Recessive Mutations and Human Metabolism Flashcards

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1
Q

What disease lead to the discovery of metabolic genes in humans?

A

ALKAPTONUREA (metabolic disorder that involves Homogentistic Acid Degradation
This disease led to discovery of metabolic genes in humans

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2
Q

Who was Archibald Garrod and why was he important

A

Archibald Garrod (1857-1936): doctor who rediscovered Mendelian Genetics, by working with patients. He made insights about how recessive diseases work, and discovered disease called Alkaptonurea

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3
Q

What are the major symptoms of alkaptonuria?

A

Major symptoms of alkaptonurea;
-Black urine disease, or black bone disease
-Urine blackness on exposure to air
-severe joint pain in older individuals
-sometimes problems with heart, hearing or kidneys
(mostly mild trait, since not a life threatening disease; people still live long)

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4
Q

What is another symptom that occurs with people with Alkaptonurea?

A

Alkaptonuria alos causes subtle pigment depositions;
-black spots on eyes (become more apparent as you age) , and blackening in the ear

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5
Q

Why is Alpatonuria so ideal for human genetic studies?

A

Alkaptonuria is ideal because:
-Patients are relatively healthy
-Urine from patients with alkaptonuria reacts strongly with bases, so the trait can be identified EASILY
(ask people from family to provide urine samples, add basic solution and watch if urine darkens, hence you can tell what trait they are, look for patterns of inheritance)

Ex: Experiment left (control) Right (AKU patient)

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6
Q

What percent of children are affected with Alkaptonuria? How was this discovered?

A

25% of children in a family are usually affected by Alkaptonuria. This was discovered after Archibald observed many urine samples and gathered data in about 18 large families
-he found 19/76 people in LARGE families had Alkaptonuria, which was equivalent to almost 25%I

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7
Q

What kind of mutation is Alkaptonuria? What are the genotypes for parents and children?

A

RECESSIVE Mutation.
Archibald had punnet square where parents were carriers of the alkaptonuria gene and 25% offspring had recessive mutation
genotypes: Parents were carriers so heterozygous: Aa x Aa
offspring: 1/4 AA, 1/2 Aa, 1/4 aa
aa (alkpatonuria mutation)

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8
Q

Explain why genetic nomenclature is more complicated than Mendel. Differentiate between the convenient genotype and full name used for Alkaptonuria and Achondroplasia

A

Genetic nomenclature is more complicated for Mendel:
-whenever there are three alleles, and due to limited number of letters in alphabet to represent each genetic disease (two diseases we already know use genotype A a, which can be confusing to distinguish between them, since both diseases start with letter A and use same letter for genotype
-For convenience, we are calling individuals with alkaptonuria genotype aa here
-One full name would be HGD- HGD-
each HGD- is recessive allele
In lecture #2 we called individuals with Achondroplasia genotype Aa
-But one full name would be FGF3^AchG346E FGF3+
FGF3+ is recessive allele
-**we only use genotypes like “aa” when it is convenient and NOT confusing

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9
Q

What kind of disorder is Alkaptonuria and what causes it?

A

Alkaptonuria is a METABOLIC disorder:
-The disease is caused by a build up of homogentisic acid in the blood and tissues
-Oxidized homogentisic acid is alkapton (black stuff in urine) ,
This chemical is a metabolic intermediate

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10
Q

Explain the biochemical pathway of making homogentisisc acid and how this contributes to development of alkaptonuria. What happens when too much tyrosine is produced?

A

The amino acid Phenylalanine can be transformed into Tyrosine
-When there is too much tyrosine made, it can be converted to dopamine which will convert to Melanin
OR too much tyrosine can lead to 4-hydroxyphenylpyruvate which will be converted to Homogentisic acid which normally breaks down to other compounds
However, Garrold realized in samples of patients with alkaptonuria, they had a build up of homogentisic acid and concluded that transformation of homogentisic acid into maleylacetoacetate was failing.
The enzyme (homogentisic acid Oxidase) that controlled chemical reaction to converted homogentisisc acid into maleylacetoacetate was DEFECTIVE
hence gene that controlled making enzyme is one associated with alkaptonuria.

