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26 Cards in this Set

  • Front
  • Back
Describe the general structure and organization of the human genome.
Genome: entire complement of DNA in haploid set of chromosomes of an organism; genomes of some viruses are RNA

---22 autosomes + X/Y sex chromosomes: contain 45-279 million bp (Mb)
---Haploid genome=3.3 billion base pairs

DNA/RNA: polymers of deoxyribonuceotides/oxyribonucleotides
---base pairing by hydrogen bonding and base stacking* stabilizes structures and provides specificity of replication, DNA repair, transcription, RNA processing and translation
Describe the first generation of DNA sequence analysis.
Performed by polyacrylamide gel electrophoresis with radioactively labeled NTPs (dideoxyribonucleosides)
---prevents strand extension at 3' end (lack of OH); generates DNA fragments of different lengths

Fragments separated by gel electrophoresis: each base has unique identifer
---DNA sequence read directly from bottom of gel upward

Had little clinical application
Describe the second generation of human genome sequencing.
Automated sequencing using fluorescent NTPs and various electrophoretic separation methods
---sequence entire genome: took over 13 years and 3 billions dollars
Describe the next generation genome sequencing.
High Throughput Sequencing (THS):
---methods permits sequencing of genome in less than two days for less than $5000; more sequences known, easier it will be to determine other sequences by "referencing"
---direct DNA sequencing will become standard tool in molecular diagnostics
Compare and contrast the human nuclear genome with the mitochondrial genome.
Mitochondrial: circular/duplex
---not all genes necessary for mitochondrial function are in mt genome; most proteins are encoded in nuclear genome
Define "gene" and explain the genome complexity conundrum.
Gene: segment of DNA required to make a function RNA transcript
---coding and non-coding RNA

Genome complexity:
---only 1-2% of genome consists of protein coding exons
---exons comprise ~5% of each gene; so protein coding exons + introns only comprise 25% of genome
--- ~5000 pseudogenes (non-functional)
---more than 70% of genome is transcribed into RNA
****where is rest of genome?****
---ENCODE project: goal to find all functional elements of genome: 20% of ncDNA is functional (gene regulation) while additional 60% is transcribed with no known function
What are the four classes of noncoding RNAs?
Translation:
---tRNAs
---rRNAs
Processing:
---snRNAs
---snoRNAs
Specialized:
---7SL RNA (ER protein export)
---Telomerase RNA (modification)
---Vault RNA (storage)
Regulatory:
---small ncRNAs
---siRNAs and miRNAs
---piRNAs
---large ncRNAs
---Xist
Describe the microRNAs and their function.
19-25 nt ncRNAs that bind specific mRNAs through complementary sequences and inhibit translation or cause cleavage (regulate growth and development)
---first discovered in 1993 in C. elegans (worm)
---more than 500 miRNAs have been validated in human genome and total of 800-1000+ are predicted to exist
Describe the structure of a metaphase chromosome.
Chromosomes condensed during metaphase are identified by size, relative position of centromere and G-banding patterns (Giemsa staining)
---most chromosomes contain easily identifiable short (p) and long (q) arms
Describe the structure of a metaphase chromatin.
Chromatin: structural unit of chromosome and is comprised of nucleosomes

DNA is compacted by 10,000 fold in nucleus
---nuclear genome is highly condensed into chromatin around nucleosomes (histone proteins)
Define epigenetics and describe the modifications in histones and DNA that lead to epigenetic effects in gene expression.
Epigenetics:
---heritable changes in gene expression caused by modifications to genome other than changes in underlying DNA sequence
---ex: DNA methylation and histone modification
---can be inherited and are involved in human disease: Prader-Willi syndrome; Angelman syndrome; Beckwith-Wiedemann syndrome; multiple cancers

Histone modification:
---level of condensation of DNA has to do with chemistry of histones: favorable interactions=tighter coiling of DNA around istone; less favorable interactions=looser coiling
---Histone (tails) lysines can be acetylated or methylated; serines can by phosphorylated
---modifications provide code from chromatin remodeling (gene expression/silencing)

DNA Methylation:
---of cytosine, marks genome (CG sequences)
---patterns maintained in newly replicated DNA: maintenance DNA methyltransferases methylate hemimethylated C residues during replication
---methylation turns off genes by attracting silencing complexes to block RNA polymerase

Demethylation: 5mC erasure
---can occur via several pathways by going through intermediates (complicated)
Describe genomic imprinting.
Imprinted genes are protected from DNA methylation erasure
---less than 100 imprinted genes have been identified in humans
---located throughout genome including in X chromosome
---often associated with growth and development

Can cause selective silencing of one parent's gene if offspring differ in allele of gene to be expressed
Describe the human microbiome.
100 trillion human cells in human body
---1000 trillion microbial (viral, bacterial, protozoan, fungal) cells in human body, incl. over 600 different species of bacteria

