Molecular Medicine and Forensics. Flashcards
Define anaemia?
A condition caused by a lack of oxygen in the blood, either due to a lack of haemoglobin red blood cells.
Define a disease carrier?
A person who carries genes that code for disease, but does not suffer from the disease.
Define DNA profiling?
A technique used by scientists to distinguish between individuals of the same species using only DNA samples.
Define a monogenic recessive disorder?
Another name for genetic disorders that are caused by a recessive gene.
Define monosomy?
When only one member of a pair of chromosomes is present.
How many chromosomes will people who suffer from monosomy have?
45 chromosomes.
Define trisomy?
This occurs when an extra chromosome is added to a pair.
How many chromosomes will people who suffer from trisomy have?
46 chromosomes.
What does molecular medicine examine?
The disease process at the cellular or molecular level.
What is the goal of molecular medicine?
To find new methods of treating various diseases.
Molecular medicine can be used to treat what kind of diseases?
Both genetic diseases and acquired diseases.
How many factors are usually involved in the disease process?
3 different factors.
Can any of the 3 factors of the disease process cause disease on their own?
Yes.
Can more than one of the 3 factors of the disease process cause disease?
Any 2 or all f of the 3 factors can overlap.
The degree of overlap can vary depending on the disease or the person who is affected by the disease.
What are the 3 factors that contribute to a disease?
Genetic factors.
Environmental factors.
Behavioural factors.
What causes genetic diseases?
An inherited failure in one or more genes that code for normal body functions.
Are genetic factors that cause disease unique to the person or are they universal?
They are usually unique to the host, or to the person who has the disease.
What are the the behavioural factors that contribute to disease?
The various ways that people behave can lead to disease.
E.g. habits such as smoking and drinking are huge contributors to many different diseases.
What are the genetic factors that lead to disease?
Malfunctioning genes.
The behavioural factors that contribute to disease can be considered as what?
As agents that contribute to disease.
How does the environment contribute to disease?
The immediate environment that surrounds people can heavily contribute to the onset of disease.
E.g. if people live near a nuclear reactor or have huge exposure to toxic chemicals.
What are the 4 different categories that genetic diseases can be divided into?
Single gene disorders.
Multifactorial or complex disorders.
Chromosomal imbalances.
Mitochondrial disorders.
What are the 3 categories that single gene disorders can be divided into?
Autosomal recessive.
Autosomal dominant.
Sex linked.
When are autosomal recessive diseases expressed in a person?
When a person inherits 2 recessive alleles that code for a disease.
Where will a person who has an autosomal recessive disease inherit the disease causing alleles from?
They will inherit one recessive allele from their mother and one recessive allele from their father.
Why do recessive disorders tend to be quite rare?
As they can be masked by the presence of a dominant allele.
What kind of people can pass a recessive allele onto their children?
Anyone who is heterozygous.
Anyone who is homozygous recessive.
What kind of person will be a carrier of an autosomal recessive disease?
They will be a carrier of the disease.
What kind of person has absolutely no chance of passing on an allele that leads to a recessive disorder to their children?
A person who has 2 dominant alleles.
What are 6 common autosomal recessive disorders?
Cystic fibrosis.
Phenylketonuria.
Tay Sachs disease.
Thalassaemia.
Sickle cell anaemia.
Galactosaemia.
What are the symptoms of cystic fibrosis?
Recurrent lung infections.
Pancreatic deficiencies.
Male sterility.
What are the symptoms of phenyletonuria?
Mental retardation.
What are the symptoms of Tay Sachs disease?
Neurological degeneration, blindness and paralysis.
What are the symptoms of thalassemia?
Anaemia.
What are the symptoms of sickle cell anaemia?
Anaemia.
What are the symptoms of galactosaemia?
Kidney failure.
Hepatomegaly.
Cataracts.
Poor growth.
Mental retardation.
What is the term sickle cell disease used to describe?
A group of disorders which are individually known as sickle cell anaemia and β thalassaemia.
What kind of genetic disorder is sickle cell disease?
An autosomal recessive.
What gene is affecteed in sickle cell disease?
The beta globin gene.
What is the beta globin gene used for?
It helps to code for the synthesis of haemoglobin.
Where is the haemoglobin protein found?
Exclusively in red blood cells.
What is the function of haemoglobin?
It is responsible for binding to oxygen and transporting it around the body.
What kind of molecule is haemoglobin?
A tetramer.
How is the haemoglobin tetramer constructed?
It is made of 4 identical subunits.
2 alpha subunits and 2 beta subunits.
People who have sickle cell anaemia will have mutant alles in which gene?
They will have 2 mutant alleles for the beta-globin gene.
What chromosome is the beta globin gene found on?
On chromosome 11.
What is product of the mutant alleles of the beta globin gene?
A defective haemoglobin protein.
What kind of mutation causes the mutant alleles in the beta globin gene?
A point mutation.
