Week 11 Flashcards
How many conceptions are lost in the first 5 months?
23%
How many children are born with malformations?
Over 5%
Out of 20 eggs in US and Western countries how many come to term?
Only 6.2 are expected to come to full term
What is the name of exgenous agents responsible for birth defects?
Teratogens
What are examples of teratogens?
Drugs, chemicals, ionising radiation, high temperature, infectious micro-organsisms and metabolic conditions in the mother
When are embryos most susceptible to teratogens?
During the embryonic period between 3 and 8 weeks, when most organs form
What happens during the fetal period?
Growth and remodelling takes place
When is the CNS susceptible?
CNS is constantly forming and remains susceptible throughout the development
Whats the difference between cogential defects and birth defects and embryo loss?
Congenital defects- present at birth
Birth defects and embryo less- have intrinsic and extrinsic causes
When is the heart sensitive to environmental teratogens?
3-6 weeks major congenital anomalies
7-8 weeks functional defects and minor anomalies
When are Ears sensitive to environmental teratogens?
4-9 weeks major congenital anomalies
9-16 weeks functional defects and minor anomalies
What are the symptoms of fetal alcohol syndrome (FAS)?
Characterised by small head size, narrow upper lip and low nose bridge
Brain can be dramatically smaller (defects in neuronal and glial cell migration, abnormal cell death)
How frequent is FAS?
FAS is the 3rd most prominent cause of neurological problems and affects 1 of 500-750 births in USA
How does FAD (fetal alcohol disease) impact mice?
Failure of the anterior neural tube to close results in anencephaly (baby is born without parts of the brain and skull)
Abnormal nose or upper lip (also seen in human)
3-D recontruction of MRI of mouse brain shows brain impacts olfactory bulbs and cerebral hemispheres
Cell adhesion mediated by L1 is inhibited by alcohol
How does FAD impact brain development?
Nile blue stains show that embryos exposed to alcohol show more cell death compared to control
How can drugs affect cell metabolism or cell proliferation impacts embryos?
This can cause limb defects in experimental animals, if administered during period of limb growth (4-12 weeks in humans)
What was the case study for Thalidomide?
It is a painkiller for pregnant women in the 60s resulted in 5000 live births of affected children. It impacts limb development eg Phocomelia
What impacts the defect through drug exposure?
Amount ingested, susceptibility of individuals and the period of development during and which drug was present
What are the 3 types of congenital limb defects?
Reduction defects - part of entire limb missing
Duplication defects- Polydactyly
Dysplasia- Malformation eg fused digits, excessive growth of limbs or parts of limbs
What can cause defects during development?
Compodents dont form during development, primorida fail to differntiate, duplication, overgrowth or undergrowth (hyper- or hypoplasia) focal defects and general skeletal abnormalilites
What is the known gene that causes each of the defects?
HOXD13 = Syndactyl (fusion of digits)
FGF receptors 1 and 2 = Syndactyl plus malformations of the skul (Apert and Pfeiffer syndrome)
FGF receptor 3 = Dwarfism and parts of limb lost
TBX5 = Holt-Oram syndrome, heart defects, meromelia and finger thumb
What are the symptoms of Apert syndrome?
Tower skull and syndactylyl
What causes Apert Syndrome?
A gain of function mutation in the receptor which is hypersensitive and can respond to additional ligands. This results in premature differentiation, fusion of sutures in the skull and death of carilage om the growth plates of long bones
What is SRY?
Putative transcription factor expressed in male genital ridge
What is the outcome with SRY transgenics?
Creates XY females and XX males
What is the method for ‘conventional’ transgenic mice by pronuclear injection?
Injection of DNA into the male pronucleus of mouse egg, transfer into foster mouse
Random insertion of DNA results in a ‘transgenic’ embryo, usually expressing multiple copies
Detected by Southern blot or PCR in tail biopsy
Copy number and integration site leads to variable phenotypes and mutiple lines have to be analysed
This approach can also be used to inject sgRNA with CRISPR/Cas9
What happens with neural tube defects?
Failure of part of the neural tube to close disrupts differentiation of CNS; the indunction vertebral arches and causes a number of developmental anomalies (mild to fatal)
What can prevent neural tube defects?
Folic acid (Vitamin B12)
What are the potential neural tube defects?
Open cranial or caudal neuropore
Open vertebral canal = spina bifida
What are the 4 main methods for identiying genetic causes of birth defects?