Optimal balance of microbes is critical in human health
---found in nasal, oral, skin, gastrointestinal and urogenital areas

Enteric bacteria:
---over 1000 bacterial species inhabit gut, with anaerobes comprising 99%
---60% of dry mass of feces
---function: digestion of unused energy substrates, fermentation, training of immune system, production of vitamins/hormones
---perturbation of symbiotic relationship with host causes disease of digestive track: diarrhea to inflammatory bowel and cancer; implicated in obesity, diabetes, metabolic syndrome
---overgrowth of E. coli, Salmonella typhimurium and C. diff can cause serious illness
Describe the relationship between DNA molecule and chromosomes.
46 chromosomes: diploid (all except sex chromosomes X/Y)
---normal dosage
Describe chromosome disorders.
Chromosome disorders: < 1%
---abnormalities in number or structure of chromosomes; alterations affect genes on chromosomes
---too many, too few, altered genes
---polyploidy and aneuploidy (change in one)
---insertions, deletions, and translocations
Describe single gene disorders.
Single gene disorders: 2%
---exact number of genes in human genome approx. 20,000-25,000; typically code for proteins, but some code for RNA
---alterations in coding sequence produce effects on function of protein - loss (typical), gain, alteration of function
---single genes are basis for Mendelian inheritance: autosomal disorders and sex-linked disorders
Describe mitochondrial disorders.
Mitochondrial disorders: ~1:5000
---mitochondria are organelles responsible for most importantly production of ATP; have own genome
---is disrupted by same mutational mechanisms as nuclear DNA
---non-Mendenlian inheritance: maternal inheritance for mutations in mtDNA
---Mendenlian inhertiance for mt genes on nuclear DNA
Describe multifactorial disorders.
Multifactorial disorders: common
---simple congenital malformations: 1%
---common disorders of adults: 60%

Combination of genes and environment
---polygenic: many genes acting together
---teratogenic: primarily environmental based
---multifactorial: combination
Describe the different inheritance patterns.
Identified through 3-generation pedigrees
---for single gene disorders - autosomal dominant or recessive, X-linked recessive or dominant (uncommon)
Identify chromosome analysis through karyotypes.
Karyotypes:
---detect alterations in number, large duplications/delections, translocations

Ex: Trisomy 21 - aneuploidy: abnormal number of chromosomes (dosage problem); leads to dysmorphism
Describe chromosome analysis using FISH and CGH.
Fluorescent in-situ hybridization and comparative genomic hybridization
---detect small deletions and duplications (CGH)

FISH: uses control probe and probe for area of interest
---if probe hybridizes to sample, DNA sequence is present

CGH: stick DNA to probe; looks at whole genome, don't need to be as specific
---too much/duplication-green dots (patient DNA)
---not enough/deletion-red dots
(control DNA)
---normal-yellow dots
Describe chromosome analysis using genome sequencing.
Exome sequencing:
---determination of sequence of coding portion of genome; mutations that cause disease will likely alter this coding sequence

Whole genome sequencing:
---sequenc everything; will pick up mutations in promoter regions, introns, 3' untranslated regions

Problems:
--all carriers for many diseases
---detect diseases with future consequences
---sequence variation of unknown clinical significance
Describe biochemical tests for genetic diagnosis.
Use of tools of chemistry to look for abnormal products of metabolism or abnormal proteins
---uses techniques such as gas/liquid chromatography
---enzyme assays
---newborn screening (looks for things like phenylketonuria - leads to accumulation of phenylalanine).
Describe DNA diagnostics for genetic diagnosis.
Direct mutation analysis:
---DNA sequencing
---small DNA probes that hybridize to mutated DNA

Linkage analysis:
---utilization of trackable gene markers next to gene of interest

DNA fingerprinting:
---analysis of variation of sequence of genome to identify individuals
---CSI, paternity
Describe non-Mendelian inhertiance.
Mosaicism: more than one genotype in person

Mitochondrial inheritance: abnormal mt passes on in cytoplasm of ovum from mother

Genetic imprinting: parent-of-origin difference in gene expression

Uniparental disomy: both chromosomes of pair inherited from one parent

Unstable triplet repeat mutations: develop by expansion of normally present trinucleotide repeats
Describe the ethical issues surrounding genetic testing.
1. Insurance operates on knowing general risk of developing disease
---can alter insurance risk if do DNA test to tell is develop disease

2. Two categories:
---Presymptomatic: testing person for genetic mutation that will certainly cause disease later in life
---fully penetrant genes
---offered to children only when medical benefit; to adults after informed consent
---Predisposition: testing person for genetic mutation which will possibly cause disease later in life
---causative genes are incompletely penetrant
3. Unique privacy issues: other family may be at risk
4. May stigmatize/cause discrimination
5. Access to counseling not widely available: for detection of false-paternity, stigmatization (survivor guilt), loss of employment/insurance; psychological harm