Sex-Linked Disorders Flashcards

1
Q

sex-limited

A
  • traits limited to expression in one sex, though genes are in both sexes
  • milk production in females
  • cryptorchidism in males
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2
Q

sex-influenced

A
  • expression of traits influenced by sex hormones

* male patterne baldness

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3
Q

pseudoautosomal region

A
  • X and Y chromosomes have regions at the telomeres that function like other autosomes
  • genes here need biallelic expression (preventing males from having turner syndrome phenotype
  • crossing over occurs at this region
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4
Q

X-linked mutation for hypohidrotic ectodermal dysplasia

A

•females with the mutation may be missing a few teeth or have patches of anhidrosis
•males with the mutation have no teeth, anhidrosis, and sparse hair
anhidrosis=can’t sweat normally

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5
Q

y chromosome

A
  • SRY gene-> dev of male phenotype

* Yq genes -> spermatogenesis

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6
Q

y chromosome can be used for

A
  • trace male migration patterns in history
  • forensics
  • paternity testing
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7
Q

key of x-linked dominant disorders

A

•more prevalent in females than males (often lethal to males -> pregnancies lost)

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8
Q

key of x-linked recessive disorders

A
  • almost exclusively seen in males
  • female carriers can have milder symptoms
  • rare for female to be homozygote
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9
Q

Incontinentia pigmenti

A
  • X-linked dominant
  • skin redness and blisters -> thickened skin -> hyperpigmentation
  • majority are neurologically normal (but can have DD and seizures)
  • seen only in females
  • NEMO gene
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10
Q

x-linked recessive pedigree

A
  • more males affected
  • grandfather to grandson via female carrier
  • no male-male transmission
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11
Q

Hemophilia A

A
  • x-linked recessive
  • excessive bleeding via reduced factor VIII
  • <1% factor VIII activity -> severe
  • 6%+ -> mild
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12
Q

Duchenne Muscular Dystrphy (DMD)

A
  • x-linked recessive
  • normal at birth
  • progressive muscle weakness -> wheelchair by age 10 -> progression to death
  • pseudohypertrophy
  • respiratory insufficiency
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13
Q

DMD gene

A
  • Xp21, huge gene, encodes protein dystrophin
  • mutations are primarily deletions
  • 1/3 of cases are de novo, rest have famale carrier mother
  • carrier woman clinically asymptomatic, but may have elevated creatine kinase levels
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14
Q

muscle biopsy in DMD

A
  • variation in fiber size
  • proliferation of CT
  • degeneration, necrosis, phagocytosis of muscle fibers
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15
Q

cones in eye are maximally responsive to what colors

A

red, green, blue

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16
Q

Red-green colorblindness

A
  • x-linked recessive
  • variable crossing over of genes for the cones
  • “opsins” involved
17
Q

Fragile X syndrome presentation

uworld

A
  • neurobehavioral problems
  • prominent forehead
  • large ears
  • long, narrow face
  • prominent chin
  • macroorchidism
18
Q

fragile x syndrome inheritance

A

x-linked dominant

19
Q

associated problems with fragile x

A
  • neuropsychiatric findings overlapping with:
  • anxiety disorders
  • autism
  • ADHD
20
Q

Gene associated with incontinentia pigmenti

A

NEMO Gene