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36 Cards in this Set

  • Front
  • Back

SMA

autosomal recessive deletion of "survival of motor neuron" gene (SMN1) on chr 5q
presence of one to four copies of SMN2 gene is favorable for motor neuron survival and function

familial ALS genes
SOD1 --> 20%
TARDBP gene --> TDP-43 protein (transactive response DNA-bonding protein 43) --> 5% familial but also sporadic
FUS gene mutations (fused in sarcoma protein) --> 5%
C9orf72 (chromosome 9 open reading frame 72) --> 30%
myelin associated proteins
MPZ (myelin protein zero) --> PNS
myelin-associated glycoprotein --> CNS and PNS
PMP22 (peripheral myelin protein 22) --> PNS
MOG (myelin-olygodendrocyte glycoprotein) --> CNS
OMgp (oligodendrocyte-myelin glycoprotein) --> CNS
CMT genetics
CMT1A --> AD; PMP22 duplication on chr 17; 50-60% of molecular CMT cases;
CMT1X --> X-linked; GJ1B gene, connexin 32 protein; 15-20% of molecular CMT cases
CMT1B --> AD; MPZ duplication on chr 1; 5-15% of molecular CMT cases
CMT2A --> AD; MFN2 gene; 5% molecular CMT cases and 20% CMT2 cases

many other known mutations and genetic defects
HNPP genetics
autosomal dominant
deletion of PMP22 on chr 17 in ~75%
FSHD genetics
autosomal dominant decrease in D4Z4 repeats in chr 4
up to 30% of cases are sporadic
genetics of dystrophinopathies
x-linked recessive
mutation of DMD (dystrophin) gene on Xp21
duchenne --> no dystrophyn at all
becker's --> some dystrophin present, disease is milder and later onset
X-linked myopathies
dystrophinopathies (DMD and BMD)
myotonic dystrophy
Emery-Dreifuss
DM1 genetics
mutation in DMPK gene on chromosome 19 results in CTG trinucleotide repeat

DM2 genetics
mutation in ZNF9 gene (zinc finger protein 9) in chr 3 results in CCTG repeat

mutations associated with familial AD
PSEN1 on chr 14 --> most common; early onset; increased ratio of Abeta 42; may have myoclonus, gait and pseudobulbar
APP on chr 21 --> second most common cause of familial AD; usually increase rate/production of APP
PSEN2 on chr 1 --> rarest familial AD; may also have seizures
ApoE gene location
APOE gene is on chr 17

risk of AD in ApoE E4 carriers
ApoE E4 allele confers odds ratio x4 for carriers and x15 for homozygous of developing late-onset AD

50% lifetime risk of developing AD by age 80 if 1 copy
highly likely AD by age 80 if two copies
tau gene
microtubule-associated protein MAPT on chr 17

TARDBP gene
TAR DNA binding protein gene
encodes TDP-43
associated with FTLD-TDP proteinopathies
on chr 1
mutations associated with FTLD
microtubule-associated protein MAPT on chr 17 --> hyperphosphorilated tau deposition
progranulin gene GRN on chr 17 --> TDP-43 deposition
C9ORF72 gene on chr 9 --> TDP-43 deposition
genetic mutations associated with deposition of TDP-43
TARDBP gene mutations on chr 1
progranulin gene mutations (GRN) on chr 17
C9ORF72 mutations in chr 9
low grade astrocytoma genes
TP53 mutation
Isocitrate dehydrogenase mutation (IDH1) better prognosis
glioblastoma genes
EGFR amplification
PTEN alteration (chromosome 10q loss)
oligodendroglioma mutation
1p and 19q codeletion - better prognosis

medulloblastoma mutation
Isochromosome 17q

schwanoma mutations
Loss of 22q, mutations of the NF2 gene

genetic tumor syndromes
NF1 --> chr 17 --> plexiform neuroma, optic gliomas
NF2 --> chr 22 --> Vestibular and PN shwannoma, meningioma
tuberous sclerosis --> chr TSC1/9q, TSC2/16p --> SEGA
VHL --> chr 3p --> Hemangioblastoma
mTOR
mammalian Target Of Rapamycin protein

Overactivatin of mTOR signaling (caused by mutations of TSC1 and TSC2 and other regulatory proteins) leads to cortical malformations, including tubers, focal cortical dysplasia type IIb, ganglioglioma, and hemimegalencephaly
PARK1 and 4
SNCA gene on chr 4q (PARK1/PARK4 loci)

PARK 1 --> AD and sporadic PD, prominent dementia
PARK 4 --> AD and sporadic PD, overexpression of SNCA, varying phenotype
PARK8
LRRK2 gene on chr 12q --> leucine-rich repeat kinase
most common familial PD
AD with incomplete penetrance
LRRK2 --> dardarin protein --> involved in phosphorylation of alpha-synuclein and tau, among others
PARK2
parkin gene --> chr 6q
E3 ubiquitin ligase --> involved in ubiquination of proteins and vesicular transport
selective nigrostriatal degeneration without Lewy body formation
PARK5
UCHL1 gene --> 4q --> ubiquitin carboxy-terminal hydrolase
AD PD
PD genetics
15% have first-degree relative with PD
5% of patients have mutations in specific genes -->

PARK 1 and 4 --> SNCA gene
PARK2 --> parkin gene on chr 6 --> E3 ubiquitin ligase (no Lewy bodies)
PARK8 --> leucine-rich repeat kinase --> dardarin protein (most common)

PARK5 --> UCHL1 gene --> 4q --> ubiquitin carboxy-terminal hydrolase
PARK6 --> PINK1 --> mitochondrial kinase
PARK7 --> DJ-1
PD genetic mecanisms
overproduction or malfunction of alpha-synuclein --> PARK 1 and 4 --> SNCA gene chr4
defective ubiquitin pathway --> PARK 2 and 5 --> parkin and UCHL1 genes
mitochondrial dysfunction --> PARK6 --> PINK1 protects mitochondria from parkin-induced autopahy
oxidative stress --> PARK7 --> DJ-1 protects against oxidative stress
PD mechanisms --> overproduction or malfunction of alpha-synuclein
PARK 1 and 4 --> SNCA gene chr4

PD mechanisms --> defective ubiquitin pathway
PARK 2 and 5 --> parkin and UCHL1 genes

PD mechanisms --> mitochondrial dysfunction
PARK6 --> PINK1 protects mitochondria from parkin-induced autopahy

PD mechanisms --> oxidative stress
PARK7 --> DJ-1 protects against oxidative stress

myoclonus-dystonia genetics
autosomal dominant with complete paternal penetrance and 15% maternal penetrance
DYT11 --> chr 7; SGCE gene
DYT15 --> chr 18; unknown gene
genetics of Friedreich ataxia

autosomal recessive GAA repeat expansion in an intron of the frataxin (FXN) gene
frataxin is a mitochondrial protein involved in assembly of iron-sulfur clusters