Translocations Flashcards

1
Q

Translocations can allow for up to ___% of the genome to be trisomic (depending on the region)

A

4%

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2
Q

Translocations can allow for up to ___% of the genome to be monosomic (depending on the region)

A

2%

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3
Q

In translocations it is always recommended to study the ________ chromosomes

A

parental

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4
Q

Frequency of Robertsonian translocations

A

1 in 800/1000 (part of the balanced 1in 500 risk)

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5
Q

Acrocentric p arms account for _____ % of the genome

A

2.2%

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6
Q

Acrocentric chromosome distal satellite p13 arms contain up to 300 copies of _______ genes responsible for organizing the nucleolus

A

rRNA

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7
Q

Acrocentric chromosome distal satellite p12 region is known as the _________ ______ and comes before the p13 rRNA region

A

satellite stalk

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8
Q

5 acrocentric chromosomes

A

13, 14, 15, 21 and 22

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9
Q

_______ satellite family at centromeres of 1, 9, 13, 14, 15, 21, 22 and Y

A

beta

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10
Q

A ________ translocation (1916) involves two acrocentric chromosomes at the centromere where the derivative p arms are largely lost and two copies of q arms are observed

A

Robersonian

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11
Q

_____ - _____ % of trisomy 21 are Robertsonian translocations

A

4-5%

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12
Q

Derivative 21 mostly involve D chromosomes ____, _____ and _____ as the G chromosomes ______ and _____ are not viable

A

D = 13, 14, 15
G = 21 and 22

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13
Q

Most (75%) Robertsonian translocations involving 13, 14 and 15 are _____ ______ but up to 25% can be _______

A

de novo -75%
familial - 25%

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14
Q

Segregation of Robertsonian translocations occurs in meiosis ______ and involves the trivalent formation

A

metaphase I

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15
Q

Adjacent or alternate segregation patterns result in normal and balanced translocations?

A

Alternate

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16
Q

Almost all DS inherited from a familial der(14;21) is _______ (paternal/maternal) in
origin from error in meiosis ________

A

maternal, meiosis I

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17
Q

der(14;21) carriers
Risk of fetus with translocation trisomy 21,
− maternal carrier _____% at amniocentesis, about _______% at term

A

15%
10-12%

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18
Q

der(14;21) carriers
Risk of fetus with translocation trisomy 21,
− Paternal carrier, <____%

A

<1%

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19
Q

der(14;21) carriers
Risk of UPD14?

A

<1/2% for both maternal and paternal

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20
Q

True or false? The rare der(21;21) carrier or isochromosome 21q has essentially no chance of a chromosomally normal conception.

A

True

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21
Q

The rare der(21;21) carrier or isochromosome 21q is mechanistically the result of an error in meiosis _________?

22
Q

Trisomy 13 incidence in live births?

A

1 in 16,000

23
Q

Trisomy 13 life expectancy?

23
Q

Trisomy 13 phenotype?

A

heart defects
urinary malformations
* Dysmorphia:
- Polydactyly; clenched fist
- Small head and eyes
- Cleft lip/palate
- Rocker-bottom feet
– Holoprosencephally

24
Most common (1 in 1300) chromosome structural rearrangement?
der (13;14) rob (13;14)
25
Incidence of rob/der (13;14)
1 in 1300
26
Der (13;14) is _______% of all Robertsonian translocations
75%
27
Maternal vs paternal risk of der (13;14) having offspring with unbalanced karyotypes?
Maternal: 1% Paternal: <1%
28
There is an ___________risk of Robertsonian translocations in infertile men
increased
29
Risk of UPD in der (13;14) translocations?
<1/2%
30
der (14;15) prevalence? der (13;15) prevalence? der(15;15) prevalence?
der (14;15) = 5% der (13;15) = 2% der(15;15) = 2%
31
Whenever chromosome ______ is involved in a Robertsonian translocation, parental chromosomes are recommended?
15
32
Mechanism of der(15;15)?
Fusion in zygote at mitosis
33
der (13;15) UPD with trisomy rescue mechanism?
Trisomy 15 with adjacent segregation followed by rescue by postzygotic loss of 15 (usually 15 UPD maternal)
34
der (13;15) with residual trisomy?
Mosaic mitotic loss of trisomy 15 but usually with severe PWS phenotype
35
Loss of paternal 15q11.2-q13?
Prader Willi Syndrome (20-30% UPDmat)
36
Loss of maternal 15q11.2-q13?
Angelman syndrome (7% UPDpat)
37
The most common recurrent non-Robertsonian translocation in humans ?
t(11;22)(q23;q11.2)
38
The majority of t(11;22) are _________ (99%)
familial
39
Risk in t(11;22) for SAB (maternal = paternal)
>27%
40
Risk in t(11;22) for liveborn with derivative: ____% mat, ___% pat
5%, maternal, 2-5% paternal
41
Risk in t(11;22) for offspring to be balanced carrier maternal and paternal
maternal 55% paternal 40%
42
t(11;22) involves a _______ at 22q11.2 and an ______-rich region on 11q23
LCR on 22q11.2 AT-rich on 11q23
43
PATRR = Palindromic AT-rich repeats form ______ _______
hairpin loops
44
Deletions, duplications and translocations at 22q11 occur in greater than _______ live births
1/3000 – 4000
44
The 22q11 region is a hotspot for _________ chromosomal rearrangements
nonrandom
45
The 22q11 deletion syndrome includes
– DiGeorge, – Velocardiofacial – Conotruncal anomaly face syndromes
46
22q duplications include
Cat Eye syndrome * Supernumerary derivative chromosome 22 Emanuel syndrome * duplication of 22q10-22q11 and duplication of 11q23-qter on a supernumerary derivative chromosome 22
47
Supernumerary +der(22)t(11;22)
Emanuel syndrome
48
Supernumerary +der(22)t(11;22) phenotypes
conotruncal heart defects (cardiac outflow tract anomalies) microcephaly cleft palate micrognathia skin tags or pits genital abnormalities in males intellectual disability * Features of both 11q trisomy (e.g. microcephaly) and trisomy 22 (e.g. imperforate anus