SAQ Disease Flashcards

1
Q

Human deafness + complementation

A

Many loci affect hearing pathway from outer ear to auditory nerve and brain

  • Partial or total inability to hear, most commonly on both ears.
  • Can be inherited by recessive genes (most common) , dominant genes + X-linked patterns
  • 70% total registered cases are non syndromic, which means that there are no other signs or medical problems associated with the hearing loss.
  • DFNA1 first gene mapped for non syndromic hearing loss
  • Costa Rican family - single base change in the gene caused low frequency onset progressive hearing loss.
  • Autosomal dominant inheritance pattern for that particular mutation.
  • Penetrance age of 30.
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2
Q

Phenylketonuria, PKU

A

Mutations in the PAH gene result in low levels of the enzyme phenylalanine hydroxylase.
- Build up of dietary phenylalanine to potentially toxic levels.
- gene-environment interaction, chemical
recessive
- can’t break down Phe -> special diet
- Untreated PKU can lead to intellectual disability, seizures, behavioral problems and mental disorder.

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3
Q

Achondroplasia

A
  • abnormal adult stature.
    If both parents have the condition, a homozygous child is not likely to live.
  • 80% of cases of dwarfism caused by achondroplasia.
  • Autosomal dominant inheritance.
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4
Q

Cystic Fibrosis

A
  • Disease affecting mainly the lungs, intestine, pancreas and kidneys.
  • Failure in transmembrane conductance regulator (transport protein).
  • Chloride ion transporter.
  • Differences in amino acids account for the disfunction of the protein.
  • Loss of phenylalanine in the sequence.
  • Accumulation of mucus in respiratory and gastrointestinal tracts.
  • Autosomal recessive. 1/25 allele incidence among populations of European ancestry.
  • Prone to lung infections.
  • No cure, only treatment for the symptoms.
  • Males affected by the condition are infertile.
  • Can be diagnosed by genetic screening.
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5
Q

Albinism

A
  • Absence of pigment in hair/skin. Recessive Mendelian Inheritance - Autosomal recessive
  • Congenital disorder characterised by the complete or partial absence of melanin in the hair, skin and eyes.
  • TYR gene for tyrosinase deficient, an important enzyme in the melanin-producing pathway
  • Pleiotropic effects include vision and hearing impairments.
  • Deletions and duplication of the gene coding for the enzyme
  • Causes susceptibility to skin cancer and chronic sunburns.
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6
Q

Autism

A
  • Gene interaction and multiple loci involved
  • Several genes affect one character (polygenic trait)
    Autism Spectrum Disorders (ASD) are characterised by the autistic triad:
  • Impaired social communications and interactions.
  • Restricted and obsessive interests and behavior.
  • Language impairment.
  • Neurodevelopmental disorder
  • 1 locus alters phenotype produced by other locus.
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7
Q

Lesch-Nyhan syndrome

A
  • Characterised by the error in purine metabolism.
  • Self-mutilation and death are common amongst affected individuals.
  • Deficiency in hypoxanthine-guanine phosphoribosyltransferase.
  • Gene located on the X chromosome (sex-linked)
  • Buildup of uric acid in bodily fluids
  • Neurological signs include poor muscle control and intellectual stability.
  • Poor utilization of Vitamin B12
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8
Q

Duchenne muscular dystrophy

A
  • Severe type of X-linked (recessive) inherited muscular atrophy + X-chromsome inactivation
  • Muscle loss predominantly in the upper legs and pelvis, followed by muscle loss along the arms.
  • Detect age 3-5, fatal in 20’s - Most individuals affected are unable to walk by the age of 12.
  • Carrier females may show some symptoms.
  • Mutation in the protein dystrophin -> Protein important in the maintaining of muscle fibre cell membranes.
    Individual will have high intravenous creatine kinase.
    -> MZ twins 1 had DMD, the other didn’t
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9
Q

Colourblindness

A

Daltonism; condition in which individual does not see a difference between certain colors (red-green being the most common manifestation).

  • X-linked inherited condition
  • More males affected than females. Males need only one copy (for their only X chromosome).
  • Females would need to have a carrier mom and an affected father.
  • > Heterozygous women can see in colour even though some retinal cells are colour blind due to x chromosome inactivation..
  • Decreased visual acuity due to cone and rod dystrophy.
  • Cones are color sensing cells in the retina, when impaired cannot distinguish certain colors accurately.
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10
Q

Patau syndrome

A
  • Chromosomal abnormality in which all or some of the cells trisomy 13 may be due to translocation
  • Extra genetic material disrupts normal development
  • Causes multiple and complex organ defects.
  • Predominantly caused by nondisjunction.
  • More than 80% of children with this condition die during their first year of life.
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11
Q

Myeloid leukemia

A

Translocation 5-11/ 9-22 can be induced by chemical exposure and even radiation.

