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26 Cards in this Set

  • Front
  • Back
Cell Differentiation
Cell fate maintained by differential methylation of DNA. All subsequent daughter cells have same amount of methylation site. At fertilization, gDNA is demethylated, and new wave of methylation is initiated → establishes blueprint
X-inactivation (epigenetic)
One X-chromo in each somatic cell = inactivated → Barr Body, allows for gene dosage compensation. This is random.

In embryo, both X-chromo are active in females. At implantation, one is randomly inactivated and all daughter cells inherit the methylation pattern → causes mosaicism, 1/2 of cells express paternal alleles and 1/2 express maternal alleles.

During gametogenesis, methylation patterns are erased and both X-chromo are reactivated
Metabolic Imprinting
Epigenetic programming of metabolism during pre-natal/neo-natal periods via in utero exposures (chemical/maternal diet).

Differential methylation causes differential expression of specific genes throughout development and into adult life. This is the only one that can be transmitted to future offspring (transgenerational heritance)
Genetic Imprinting
Certain genes expressed in a parent-of-origin-specific manner and can tell which gene came from which parent
CDKN1C = allele from mother
IGF2 = allele from father

Sperm - paternal imprint on every gene/chromo
Oocyte - maternal imprint on every gene/chromo

Somatic Cells - imprinting maintained throughout life.
Germline cells - erased, reestablished during gametogenesis

Mutant allele active on paternal chromo, inherited from mother - no effect
Mutant allele active on paternal chromo, inherited from father - effect
Beckwith-Wiedemann Syndrome
Disorder of growth - characterized by large size for gestation age, large tounge, abd. wall defects, predisp to embryonic tumors

Caused by 2 active copies of IGF-2 gene and/or no active copy of CDKN1C
     CDKN1C = allele expressed only from maternal inherited chromosome
IGF2 = allele expressed only from paternal inherited chromosome

Loss of Methylation

CDKN1C mutation

Uniparental Disomy
Prader-Willi Syndrome and Angelman Syndrome
PWS = short stature, hypotonia, small hands/feet, obesity, mild-moderate mental retardation, hypogonadism
AS = severe mental retardation, seizures, ataxic gait

PWS = inherit deletion from father, 5 genes, active only on paternally derived chromosome, neither copy of 15q has paternal imprinting
AS = inherit deletion from mother, UBE3A, active only on maternally derived chromosome, neither copy of 15q has maternal impirinting
Uniparental Disomy
2 normal copies of maternal chromo 15 leads to PWS (normal PWS genes, but silent on both)
2 normal copies of paternal chromo 15 leads to AS (normal AS genes, but silent on both)
PWS vs. AS
Inherit deletion from father, failure to demethylate = PWS
Inherit deletion from mother, failure to methylate = AS
Anticipation
Occurs in some dominant disorders
⬆ severity in successive generations (correlated w/# of repeats) and earlier onset
Congenital form seen only in infants of affected mothers

Caused by repeat expansion
Repeat is unstable and varies each generation
Expansion occurs during gametogenesis in females
Triplet Repeat Expansion
Trinucleotide repeats are repeated a variable but low number of times.
Each allele varies w/in normal range of each generation
If repeat expands beyond normal range it becomes unstable and expands in subsequent generations (premutation)
Anticipation also occurs
Myotrophic Dystrophy
Most common muscular dystrophy in adults
Repeat expansion in protein kinase RNA ➔ decreases RNA stability

Autosomal dominant
Expansion occurs during gametogenesis in females - will only see congenital form in infants of affected mothers
Huntington Disease
Repeat expansion in coding region of Huntington protein ➔ gain of fxn mutation

When expansion is past premutation, it is transmitted autosomal dominant
Full mutation is 100% penetrant

Triplet repeats occur in frame w/in coding region = ⬆ number of glutamines
Greater expansion when transmitting parent is male
Fragile X Mental Retardation
Most common form of mental retardation
FMR1 RNA binding protein ➔ inhibits transcription due to hypermethylation

X-linked dominant (milder/variable expression in females than males)
80% penetrant in males
20% penetrant in females
Caused by compensation of X in females

