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10 Cards in this Set

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NB: genetic variation

Occurs through new mutation and "shuffling" of parental variation (sexual reproduction)



Determines complex development and maintenance



In charge of how we sense and communicate (sight - Rhodopsin; hearing - gap junction; pain - sodium channels; seech - FOXP2)



Important in succeptibility to Disease

What type of genetic disorders can you think of?

Single gene disorders


single gene mutation lead to disease e.g. cystic fibrosis



Chromosomal disorders


change, gain, loss or exchange of chromosome elements e.g. Turner Syndrome, Down syndrome (DS severity is polygenic)



Polygenic disorders


multifactorial diseases; combined effect of many genes and/or environment e.g. diabetes



Somatic disorders


disorders of somatic cells (non-germ-line) e.g. cancer

Describe the effect and frequency of genetic variants

Low penetrance observed at most common allele frequency;



Higher the allele frequency, the less the effect

Give the 4 most common disease associated mutation types

Nonsense mutation - A.A change to stop codon


Missense mutation - single nucleotide change (point mutation) new codon codes for different AA


Splice-site mutation - insertion/deletion of n. of nucleotides in specific sites at which intron splicing occurs


Insertion or deletion mutation - add/loss of one or more nucleotide base pairs in DNA sequence

State the number of the protein coding geneome varients and give its Exome size

~ 22,500 variant


35.9Mb

Rare inherited diseases stats:



Size in population



n. of people in UK



n. of rare disorders



population freq. of single gene defect



reason for early intervention

Less than 5% of population



3 million people in UK



7000 rare disorders (disabling, short life, costly)



85% single gene defect



Helps avoid disability; better clinical care

Give a simplified step process for making designer babies

Know genetic variant/mutation to select for/exclude



Need legal permission for selection



IVF, then pre-implantation genetic diagnosis (PGD)



Luck

Optimal time for PGD?

Pre-implantation genetic diagnosis:



at blastomere, +1 cell remove, chromosome tested;



embryo replantation based on results

Why don't drugs work in all patients?

- Dependent on genetic variation e.g. SNP in various cellular pathways


Variation in absortion; Disctribution; Metabolism; elimination; variability of target receptors



- Same disease due to independent and diverse pathological and genetic processes

Pharmacogenetics states that DNA variation e.g. SNPs affect drug efficacy



What's the importance of genome sequencing?

- Healthcare: right diagnosis, drug and dosage;



- Personal lives: help with family planing and risk management;