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81 Cards in this Set

  • Front
  • Back
any disease caused by a mutation in a gene
single gene disorder
any disease caused by excess or deficiency of whole chromosomes or chromosome segments
Chromosome disorders
any disease caused by interaction of genetic and environmental factors
multifactorial diseases
how many single gene disorders manifest after puberty?
less than 10%
the hereditary unit
gene
location of a gene on a particular segment of DNA is its:
locus
these are alternate forms of a gene
alleles
the first person you see manifesting the disease
proband
huntington disease has this inheritance
single gene, autosomal dominant
cystic fibrosis and sickle cell have this inheritance
single gene, autosomal recessive
hemophilia A, duchene muscular dystrophy have this inheritance
single gene, x linked recessive
most autosomal recessive diseases are due to:
loss of function mutations
most common, severe, autosomal recessive disease among caucasians
cystic fibrosis
clinical symptoms: respiratory, GI, elevated sweat electrolytes. thick mucous in lungs that blocks alveoli and pancreatic duct
cystic fibrosis frequency of affected per live birth

frequency of carriers
1/2500

1/25 carrier in caucasians
cystic fibrosis gene
CFTR, 250kb, 27 exons, 1480 amino acids
describe sodium and chloride channels in CF
some Cl channel nonfunctional so more Na taken in to balance charge
number of mutations listed for CFTR
1400, most being missense
most common mutation for CF
deltaF508
how many % of mendelian disorders are autosomal dominant?
50%
do patients with autosomal dominant mutations have new spontaneous mutations?
yes, many patients with autosomal dominant diseases have new spontaneous mutations
most common form of huntington disease
adult onset in thirties to forties
hereditary neurological disorder of CNS, causes progressive degeneration, caused by single gene defect on chromosome 4
huntington disease
disease with physical manifestation of jerky, involuntary movements, balance/coordination problems, hesitant speech, dementia, swallowing problems
huntingon
nancy wexler worked with this disease in venezuela
huntington disease
trinucleotide repeat at end of huntingtin gene
CAG CAG CAG CAG (for glutamine) (polyglutamine expansion)

more repeats means earlier symptoms
huntingtin gene. ok go:
chromosome 4p16.3, cag normally 6-35 times; mutation is 36-121 times
risk of HD and number of CAG repeats
less than 26: normal range, no HD
27-35 next generation at risk
36-39 some may get HD, next generation at risk
more than 40: will develop HD
how many cases of achondroplasia are due to new mutations
80%
achondroplasia. go!
autosomal dominant

incompletely dominant disorder of short limbed dwarfism and large heads

normal intelligence, lead normal lives

caused by mutations in FGFR3 gene
1138G->A 98%
1138G->C 2%
occurs when all or part of a parents' germline is affected by a disease mutation but somatic cells are not
germline mosaicism

