chromosomes
45
Female Sex Chromosomes
XX
46
Male Sex Chromosomes
XY
47
Reproductive Cells
Ova and Sperm (each only have 1 chromosome from each parent making them haploid (23) cells)
48
DNA is the basis of life because of 3 qualities what are they?
1. they hold information 2. It can copy itself 3. it changes
49
In a female, only what is active in controlling the expression of genetic traits?
one X chromosome
50
Karyotype
an organized arrangement of all the chromosomes within one cell during the M phase of mitosis Paired and then arranged by number according to size and position of the centromere
51
What model did Watson and Crick (1953) suggest was the proper model of DNA replication?
Semiconservative model
52
Meselson-Stahl Experiment
experiment that verified the semiconservative model of DNA replication
53
Semiconservative Model of DNA replication
Describes the method by which DNA is replicated in all known cells It states that replication has DNA replicate before cell division to make two copies each containing one of the original DNA strands and an entirely new copy strand
54
RNA
long single stranded molecule involved in the actual synthesis of cellular enzymes and proteins
55
RNA polymerase
enzyme in the nucleus that synthesizes RNA
56
What is the structure of RNA
single nucleotide chain and one complimentary copy of a DNA strand
57
What is different between RNA and DNA?
1. RNA is single stranded but DNA is double helix 2. Thymine is replaced with Uracil in RNA 3. RNA has a RIBOSE instead of Deoxyribose sugar
58
RNA can act ...
as an enzyme and speed up chemical reactions
59
RNA is a ___ copy of a DNA strand
complementary copy
60
3 Types of RNA
mRNA tRNA rRNA
61
mRNA
Messenger RNA - "The Template" Contains the transcribed instructions for protein synthesis obtained from the DNA molecule and carrier them to the cytoplasm while leaving the nucleolus Holds the information on the order of amino acids in a protein via Codon sequences of nucleotides
62
Codon
chain of 3 mRNA nucleotides that specify insertion of one of the twenty different amino acids A sequence of 3 bases forming a fundamental triplet code for transmitting information for protein synthesis
63
tRNA
Transfer RNA - "The Transporter" Delivers the appropriate amino acids to the ribosome, where they are incorporated into the protein being synthesized
64
What is unique about tRNA shape?
There are 20 different kinds, each corresponding to one of 20 amino acids, in order to bring the AA to the ribosomes Also it is a cloverleaf shape and the smallest RNA
65
What is the smallest RNA type
tRNA
66
Where is the site of protein synthesis
Ribosomes
67
rRNA
Ribosomal RNA - "The Synthesizer" Provides the machinery needed for protein synthesis It provides the structural support for the growing protein
68
Where is rRNA synthesized?
in the nucleolus (unlike other RNA types) and transported to the endoplasmic reticulum
69
Function and Structure of mRNA
functions as a blueprint; it is a code for a single protein (or polypeptide chain) it is single stranded
70
Structure and Function of tRNA
the translator, capable of reading the mRNA language and binding corresponding amino acid to a growing peptide chain cloverleaf shape
71
Structure and Function of rRNA
the factory, an "enzyme" of sorts it is a complex with proteins
72
The bridge between the gene and protein is?
RNA
73
Transcription
the process of making RNA from DNA RNA copy of a DNA sequence
74
Translation
the process of making proteins from RNA (genetic code to protein code)
75
In eukaryotes, RNA must undergo what to become mRNA
processing
76
Protein Synthesis
the selective activation of a gene which results in the production of the appropriate protein
77
What things are required to meet in translation for protein synthesis?
mature mRNA tRNA molecules carrying AA rRNA ATP and GTP Verious protein factors
78
Where does transcription occur?
cell nucleolus
79
How is transcription done?
Weak H bonds of DNA are broken so free RNA nucleotides can pair with exposed DNA counterparts (unzipping) on the meaningful DNA strand --> RNA polymerase recognized the beginning or start sequence of a gene --> RNA polymerase then attaches to the double stranded DNA and copies the meaningful strand into a single strand of RNA --> once at the stop signal, the enzyme leaves the gene and releases the RNA strand
80
The Genetic Code
universal language used by most living cells Four (nitrogenous) bases make up the alphabet for this code and can be arranged in 64 possible combinations of 3s called codons
81
Each gene provides the genetic code for making...
one specific protein
82
61 codon combinations correspond to a specific AA, but 3 are...
stop codons
83
How many amino acids are used in protein synthesis?
only 20, so the code is redundant or degenerate
84
Synonyms
codons that specify the same amino acids they usually have the first two bases the same, but the third base differs
85
Stop Code/Coedon
signals the end of a protein molecule
86
Amino acids are the ...
building blocks of life (and proteins)
87
the genetic code can survive...
the many stages of cell division, cell renewal, and tissue growth
88
Translation
process of matching amino acieds to corresponding sets of 3 bases (codons) and linking them into a protein
89
How does translation occur?
