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20 Cards in this Set

  • Front
  • Back

Autosomal dominant disease

Inherited Breast cancer / colon cancer

AD Polycystic kidney disease

Neurofibromatosis type 1

Huntington's

Autosomal recessive diseases

Sickle cell disease


Cystic fibrosis


Phenylketonuria


Spinal muscular atrophy


Congenital adrenal hyperplasia

X-linked recessive diseases

Duchenne muscular dystrophy


Becker muscular dystrophy

Define 'Knight's move' pattern of inheritance

Relates to X-linked recessive conditions. Males are affected; there's no male to male transmission; and some related females must be obligate carriers

X-linked dominant diseases

Fragile X syndrome


Vit D resistant rickets


Incontinentia pigmenti (male lethality)


Rett syndrome (male lethality)

Give 3 examples of genetic disorders which exhibit genetic anticipation

Huntington's disease


Fragile X syndrome


Myotonic dystrophy

Give 2 factors which characterise pseudo-dominant inheritance

Very high carrier frequency

Consanguinity

Give 6 characteristics of mitchondrial DNA

Small

Circular

16.6kb

37 genes

no introns

heteroplasmy

Give an example of syndrome resulting from mitochondrial DNA gene mutation

Leigh's disease

List 4 examples of atypical inheritance

Genetic anticipation


Gonadal mosaicism


Mitochondrial


Pseudo-dominant

Describe AUTOSOMAL DOMINANT patterns of inheritance

Affected - heterozygous


Each affected has at least one affected parent


Seen in every generation


M:F roughly equal


Variable expressivity - 50:50 chance offspring affected


May have incomplete penetrance

Describe AUTOSOMAL RECESSIVE patterns of inheritance

Affected homozygotes


Both parents of affected person OBLIGATE CARRIERS


Equal frequency and severity males and females


Not seen in every generation typically


Offspring of affected individuals 25% chance affected


Consanguinity inc risk passing on trait

Define PENETRANCE

Frequency with which characteristic controlled by gene expressed in individuals possessing that gene allele

Define INCOMPLETE PENETRANCE

When proportion of people possessing gene do not express in phenotype the trait it controls

Define VARIABLE EXPRESSIVITY

Range of signs and symptoms occur in different people with same genetic condition e.g. mild to severe spectrum. Influenced by presence of modifier gene variants.

MODIFIER GENE

Gene which does not control whether a person possesses a trait but does influence onset, progression and severity of the trait e.g. disease.

Explain the concept of 'X-linked inheritance'

Traits determined by genes located on sex chromosomes.


X-linked Dominant:


No male to male transmission


Always female to male transmission - full penetrance


Male to female and female to female transmission > variable expressivity (random v. skewed X-inactivation)


X-linked recessive:


Males unaffected


Both parents of affected females are obligate carriers


Full penetrance in females

Define GENETIC ANTICIPATION

Age of onset tends to decrease and severity tends to increase with transmission to successive generations.

Define PSEUDOAUTOSOMAL CONDITIONS

Observed in X-Linked conditions.


Tips of p and q arms escape inactivation.


Genes at these loci also on Y chromosome.


Hence mutations inherited in same way as autosomal gene mutations.

Define PSEUDODOMINANT INHERITANCE

True recessive but displays pseudodominant pattern when frequency of genetic variant in population very high e.g. Gilbert Syndrome