Topic 14.2: Chromosomal abnormalities Flashcards

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1
Q

what are the two types of chromosomal abnormalities

A

numerical and structural

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2
Q

what are the two types of chromosomal abnormalities considering their consequences

A

balanced and unbalanced

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3
Q

what is balanced abnormalities

A

no genetic information lost and/or no phenotypic changes

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4
Q

what is unbalanced abnormalities

A

anything that is not balanced

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5
Q

what are some numerical abnormalities

A

POLYPLOIDY
gain of extra haploid set of chromosomes (23)
eg: triploidy - 3n=69
most commonly caused by polyspermy - two sperm fertilize one egg
occurs in pregnancies and causes around 15% of miscarriages
ANEUPLOIDY
loss or gain of whole chromosome
this is trisomies and monosomies
caused by meiotic non disjunction
MOSAICISM
presence of two or more cell lines in an individual
throughout the body or tissue specific
caused by mitotic non disjunction

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6
Q

what are examples of triosomies that are viable for life

A

downs syndrome 47(+21)
patau syndrome 47 (+13)
edwards syndrome 47 (+18)
klinefelter syndrome 47 (XXY)` (males)

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7
Q

what are examples of monosomies that are viable for life

A

turner syndrome 45, X (females)

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8
Q

what are the types of structural abnormalities

A

deletion or microdeletions- of a whole part of a chromosome
duplication - of a whole part of a chromosome
inversion - part of chromosome swapped. either paracentric - not involve centromere or pericentric - over the centromere
substitution/insertion - one part of one chromosome inserted into another
translocation - two chromosomes swap information, either reciprocal or robertsonian
isochromosomes - one chromosome has two p arms and the other of the same pair has two q arms
ring chromosomes - can fuse to form a ring
marker chromosome - extra bit of DNA on top of 46 chromosome, genes on them can cause disease

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9
Q

what are the two types of translocation

A

reciprocal or roberstonian

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10
Q

what is reciprocal translocation

A

where a bit of chromosome swaps from one chromosome to another
- can be balanced (all info is there) or unbalanced (causes disease)
instead of forming two bivalents during meiosis, forms quadrivalent (sequence similarities combine), which when segregated will have 3 possible ways, 6 gametes (alternate, homologous, non homologous) and will result in a 3:1 non disjunction (unbalanced:balanced). balanced = alternate, contains all the correct amount of information

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11
Q

what is the karyotype of a normal male

A

46, XY

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12
Q

what is the karyotype of a normal female

A

46, XX

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13
Q

what is robertsonian translocation

A

2 acrocentric chromosomes fuse (small p arm)
q arms fuse and become one chromosome and p arms lost
results in 45 chromosomes in balanced carriers
females higher risk than males
problem during meiosis not mitosis
trivalent will form during meiosis, segregation with 6 possible outcomes
when mixed with normal chromosomes from other gamete (sex cell) = aneuploidy risk

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14
Q

what can robertsonian translocation cause

A

downs syndrome as happens on chromosome 21

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15
Q

what does balanced mean

A

lost DNA but not lost genetic information as p arms contain very little information so phenotype unaffected

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16
Q

how can robertsonian translocation cause downs syndrome

A

3 copies of chromosome 21 in one of the gametes as two q arms fuse plus a copy from a normal chromosome

17
Q

what is cytogenetic testing

A
analysis = karyotyping
flourescent in situ hybridisation
microarray hybridisation
DNA sequencing
and others
18
Q

why do we perform cytogenetic testing

A
  • diagnosis and prognosis of clinical problems - syndrome, account for pregnancy loss
  • better clinical management - hormone treatment
  • access future reproductive risks - downs
  • prenatal diagnosis
19
Q

why would someone want cytogenetic testing

A
prenatal diagnosis
birth defects
abnormal sexual development
infertility
recurrent fetal loss
leukemia
solid tumors
prognostic information
20
Q

what does chromsomal inversion cause

A

Inversion does not cause the loss of genetic information. It simply rearranges the gene order or the gene sequence. There are two types of inversions namely paracentric and pericentric inversions. A paracentric inversion occurs in one arm of the chromosome without involving the centromere. Both arms of the chromosome break including the centromere during the pericentric inversion.

21
Q

Non invase prenatal testing tests for

A

downs
fetal sex
single gene disroders

22
Q

what does wild type allele mean

A

normal

23
Q

how are mRNA missense detected

A

NMD

24
Q

what would happen if premature stop codon in mRNA

A

protein degraded rather than shorter