RNA leaves the nucleus and attaches to the (small rRNA subunit) ribosome to begin (it contains the instructions for a particular protein) --> AAs are brought by tRNA and linked to make polypeptide chains --> Ribosomes read the 3 bases together to do the corresponding bases
90
If the mRNA codon is UCG, what will the tRNA bring to link?
AGC (complementary/pair to it)
91
What is the pathway to DNA directed protein synthesis?
DNA (nucleus) --> mRNA (Nucleus) --> tRNA (cytoplasm) --> rRNA (ribosome in cytoplasm) --> protein synthesis
92
The basic structure of a protein is ...
an amino acid sequence
93
What are proteins responsible for?
The functional diversity of cells Performs most biological functions Has many regulatory processes take place Can cause many disease processes to occur Where most drug targets are found (here and at translation)
94
What determines a proteins function?
the AA sequence/chain
95
Example of a protein that does regulatory processes?
Dystrophin - structural protein - it functions to maintain muscle integrity, and a mutation in the gene coding for this protein can lead to the most commonly inherited myopathy, Duchenne Muscular Dystrophy
96
Cell Proliferation
process by which cells divide and reproduce inherent adaptive mechanism for replacing body cells when old cells die or additional cells are needed
97
__% of body cells are replaced daily either via mitosis or meiosis
10%
98
2 Kinds of Cell Division
Mitosis Meiosis
99
Gametes
ovum and sperm haploid (1 set of chromosomes) designed for sexual function one kind of cell
100
Somatic cells
any body cell diploid (2 chromosome sets) and not gametes
101
How many kinds of cells are there
200+
102
What are the 3 main types of cells
1. Well differentiated that are unable to divide or reproduce 2. Parent (progenitor) cells that continue to divide and reproduce 3. Undifferentiated stem cells that can be triggered to enter the cell cycle and produce large numbers of progenitor cells when needed
103
Cell differentiation
process in which proliferating cells are transformed into different and more specialized cell types process occurs in orderly steps
104
What does cell differentiation result in ?
Fully differentiated adult cell with specific sets of structural, functional, and life expectancy characteristics
105
What is the exchange existing with cell differentiation?
Increased specialization is exchanged for loss of ability to develop different cell characteristics and different cell lines
106
Stem cell
Cell that remains incompletely differentiated throughout life remains quiescent until cell replenishment is needed one daughter cell retains characteristics of a stem cell while the other differentiated into a parent or progenitor cell with a limited potential for differentiation and proliferation
107
Fully differentiated cells can no longer...
undergo mitosis
108
The ultimate stem cell is
a fertilized ovum
109
Cell Cycle
interval between each cell division steps of cell division
110
Phases of the Cell cycle
G1 (Gap 1) Phase --> S Phase --> G2 (Gap 2) Phase --> M Phase --> loops or G0 Phase
111
G1 Phase
first phase of mitosis cell resumes synthesis of RNA, proteins, and carbohydrates are synthesized but DNA synthesis ceases This is the "Post mitotic phase" The most variable in duration
112
S Phase
10-20 hours long DNA Synthesis occurs; gives rise to 2 separate sets of chromosomes (one for each daughter cell)
113
G2 Phase
2-10 hours long Premitotic phase where DNA synthesis ceases; RNA and protein synthesis continue though
114
M Phase
Mitosis Phase taking 0.5 to 1 hour Phase of cellular division or mitosis
115
G0 Phase
Variable in length Resting phase - phase in which cells are not actively dividing and are quiescent
116
What is the length of the cell cycle?
Can be anywhere from < 8 hours to > 1 year
117
The cell cycle phase longest in duration
G1 Phase
118
The cell cycle phase where chromosomes become dense enough to be visible and when Karyotyping can be prepared?
