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14 Cards in this Set

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Presence of two different cell lines in the body that came from 1 zygoye
-due to mitotic non-disjunction, NOT inherited
Mosaicism
Are all cells derived from the mosaic cell, mosaic too?
Yes, all cells derived from that abnormal cell willbe mutated as well.
Is mosaicism occur before the zygote forms or after?
After the zygote formed therefore it is not inherited
Are individuals who are mosaic at risk of passing on the mutation to offspring?
Yes, if the germline cells carry the mutation.

The offspring WILL NOT be mosaic, they will carry the mutation in all their cells
Example of mosaicism?
Segmental Neurofibromatosis
Mosaicism present in germ cells.

Due to a mutation that occurs after fertilization in Mitosis NOT meiosis.

Portion of the germ cells have a mutation that parent does not express
Germ line mosaicism
-Mutation after fertilization, non-disjunction
Somatic mosaicism
-One cell line is preferentially inactivated
Skewed X-inactivation
X-linked recessive: Female carriers may express phenotype
If a higher percentage of normal X chromosomes were inactivated, majority of cells will express the mutation.
X-linked dominant: Females with mutations may have milder expression than males
Females who carry mutation may not exhibit expected phenotype
Example of females with mutations that have mild expressions than males
Rett syndrome: female w/ no or mild clinical expression.

May have child who is severely affected
What is a clinical example of conditon involving multiple factors affecting inheritance patterns?
Hereditary Hemochromatosis

This is an autosomal recessive condition, which leads to excessive iron storage in the body.

Most commonly inherited condition in the U.S
Multiple manifestations of Hereditary Hemochromatosis
1. Bronze/gray skin
2. Arthritis and joint pain
3. Heart arrhythmias or failure
4. Diabetes mellitus
5. Liver cirrhosis or cancer
6. Impotence, early menopause, or menstrual irregularity
Hereditary Hemochromatosis demonstrates?
1. Reduced penetrance: Not everyone with 2 mutations will develop hemochromatosis
2. Variable expressivity: individuals with HH may present very differently
3. Pleiotropy: multiple organ systems affected
4. Locus heterogeneity: usually due to HFE gene mutations, but 3 other genes are known
5. Allelic heterogeneity: 3 common mutations: C282Y most severe
6. Delayed age of onset: typically does not develop until adulthood
7. Phenocopies: hemochromatosis may develop due to acquired conditions such as alcoholic liver disease or hepatitis
8. Sex-influenced: more common in males than females b/c of the protective effect of menstruation by reducing iron content