Patterns of Single Gene Inheritance Flashcards
Locus definition:
- physical site or location of a specific gene on a chromosome
- two alleles for each locus (one each on each parental chromosome)
Genotype definition:
- set of alleles present at a single locus
Phenotype definition:
- observable expression of the genotype
- Can be:
- biochemical
- cellular
- physical (clinical)
Single gene disorders are:
- diseases caused by mutations in a single gene.
- significant disease burden on society, especially in neonates and pediatrics
Homozygous definition:
- both alleles are the same
- i.e. both wild type or both mutant
Heterozygous definition:
- one allele is wild type
- one allele is mutant
Compound heterozygous definition:
- both alleles are mutant, but mutations on each chromosome are at different parts of the gene
- ex: cystic fibrosis
Hemizygous:
- abnormal gene is located on chromosome X
- note: male patients only have a single X chromosome (XY)
Allelic heterogeneity definition:
- DIFFERENT MUTATIONS IN THE SAME GENE result in the SAME clinical phenotype
Phenotypic heterogeneity definition:
- DIFFERENT MUTATIONS IN THE SAME GENE result in VERY DIFFERENT clinical phenotypes
Locus heterogeneity definition:
- MUTATIONS IN DIFFERENT GENES (at distinct loci) CAN result in the SAME CLINICAL PHENOTYPE
Mendelian diseases:
- follow one of four classic inheritance patterns
- occur in fixed and predictable proportions in offspring
Pedigrees are used to:
- establish the pattern of inheritance of single gene disorders
- determine degree of risk of disease in offspring
determined by family history
Four factors that can confound pedigree interpretation:
- early lethality of disorder
- small family size
- variable age of onset; decreased penetrance or variable expressivity
- non-Mendelian inheritance
Male pedigree symbol:
square
Female pedigree symbol:
circle
The two factors that determine pattern of inheritance of single gene disorders:
- whether phenotype is dominant or recessive
- chromosomal location of gene locus
- autosome
- sex chromosome (X or Y)
- mitochondrial genome
Does the mitochondrial genome follow Mendelian inheritance?
- No
- always inherited from mother
What are the four major patterns of Mendelian inheritance?
- autosomal recessive
- autosomal dominant
- X-linked dominant (very rare)
- X-linked recessive
Autosomal recessive disease genotype:
- must have two mutant alleles and no wild type
- the type of mutation in each allele can be different (i.e. compound heterozygote)
- rare
Effect of mutant alleles in autosomal recessive disorders:
- reduce or eliminate function of gene product
- often affect enzyme function
What type of inheritance is this?
(b is mutant allele)
autosomal recessive
- bb has disease phenotype
Risk that a child of either sex will be affected in autosomal recessive inheritance:
1/4 (25%)
Risk that a child of either sex will be a healthy carrier in autosomal recessive inheritance:
1/2 (50%)
Risk that a child of either sex will not be affected in autosomal recessive inheritance:
3/4 (75%)
Four factors that affect the risk of inheritance of a autosomal recessive disorder:
- carrier frequency (how prevalent carriers are)
- consanguinity (closely related)
- inbreeding (small population)
- genetic isolates