M Phase
119
Mitosis
Cell division of somatic cells Asexual division Occurs in M Phase Involves DNA replication Each daughter cell contains the same number of chromosomes as the parent cell The 2 resulting daughter cells have identical sets of 23 chromosomes
120
Stages of Mitosis
"Interphase" --> Prophase --> Prometaphase --> Metaphase --> Anaphase --> Telophase --> 2 Diploid Cells PPMAT !
121
Prophase
first stage of mitosis where the nuclear membrane breaks down and chromatin in the nucleus condenses into chromosomes
122
Prometaphase
second stage of mitosis where there is no longer a recognizable nucleus Mitotic spindles elongate to specific areas on chromosomes
123
Metaphase
third stage of mitosis where tension is applied to spindle fibers which align chromosomes in one plane at the center of the cell
124
Anaphase
fourth stage of mitosis where chromosomes are pulled away from the central plane toward the cell poles
125
Telophase
fifth stage of mitosis where chromosomes arrive at cell poles and decondense nuclear envelope re-forms around clusters at each end of the cell
126
Meiosis
cell division which occurs only in reproductive cells during the formation of gametes (sex cells)
127
How does DNA duplication differ in Meiosis compared to Mitosis?
A cell dividing by meiosis duplicates its DNA as with cells undergoing mitosis, BUT splits into 4 new cells instead of two and each contains only one copy of each chromosome - making them haploid
128
What is the benefit of meiosis?
Maintains the chromosome number while mixing gene combinations through crossover
129
Gametes form which cells?
Germ Line Cells
130
Crossing Over
a biological occurrence when paired chromosomes of the same type line up and recombine the genes this process allows parental relation while still having the offspring have different copies from the parents and unique individual characteristics
131
Meiosis makes __ cells
4
132
Mitosis makes __ cells
2
133
Meiosis cells have ___ chromosomes
23 chromosomes
134
Mitosis cells have ___ chromosomes
46 chromosomes
135
Phases of Meiosis?
Interphase --> Meiosis 1 (PPMAT I) --> Meiosis 2 (PPMAT II) --> 4 Haploid Cells
136
Meiosis v Mitosis: DNA Synthesis
Meiosis - occurs in S phase of interphase Mitosis: Occurs in S phase of interphase
137
Meiosis v Mitosis: Synapsis of Homologous Chromosomes
Meiosis - During prophase I Mitosis - Does no occur in mitosis
138
Meiosis v Mitosis: Crossover
Meiosis: During prophase 1 Mitosis: Does not occur
139
Meiosis v Mitosis: Homologous Chromosomes line up at metaphase plate?
Meiosis: During metaphase I Mitosis: does not occur in mitosis
140
Meiosis v Mitosis: Sister Chromatids Line Up At Metaphase Plate
Meiosis: During metaphase II Mitosis: during metaphase
141
Meiosis v Mitosis: Outcome
Meiosis: 4 haploid cells at the end of meiosis II Mitosis: 2 diploid cells at the end of mitosis
142
Interphase
phase when DNA replicates before cell division starts
143
2 Specialized forms of Meiosis
Oogenesis Spermatogenesis
144
Oogenesis
Female sex cell meiosis to produce an ovum
145
Steps of Oogenesis
Meiosis I leads to a Secondary Oocyte and a Polar body --> Secondary Oocyte undergoes Meiosis 2 into an Ovum (mature oocyte) and a polar body, and the other polar body splits into 2 polar bodies
146
Result of Oogenesis
1 Mature Ovum 3 Polar Bodies
147
Polar Bodies
byproducts of oogenesis with no real biological role
148
Spermatogenesis
Male sex cell meiosis to produce 4 sperm
149
Steps of Spermatogenesis
Spermatogonium --Mitosis--> Meiosis I occurs leading to 2 secondary spermatocytes --> Meiosis 2 occurs leading to 4 viable daughter spermatids --> the 4 spermatids differentiate into sperm cells
150
What would happen if we did not have meiosis?
Sperm and Ovum would each get 46 chromosomes leading to a fusion of 92 chromosomes total
151
Human genome Project
1990-2003 Successful mapping of all genes in the human genome
152
Genome Mapping
project that shows the relative location of 2 genetic traits and often leads to the specific location of a gene locus
153
2 types of genomic maps?
