Sheet 4 Flashcards

1
Q

What happens if nondisjunction occurs with X or Y chromosomes?

A

Sexual aneuploidies

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2
Q

Which gene is smaller: X or Y? What does this mean?

A

Y; that there are genes in the X chromosome that are absent in the Y chromosome

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3
Q

What do we call the sex chromosomes?

A

Hemizygous genes: Only one allele for a certain gene

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4
Q

What are Psuedoautosomal regions?

A

Look like autosomal regions where there are 2 versions of the same gene (2 alleles) {Some regions of X are shared on Y}

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5
Q

What can you find on the Y chromosome?

A

1) SRY (Sex determining Region Y)
2) AZFa
3) AZFb
4) AZFc

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6
Q

What is the SRY region responsible for?

A

The development of male anatomical features

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7
Q

Explain what causes the case in which the karyotype is: 46, XY, but the primary sexual organs indicate a female (ovaries, not testes).

A

There’s a deletion in the SRY region.

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8
Q

What are the AZFa, AZFb, and AZFc regions responsible for?

A

The formation of sperm

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9
Q

If a male presents with infertility (low or zero sperm count = azoospermic), what should you check for?

A

Mutations in the 3 AZF regions on the Y chromosome.

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10
Q

True or false:

All the genes carried on sex chromosomes are sex-related.

A

False; not all are sex-related (some genes are not related to a sex trait)

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11
Q

What are some non-sex related genes found on the sex chromosomes?

A

1) Hemophilia gene

2) DMD (Duchenne Muscular Dystrophy) gene

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12
Q

Where is the hemophilia gene found?

A

Bottom of the Q arm of the X chromosome

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13
Q

Overall, we have - genes on X chromosome, - genes on Y chromosome.

A

900-1600; 70-200

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14
Q

What causes chromosomal disorders?

A

1) Numerical abnormalities (a missing or an extra chromosome)
2) Structural abnormalities (i.e., deletion, duplication, inversion or translocation).

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15
Q

What are some diseases caused by numerical abnormalities?

A

1) Klinefelter Syndrome (KS)
2) Turner Syndrome
(Both sex chromosome aneuploidies)

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16
Q

What are some diseases caused by structural abnormalities?

A

1) Cri-du-chat (cry of the cat) Syndrome

2) Certain cancers such as Chronic Myelogenous Leukemia (CML)

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17
Q

What is the karyotype for Klinefelter Syndrome (KS)?

A

47, XXY (MALES only)

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18
Q

Individuals with KS develop __(female/male) primary sexual organs. Why?

A

Male; regardless of how many X chromosomes they have, there’s still a Y chromosome and an SRY region.

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19
Q

What are the characteristics of Klinefelter Syndrome?

A

1) Secondary female characteristics:
Female fat distribution (hips) with breast development (gynecomastia)
2) Underdeveloped primary male sexual organs (testicular atrophy/small testes = absent sperm) = they’re infertile males.
3) Coarse/reduced body hair
4) Taller than average
5) Evidence of mental retardation that may or may not be present
6) Evidence of osteoporosis

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20
Q

What is the karyotype for Turner syndrome?

A

45, XO (missing X chromosome)

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21
Q

What kind of patients does Turner syndrome produce?

A

Sterile females

22
Q

Which syndrome is the ONLY VIABLE monosomy?

A

Turner syndrome

23
Q

Why are patients of Turner syndrome ALWAYS female?

A

Because there’s neither a Y

chromosome nor an SRY region.

24
Q

What are the characteristics of Turner syndrome?

A

1) Skin brown spots (nevi)
2) Underdeveloped breasts with a wide distance between the nipples
3) Webbed neck
4) 20 cm shorter than average
5) Rudimentary ovaries and underdeveloped gonads = infertility
6) No menstrual cycle
7) Abnormal elbow position
8) Secondary non-significant features (small fingernails and shortened metacarpals)

