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33 Cards in this Set

  • Front
  • Back
Disorders which show and earlier age of onset and increased severity with successive generations are called _____.
Anticipation
What causes unstable mutations?
Genes with an abnormal number of multiple tandem repeats are unstable.
During DNA replication what causes Genes with abnormal number of multiple tandem repeats to have further repeats occur?
Slipped mispairing at the replication fork during DNA synthesis.
Describe the slipped mispairing at replication fork which leads to increased repeats (results in an unstable mutation).
The DNA at the replication fork becomes single-stranded briefly, then aligns out of register within the repeat region as synthesis continues
How does instability (an increase in repeats) affect the phenotype of the disease (two ways)?
Protein sequence alteration
Alteration of mRNA stability, translatability or splicing
Name three diseases caused by unstable mutations.
Huntington Disease
Fragile X syndrome
Myotonic dystrophy
What is the symptoms of myotonic dystrophy?
Delayed skeletal muscle relaxation following volutnary contraction
What is the molecular basis for myotonic sytrophy?
Splicing errors result in a mature mRNA encoding a non-functional protein. Lack of this chloride channel affects ion conductance in skeletal muscle and probably leads to the myotonia.
Define this term: Process which equalizes the relative contribution of the X chromosome in females and males.
Dosage compensation (or X inactivation)
Where is the inactive X genes stored?
In condensed chromatin located in the Barr Body.
How does X-inactivation affec the clinical presentation of X-linked mutations?
May be present as a continum due to random inactivation
What is the clinical presentation of Fragile X syndrome?
Cytologicall an unstained gap on the long arm of the X chromosome.
Behavioral problems
Moderate to sever mental retaration
Delayed moto an speech skills
What is the molecular basis for Fragile X?
A normal allelee contains 6-52 CGG triplets. in Fragile X syndrome when the repeats increase beyond 230 this region becomes hypermehtylated and transcription of this allele is shut off leading to manifestation of the disease.
What are normal transmitting males in reference to Fragile X syndrome?
Males having an intermediate number of repeats (50-230).
Define: Repeats whichare unstable in meiosis in females causing an increase in the number of repeats and potentially leading to Fragile X syndrome?
Premutations
Do normal transmitting males have unstable mutations within the repeat region?
No, therefore the children will not develop Fragile X syndrome.
Name the disease: Characterized by
Sudden jerky, involuntary movements
Sever problems with balance and coordination
Difficulty shifitng your gaze without moving your head
Hesitant, halting or slurred speech
Swallowing problems
Dementia.
Huntington Disease
What is the biochemical basis for Huntington disease?
Cag repeat expansion in huntingtin gene's coding region resulting in a toxic gain of function effect
Autosomal dominant.
Is the mitochondrial genome circular or linear?
Circular
What are the three types of coding products (with numbers) in the mitochondrial genome?
2 ribosomal RNAs
22 tRNAs
13 proteins involved in oxidative phosphorylation
What is the mode of inheritance in mitochondrial DNA.
Mendelian but always inherited from the mother.
Give an example of a maternal mitochondria gene disease.
Leber hereditary Optic neuropathy.
Name the disease:
Characterized by optic nerve degeneration
Missense mutations in any of the three genes encoding respiratory enzymes.
LHON (leber Hereditary Optic Neuropathy)
Define: The presence of more than one type of mitochondrial DNA.
Heteroplasmy
How does heteroplasmy affect the clinical presentation of mitochnodrial disorders>
Different proportions of Wild type and normal mitochondria result in many different phenotypes
describe the three major features of mitochnodrial behavior and function which result in a wide range of clinical phenotypes.
Heteroplasmy
Different tissue requirements for oxidative phhosphorylation
Oxidative phosphorylation in general declines with age so mitochnodrial disease may become more symptomtatic in older patients.
Define: The phenomenon of parent-of origin gene expression.
Genomic imprinting
What is the molecular basis for genomic imprinting?
Some genes are expressed from a maternally inherited chromosome and some are silenced on the paternal chromosome while other genese sho the opposite expression pattern and are only expressed from a paternally inherited chromosome.
What is the biochemical basis for PWS and Angelman syndrome?
A deletion in either the paternal or materanal chromosome results in the genes not being inactivated.
Name this disease:
Hypotonia
Initial failure to thrive
Distinctive facial features
Mild to moderate mental retardation
Hypogonadism
Eating disorder (obesity)
Prader-Willi syndrome
Name this disease:
Characterized by Hypotonia
Seizures
Jerky, uncoordinated Movements
Severe Mental retardation
Unprovoked smiling/laughter
lack of speech
Angelman Syndrome
What does Prader-Willi Syndrome result from? (What deletion where?)
Deletion on Paternal 15
Where does the deletion occur for Angelman syndrome?
Deletion on maternal 15