Week 5- Molecular Disease Flashcards
What are the four effects of mutation on protein function ?
- Loss of function mutation
- Gain of function mutation
- Novel property mutation
- Heterochronic or ectopic gene expression
What are four disorders associated w/ loss of function?
Thalassemias
Turner syndrome
retinoblastoma
PKU
What do novel property mutations result in?
Change aa in protein due to mutation
What is an example of a novel property mutation?
Sickle cell disease
What are heterochronic or ectopic gene expression due to?
Genes expressed at wrong time or in wrong place
When do alpha hemaglobinopathies affect individuals?
as a fetus and adult
When do beta hemoglobinopathies affect individuals?
Post natal life
what are the two types of hemoglobinopathies
Structural variants
Thalassemias
what causes sickle-cell anemia?
Single nucleotide substitution
Changes of codon of 6th aa of Beta-globin
glutamic acid turns into a valine
If you are homozygous for the sickle-cell anemia trait what do you have?
Sickle cell disease
Who carries the sickle cell trait?
Individuals heterozygous for the sickle-cell trait
When Fe in heme group is oxidized, what happens?
Methemoglobin is created- can’t do reversible oxygenation
What does methemoglobin reductase do?
Reduces Fe
What happens in Hb Hyde Park?
Individual is resistant to methemoglobin reductase
Individuals becomes cyanotic
What happens with Hb Kempsey?
Hb locked into high O2 affinity- causes polycythemia because not enough oxygen is getting to the tissues so body produces more RBC
What type anemia do thalassemias lead to?
Hypochromic, microcytic anemia
in alpha thalassemias, what do beta chains form?
Homotetrameric hemoglobin- inefffective O2 carrier
In severe forms of alpha thalassemias- what happens?
Intrauterine hypoxia (baby born in congestive heart failure)
What happens with mild forms of alpha thalassemias?
Anemia
What is the most common form of alpha thalassemias?
Deletion of alpha-globin genes
due to unequal crossing over (SE Asia)
What happens in a ZF deletion in alpha thalassemias?
silences the alpha 2 globin gene (alpha 1 destroyed)
what is ATR-X syndrome?
Thalassemia and mental retardation
What type of disorder is ATR-X syndrome?
X-linked; mutation of ATRX gene
What type anemia is there in beta thalassemias?
hypochromic, microcytic anemia
What is beta thalassemia usually due to?
Single bp substitution
What usually creates alpha thalassemia?
Deletion
What type of thalassemia have a very large number of allele forms?
Beta
What causes thalassemia major?
two thalassemia alleles
What causes thalassemia minor?
1 Beta thalassemia allele
Have slight anemia