25
Which is less deleterious (less damaging): Trisomy or monosomy?
Trisomy
26
What causes Cri-du-chat syndrome?
A deletion mutation in the p arm of chromosome 5
27
What are the main characteristics of Cri-du-chat syndrome?
1) Small head (microcephaly) 2) Small chin 3) Small nasal bridge 4) Unusually round face 5) Eyes are far from each other with a fold of skin over them
28
What are some clinical symptoms of Cri-du-chat syndrome?
1) Heart defects 2) Hearing or sight problems 3) Motor problems: muscular/skeletal defects, poor muscle tone, and walking difficulties. 4) Hyperactivity and aggression 5) Severe mental retardation
29
Most Cri-du-chat patients die within:
The 1st year of age but nowadays, with the advanced healthcare system and management, they make it to older ages.
30
What are the most common causes of death in Cri-du-chat syndrome?
1) Pneumonia 2) Aspiration pneumonia 3) RDS 4) CHD
31
CML can develop from:
1) Stem cells OR 2) Myeloid stem cells (precursors for WBCs)
32
What are the 4 types of leukemias?
1) Acute mylogenous leukemia 2) Acute lymphoblastic leukemia 3) Chronic mylogenous leukemia 4) Chronic lymphoblastic leukemia
33
In CML, myeloid cells grow __(fast/slowly), and it is more common in __(adults/children)
Slowly; adults
34
What causes CML?
Reciprocal translocation between chromosome 9 and chromosome 22 (Philadelphia chromosome)
35
What is the exact mechanism regarding the translocation in CML?
The ABL gene that induces the cell cycle becomes under a stronger promoter which is the BCR promoter. The BCR-ABL transcript is translated into a mutant tyrosine kinase that results in a protein that is continuously activated. Therefore, there are many more unregulated cell divisions and, thus, a higher chance of developing cancer.
36
What are the 2 scenarios regarding fragments of reciprocal translocation?
``` 1) Acentric (does not contain the centromere) fragment is exchanged with another acentric fragment = both centromeres are preserved = mitotically stable chromosomes 2) Centric fragment is exchanged with an acentric fragment → acentric + dicentric chromosomes → mitotically unstable chromosomes {#1: Acentric + acentric = stable #2: Centric + acentric = unstable = dicentric + acentric chromosomes} ```
37
What does the P arm of the acrocentric chromosomes contain?
1) The proximal heterochromatic region (highly repetitive non-coding DNA) 2) A satellite region (noncoding distal heterochromatic region) 3) A thin connecting region of euchromatin (the stalk) composed of tandem rRNA genes.
38
What is a Robertsonian translocation?
Removing the p arms of both non-homologous acrocentric chromosomes then fusing the q arms of both chromosomes together to get one chromosome carrying two q arms of two acrocentric chromosomes.
39
Robertsonian translocation occurs exclusively after:
Breaks in the short arms of the human acrocentric chromosomes
40
What is the result of a Robertsonian translocation?
Centric + acentric fragments = 1) A dicentric chromosome that is stable in mitosis + 2) An acentric chromosome that is lost in mitosis (unstable in mitosis) without any effect on the phenotype
41
Why don't Robertsonian translocations affect the phenotype?
Because the only genes lost are rRNA genes of the p arm; other acrocentric chromosomes can compensate this loss.
42
Why are dicentric chromosomes stable in Robertsonian translocations?
Because the break occurs close to the centromere, and the two fused centromeres are so close to each other that they can function as a single centromere
43
What are the products of Robertsonian/reciprocal translocations on gametes?
Unbalanced, resulting in monosomy or trisomy
44
What does the risk of a reciprocal translocation carrier having a child with each of the possible meiotic outcomes depend on?
1) Its frequency on the gametes | 2) The likelihood of a conceptus with that abnormality developing to term
45
What is the karyotype of a Robertsonian translocation between chromosomes 14 and 21?
45, XY, t(21q:14q)
46
Why do we have 45 chromosomes in Robertsonian translocations?
Because the (q arms) of both acrocentric chromosomes fuse together resulting in one viable dicentric chromosome. The other acentric chromosome is lost; so instead of 46 chromosomes the individual has 45 chromosomes
47
Which translocation gives partial trisomy/monosomy gametes?
Reciprocal translocation
48
Which translocation gives full trisomy/monosomy gametes?
Robertsonian translocation
49
What are the ONLY viable trisomies?
1) Trisomy 21 (Down Syndrome) 2) Trisomy 18 (Edward Syndrome) 3) Trisomy 13 (Patau Syndrome)
50
What is the ONLY viable monosomy?
Turner Syndrome