  • > myeloid line of blood
  • abnormal WBC in bone marrow or lack of creates susceptibility to infections
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12
Q

Cri-du-chat

A

Chromsome deletion -> loss of tip of chr. 5

  • Vocal cord abnormalities attribute a kitten sound to individuals voices, hence the name.
  • Individuals have small head and jaws, wide eyes and unusual facial features.
  • Growth retardation is a common symptom.
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13
Q

Turner’s syndrome

A

XO, female

Aneuploidy

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14
Q

Edward’s syndrome

A

Trisomy 18, aneuploidy

  • Symptoms include a short and webbed neck, low-set ears, low hairline, and swollen feet and hands at birth.
  • Kidney + Heart defects, diabetes and low thyroid hormone levels common in the condition.
  • Infertility and lack of breasts and menstrual periods.
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15
Q

Gynandromorphs

A

Half male half female - mosaic due to error in mitosis in early dip.

  • Somatic aneuploidy
  • Dm one red eye, one white
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16
Q

Porphyria variegata

A

Deficit in PPOX gene for protoporphyrinogen oxidas
can’t break down seventh heme -> porphyrin component of Hb so it accumulates (light sensitive chemical)
gene-environment interaction - low tolerance to bright light.
- Incomplete penetrance
- Neurological symptoms = light sensitivity, low doses of barbiturates = lethal
- vomiting, diarrhea, constipation, muscle weakness, seizures, increased anxiety and hallucinations.
- Autosomal dominant acute form of porphyria that primarily affects the skin.

17
Q

VLINCL

A

Progressive encephalopathies in children with psycho-motor deteriaration, visual failure + premature death -> inbreeding

  • Prevalent in Finnish Islands.
  • Neurodegenerative disease resulting from an excessive accumulation of lipopigments in bodily tissues
  • In neuronal cells as well as liver, spleen, myocardial, and kidney cells.
  • Nonsense and frameshift mutations in the CLN1 gene.
  • Lysosomal enzyme (palmitoyl protein thioesterase) deficiency.
18
Q

Ragged red fibres

A

Progressive myoclonic epilepsy

  • mitochondrial disease
  • moters to sons/daughters
19
Q

Retinoblastoma

A

In Tristan da Chunha - bottleneck effect -> 1 woman of initial 3 people had the allele

  • > 2 somatic mutations OR 1 inherited mutations + 1 somatic.
  • Rare form of cancer that rapidly develops from immature cells in the retina
  • Most common type of malignant cancer in young children.
  • Most common mutation in 13q14 -> Gene that codes for a tumor suppressor gene.
  • Somatic amplification of the MYCN oncogene
20
Q

Proteus syndrome

A

Overgrowth of bone, mutation, somatic, Joseph Merrick
Rare congenital disorder that causes skin overgrowth and atypical bone development.
- Abnormal tumor and cyst growth throughout the body also a characteristic of the disease
- Mutation in AKT1 kinase in a mosaic state gene.
- Other mutations in chromosomes 10 and 16 suggested to be causing the disease.

21
Q

Bloom syndrome

A

Short stature, predisposition to dvp cancer, genomic instability. Mutation in DNA repair enzyme = recessive.

  • Autosomal recessive disorder characterized by shortage in stature, predisposition of cancer development and genomic instability.
  • Caused by mutations in the BLM gene leading to a mutated form of helicase.
  • Cells exhibit a striking genomic instability that includes excessive crossovers between homologous chromosomes and sister chromatid exchanges.
  • Strongly correlated with cancer and rapid aging
22
Q

Werner syndrome

A

Mutation in DNA repair enzymes.

  • Autosomal recessive progeroid syndrome characterized by premature aging
  • WRN (gene in chromosome 8) protein deficiency causes changes in the pattern of gene expression.
  • Decrease the stability of mRNA, which increases the rate at which it is degraded.
  • Presence of bilateral cataracts, atrophied and tight skin, soft tissue calcification and sharp facial features are also key features of the condition.
23
Q

Leber’s HON

A
  • Hereditary optic neuropathy.
  • Mitochondrially inherited degeneration of ganglion cells and their axons that leads to an acute or subacute loss of central vision.
  • Majority of mutations comprising this condition affect subunit genes of complex I of the oxidative phosphorylation chain in mitochondria.
  • Men cannot pass the disease onto their offspring.
24
Q

Tay-Sachs Disease

A
  • Autosomal recessive disorder.
  • Incomplete dominance.
  • Characterized by the progressive deterioration of of nerve cells.
  • Mental and physical abilities impaired.
  • Usually results in early death about 4 years after birth.
  • Deficiencies in hexosaminidase enzyme activity.
  • Mutation in chromosome 15
  • Cell death caused by ganglioside accumulation.
  • No cure or treatment.
  • Prevalence in Ashkenazi Jewish populations - negative assortative (non-random) matching influences the H-W balance