Positional gene cloning
Mutagenesis screens in animal models (cloning of human homologues)
GWAS- genome wide association studies
Exome sequencing (examine ‘Trio’ of paresnts and affected child)
What is positional gene cloning?
Linkage (pedigree) analysis highlights a region of the genome where a mutant gene may riside
This region differs between people who have the condition and people who dont
What is the PAX6 cas study?
PAX6 transcripts are expressed in the retina and presumptive iris during fetal development
Pax6 knockout mice have a small eye phenotype
One copy of the Pax6 gene is either lacking or mutated in patients with Aniridia
In Drosophila LOF mutation of the homologous gene, eyeless, results in lack of eyes
Targeted overexpression leads od ectopic eye formation
What is a candidate gene?
Gene that is believed to be related to a particular trait, such as a disease or a physical attribute. Often a similarity between phenotype of knock out mice with a human syndrome
What is Waardenburg syndrome type 2?
Autosomal dominant loctaed on the short arm of chromosome 3
Symptoms: Deafness, multicoloured irises and white forelock
What conditon in mice is similar to Waardenburg syndome?
Microphthalmia “small eye”
Mutations in Mitf cause deafness, white patch of fur and eye abnormalities
What did the similarities between Waardenburg syndrome and Microphtalmis mean for candidate genes?
Human MITF became a candidate gene for Waardenburg it mapped to the correct region on chromosome 3 and patients has a mutation in the MITF gene
What are haploinsufficiency?
The phenotype occurs when only one allele is functional
What is pleiotrophic?
Pleiotrophic genes impact a number of tissues/organs
What are the symptoms of Piebaldism?
Sterility, anemia, pigmentation changes in skin and hair, defective development of gut neurons and the ear
What causes Piebaldism?
Mutation from the KIT gene, which is essential for the proliferation and migration of neural crest cells, germ cell and blood cell precursors
What is genetic heterogeneity?
Different mutations can lead to the same phenotype
How does genetic heterogeneity occur?
If the genes act in the same pathway a mutation in any of them can give a similar result - either the same or overlapping phenotype
What is an example of genetic heterogeneity?
Waardenburg syndorme (MITF) vs Piebaldism (KIT)
Sonic hedgehog (SHH) vs Holoposcencephaly
What is SHH mutation?
A knock out of SHH gene have cyclopia
How does the SHH gene work?
Activation of the pathways is caused by the Hh-ligand binding to patched-receptor relieves the inhibition of smoothened (smo) and blocking the cleavage of Ci/Gli
Full length Ci/Gli is a transcriptional activator, proteolytically cleaved Ci/Gli is a repressor
What are the symptoms of the SHH gen mutation?
Deletions in the human homologue of Shh result in mid-facial defects = holoprosencephaly (recessive)
Also seen in fetal alcohol syndrome - variable phenotype, mild to severe eg abscence of nose and cyclopia
This phenotype is mimicked by Shh null mice (knock out) or by inhibitors of cholesterol
What is the consequence of inhibiting cholesterol biosynthesis?
Holoproscencephaly
What happened to lambs or calfs when exposed to plant alkaloids (teratogen)?
Exposure can cause the development of cyclopia
What Smith-Lemli Opitz syndrome?
Mutant enzyme in cholesterol pathway
How frequent is Smith-Lemli Opitz syndrome?
1/9000 biths caused by autosomal recessive
How are loxP sites generated?
An allele is flanked by loxP sits are generated by homologous recombination- so called “floxed”
loP sequences are recognised by the cre-recombinase
If sites are in tandem the flanked DNA is excised
What happens to the allele flanked loxP sites?
Floxed mice are crossed with a mouse that expresses the cre-recombinase in a tissue specific manner
The recombinase will bind to the loxP sequences and excise DNA leading to KO
What is CreERT2?
A modified version of the cre-recombinase which needs to be introduced by tamoxifen (an estrogen analogue)
What is the advantage of CreERT2?
This provides an additional level of control: the time of deletion can be controlled through administration of the drug
What is ALS/Motorneuron disease?
Progressive muscle atrophy due to neuron degeneration and lack of innervation
How can you combat detrimental effects of ALS?
Muscle upregulations a microRNA (miR-206) to combat detrimental effects
What is the role of miR-206?
miR-206 downregulates HDAC4, which leads to production of a growth factor that stimulates nerve regrowth
What is miragen?
The possibility of using microRNA mimics as therapeutics
For some diseases it may be be possible to use microRNAs as therapeutics by using antisense inhibitors