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48 Cards in this Set

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Wardenburg syndrome type 4
Nonsense mutation (w/NMD functiional)
n/a
Hirschsprung disease
Nonsense mutatition (w/NMD functional)
n/a
Duchenne MD
frameshift mutation w/premature stop codon (most)
absence of dystrophin
Cystic fibrosis
Nonsense mutation
n/a
Hemophilia A/B
Nonsense mutation
n/a
Methyl malonic acidemia
Nonsense mutation
n/a
Spinal muscular atrophy
Splicing mutation--exon 7 skipped in SMN1 gene
n/a
Becker MD
in frame insertion
dystrophin present/loss of function--less common than Duchenne's by 10x
Tay Sachs
frameshift mutation (deletion) of hexosaminidase A gene
1/30 Ashkanazi Jews, normal infants, accumlation of gangliosides in neurons leading to death by age 2 or 3
Huntington's
dynamic mutation disorder (coding region)
gain of function, aggregation of abnormal proteins, CAG expansion leads to a polyQ (glutamine) tract that may induce apoptosis; leads to dilation of lateral ventricles and atrophy of basal ganglia; choreoform movement
Friedrich's ataxia
dynamic mutation disorder (non-coding region)
n/a
Myotonic distrophy
dynamic mutation disorder (non-coding region)
CTG expansion causes mRNA transcript of DMPK gene to sequester splicing factors affecting unrelated genes
Fragile X
dynamic mutation disorder (non-coding region)
CGG expansion (>230) at 5' end of FMRP; leads to hypermethylation (!) and loss of gene function; MR; autistic features, long face, Xq27.3 (folate sensistive fragile site); FMRP protein product expressed in brain and testes; associated with polyribosomes; premutation carriers have subtle effects; expands from mother w >90 repeats
Cystic fibrosis
recessive X-some 7; allelic heterogeneity
n/a
Prader-Willi
del(15)(q11q13)pat involving SNURF-SNRPN or UPD15mat
genetic obesity, hyperphagia, short stature, cognitive dysfunction, almond eyes, behavioral abnormalities
Angelman syndrome
del(15)(q11q13)mat or UPD15pat
MR, absent speech, ataxic gait, "happy puppets", protuding tongue, think uper lip, can also involve a UBE3A mutation
Beckwith Wiedeman Syndrome
imprinting disorder on 11p15.5; IGF2 is maternally imprinted, H19 is paternally imprinted
omphalocele; diastisis recti; macroglossia and nevus flammeus; overexpression of paternal IGF2 and silencing of maternal H19 are both causative; silencing of CDKN1C mat is also an issue
Neonatal diabetes
paternal 6 imprinting disorder
n/a
Russell-Silver
maternal 7 imprinting disorder
n/a
Dwarfism
paternal 14 imprinting disorder
n/a
Rett syndrome
Xq28 disorder (MECP2)
methyl CpG binding protein 2 disorder, involved in transcriptional silencing and epigenetic regulation of methylated DNA; never seen in boys (probably fatal); girls develop normally for 6 to 18 months and start to regress; characteristic handwringing, head growth slows, loss of eye contact, severe mental impairment
Osteogenesis imperfecta
gain of function; dominant negative
n/a
Skeletal dysplasias
different mutations in FGFR3 exhibiting pleiotropy
thanotropic dysplasia > achondroplasia > hypochondroplasia
tuberous sclerosis
locus heterogeneity illustrant
autosomal dominant caused by TSC1 or TSC2
retiniitis pigmentosa
locus heterogeneity illustrant--over 100 genes
n/a
fatal familial insomnia
due to D178N mutation in prion protein (PRNP) coupled in Cis with Met129 variant
n/a
Creutzfeldt-Jakob disease
D178N missense mutation in the prion protein (PRNP) coupled in cis with the
Val129 variant
n/a
PKU
homozygous or heterozygous for PAH gene
disease is not manifested if phenylalanine is eliminated from diet
Von Willebrand factor (vWF) deficiency
mutation in the VWF gene on 12p
disease of blood coagulation caused by mutation in the VWF gene on 12p; dominant--missense; recessive--nonsense, deletions, frameshift
Marfan syndrome
variable expressive disease of fibrillin gene (FBN1) on 15q
scoliosis, tall-thin, long fingers wrap around wrist
Lissencephally
n/a
defective migration of neurons in cortical development
Synpolydactyly
HOX-D13 mutation
deformed hands due to a mutation in a pattern formation gene
Hand-foot-genital syndrome
HOX-A13 mutation
deformed hands due to a mutation in a pattern formation gene
Wardenburg syndrome type 1
PAX3 mutation
tuft of white hair, iris heterochromia
Aniridia
PAX6 mutation
poorly developed iris
Holoprosencephaly
Shh loss of function; 7q36, also NOTCH
ventral neural tube and midline differentiation disorder due to a segmentation gene
Basal cell nevus syndrome
germline PTC mutation
Shh receptor gene mutation
Basal cell carcinoma
somatic PTC mutation
Shh receptor gene mutation
Situs inversus
ZIC13
zinc finger gene mutation leads to reversal of organ system
campomelic dysplasia
SOX9 loss of function
SOX has homology with SRY; sex reversal (female XY); bent limbs, underdeveloped thorax
Craniosyntosis syndromes
FGF2 mutations
malformed faces
female pseudohermaphroditism
CYP21 mutation at 6p21
21-hydroxylase deficiency shunts hormone production to testosterone
Robbin sequence
n/a
posterior displacement of tongue, impairment of closure of posterior palatal shelves
Potter syndrome
n/a
a sequence that results from oligohydramnios
Mermaid syndrome
n/a
a sequence of deformations that result from diversion of nutrients from caudal structures due to vascular alterations
DiGeorge/Velocardial facial syndrome
22q11.2 microdeletion
palatal/pharyngeal insufficiency; learning problems; dysmorphic face; parathyroid hypoplasia; thymus hypoplasia; cardiac defects; renal and urinary tract defects
VATER/VACTERL
n/a
associations
Smith-Lemli-Opitz Syndrome
DHCR7 gene on 11q
7-DHC reductase deficiency