Polygenetic Disorders Flashcards

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1
Q

Polygenetic

A

Trait where there is variation caused by combined effect of multiple genes

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2
Q

Multifactorial

A

When environment factors cause variation in trait

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3
Q

Quantitative traits

A

Traits that are also multifactorial (2 alleles A and a)

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4
Q

What happens when environmental factors are added?

A

We approach a bell shaped curve if the representation of the alleles

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5
Q

What is the threshold model?

A

Most diseases don’t follow the bell shaped curve. they are either present or absent

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6
Q

What is the threshold of liability?

A

The line that must be crossed before a disease is expressed.

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7
Q

What is the significance of males having a lower threshold of liability?

A

It requires fewer disease-causing factors to generate the disorder in males.

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8
Q

Proband

A

The person that has the disorder/disease

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9
Q

Why are the risk estimations for multifactorial disease so complex?

A

Because the number of genes are not known.

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10
Q

Neural Tube Defect

A

1/1000, highest in Chinese populations

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11
Q

Anencephaly

A

Partial or complete absence of the cranial vault. Or complete abscence of the cerebral hemispheres

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12
Q

How do you detect Neural Tube Defects?

A

Prenatally through US and elevated alpha-fetoprotein in the maternal serum or amniotic fluid.

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13
Q

How do we best prevent Neural Tube defects?

A

Supplement the mothers with folic acid during pregnancy development.

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14
Q

What makes the recurrence risk higher for NTD?

A

if more than one family member is affected, if the expression is more severe, or if the proband is of the less commonly affected sex.

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15
Q

How can you distinguish between single gene mutations and multifactorial?

A

single gene is a mutation in ONE location. where multifactorial is from many more things. Ex. Environmental, inbreeding, diet. etc.

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16
Q

monozygotic vs dizygotic

A

mono is when the embryo divides into two, Di is when double ovulation happens.

17
Q

what is a concordant twin?

A

when both twins share the same trait (cleft lip)

18
Q

What is heritability?

A

a measure of the percentage of population variation in a disease that can be attributed to genes.

19
Q

Significance of adoption studies?

A

used to estimate the genetic contribution to a multifactorial trait

20
Q

What is the leading cause of death worldwide?

A

Heart disease

21
Q

Risk factors for developing CAD?

A

obesity, smoking, HTN, elevated cholesterol, FHx

22
Q

When is the age of onset for CAD in females?

A

<55 years old

23
Q

Long QT syndrome

A

1/2000, Elongated QT interval, blocks K channels.

24
Q

Most important environmental risk factor for HTN?

A

increased sodium intake, decreased physical activity, psychosocial stress and obesity

25
Q

Breast cancer stats

A

BRCA 1 and BRCA 2 90% are environmental factors, increased risk if mother has Li-Fraumen syndrome

26
Q

Colorectal cancer

A

Mutation in the APC tumor suppressor gene

27
Q

What is the 2nd most common cancer in men?

A

Prostate cancer, risk factors include high-fat diet

28
Q

DM

A

Leading cause of adult blindness

29
Q

DMI

A

onset before age 40, not just genetics, requires insulin

30
Q

DMII

A

more the 90% of all diabetes cases, low endogenous insulin production

31
Q

Alzheimer disease

A

allelic variation in the apolipoprotein E (APOE)