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Derm ex2
genetics
14
Medical
Professional
12/10/2011

Additional Medical Flashcards

 


 

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Term
what do HOX genes accomplish
Definition

they are transcription factors which are highly conserved and found in strings that always need to be translated in order

 

if these gene's get put into a different part of the body, they are so conserved and linked to each other that they will start to grow the body part they were originally intended for elsewhere

 

loss of HOX genes will make body parts incomplete up to the point of the gene deletions

Term
syndactyly
Definition

caused by HOX mutations; results in extra fingers and toes bc a string of hox genes in found in extra copies or are over active in those regions of the body

 

HOXA13 mutation

Term
foot-hand-genital syndrome
Definition

HOX gene abnormality where all of the above can be incomplete at points (short fingers or toes) hypospadia in males (hole on underside of penis)

 

HOXA13 mutation

Term
what are PAX genes important for?  name a disorder
Definition
eye development; associated with aniridia and cataracts if PAX6 is mutated
Term
lobster-claw deformity
Definition

split-hand and split foot malformation

 

NOT a HOX mutation

 

ectrodactyly (losing digits)

gene is localized to chromosome 7q

autosomal dominant

Term
where is PAX 3 expressed?  name a disease
Definition

it is expressed in the neural crest and other cells.  related to auditory-pigmentary fxns, melanogenesis


WAARDENBURG SYNDROME (PAX 3)

characterized by:

-white forelock (partial albinism)

-lateral displacement of median canthi of eyes

-deafness***

Term
holoprosenchephaly
Definition

embryonic forebrain does not divide into two hemispheres

 

severe facial deformities, skull malformation and cleft lip in worst presentations

 

single median incisor is more mild forms

 

SHH  (sonic hedgehog gene) which has been linked to ventral tube signaling has been implicated; most commonly seen in HPE type 3

 

autosomal dominant, and maybe linked to trisomy 13

Term
Crouzon Syndrome
Definition

Autosomal Dominant and linked to advanced PATERNAL age


craniosynostosis (fusion of sutures) leading to flat-faced appearance, eye problems

 

can be repaired by surgery early on

 

FGFR2 responsible

Term
importance of FGFR genes
Definition
fibroblast growth factor receptor genes code for glycoproteins and are widely expressed in bone
Term
achondroplasia
Definition

Autosomal Dominant  (but majority are linked to new mutations) and linked to advanced PATERNAL age


short stature with narrow trunk and short limbs, hypoplasia of midface, trident configuration of the hands

 

FGFR3 responsible

Term
treacher collins syndrome
Definition

antimonogloid slant of eyes, deformities of ears (any have hearing loss), hypoplasia of mandible and maxilla (tiny jaw)

***presentations can be very subtle tho

 

TCOF1 gene is cause; mutations lead to inadequate ribosomal RNA production in neural folds during embryogenesis

Term
describe genomic imprinting
Definition

an allele can be imprinted during gametogensis so that later it will be expressed different in somatic cells; may be methylations or other means

 

this is one way an allele can be completely different from that received from another individual

 

since it might be methylated, it is usually inactivated in the embryo and the other parent's gene takes over

 

if the other parent's gene is deleted, then we have a problem

Term
prader-willi and angelman's
Definition

both are diseases in which one allele is deleted and the other allele is imprinted at the 15q locus

 

PWS - obesity, overeating, underdeveloped gonads, MR

*mostly due to loss of paternal and imprinting of maternal

 

AS - happy puppet syndrome; large mandible and opened mouth expression, ataxic gait

*mostly due to loss of maternal and imprinting of paternal


***both have also be reported as a result of UPD (uniparental disomy) in which the two alleles are from the same parent

Term
oculocutaneous albinism
Definition

most common type is the OCA type II, mutation of P gene which is likely important in melanin transport

 

persons have no pigment in skin and eyes, skin cancers are common

 

autosomal recessive; quite common in equatorial Africa

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