in embryonic development of one parent, a mutation occurred that affected all or part of the germline but few or none of the somatic cells. parents do not express the disease but have the mutation
probability that a gene will have any phenotypic expression at all. all or nothing
penetrance
seen in individuals who have the genotype for a disease but may not show the disease phenotype at all
reduced penetrance
is polydactyly a case of reduced penetrance or variable expressivity?
reduced penetrance
severity of expression of the phenotype of individials with the same genotype
expressivity
reasons for variable expressivity:
environment
modified genes
allelic heterogeneity (different mutations in same gene cause different phenotypes)
neurofibromatosis shows:
variable expressivity, with 100% penetrance
disease characterized by:
growth of fleshy tumors in skin
cafe au lait spots - brown spots
tumors on iris - lisch nodules
mental retardation
neurofibromatosis
marfan has this inheritance
autosomal dominant, variable expressivity
symptoms of this disease include skeletal, optical and cardiovascular abnormalities
marfan syndrome
genes that exert effects on multiple aspects of physiology or anatomy are:
pleiotropy
when different genotypes cause the same phenotype
locus heterogeneity
retinitis pigmentosa can be caused by at least 43 different loci, meaning it has
locus heterogeneity
an autosomal recessive lysosomal storage disease caused by deficiency of hexosaminidase A
tay-sachs
has adult onset and severe infantile form
infantile and adult tay sachs are:
locus heterogeneity
allelic heterogeneity
genetic heterogeneity
allelic heterogeneity
mutations in different genes causing same/similar phenotypes
locus heterogeneity
different mutations at the same locus causing different phenotypes
allelic heterogeneity
dosage compensation aka
x inactivation
hypothesis concerning x inactivation
lyon hypothesis
evidence for lyon (x inactivation)
enzyme studies (no more x enzymes in females than males)
barr bodies
lyon hypothesis
when does barr body replicate
later in cycle than other chromosomes
how many barr bodies exist in a cell
one less than the number of x chromosomes present in the cell;
from cells in normal females
in carrier females, symptoms of Fabry depend on:
what % of cells containing normal x chromosome are inactivated
a manifesting heterozygote is a female who shows the phenotype of the disease and is an extreme case of
unfavorable lyonization
in lyonization, is every gene inactivated?
no, some genes on the x chromosome are not inactivated
about 15%
gene for x inactivation
XIST, gene is transcribed only on the inactive chromosome, encodes a functional RNA, required for initiation but not maintenance of inactivation, methylation may be involved in inactivation
Trix - increase trix and both Xs stay on
Oct4 - turns cells back into embryonic stem cells
gene dealing with x inactivation that turns cells back to embryonic stem cells
OCT4
what accounts for 40% of all x linked mental retardation
fragile X
clinical symptoms besides mental retardation include abnormal facial appearance with large ears and long face, hypermobile joints and increased testicular volume
x chromosome shows elongated decondensed region near tip of long arm
transmission of fragile x
x linked dominant with reduced penetrance in females
males in a family can carry and not show symptoms, are called transmitting males
in affected family, each generation's chances increase
explain sherman's paradox
deals with fragile x
daughters are never affected but males are
lead to finding cause of fragile x as an expansion of a CGG repeat in 5' untranslated region of the gene, occurs during meiosis of female, fully mutated males have no mRNA from fragile x gene
what gene contains CGG repeat in fragile X
FMR 1
describe mtDNA
2-10 copies of circular per cell
very little repetitive
no introns
93% coding
three differences between mito and nuclear genetic codes
AGA/AGG = stop in mito and Arg in nuclear
UGA = Trp in mito and stop in nuclear
no recombination
mitochondrial disorders show distinctive patterns of inheritance, due to
replicative segregation
homoplasmy and heteroplasmy
maternal inheritance
mitochondrial diseases:
myopathy
cardiomyopathy
dementia
deafness
blindness
anemia
cause of leber hereditary optic neuropathy
missense mutation in mtDNA
leber hereditary optic neuropathy gene
1178A > G of ND4
strong sexual bias, males more commonly affected
the differential expression of genetic material, depending on whether the genetic material has been inherited from the male or female
parent of origin effects
what level does imprinting occur
transcriptional level, involves methylation
cause of prader willi
deletion of 15Q12 on parental
cause of angelman
deletion of 15q12 on maternal
inheritance of two chromosomes of a given pair from only one parent

same copy?
uniparental disomy

uniparental isodisomy
what is responsible for HIV resistance
homozygous deltaCCR5, a mutation in the CCR5 cytokine receptor
what does the delta stand for before a gene
mutant
mutation frequency =
D/2N where D is affected people in studied population and N is number of people in the population
5 hardy weinberg conditions
random mating
large population
no mutations
no migration
no selection
how does stratification affect HW
stratification means there are subgroups in the population, like religion and race
random fluctuations of gene frequencies in small populations
genetic drift
founder effect is an example of
genetic drift
disease in the amish with disproportionate dwarfism, polydactyly
ellis-van creveld syndrome
slow diffusion of genes across a racial barrier, a process that involves a large population and a gradual change in gene frequencies
gene flow
the mechanism of gene flow is
migration