Shared Flashcard Set

Details

MCB Block-4 Diseases
AUC
37
Microbiology
Graduate
03/31/2011

Additional Microbiology Flashcards

 


 

Cards

Term
Nail Patella syndrome
Definition
AD
Haploinsuffiency. Pleiotropy. LMX1B gene

Test: Southern Blot
Nail and elbow dysplasia.
Messed up patellae.
Term
Achondroplasia
Definition
AD
Mutation in pG380R of FGFR
Gain of function. De novo mutation

Lumbar Lordosis. Foramen magnum compression.

prenatal Onset
Term
Huntington Disease
Definition
AD
Altered protein function(Gain)
CAG expansion(coding) in HTT protein.

Paternal Expansion Bias
Death of motor neurons.

Death ~15 years from age of onset
Disease 40+ repeats. N-terminal expansion of glutamine
Term
Williams-Beuren Syndrome
Definition
Gross deletion in chromosome 7q11.23
(contingous gene deletion, deletion effecting more then 1 gene)
Loquacious personality. Language > Cognitive.

Duplication in same area -> language delay, strong spatial skills
Term
Smith Magenis Syndrome
Definition
3700 kb deletion on chromosome 17

Broad square-shaped face.

Duplication causes Potocki-Lupski syndrome(PLS)
Term
Charcot-Marie-Tooth Disease
Definition
AD
Genetic Heterogeneity(single phenotype caused by different mutations)

Duplication of PMP22

Progressive distal muscle weakness and wasting. Hyporeflexia
Term
PMP22 gene
Definition
Null mutations in PMP22 generally cuase HNPP

CMT1A is duplication of PMP22
Term
Hereditary Neuropathy With liability to Pressure Palsies(HNPP)

AD
Definition
Null mutation in PMP22.(major component in mylenin)

Evidence of demyelination
Repeated focal pressure neuropahties.
prolongation of distal nerve conduction latencies
Term
Spinocerebellar Ataxia(SCA)
Definition
AD
CAG Paternal expansion. Gain of function

Degeneration of Cerebellum
Term
Lesch-Nyham syndrome
Definition
XR
Deficiency of hypoxanthine…(HPRT)

Disruption of feedback loops increases uric acid and purines

Self-mutilation. Purine Metabolism problem.
Term
Malignant Hyperthermia
Definition
Locus heterogeneity.(mutations in the same gene cause same phenotype)

Abnormal response to anaesthetic.

Must test before surgery.
Term
Sickle Cell
Definition
AR
Age at onset: childhood
Test: PCR. (ASO Dot blot)
Hetero-zygote advantage
Pleiotropy(One mutation, many effecs)
Anemia, Infarction, Asplenia
Mutation in B-globin
Term
Hemophilia Type A
Definition
XR
Age at onset: Infancy to adult
Defect in Factor 8.

Intrachromosomal recombination
Transposable element insertion

Bleed daithesis, hematomas.
Term
DiGeorge Syndrome
(22q11 Deletion syndrome)

De nova
Definition
Large deletion in 22q11 region.
Detected with FISH

VSD
Short stature, prominent nose, cleft lip

Absent or malformed kidneys
Term
B-thalassaemia
Definition
Null mutation in B-globin gene
DNA sequencing test
Term
DMD and BMD
Definition
XR
DMD is total lack of dystrophin: Deletions, frameshift, nonsense.

BMD partial function dystrophin: In-frame deletions
Term
a-Thalassaemia
Definition
AR
Excess of beta(b) or gamma chain.(y)

Heterozygous Advantage

Functional Globin genes:
normal: 4
Silent carrier: 3
a+-thal(mild anemia): 2
HbH disease: 1: moderate anemia, jaundice. B-tetramers

hydrops fetalis: 0: Severe aneamia, death in utero. y-tetramers
Term
Hb Constant Spring
Definition
Phenotypically similar to Hb H

Mutation of the normal stop codon in a-globin gene product. Longer unstable protein.
Term
Hb-Lepore
Definition
AR
Unequal crossing over. Resulting in change of o-promoter being attached to B-globin.

