More stories from Genetic clinic Flashcards

1
Q

What is gene imprinting?

A

Where certain genes are inactivated depending on parent of origin

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2
Q

How does genomic imprinting occur?

A

Methylation of certain DNA segments that marks them, causing them to be inactivated, leaving only one parental chromosome expressed

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3
Q

Which base is methylated?

A

5th C on Cytosine is methylated

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4
Q

In maternal imprinting, will offspring of males be affected?

A

Yes, as the faulty gene is not masked

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5
Q

What are two chromosome imprinting disorders and on which parental chromosome does this occur on?

A

Prader-Willi
PATERNAL

Angelman
MATERNAL

Chromosome 15

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6
Q

What are symptoms of Prader-Willi syndrome?

A

Obesity

Mental impairment

Behavioural problems

Muscle hypotonia

Short stature

Delayed, incomplete puberty

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7
Q

How is Prader-Willi managed?

A

Diet restriction

Exercise

Hormone treatment

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8
Q

What are symptoms of Angelman’s syndrome

A

Developmental delay

Microcephaly

Seizures

Happy demeanour

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9
Q

How is Angelman’s treated?

A

Depends on symptoms
- anti-convulsant

Other than that - normal life-span

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10
Q

What is uniparental isodisomy?

A

Where non-disjunction occurs in meiosis II, leading to the formation of a gamete with two chromosomes.

This is fertilised by a single chromosome, which is lost, leading to a zygote with two chromosomes, both from one parent.

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11
Q

Why do syndromes like Prader Willi and Angelmans occur?

A

As there is only one gene active, a deletion means complete loss of genetic material, due to the inability of material to be accessed from the other allele.

Hence, disorder occurs

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12
Q

HOw many genes does the mitochondrial genome contain?

A

37

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13
Q

By which parent does mitochondrial inheritance go through?

A

Maternal, as the ovum contains mitochondria

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14
Q

Why might the phenotype of mitochondrial diseases vary?

A

Heteroplasmy, not all mitochondria are diseased

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15
Q

Give some examples of mitochondrial disorder

A

MELAS - Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes

LHON - Leber’s hereditary optic neuropathy
MERRF

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16
Q

What is MELAS

A

Mitochondrial Encephalomyopathy with Lactic Acidosis and Stroke-like Episodes
1:13000
Neurodegenerative disorder

17
Q

What are the symptoms and prognosis of MELAS?

A

Muscle weakness

Episodic seizures

Headache

Hemiparesis

Vomiting

Dementia

Progressive, ultimately fatal

18
Q

What causes MELAS?

A

Point mutations in various genes

MTTL1 - Phenylalanine rather than Leucine is made

19
Q

What is LHON

A

Optic neuropathy
1:50000
More common in males

20
Q

What are the symptom sand prognosis of LHON

A

Bilateral loss of vision

Painless

Optic atrophy till blind

21
Q

Why does LHON occur?

A

Mitochondria are dysfunctional, so optic nerve dies

Due tomutation in NADH dehydrogenase

22
Q

How can mitochondrial diseases be prevented

A

3rd parent

- Combine oocyte (no genetic dataa) of 3rd parent w maternal nucelar genoem then fierslise

23
Q

What are inborn errors of metabolism?

A

Where defective ezymes result in the ability of substrate metabolism for energy

24
Q

What does the UK Newborn Screening Program screen for?

A

PKU

Congenital Hypothyroidism

Sickle-cell disorders

CF

MCADD - medium chain acyl-coA dehydrogenase deficiency

25
Q

What is pKU

A

Phenylketonuria

Deficiency of phenylalanine hydroxylase

26
Q

What are the symptoms of PKU?

A

Blond hair, blue eyes
-because no PKU, no tyrosine, no melanin

Eczema, smelly

Untreated

  • seizures
  • mental retardation
27
Q

How is PKU treated?

A

Removal of phenylalanine from diet

28
Q

What is MCADD?

A

Medium chain acyl-coA Dehydrogenase defn

Due to mutation in ACADM gene

29
Q

Symptoms of MCADD

A

Episodic hypoglycaemia

Coma

Metabolic acidosis

Vomiting

30
Q

Treatment of MCADD

A

Avoid fasting

Supplemental food when stress