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11
Q

Why was Garold’s discovery about alkaptonuria so significant

A

By looking at biochemical breakdown products and observing urine samples of those with alkaptonuria and observing biochemical pathway, he was able to come up with his own biochemical explanation and theory behind the disease
explanation Those who have alkaptonuira are due to a chemical reaction failing; missing an enzyme that catalyzes the reaction
**product of HGD (homogentisic acid gene) catalyzes breakdown of homogentisic acid
theory: maybe genes control production of enzymes.
alkaptonuia controls enzyme homogentisic acid oxidase.

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12
Q

What are the kind of mutations that cause alkaptonuria?

A

Mutations that cause Alkaptonuria INACTIVATE the HGD gene
-found missense mutations, splice-site mutations, insertions or deletions (change reading frame) and stop mutations

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13
Q

Why is Alkapontuira a recessive disease? What happens if there is 1 good copy vs 2 bad copies of the HDG gene?

A

Alkaptonuria is recessive because ONE copy of an enzyme gene is ENOUGH
-2 good copies of gene: HGD gene would make enzyme to catalyze reaction: it make mRNA–>Proteins to turn homogentisic acid and convert to maleoacetylacetate

-if you have one good copy of gene, you will make some of enzyme and some defective piece of protein (can still transform most of the homogentisic acid to maleoacetoacetate
***if you have to BAD copies of gene, and neither copy has ability to make enzyme, you will develop
the disease because they are not making HGD enzyme needed to break down homogentisic acid. This homogentisic acid is just build up in person’s body.

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14
Q

What are the four inborn (genetic) error of metabolism that Garrod identified? What do they all have in common?

A

Four diseases:
-Alkaptonuria (alkapton in urine)
-Albinism (defects in melanin production)
-Cystinuria (cystine kidney stones)
-Pentosuria (xylulose in urine)
The genetics:
All are autosomal recessive (study siblings)
-Common among children of cousins

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15
Q

Differentiate between the pedigree of a dominate trait vs recessive trait

A

Dominant trait pedigree: notice that dominant trait is passed down in EVERY GENERATION ; somebody who did not get the dominant trait cannot pass it on to their children or other generations.

Recessive trait pedigree: both parents MUST be carriers of the recessive trait. More common situations where two carriers marry each other and affect children is through having common ancestor; hence Marriage of COUSINS
-CONSAGUINOUS MARRIAGES (marriage of cousins) tend to be common for those affected with recessive traits.

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16
Q

Explain the process of how we can calculate the probabilities of all genotypes in a pedigree

A

Calculating the probabilities of all genotypes in a pedigree:
1. First, fill in the genotypes of homozygous recessive individuals
2. Next, add unaffected individuals who married into the family
-*** if the allele is rare, they are likely to be HOMOZYGOUS DOMINANT unless proven otherwise by pedigree itself
3. Then fill in obvious genotypes of their children
4. Calculate the probabilities for individuals with inconclusive genotypes
5. Use these probabilities to predict genotypes for successive generations

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17
Q

What is Tay-Sach’s disease and what are symptoms of the disease?

A

Tay-Sach’s disease: recessive disorder that affects LYZOSOME FUNCTION
Symptoms of Tay-Sachs Disease:
-Between 3-6 months of age, development slows and muscles weaken
-strong startle reaction
-eventually seizures, Vision and hearing loss, and paralysis
-usually fatal in childhood.
(also notice cherry spot on retina in invidividuals with disease )

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18
Q

What happens to the lysosomes in Tay-Sachs patients? How does this work?