What amino acid does the G-A-G sequence of a normal beta gene result in?
Glutamic acid.
What amino acid does the G-T-G sequence of a normal beta gene result in?
Valine.
The amino acid that is affected by the mutation in the beta globin gene is which amino acid in the beta globin polypeptide?
The 6th amino acid.
How can the sickle cell induced change to the beta globin peptide be described in shorthand?
As GLU-6-VAL.
The beta globin gene codes for the strucutre of what part of haemoglobin?
The beta subunit.
How does the inclusion of valine instead of glutamic acid affect the beta globin protein in people with sickle cell?
It leads to massive conformational changes within the beta subunit when haemoglobin is not bound to oxygen.
What is the haemoglobin protein that is formed by sickle cell disease known as?
As haemoglobin S.
What does the shape of the haemoglobin S protein resemble?
A sickle.
When will the haemoglobin S protein resemble a sickle?
When it is in the de-oxygenated form.
The major effects of sickle cell anaemia are due to what?
The changes that arise in the structure of haemoglobin.
What is the usual shape of the haemoglobin protein?
A bi-concave disc.
Will haemoglobin S ever retain its usual bi-concave disc shape?
Only in the oxygenated state.
What causes the change in shape when haemoglobin S is de-oxygenated?
Because valine the protein chain to stiffen and distort.
How does sickle-shaped haemoglobin differ from regular haemoglobin?
Sickle shaped haemoglobin is much less flexible than regular haemoglobin.
How can the inflexibilities of haemoglobin S affect the body?
They lead to blocked capillaries which causes the patient to suffer from pain and potential organ damage.
Do sickle-shaped haemoglobin cells tend to live longer than regular haemoglobin molecules?
Sickle-shaped haemoglobin cells die prematurely and this leads to a shortage of red blood cells and anaemia.
What is a common molecular technique that can be used to determine whether a person has sickle cell?
Allele specific oligonucleotides (ASO).
How do allele specific nucleotides help to detect sickle cell anaemia in a person?
It uses short sequences of DNA that are complimentary to the mutant allele that codes for sickle cell anaemia.
How can RFLP’s be used to detect for sickle cell anaemia?
Restriction enzymes are used to cleave restriction sites on DNA.
The size of the cleaved fragments will determine whether a person has sickle cell or not.
What are the 2 restriction enzymes that are used in RFLP when detecting sickle cell anaemia?
MST-II and D-DEL
How is pre-natal diagnosis of sickle cell performed?
By fluorescent in situ hybridisation (FISH).
How does FISH detect the alleles that code for sickle cell?
It uses small oligonucleotides to bind to specific DNA sequences and once bound they give off a signal in the form of radiation or fluorescence.
What are the 4 recommended ways of managing sickle cell anaemia?
Prevention of tissue de-oxygenation.
Keep well hydrated.
Avoid sources of infection.
Seek out medical attention when sick.
What are 4 current methods that are used to treat sickle cell anaemia?
Gene therapy.
Medication.
Bone marrow transfusion.
Medication.
What is a method of correcting sickle cell disease that has initially proven to be very successful?
Via the creation of a therapeutic transgene via RNA interference.
This transgene can produce the normal haemoglobin and suppress the generation of haemoglobin S.
Autosomal dominant disorders are caused by what?
The presence of a single dominant allele which codes for the disease.
How many alleles does a person need to recieve if they are to exhbit an autosomal dominant disorder?
One dominant allele that can come from either parent.
What is the only genotype that a person can have if they are not to express an autosomal dominant disorder?
They must be homozygous recessive for the trait that causes the disease.
Will autosomal dominant disease have any carriers?
No.
What are 5 common autosomal dominant diseases?
Huntingdons disease.
Myotonic dystrophy.
Familial hypercholesterolaemia.
Familial breast cancer.
Familial Alzheimers disease.
What are the symptoms of Huntingtons disease?
Involuntary movements.
What are the symptoms of myotonic dystrophy?
Myotonia.
Heart defects.
Cataracts.
What are the symptoms of familial hypercholesterolaemia?
Premature heart disease.
What is Huntingtons disease caused by?
A genetic mutation that is found on chromosome 4.
What is a normal feature of chromosome 4?
The presence a repetition of the triplet code CAG.
Are the number of CAG repeats on chromosome 4 the same in every person?
No.
The overall number of repetitions varies from person to person.
What is the usual number of CAG repeats in a person that is not affected by Huntingtons disease?
Between 10 and 26 times.
How many CAG repeats do people with Huntingtons disease have?
An abnormally high number of CAG repeats, usually 40 or more.
What kind of people are said to be in the pre-mutation range for sickle cell anaemia?
People who contain between 27 and 41 CAG repeats are said to be in the pre-mutation range for Huntingdons.
Will people in the pre-mutation range for sickle cell anaemia suffer from the disease?
They will not suffer from the disease, but their children have an increased chance of being born with the disease.