1. Genetic Maps 2. Physical Maps
154
Linkage Studies
assume genes occur in a linear pattern in chromosomes, and identify inherited traits that occur at a greater rate together than they would be by chance alone
155
Linkage Analysis
can be used to clinically ID individuals in a family with a known genetic defect
156
Genetic Maps
use linkage studies to estimate distance between chromosomal landmarks
157
Physical Maps
measure the actual distance between chromosomal elements in biochemical units
158
How is hybridization studies used to visualize and map genetic material in a cell?
Isolation can be achieved by fusing the cell with a mouse/rat cell to make a hybrid cell This hybrid cell can then be used to understand genetic mutations and chromosomal abnormalities
159
Hybridization studies are commonly used to study...
viruses and mutations involving cancer
160
Genotype
genetic information stored in base pairs
161
Phenotype
recognizable traits, physical or biochemical associated with a specific genotype
162
Homozygotes
persons in whom the two alleles of a given pair are the same (AA or aa)
163
Heterozygotes
persons having different alleles (Aa) at a gene locus
164
Recessive Trait
expressed only as a homozygous pairing (aa)
165
Dominant Trait
expressed either as homozygous (AA) or heterozygous (Aa)
166
Single Gene Trait
when only one pair of genes is involved in the transmission of information follows mendelian laws of inheritance
167
Polygenic Inheritance
involves multiple genes at different loci with each gene adding a small additive effect in determining a trait Predictable but with less reliability than single gene traits
168
Multifactorial Inheritance
similar to polygenic inheritance but also includes environmental effects on genes
169
Punnett Square
Shows potential genotypes and single gene inheritance expression for offspring of parents with TWO KNOWN GENOTYPES
170
Mendelian Genetics
refers to the rules of inheritance of a SINGLE GENE TRAIT (one where expression is determined by inputs of 2 alleles, one from each parent) Does not apply to traits needing more than 1 gene (like polygenic)
171
Dominant Inheritance
required only one altered copy of a gene to result in gene expression The child can have the trait as long as one parent has the trait ex: Autosomal Dom - Huntington's Coria Disease
172
Recessive Inheritance
inheritance requires two altered copies of a gene, one from each parent, to result in gene expression ex: Autosomal Rec - Cystic Fibrosis
173
X Link Inheritance
Inheritance is associated with genes located on the X chromosome
174
How does X linked inheritance differ between men and women?
Men are hemizygous (XY) so a mutation on the X chromosome results in gene expression, but women need mutation/change in both X chromosomes to show full expression usually Hemizygous usually related to mother passing the affected X chromosome to the son
175
Hemizygous
person with only one member of a chromosome pair or segment rather than the usual two ex: XY in men
176
Autosomal Dominant Inheritance
Single Gene Trait Controlling gene trait on an autosomal chromosome expresses regardless of homo or hetero zygosity
177
What kind of inheritance has carriers?
Recessive Inheritance
178
Risk for passing on dominant inheritance in a heterozygous, dominant homozygous, and recessive homozygous individuals?
50% for Aa 100% for AA 0% for aa
179
How does Dominant transmission stop?
when a generation arises where no family members are affected (have A)
180
Males and Females transmit Dominant traits...
with equal frequency Males and female can be affected and transmission of male-male is possible
181
Does dominant traits skip generations?
no, successive generations are affected with no generations skipped
182
Autosomal recessive Inheritance
Single Gene trait only expressed when homozygous for the recessive allele male and females are affected and can transmit the trait
183
Do recessive traits skip generations?
They can because of carriers usually then occurs in siblings rather than the parents
184
How many carriers do you need to pass on a recessive trait?
2. just one creates a carrier potentially
185
If two parents are Aa, what are the chance of trait outcomes for the kids
AA - 25% Aa (carriers) - 50% aa (Affected with recessive -25%
186
How many X chromosome copies are needed for X linked inheritance in males?
only 1 (need 2 in girls)
187
How does affliction differ between males and females with x linked inherited disorders?
Females are affected less frequently and less severity if any, but can pass it on to their children
188
Why can men only pass their affliction onto their daughters and not their sons?
Because men contribute the Y chromosome to boys so they cannot move the X affliction on (but the mother still could if she is a carrier)
189
Example of an X linked recessive trait?
