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29 Cards in this Set

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Isolated lethal X-linked recessive- chance that mother is a carrier
2/3 of the time the mother is a carrier; 1/3 of the time the mutation is de novo

Exception: OTC deficiency, 90% time mother is carrier due to high mutation rate in paternal germline
Chromosomes important for imprinting?

What's more common, maternal or paternal UPD?
6, 7, 11, 14, 15

Maternal more common- think trisomic rescue and non-disjunction more common in female germline.
Hardy-Weinberg assumptions
-Large population, random mating
-Allele frequencies remain constant: 1) No appreciable new mutation rate 2) Individuals of all genotype capable of reproduction (no selection) 3) No significant migration between populations with different allele frequencies
Which would disrupt Hardy-Weinberg equilibrium more- non-random mating or selection/new mutations?
-Non-random mating can substantially upset Hardy-Weinberg equilibrium

-Changes in allele frequency due to selection or new mutations have little effect on equilibrium

-As long as random mating, recessive diseases can be considered in Hardy-Weinberg equilibrium, despite selection against homozygotes

-Selection may be more obvious for dominant traits
Splice site mutations
-At 5’ end = 9 nucleotide sequence, including the dinucelotide GT located in the intron immediately adjacent to splice site

-At 3’ end = 12 nucelotide sequence, include the AG located immediately 5’ intron-exon boundary

Cryptic splice sites = intron base substitutions creating alternative donor/acceptor sites (cryptic splice sites), compete with normal splice sites, only a portion of mRNA may be improperly spliced
Initiator codon
AUG (methionine)
Stop codons
UGA
UAA
UAG
CpG hotspot mutations
-Methylation at of C at 5’CpG3’
-Spontaneous deamination, methylated C>T
-Results in C>T or G>A (opposite strand)
Conditions associated with advanced paternal age
Achondroplasia
Craniosynostoses (Apert, Pfeiffer, Crouson)
MEN2A
Hemophilia B
Conditions associated with advanced maternal age
Trisomies

Deletions in DMD
Which chromosomes are acrocentric?
13, 14, 15, 21, 22
Resolution karyotype v. oligoarray v. SNP array
-Chromosome analysis = 5-10Mb resoluation

-Array CGH <5Mb
Oligonucleotide arrays
• 44K = 35kB apart
• 105K = 9-17 kB
-SNP arrays
• <1 kB spacing
• Detects LOH/UPD
Complete molar pregnancy
Complete = no fetus and cystic placenta

-Usually diploid with 46,XX karyotype, all chromosomes are of paternal origin and usually all loci are homozygous
-Sperm fertilizes an ovum that lacks a nucleus and it’s chromosomes then double

-Choriocarcinoma = malignant neoplasm of fetal tissue, 50% develop from hydatidiform moles
Partial molar pregnancy
Partial = remnants of placenta, small atrophic fetus

-Usually triploid, 2/3 of the time and extra set of paternal chromosomes are present

-Extra paternal chromosomes result in abundant trophoblast but poor embryonic development
-Extra maternal chromosomes result in severe retardation of embryonic growth with a small, fibrotic placenta
Ovarian teratoma
benign tumors that arise from 46,XX cells containing only Maternal chromosomes (no paternal contribution), no placental development, may have differentiated masses
Cat-eye syndrome
4 copies of 22q11
Smith-Magenis
17p11.2 deletion
Miller-Dieker syndrome
17p13.3 deletion
Wolf-Hischhorn
4p16 deletion
Williams syndrome
7p11.23 deletion
Trichorhinophlangeal syndrome
aka
Langer-Giedion syndrome
8q24 deletion
Balanced translocations
-Risk for unbalanced offspring 1-20% depending on rearrangement

-Possibility that break will disrupt gene (x-autosome translocation)

Meiosis
-Alternative: most common; 1 normal gamete, 1 balanced gamete
-Adjacent 1: homologous centromeres go to separate daughter cells > unbalanced
-Adjacent 2: rare, homologues chromosomes go to same daughter cell > unbalanced
-3:1 segregation, gamete with 22 or 24 chromosomes
Translocation nomenclatures

Ex: der(3)t(3;11)(q12;p15.4)
-Deletion of 3q12 to 3qter and duplication of 11p15.4 to 11pter

*Remember: Der represents chromosome centromere (so part of that chromosome is deleted)
Paracentric inversions
-does not include centromere
-unbalanced chromosomes typically acentric or dicentric, not viable
Pericentric inversions
- includes centromere
- unbalanced chromosomes have duplicated and deleted regions distal to inversion

-risk for unbalanced offspring generally 5-10%
-large pericentric inversions are more likely to lead to viable unbalanced offspring (THINK: small inversions would lead to a greater amount of duplicated/deleted material, therefore more likely to not be viable)
Pericentric inversion nomenclatures

Ex: 46,XY,rec(6)dup(6p)inv(6) (p22.2q25.2)mat
-This is an pericentric inversion; unbalanced offspring has dup of 6p and del of 6q

-Mother = 56,XX,inv(6)(p22.2q25.2), balanced
X-chromosome inactivation
-XIST = Xq13, noncoding RNA that is master regulator of x-inactivation
-15% of genes escape x-inactivation, another 10% show variable X inactivation
-Most of the genes that escape X-inactivation are on distal Xp
-Imbalances of genes on Xp may have more clinical significance than Xq
Non-random X-inactivation
Unbalanced structural abnormalities = abnormal chromosome always inactive (THINK: selection bias

X-autosome translocation
1. Balanced = normal X chromosome inactive (THINK: both parts of translocation need to remain active)
2. Unbalanced = Translocation product carrying XIST is present and inactivated, leaving normal X active

*Note: X-autosome translocations can cause break points, disrupting genes leading to X-linked disease (normal X inactivated)
Linkage analysis
Theta = recombination frequency
-The smaller the recombination frequency, the closer the two loci
-Theta = 0 = tightly linked (Linkage disequilibrium = inherited together)
-Theta = .5 = unlinked, independent assortment (at least 1 crossover occurs every meiosis)

LOD score = statistical method for measuring reliability of theta
-LOD score of +3 or greater is considered definitive evidence that two loci are linked (strong evidence that theta differs from 0.5)