A

Tay-Sachs patients Accumulate Ganglioside GM2 in their lysozomes.
lysosomes normally digest a lot of proteins to help get rid of them and keep cell young and fresh.
you need enzyme Hexoseaminodose A which is in lysosome that will pick up any ganglioside GM2 in the lysosome and digest it, to be dumped out by exocytosis and recycled.
However, people with Tay-Sachs disease contain many digestive enzymes but NOT Hexoseaminodose A. Without this enzyme they cannot break down Ganglioside GM2 proteins from the cell causing the build up of the ganglioside in the lysosome and clogs the cell
The residual vacuoles accumulate since the GM2 cannot be digested, and no exocytosis occurs (cell waste disposal system is destroyed) leading to death of cell, and death of patient.

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19
Q

What controls the degradation of Ganglioside GM2. Where does this usually occur?

A

The Tay-Sachs gene (HEXA) controls the degradation of Ganglioside GM2
-Tay-Sachs disease affects the HEXA Gene, which encodes beta-hexosaminidase A
This protein acts in lysosomes to break down ganglioside GM2
-The accumulation of GM2 (when enzyme not available) kills neurons. Neurons are necessary for life

this problem (no enzyme, causing lysosome to swell and not function properly–> killing neurons) usually occurs in nerve cells.

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20
Q

What two recessive disorders are involved in controlling metabolism?

A

ALKAPTONURIA and TAY-SACH’S DISEASE

21
Q

What can you observe about Tay-Sachs disease in the the general population ? Which populations are more common to have disease?

A

Tay-Sachs mutations are RARE. hence most people are not carries. Among Ashkenazi Jews from Eastern Europe, it is 10x more common.
It is also more common in French Canadians and Irish Americans, due to chance and historical things (migration) in past within SMALL populations

22
Q

What is the allele frequency for the Tay-Sachs mutation in general population, Ashkenazi Jews, French Canadians, and Irish Americans?

A

Allele frequency in the General population:
f (HEXA-); for disease= 0.00167
Allele frequency in Ashkenazi Jews
f (HEXA-)= 0.0185
Allele frequency in French Canadians
f(HEXA-)= 0.0167
Allele frequency in Irish Americans
f (HEXA-)= 0.0100

23
Q

What equation can be used to calculate the frequency of an allele in a population ? Provide an example

A

Hardy-Weinberg Equation:
p^2+2pq= q^2 = 1 ; p= domainat allele, q= recessive allele or vice versa, and 2pq= carrier
Ex: what is the chance of a French Canadian is a carrier of Tay-Sachs Disease?
Let p= f (HEXA+) = 0.9833. (for normal copy of gene)
-to get other frequency: 1-0.09833 = 0.0167 to get q (recessive, deadly gene)
hence: Let q= f (HEXA-) = 0.0167
to calculate chance of being heterozygote:
= 2pq= 2 (0.9833) (0.0167) = 0.0328
so the chance of being a carrier is 3.28% or 1/30

24
Q

What is another way (besides Hardy-weinburg) to do calculations for finding frequency of alleles in population?

A

You can write out a PUNNET SQUARE of all sperm, eggs in population (assume random mating)
cross the HEXA+ x HEXA - for parents
chance of HEXA+= 0.9833
chance of HEXA- = 0.0167
then figure out genotype for offspring and multiply frequency of each allele
ex: unaffected= p^2 (0.9833) ^2= 0.9669
Tay sachs= q^2= 0.0167)-0.0002789
Carrier: (0.0167)(0.9833) -0.01642 (pq)
**so the chance of being a carrier (2pq) = 0.01642 + 0.01642= 0.328

25
Q

compare the carriers in general population vs other groups? Which groups are carriers more common in? What should these groups do as a result?

A

Carriers are RARE in the general population
1/300 Americans
-Carriers are more common in some groups
-1/27 Ashkenazi Jews
-1/30 French Canadians and Cajun Americans (French in Louisiana)
-1/50 Irish Americans

People from these groups should have a GENETIC TEST before conception

26
Q

What occurs in Albanism and what are the symptoms?