Red Green color blindness Parents: X^BY and X^BX^b (25% normal male, 25% normal female, 25% female carrier, 25% color blind male)
190
Mutations
accidental errors in duplication of DNA can occur in somatic or germ cells usually acquired but may be inherited
191
What is the only way mutations can be inherited?
if the DNA is changed in the germ cell and passes on
192
Causes, Spontaneous or Environmental, for Mutations
substitution of one base pair for another the loss or addition of one or more base pairs rearrangement of base pairs environmental agents chemicals radiation (80% of which is environmental)
193
Mutations can affect...
any part of the genome - transcription, proteins, translation, etc
194
How do the impacts of mutations vary?
No effect Beneficial effect Impairment
195
What sort of things can a harmful mutation cause?
Slow down protein synthesis Impair protein function Over Synthesize Proteins
196
Causes for Birth Defects
1. Genetic Factors 2. Environmental Factors (Fetal Development) 3. Intrauterine Factors (rare)
197
Examples of Genetic Factors for Birth Defects?
single gene or multi factorial inheritance or chromosomal aberrations
198
Examples of Environmental Factors for Birth Defects?
maternal disease infections drugs taken during pregnancy
199
Examples of intrauterine Factors for Birth Defects?
fetal crowding positioning entanglement of fetal parts with the amnion
200
Characteristics of Single Gene Disorders
Caused by a single defective or mutant allele at a single gene locus May be present on an autosome or X chromosome May affect one member or both members of an autosomal pair Defects follow the Mendelian patterns of inheritance Characterized by their patterns of transmission which are obtained thru a family genetic history
201
How many generations need to be assessed for an accurate genetic family history?
3 generations
202
Autosomal Dominant Disorder
a single mutant allele from an affected parent is transmitted to an offspring regardless of sex
203
Autosomal Recessive Disorder
manifested only when both members of the gene pair are affected (both parents unaffected, but are carriers)
204
X Linked Recessive Disorders
Always associated with the X chromosome inheritance pattern is predominantly recessive Women need both X to be affected in this case
205
X Linked Dominant Disorders
conditions are expressed in both males and females, but are more severe in males Mutant X supersedes other X for women in this case and causes the issue You either have the mutant or not, if you do not then you cannot pass a mutant on unlike recessive
206
Examples of Autosomal Dominant Disorders
Marfan's Syndrome Neurofibromatosis (NF)
207
Marfan's Syndrome
Autosomal dom Disorder a connective tissue disorder manifested by changes in the skeleton, eyes, and cardiovascular system Abnormality effects fibrillin 1 (coded for by FBN 1 gene) No cure and diagnosis has major and minor criteria Treatment is just regular system assessments for those at risk since it affects several organ systems
208
Neurofibromatosis (NF)
Autosomal dom disorder Condition involving neurogenic tumors that arise from Schwann cells and other elements of the peripheral nervous system Children with this are susceptible for neuro complications including increased incidence of learning disabilities, ADD, speech anomalies, and complex partial tonic clonic seizures
209
Examples of Autosomal recessive Disorders
Phenylketonuria (PKU) Tay-Sachs Disease
210
Phenylketonuria (PKU)
Autosomal Rec Disorder A rare metabolic disorder caused by a deficiency of the liver enzyme phenylalanine hydroxylase Insidious onset and difficult to assess Need a special diet If untreated there will be impaired speech, intellectual inability, and other neurodevelopmental impairments Testing for PKU is mandatory and occurs 24-48 hours post-birth
211
Tay-Sachs Disease
Auto Rec Disorder A variant of a class of lysosomal storage diseases known as GANGLIOSIDOSE Ganglioside in the membranes of nervous tissue are deposited in the neurons of the CNS and retina because of a failure of lysosomal degradation Failure to break down GM2 ganglioside of a cell membrane leads to this Infants appear normal at birth, but by 6-10 months there is decreased responsiveness, progressive weakness, muscle flaccidity, and death by age 4-5 This one highlights the important of family genetic history
212
Examples of X Linked Recessive Disorders
Red green color blindness Hemophilia A
213
red green color blindness
X linked Rec Disorder a person cannot distinguish between shades of red and green So, on the X chromosome a gene for red sensitive opsin is need one or several green opsin so the sequences are similar and overlap leading to a crossover error visual acuity is normal more in males than females
214
Hemophilia A
X Linked Rec Disorder Blood cannot clot properly due to a deficiency in factor VIII Abnormally heavy bleeding even from a small cut, easy bruising, and potential internal bleeding into the muscles and joints can occur Accounts for most cases (1 in 4500) while Hemophilia B is 1in 20,000 live male births
215
1/3 cases of hemophilia A are believed to be...
new mutations in the family rather than inherited from the mother
216
What may be used to check for hemophilia A pre-birth?
