Patterns of Inheritance: Lect 3-6 Flashcards
Recurrence risk
probability that the offspring of a couple will express the genetic disease.
-depends on mode of inheritance.
Autosomal Dominant:
define and name disorders.
-manifest in heterozygote state
-male-male transmission.
-50% recurrence risk to offspring regardless of child’s sex.
DISORDERS: NO HA2M2
-Familial hypercholesterolemia
-Huntington disease
-Myotonic dystrophy
-Marfan syndrome
-Osteogenesis imperfecta
-Achondroplasia
-Neurofibromatosis type I
-Acute intermittent porphyria
Mytonic dystrophy
- mutation in DMPK gene
- most pleitropic of all 3x repeat disorders.
- wasting of muscles, cataracts, heart conduction defects, endocrine changes and myotonia.
Achondroplasia
-FGFR3 mutations (differentiation of cartilage to bone)
Neurofibromatosis
- NF1 mutation; codes for a tumor suppressor protein.
- allelic hetrogeneity
- variable expressivity
Haplo-insufficiency:
- loss of function mutation; half nl levels of the gene product result in phenotypic effects
- FH, AIP, OI type I.
Dominant negative:
- mutant gene product interferes w/ the function of the nl gene product.
- OI type II, III, IV and Marfans.
Gain of function:
- increased levels of gene expression or development of new function.
- Huntington and Achondroplasia.
Autosomal recessive:
define and list disorders
- both parents are carriers; phenotypically nl.
- siblings commonly affected, horizontal inheritance, male:female equal.
- increased by consanguinity.
- recurrence risk = 25%; 2/3rd carrier risk among sibs.
DISORDERS: no 2/3rds to delayed onset
- Cystic fibrosis
- Sickle cell anemia
- Phenylketonuria
- Tay-Sachs disease
- Congenital deafness
- Hemochromatosis *delayed onset
- Alkaptonuria *delayed onset
- Homocytinuria
- Galactosemia
- SCID
Loss of function:
reduced activity (hypomorph) or complete loss of gene product (amorph). ex: enzyme deficiencies
Hemochromatosis:
- iron overload disorder
- C282Y mutation on HFE gene
- delayed age of onset
- allelic hetrogeneity
- variable expressivity
SCIDS:
-due to ADA deficiency = build up of dATP which is toxic to B and T cell development.
Psuedo-autosomal dominant
an AR condition in two or more generation, thereby appearing to follow a dominant inheritance pattern.
- vertical transmission
- due to Heterozygote adv: high carrier freq. (sickle cell in Africa)
- higher incidence of consanguinity (geographical, social/religious isolation)
- assortative mating
X-linked recessive disorders:
- more common in males *hemizygous.
- affected father = all daughters are carriers. w/ no male to male
DISORDERS:
- Dystrophin assoc. muscular dystrophy (Duchenne and Becker)
- G6PD
- Hemophilia A and B
- Lesch-Nyhan syndrome: HGPRT deficiency
- Red-green color blindness
- X-linked SCID (SCIDX1 gene)
Hemophilia A
deficiency of clotting factor VIII and involves inversions of an intron sequence.
-allelic heterogeneity