A

Albinism: recessive disorder that affects melanin production
Symptoms:
-Oculocutaneous Albinism affects the eyes, skin, and hair
-it can lead to several types of vision problems
-individuals sunburn easily
-Risk of skin cancer is higher than normal
-usually this occurs due to inability to absorb and reduce light coming in ( due to too much exposure to UV radiation from sunlight)

27
Q

What causes Albinism? Explain what occurs in the biochemical pathway

A

Albinisim is caused by problems in melanin production
-Tyrosine is converted into Dopamine. Dopamine is converted by enzyme tyrosinase into Melanin (pigment important for protecting skin and eyes from UV light)
In patients with Albininism, the enzyme TYROSINASE is NOT produced, so people will have REDUCED Melanin
(if tyrosinase not available, not be able to convert a lot of dopamine to melanin) Not produce melanin
-

28
Q

What are the genes that control metabolism?

A

Genes that control albinism:
-* TYR gene encodes tyrosinase*
-more common cause
- OCA2 gene encodes a melanosomal membrane protein (needed to accumulate melanin in cells)
-TYRP1 gene encodes a protein that help produce melanin
-SLC45A2 gene encodes a protein that helps produce melanin

29
Q

How does the pedigree look like for tyrosinase negative albinism? How would you calculate the the probabilities ?
COME BACK

A

In pedigree:
You need 2 carriers to produce homozygous recessive individuals with the trait.
These affected children inherited BOTH allele from their great-grandfather.

Calculate proabiilites starting with each common ancestor; if start out with carriers, that person will pass down allele to other generations

30
Q

What increases the chance of homozygous individuals

A

INBREEDING increases the chance of homozygous individuals

31
Q

Why s the chance of alkaptonuria low with random mating? Why?

A

The chance of Alkaptonuria with random mating is very LOW because
Chance of someone is carrier:
f (a)= 1/700, so F (Aa)= 2pq 2 (1/700) (699/700)=m1/350
if both parents are carriers, the chance that child has alkaptonuria is low. Chance child is aa= (1/350)(1/350)(1/4)= 1/490,000 = 0.0002%

32
Q

What happens to probability (getting Alkaptonuria) from cousin marriage? if one grandparent is affected?

A

Probability from Cousin marriage is HIGHER, even if no relatives are affected.
2 cousins married, you must calculate 2 cases for grandma and grandpa. Grandpa is a carrier (probability rule to evaluate each case) and grandma could be a carrier (so another case). Add the probabilities for the cases together
-this probability is higher for cousin marriages, than general population

Probability if ONLY one grandparent was affected is VERY HIGH: there is more certainty that children in other generations will be carriers; Chance child would have aa, when two cousins marry is (1/2) (1/2) (1/4)1/16 or 6%
the 2 1/2 come from mom and dad and 1/4 from chance of egg/sperm having aa
What if both parents were carriers in cousin marriage= (1/350)^2- small number

33
Q

What is cystic fibrosis and what are the symptoms?

A

Cystic fibrosis- disorder that affects Cl- ion transport
symptoms:
Poor growth
Accumulation of thick, sticky mucus
-Breathing problems
-Frequent lung infections
-Salty skin
-Bowel obstructions (due to ion concentration issues in intestine)
-Fertility problems; especially in men
these descriptions

34
Q

Compare the image of a normal lung vs cystic fibrosis lung

A

Normal lung: healthy structure
Cystic fibrosis lung distorted structure due to inflammation (affects breathing functions
cystic fibrosis damages lung tissues and leads to Infections

35
Q

Discuss the differences seen in healthy lung vs Cystic fibrosis lung and its components

A

Health lung- thin vital layer of membrane helps prevent pathogens from getting in cells (clear, thin mucus)
Neutrophils are present to help fight against infections in lung
Cystic fibrosis lung: due to thickened mucus, in lungs, lungs are irritated and body sends out signals, c causing proliferation of neutrophils, and are of lung is compromised.
a

36
Q

How does cystic fibrosis affect the pancreas?