Perinatal testing checking for bleeding from the umbilical cord
217
How may women carriers differ in Hemophilia A presentation than men?
The carriers may show some mild signs of Factor VIII deficiency like easy bruising or taking longer to stop bleeding, but not all women show s/s just because they are carriers
218
Fragile X Syndrome
X Linked Disorder associated with a fragile site on the X chromosome where the chromatin fails to condense during mitosis Affects more men than females (1 in 4000 rather than 1 in 6000) - but nearly 4x the amount of women are carriers causes intellectual disability in all ethnic groups and races
219
What is the second most common cause of Intellectual disability?
fragile x syndrome
220
FMR-1
Fragile site of the X chromosome Fragile x syndrome is characterized when many CGC repeats occur here mutations here are unusual compared to other genes
221
Nearly everyone with Fragile X syndrome have what?
instability in the gene leading to increased numbers of a portion of a gene in the CGC repeat region (50-200 CGC repeats)
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Premutations
A mutation where the person does not have the disorder but are at risk for passing it on to children or grandchildren as well as a risk for adult onset disorders
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What is the premutation in Fragile X syndrome
A CGC triplet repeat of 50-200 times
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What adult onset disorder are Male carriers with the fragile X/CGC repeat premutation at risk for?
Fragile X Tremor Ataxia Syndrome (FXTAS)
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What adult onset disorder are Female carriers with the fragile X/CGC repeat premutation at risk for?
Primary Ovarian Insufficiency (POI) can cause premature menopause
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FMR-1 Related Disorders
FXTAS POI
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How does full FMR-1 mutations differ between men and women?
All males with it will have Fragile x syndrome However, some females with it will not have behavioral, cognitive, or physical features of Fragile x Syndrome
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Is Fragile X Syndrome a Dominant or Recessive X Linked Disorder?
Both Yet Neither!! Used to be thought mothers passed it on, but women express it differently when only have one problematic X chromosomes so it is hazy Just know the disorder is from a fragile site
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What are the characteristics of multi factorial inheritance disorders?
They are caused by multiple genes and environmental factors - but the exact number of genes is unknown
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Do multi factorial inheritance disorders follow a pattern?
No they do not follow a clear cut pattern of inheritance disorders can be expressed during fetal life and be present at birth, or expressed later in life
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Examples of Multi Factorial inheritance Disorders
Cleft lip or palate clubfoot Congenital dislocation of the hip congenital heart disease pyloric stenosis urinary tract malformation
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Cleft Lip or Palate
multi factorial inheritance disorder can vary from a small notch in the vermillion border of the upper lip to complete separation from the palate to the floor of the nose
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Clubfoot
multi factorial inheritance disorder internal rotation of foot around ankle can be mild or severe can be in one or both feet
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Congenital Dislocation of the Hip
"Developmental Hip Dysplasia" multi factorial inheritance disorder hip joint does not form easily and the ball is loose in the socket allowing easy dislocation Most often present at birth but can develop in the first year of life
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Pyloric Stenosis
multi factorial inheritance disorder thickening or swelling of the pylorus which causes severe forceful vomiting in the first few months of life also called "Infantile Hypertrophic Pyloric Stenosis"
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Chromosomal Disorders
Major category of genetic disease counting for a large proportion of early miscarriages, intellectual disabilities, and congenital malformations Can be from abnormal numbers of chromosomes in autosomes or sex chromosomes, or it can be related to alteration in the structure of one or more chromosomes
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What things can Chromosomal Disorders cause/manifest?
