multifactorial inheritance Flashcards

1
Q

define multifactorial diseases

A

diseases that are due to a combination of genetic and environmental factors
most common diseases are multifactorial

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2
Q

how do you identify that a condition has a genetic component

A

by clinical observation
- family studies - inheritance patterns
- twin studies
- adoption studies

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3
Q

how do you use family studies in genetic research

A

compare the incidence of a disease amongst the relatives of an affected individual with the general population

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4
Q

what are 4 characteristics of the risk of a multifactorial condition

A
  • the risk of the condition in relatives of an affected individual is dramatically higher than in the general population
  • the risk varies directly with the degree of genetic relationship, it is greatest for first-degree relatives and decreases rapidly in more distant relatives
  • the risk varies with the severity of the patients illness, it is greatest amongst relatives of the most severely affected patients
  • the risk varies with the number of relatives affected, if there is more than one affected close relative then the risk for other relatives is increased
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5
Q

how do you use twin studies in genetic research

A

compare genetically identical (MZ) with genetically non-identical (DZ) twins

the concordance rate is the % of twin pairs studied that both have the condition

if the condition has a genetic component then you would expect the concordance rate to be higher in MZ twins

the concordance rates give a rough figure for the hereditability of a multifactorial disorder

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6
Q

how do you use adoption studies in genetic research

A

adopted children of a parent with a multifactorial condition have a high risk of developing the disease

compare above with a group of adoptees with normal biological parents and an adoptive parent with the condition - they have a low risk

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7
Q

define hereditability

A

the proportion of causes that can be ascribed to genetic factors rather than environmental factors

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8
Q

how is hereditability expressed

A

as a proportion of 1 or as a percentage

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9
Q

what is a way to calculate hereditability

A

from the concordance rate in monozygotic twins

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10
Q

how does multifactorial inheritance act with sex

A

if the condition is more common in one sex, then relatives of an affected individual of the less frequently affected sex will be higher risk than relatives of an affected individual of the more frequently affected sex

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11
Q

define liability

A

the factors that influence the development of a multifactorial disorder, genetic and environmental can be considered as a single entity known as a liability

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12
Q

what does the liability / threshold model show

A

the liabilities of all individuals form a continuous variable which has a normal distribution

the curve for relatives is shifted to the right compared to the general population

the closer the relationship the greater the shift to the right

a threshold exists above which the abnormal phenotype is expressed

in the general population the proportion beyond the threshold is the population incidence and among relatives is the familial incidence

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13
Q

what is GWAS

A

Genome-Wide Association Studies
a research approach used to identify genomic variants that are statistically associated with a risk for a disease or a particular trait.

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14
Q

how does GWAS work

A

it utilises the fact that a gene can have several variants - alleles

some variations in a gene cause that gene to be inactivated or behave abnormally - pathogenic

most genetic variation still results in a functioning gene - polymorphisms

compare the frequency of markers in a sample of patients and a sample of healthy controls. can use candidate genes or nowadays try to aim for complete coverage of he gene

look for markers eg SNP that is seen more frequently in the disease population

sequence that area to try to identify the gene and the particular allele that is associated with the increased likelihood of developing the condition

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15
Q

what are neural tube defects

A

when the neural tube does not close properly during the first month of embryonic life

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16
Q

what can cause neural tube defects

A

mutations in the methylenetetrahydrofolate (MTHFR) gene which leads to decreased plasma folate levels

17
Q

what environmental factors can cause neural tube defects

A

poor socioeconomic status
multiparity
valproate

18
Q

what can reduce the recurrence risk of neural tube defects

A

periconceptional folate supplementation

19
Q

what are 4 environmental agents acting on embryogenesis

A

drugs and chemicals eg thalidomide

maternal infectiions eg rubella

physical agents eg radiation

maternal illness eg diabetes

20
Q

what are 4 post natal environmental factors

A

obesity -causes type 2 diabetes

hormonal factors eg the pill - cause breast cancer

smoking - causes lung cancer

recreational drugs - cause schizophrenia