B-globin produced at low level of o
Anti-lepore is normal
Term
HPFH
Definition
Deletion of o- and b- genes removes promoter elements that LCR would interact with.

y chain production continues post-nataly
Term
B-thalassaemia nomenclature
Definition
B+-thal - Residual B-globin synthesis (leaky mutations)

B0-thal - No B-globin syntehsis(major mutations)
Term
Fibrodysplasia Ossificans progressiva(FOP)
Definition
Gain of function mutation (R206H)
AD
Term
Osteogenesis Imperfecta
Definition
Mutation in Type 1 Collagen.

Type 1 OI: Null mutations, haploinsufficiency

Type 2-4: Missense, Dominant Negtative.
Term
Stickler Syndrome
Definition
Mutation in type 2 collagen.

Mutation that results in premature termination codon. PTC. Nonsense mutation.
Term
Fragile X Syndrome(FRAXA)
Definition
XD
Null mutation. Xq27.3

2nd only to downsyndrome as genetic cause of retardation

CGG in 5' UTR. 200+ repeats = pathogenic. Less then 200 = premutation
Maternal Expansion Bias

Long face, Prominent jaw, large ears.

Hyper activity, Tantrums - prepuberty
Change in behavior after puberty. shyness, gaze averion.
Term
Friedreich Ataxia(FRDA)
Definition
AR
Null mutation
GAA in Intron. Pathogenic = 200-1700

Muscle Weakness in arms, legs. Vision hearing and speech problems.
Children diagnosed: 5-15
No anticipation. Age of onset and severity associated with smaller allele.

Frataxin needed for heme biosynthesis
Reduce funcion of respiratory comples 1-3
Term
Myotonic Dystrophy 1(DM1)
Definition
AD
Altered RNA function(gain of function)

CTG in 3'utr DMPK gene. pathogenic = 50

Maternal Expansion bias. Anticipation through mother

Narrow face. Myotonia. Cataract
Affected kids(open triangle mouth)
Term
Myotonic Dystrophy 2(DM2)
Definition
AD
Altered RNA function(gain of function)

CCTG intron 1 ZNF9gene pathogenic = 50

Maternal Expansion bias
Term
Spinocerebellar Ataxia(SCA)
Definition
Altered protein function(Gain of function)
AD
CAG in coding.
Paternal expansion bias

Degeneration of Cerebellum and its afferet and efferent connections

Age dependent penetrance. Older = more symptoms
Term
Rett Syndrome
Definition
XD
MECP2 mutation.

Leading cause of profound mental retardation in females.

Hand ringing
Term
Vitamin D-resistant rickets
(X-linked hypophosphatemia)
Definition
XD
Vitamin D insufficiency.

Can not ingest vitamin D to treat.
Term
Prader-William Syndrome
Definition
Paternally inherited.(maternal imprinting)
20-30% are from uniparental disomy
Absense of snoRNA(HBII-85) may be cause.
Floppy, did not feed at birth.

Hyperphagia and obesitiy. Hypopigmentation
Term
Angelman's Syndrome
Definition
Maternally inherited(paternal imprinted)

Frequent laughter. Absent speech. Seizures. Ataxia

point mutation UBE3A(ubiquitin-protein ligase) mutated.
Term
GNAS summary
Definition
GSa subunit of heterotrimeric GTP-binding protein that couples hormonal stimulation to adenylate cyclase

AHO - heterozygous loss of function mutation (PPHP)

PHP1a - AHO + hormone resistance when mutation is on maternal allele due to imprinting of GNAS expression in proximal tubule

PHP1b - imprinting defect resulting in hormone resistance w/o AHO

McCune-Albright - somatic gain of function mutation. Similar mutations
can cause endocrine tumours.
Term
Lesch-Nyham syndrome
Definition
XR
Deficency of hypoxanthine...(HPRT)

Disruption of feedback loops increases uric acid and purines.

Self mutilation
Term
Tay-Sachs
Definition
Autosomal Recessive

Founder effect - Ashkenazi Jews

Low Hex-A levels. Cherry red spot in eye

Four base insertion of TATC
Term
Phenylketonuria (PKU)
Definition
Phenylalanine hydroxylase deficiency

Autosomal Recessive.


Allelic & locus heterogeneity

Loss of melanin.
Toxic effects of phenylpyruvate

have problems if mother was homozygous. Uses mothers liver until birth

Also cosed by deficiency of BH4. (required for neurotransmiter syntehesis
Supporting users have an ad free experience!