Unaffected sisters of affected siblings = high risk of affected child
Unaffected brothers = no risk of affected child
Unaffected daughters of NTM = high risk of affected child
Full mutation = 100% penetrant in males, 50% penetrant in females

Expansion occurs exclusively through mother

Females are at risk of premature menopause
Males are at risk of neurodegenerative disorder
Mitochondrial mutations
Deficient ox. phos. in heart, skeletal, and CNS. Myopathies (muscle), neuropathies (neurons), encephylopathies (brain)

Higher rate of mutation due to reactive oxidation species and DNA pol in mito is less accurate and not corrected efficiently

Mitochondria also depend on nuclear DNA for essential proteins (Mitochondria loss of fxn can occur from nuclear DNA mutation, will not be strictly maternal inheritance)

Maternal inheritance - all mitochondria come from the oocyte, affected males do not transmit to offspring
Mitochondrial inheritance w/o heteroplasmy (LHON)
Only females transmit mitochondria

Affected female = all children are affected
Affected male = no children are affected

Leber's Hereditary Optic Neuropathy
Delayed age of onset - accumulation of mtDNA mutations (1 of 3 missense mutations)
Factors that Affect Mitochondrial Fxn
Inherited capacity for ox phos - both nucelar and mito genes

Tissue specific requirements for ox phos

Age - capacity for ox phos decreases w/ age (accumulation of mtDNA mutations)

Accumulation of somatic mtDNA mutations and degree of heteroplasmy
Mitochondrial inheritance w/ Heteroplasmy (MERRF/MELAS)
Mutant tRNA = incorrect aa inserted into all mito proteins w/ this codon

More mutant tRNA:normal tRNA = more severe disorder

MERRF (myoclonic epilepsy w/ragged-red fiber)
Myoclonus, epilepsy, ataxia, ragged-red fiber in muscle biopsy
Single base changes in tRNA = changes codon specificity
Maternal transmission
Highly variable expression due to heteroplasmy
Heteroplasmy
Mosaicism caused by variable number of mutant mitochondrial/cell
Causes variable expression of disease/tissue specific differences from person to person
Variation arises from
Genetic drift (chance variation) - just the nature of miDNA replication
Selective advantage - deletion allows for faster replication
Replicative Segregation
Mito replicate by division w/in somatic cell
Prior to division, mtDNA are replicated a variable number of times
Each mito inherits a variable number of mt chromosomes
Mitotic Segregation
Each cell has a population of different mito, that are randomly distributed throughout cell
When daughter cells form by cytokinesis - they randomly inherit a variable number of mito which replicate after cell division
Multifactorial/Polygenic
Genetic, but needs a trigger or is influenced by envrionment
Diabetes
Susceptibility is genetic but envrion. trigger is required

Twin studies show that susceptibility to obesity/diabetes is genetic
Pima Indian studies show that envron. trigger is needed
Heritability
Concordance Rates in Twins = % of time both inherit a trait
If 100% genetic: MZ twins = 100%, DZ twins 50%
If 0% genetic: MZ twins = DZ twins = sibling concordance

Heritability - portion of total variance caused by genes
If not 100%, then there are strong environmental triggers
Recurrence and Transmission patterns
Risk can't be calc. based on probability of shared genes
Recurrence risk determined from empirical data (observation of pop). This will change from pop to pop and from family to family (differences in genetic load)

Recurrence risk
decreases rapidly for more distantly related relatives
increases if more than one family member affected (higher genetic load)
more severe expression = higher risk (higher genetic load)
increased if proband is of less commonly affected sex (higher genetic load)

If trait is genetic = risk is proportional to coefficient of relationship
If trait is multifactorial = risk decreases more rapidly than predicted from coefficient of relationship
Quantitative Trait
Phenotype distributes across a gaussian curve across a population, but sp. values for trait cluster in families
More genes/envrionmental factors involved, the better the curve
Threshold of Liability
Disease does not have normal distribution but is a result of continuous underlying liability.
If threshold is exceeded, then disease results.
Even if you have an environmental trigger, if it's not above the threshold, no disease will occur

Less alleles to be affected as a male
More alleles to be affected as a female
Who would have greater risk, siblings of affected female or an affected male?
Affected female - parents have a higher genetic load
Genetic load
Number of disease susceptibility alleles someone carries