Reproductive Wastage Congenital malformations intellectual disability *it is linked to 60+ identifiable syndromes present at birth
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Reproductive Wastage
early gestational abortions
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Types of Chromosomal Disorders
Structural Chromosome Abnormalities Numeric Disorders involving Autosomes Numeric Disorders involving Sex Chromosomes
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Examples of Numeric Chromosomal Disorders involving Autosomes
Trisomy 21 Monosomy X Polysomy X
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Examples of Numeric Chromosomal Disorders involving Sex chromosomes
Turner Syndrome Klinefelter Syndrome
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Trisomy 21
Downs Syndrome Extra/3 chromosomes on position 21 rather than 2 Can occur on the 13th and 18th chromosomes but 21 is the most common
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Monosomy X
presence of only one member of a chromosome pair mostly due to nondisjunction during meiosis often leads to a spontaneous abortion when it is associated with autosomes
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Polysomy X
more than 2 chromosomes in a cell
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Turner Syndrome
Loss or partial loss of the X chromosome Leads to early pregnancy loss with 99% not surviving first trimester Usually only in girls as its missing an X chromosomes or part of a second X chromosome
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S/S of Turner Syndrome
At Female Sexual maturity, there is no ovulation or menstruation that occurs short stature congenital heart disease bicuspid aortic valve and/or alteration of aorta short webbed neck
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Klinefelter Syndrome
XXY karyotype - 47 - extra X chromosome only in males
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S/S of Klinefelter Syndrome
Manifests as a teen and young adult testosterones drops and follicle stimulating hormone increases (FSH)
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What is the most common chromosomal; abnormality?
turners syndrome
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mtDNA only comes from...
the mother
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All mtDNA disorders are inherited from...
the maternal line mom can pass it to all children but only the daughters will pass the mutation to their children
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Clinical expression of a Mitochondrial Gene Disorder depends on what?
total content of mitochondrial genes and the proportion that are mutant
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How rare are mitochondrial diseases?
Very rare as of September 2020 there were about 300 in existence
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What are the manifestations and s/s of a Mitochondrial Gene Disorder?
It often affects more than 1 body organ system muscle weakness stroke like episodes and seizures activity intolerance myocardial myopathy *most syndromes have similar symptoms due to it impacting the neuromuscular system*
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Teratogenic Agents
Agents that produce abnormalities during embryonic or fetal development It is a chemical, physical, or biological agent that produces these abnormalities
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What are some examples of Teratogens?
Radiation Chemicals and Drugs Infectious Agents Folic Acid Deficiency (showing how not just exposure, but nutritional deficiency counts too)
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What are some example of chemical and drug teratogen exposure outcomes?
Fetal Alcohol Syndrome Cocaine Babies Folic Acid/Nutritional deficiencies Prenatal smoking
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How does sensitivity vary over time to teratogens?
different systems have different sensitivities at different times of development
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When is the CNS most sensitive to teratogens?
About the first 2-4 weeks of development
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When is the Heart most sensitive to teratogens?
About 2.5 to 6th week of development
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When are the extremities most sensitive to teratogens?
about 3.5 to 7th week of development
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when are the eyes most sensitive to teratogens?
about 3.5 to the 7.5 week of development
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when is the external genitalia most sensitive to teratogens?
about the 6.5 to 8.5 week of development or so
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What are the components of a genetic assessment?
Assessment of Genetic Risk and Prognosis Detailed Family History Pregnancy History Detailed Accounts of Birth Process Accounts of Postnatal Health and Development Physical Examination of Affected Child and Family Laboratory Testing
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What are the 3 purposes of a prenatal diagnosis?
Information Reassurance Knowledge
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How does a prenatal diagnosis lead to information?
Provides parents with information needed to make informed choices about having a child with an abnormality
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How does a prenatal diagnosis lead to reassurance?
Provides reassurance and reduces anxiety among high risk groups
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How does a prenatal diagnosis lead to knowledge?
allows parents at risk to begin pregnancy with assurance that knowledge about the presence or absence of a disorder can be confirmed with testing
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Methods for Fetal Diagnosis
Maternal Blood Screening Ultrasonography (non invasive allowing you to see soft tissue structures) Obtaining Fetal Cells: Amniocentesis, Chronic Villus Sampling, Fetal Biopsy, Percutaneous Umbilical Fetal Blood Sampling Cytogenic and Biochemical Analysis
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When is maternal testing recommended?
Between 11 and 13 weeks
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Amniocentesis
Invasive maternal testing for fetal diagnosis can be done 13/14 to 20 weeks of pregnancy Detects chromosomal abnormalities, neural tube defects, and genetic disorders obtains fetal cells from the amniotic fluid via a needle 98-99% accurate but cannot determine severity of a birth defect