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18 Cards in this Set

  • Front
  • Back
standard evaluation
-blood needs to be put into culture
-then you harvest - get blood from bottom of a flask and put it on the microscope
-fixation
-analyze 20 metaphase spreads
-form a karyotype
routine banding and special banding
-G-banding (giemsa-trypsin-giemasa)
take trypsin, denature the DNA then take giemsa to stain the background
-dark bands- genes less active
-c-banding: -denature all DNA except the centromere and use barium hydroxide
-silver staining (NOR)
chromosome classification
-size, position of centromere, and banding pattern
-metacentric, submetacentric, acrocentric (no short arm-p, all genetic material is on long arm-q)
-1 band can represent b/t 50-100 genes
nomenclature
-chromosome modal number
-sex chromosomes
-numerical or structural abnormalities, list in numerical order
ex. 45,X,t(2;4)(p11;q13),t(7;21)(p13;q12)
down syndrome
-trisomy 21 (extra chromosome 21)
-most common form of mental retardation
patau syndrome
-trisomy 13
-cleft lip and palate
-polydactyly of hands and feet
-congenital heart defects
-mental retardation
turner syndrome
-45X
-short stature
-short webbed neck
-low set ears
-wide carrying angle
-normal intelligence
-sterile
Klinefelter Syndrome
-47XXY
-gynecomastia
-sterile
-taller
-testicular atrophy
deletion syndromes
- These syndromes are all missing portions of specific chromosomes, which result in the characteristic phenotype of each syndrome
Prader-Willi Syndrome (PWS)
-Results from a deletion of chromosome 15q11-q13 on the paternal chromosome
-Hypotonia, hypogonadism, hyperphagia, hypomentia
-almond eyes, small hands and feet, short
-caused by del (15) (q11-q13)
FISH
-enables genetic analysis of many sample types
-rapid, straightforward result interpretation
-take pt DNA and take probe of the region in question
-denature DNA
-let them reaneal
-if gene is present it will light up
-used to ID chromosomes, aneuploidy detection, centrome analysis, unique sequences, gene amplification, interphase analysis, cancer cytogenetics, transolocation ID etc.
Direct amniocentesis
-direct interphase analysis results are preliminary
-Structural abnormalities, mosaicism, and numerical abnormalities of other chromosomes (i.e., other than 13,18,21,X and Y) cannot be detected by prenatal direct FISH analysis
-LIMITATIONS: screening for only 5 chromosomes (X,Y,13,18,21); will not detect aneuploidy or structural rearrangements involving all other chromosomes
Subtelomere analysis
-subteleomere deletions are seen in 5-10% of pts with nonspecific mental retardation, developmental delay and autism
-however, 1% pf pop may be carriers of variant subtelomeres!
-parental F/u studies are necessary
Comparative genomic hybridization (CGH)
-take sample DNA and take control
-label 1 red, 1 green
-hybridize it onto a metaphase spread
-use computer analysis to determine amts of DNA (amplification-to rt of grid and deletions)
limitations of CGH
-resolution limited to regions of the genome greater than 10-20 Mb
-balanced rearrangements- NOT detected
-so always need to do chromosomes
chromosome microarray analysis
-tells you about all the chomosomes
-looking at amts of DNA
-put sample onto a platform that has sequences mapped throughout the genome
-anything yellow--> equal amts of DNA
-Green --> amplified; Red--> deleted
-limitations: gain or loss of genomic material; will not detect: balanced translocations, inversions, low level mosaicism, point mutation
clone
-a cell population derived form a single progenitor
-at least 2 cells that have the same structural aberration
-at least 3 cells that have the same numerical aberration
-the # of cells that consititute the clone is given in brackets after the karyotype
ex. 46,XX, t(8;21)(q22; q22) [23]
Spectral Karyotyping (SKY)
-labeling each homologue a different color and looking at the rearrangement of chromosomes
-used for cancer cytogenetics
-computer lays out the colors and it helps you karyotype
-good way to determine chromosome abnormalities in cancer