A

Cystic fibrosis causes FAT and fibrotic lesions in the pancreas
normal pancreas cell structure unchanged
Cystic fibrosis pancreas: structure of cells have changed due to imbalance of chloride ions

37
Q

Discuss the inheritance of cystic fibrosis, including what type of mutation ,and who are more likely to have the disease.

A

Inheritance of Cystic fibrosis:
Cystic fibrosis is caused by RECESSIVE mutations in the CFTR gene
-About 1/3300 white children in the US have cystic fibrosis
-About 1/20 is a carrier
-Average life expectancy is 35 years.
due to problems with lungs, risk of severe infections
(more common in White individuals than African-American and Hispanic individuals)

38
Q

What does the pedigree of cystic fibrosis look like?

A

Pedigree of Cystic fibrosis:
man affected has children, who are carriers, and since disease is common in population. Child could marry carrier leading to affected grandchild
both parients carrier leads to Cc x Cc = cc (affected child)

39
Q

Describe the CFTR gene, and what does it encode.

A

The CFTR gene is large and there are many distinct CF mutations that cause disease (involved in poor Cl- transport)
-CFTR gene encodes a large transmembrane protein (that forms channels that help control movement of cl ions across cell surfaces
since CFTR is a gene, there are lot of places mutations can happen, hence why recessive alleles are common in the gene

40
Q

How does the CFTR Protein regulate Cl- transport?

A

CFTR protein regulates Cl- Transport:
CFTR gene contains code to create CFTR chloride channel and control chloride transport in and out of cell

41
Q

What are treatments that target the receptors (CFTR)

A

Treatments for CFTR:
look like membrane channel
there are specific drugs restore function to partially defective CFTR channels
some cells make defective proteins in cell surface, and these compound help them function better, move cl- ions despite, genetic mutation altering protein structure.

42
Q

What is Phenylketonuria (PKU) and what are its symptoms?

A

Phenylketonuria (PKU)- a metabolic disorder that affects phenylalanine disposal.
Symptoms :
Children are normal at birth.
But they slowly develop:
-Learning disabilities
-Tremors or movement difficulties
-Behavioral issues.
These problems are rooted in changes in white matter of the brain.

43
Q

What causes PKU?

A

PKU is caused by the inability to Break down Phenylalanine
Normally Phenylalanine can be transformed into tyrosine due to enzyme phenylalanine hydroxylase
But when the enzyme is not present, Phenylalanine is NOT converted into tyrosine.
This causes a build up of Phenylalanine

44
Q

Why are high levels of Phenylalanine harmful for brains?

A

because high phenlyaline concentration affects how much phenlylaline are in cells (affects protein production) but also transport of other amino acids in to the brain. This is a Complex issue,
the rest of our body is separated from brain by blood brain barrier (another theory is that high levels of phenyl aline lead to lack of phenylalanine in Brain and it competes for transport of other similar aa, so you get less of L-amino acid.
Too much Phenylalanine in the brain and Too little tyrosine and tryptophan, making it hard to produce right amount of proteins (leads to issue of nerve cells in brain)

45
Q

How can PKU be treated?

A

Treated by carefully controlling diet.
**Diets LOW in phenylalanine can alleviate most symptoms of PKU
we can limit high phenylalanine foods (High carb/fiber diet, low protein diet)

46
Q

Explain how PKU can be managed

A

Managing PKU:
About 1/20,000 babies have PKU
-They can be identified early with a simple blood test
-If a low-phenylalanine diet is followed from BIRTH, they will develop few symptoms

environment can also impact the health of children with PKU

47
Q

What must occur in recessive disorders for child to be affected?

A

Recessive allele must be passed on from BOTH parents for child to be affected

48
Q

what can increase the chances of a child to have recessive disorder?

A

1) their parent are genetically related (cousins)
2) Their parents are both from a small subpopulation (where frequency of carriers are more common than normal )