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29 Cards in this Set

  • Front
  • Back
Concordance and Discorcordance
When two individuals in a family have the same disease they are called concordant for the disorder
If they do not have the same condition (IDDM, MI) they are said to be discordant
How are multifactorial traits studied? (4)
Empiric risk determination
Heritability
Adoptive/Twin studies
Association studies
Birth Defects with MF inheritance (5) and which one is most common? What is the % recurrence risk associated?
Cleft lip/cleft palate

Neural tube defects – open spina bifida and anencephaly (1/1000)

Pyloric stenosis

Congenital heart malformation - most common birth defect with MF inheritance

3-5% recurrence risk if a couple has had a child with congenital malformation with MF inheritance


Club foot
Balanced chromosome rearrangement means what in terms of phenotypic effect?
no phenotypic effect.
Polyploidy
results of two sperm fertilize one egg or haploid sperm fertilizes diploid egg.

Polyploidy is the condition of some biological cells and organisms manifested by the presence of more than two homologous sets of chromosomes. Polyploid types are termed according to the number of chromosome sets in the nucleus: triploid (three sets; 3x), tetraploid (four sets; 4x), pentaploid (five sets; 5x), hexaploid (six sets; 6x) and so on.
Phenotype of Down's Syndrome
Trisomy 21
Characteristics: epicanthal folds, brachycephaly, flat nasal bridge, low-set ears, short, broad hands with transverse palmar crease, mental retardation, early-Alzheimer’s, congenital heart septal defects.
Klinefelter Syndrome
47, XXY

Looks like a eunuchoid body with a lack of male secondary sex characteristics, hypogonadism, testicular atrophy. 1 in 2,000.
Turner’s Syndrome
45,X0 AKA Monosomy X

Short stature, webbed neck, shield chest. Primary amenorrhea, infertility, narrowed aorta, 1 in 6,000 female births.
XYY syndrome
Excessively tall with severe acne. 1 in 1,000 males. Increased risk of behavioral problems.
Edward's Syndrome
Trisomy 18

Growth retardation in uterus, mental retardation short sternum, small pelvis, rocker-bottom feet, cardiac, renal and intestinal deficits.
Patau’s syndrome
Trisomy 13

Choroid plexus cysts. Cleft lip, palate, cardiac dextroposition and septal deficits. Overlapping fingers. 1/2500 births.
Cri du Chat babies - phenotype and what type of mutation
deletion

dysmorphic facial features
FISh detects what type of mutations
translocations, which may be balanced (no phenotypic effect b/c no loss of genetic material) or unbalanced
in philadelphia chrom, gene movement causes...
overexpression (9:22)
robertsonian translocation, what happens
q arm is lost so p arms stick together
which 3 monosomy's are lethal?
13, 14, 21
why is translocation important historically?
they helped change monkey chr's to human ones during evolution
what is an Oncogene
Mutant allele of a proto-oncogene, a class of normal cellular protein-coding genes that promote growth and survival of cells
Gatekeeper TSGs - what do they do?
Control Cell Growth

Gatekeeper genes:
-block tumor development by regulating the progression of cells through the checkpoints (“gates”) in the cell cycle
-Or by promoting programmed cell death and thereby controlling cell division and cell survival
-they also look for and repair mutations

Gatekeeper TSGs encode:
Regulators of various cell-cycle checkpoints
Mediators of programmed cell death
Caretaker TSGs - what do they do?
Protect the integrity of the genome:
Loss of function of caretaker TSGs permits mutations to accumulate in oncogenes and gatekeeper genes, which in cancer, go on to initiate and promote cancer

Caretaker TSGs encode proteins:
responsible for detecting & repairing mutations
Involved in normal chromosomal disjunction
Of components of programmed cell death
Cancer Etiology (2)
Hereditary cancer syndromes
Initial cancer-causing mutation is inherited through the germline
Is already present in every cell of the body

Sporadic
Most cancers, however, are sporadic
Mutations occur in a single somatic cell (SOMATIC MUTATION), which then divides and proceeds to develop into cancer
Tumor Initiation
Different types of genetic alterations are responsible for initiating cancer, such as:
-Activating or gain-of-function mutations, including gene amplification, point mutations, and promoter mutations that turn one allele of a proto-oncogene into an oncogene
-Chromosome translocations that cause mis-expression of genes or create chimeric genes encoding novel proteins
RET in Hirschprung’s disease is a what type of mutation
loss-of-function mutation
RET in MEN2A and MEN2B are what types of mutation
specific point mutations
Inherited defects that alter function of repair enzymes lead to dramatic increase in frequency of mutations (4)
Xeroderma pigmentosum
Ataxia-telangiectasia (AT)
Fanconi anemia
Bloom syndrome

associated with caretaker tsg's dysfunction
Factors which affect alleles in populations (3)
Founder Effect
Genetic drift
Selection
Founder effect
Nonrandom distribution of alleles among the individuals who founded particular subpopulations
Islands
Small towns in isolated areas
Groups such as Ashkenazic Jews, French Canadians, Amish, Mennonites
Genetic Drift
Fluctuations in the frequency of alleles resulting from chance occurrences operating in small populations
Selection
Selection of favorable mutations in response to environmental conditions