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MFM Exam II
This time, its genetic...
150
Medical
Professional
09/01/2015

Additional Medical Flashcards

 


 

Cards

Term
Goal of Meiosis
Definition
The goal is to produce haploid gametes for fertilization
Term
Meiosis I
Definition
Interphase I then
PMAT
Prophase Metaphase Anaphase Telophase
Term
Prophase I
Definition
Homologous chromosomes cross over at chiasmata to make pairs.

Synapsis occurs here (pairing of homologs to form tetrad)
Term
Metaphase I
Definition
'Meet at the metaphase plate' In Metaphase 1 the homologous pairs line up (not single, but in pairs)
























































Mitosis means thread
Meiosis means less

Mitosis -Diploid - 23 chromosomes from mom and dad

23 chromosomes become chromatids after replication

Homologous chromosome - mom and dad chromosome pair up

"meet" at the metaphase plate

Synapsis prophase I crossing over

Diplotene = "duplotene"

Pachytena and diplotene important

What is the importance of Pachytene during prophase I? This is where crossing over has occurred
synaptonemal complex fully formed
Synaptonemal complex is formed from? cohesion (keeps sisters chromatics together) + transverse filaments + chiasma (overlap of homologous pairs)

What is the importance of diplotene - This is when the synaptonemal complex dissociates

What needs to happen during prophase for proper alignment of homologous chromosomes? The chromosomes need to be condensed for proper alignment with homologous chromosomes

Pacytene = synaptonemal complex = cohesion (keeps sisters chromatics together) + transverse filaments

What is Cohesion? Keeps sister chromatids together

What do transverse filaments do? Keep the homologs together at the synatonemal complex

Homologus recombination = crossing over, sister chromatids 'meet' at the chiasma (where the chromatids physically overlap) in the synatonemal complex and 'cross over' on each other.

Independent assortment - The random arrangement of paired homologous on the plate at Metaphase I

Meet at chiasma and exchange material

If don't have crossing over, you are more likely to get nondysjunction at Meiosis 1

What happens if you don't have crossing over during prophase? You are more likely to get nondisjunction during Meiosis 1 (anaphase I specifically)

True or false: Crossing over increases genetic diversity by creating chromosomes that are part mom and dad; but since they are homologous chromosomes they contain the same gene? True, even tho they have different sources the homologous chromosomes still contain the same gene (but may have different alleles).

Recombination is very similar to the repair mechanism

Tetrads line up at the metaphase plate
Term
Anaphase I
Definition
Anaphase is Apart

Separates the chromosomes apart
Term
What is the importance of Pachytene during prophase I?
Definition
This is where crossing over has occurred
synaptonemal complex fully formed
Term
Synaptonemal complex is formed from?
Definition
cohesion (keeps sisters chromatids together) + transverse filaments + chiasma (overlap of homologous pairs)

This starts in zygotene and is formed by pachytene in prophase
Term
What is the importance of diplotene during prophase I?
Definition
This is when the synaptonemal complex dissociates
Term
What needs to happen during prophase for proper alignment of homologous chromosomes?
Definition
The chromosomes need to be condensed for proper alignment with homologous chromosomes
Term
What is Cohesion?
Definition
Keeps sister chromatids together
Term
What do transverse filaments do?
Definition
Keep the homologs together at the synatonemal complex
Term
Homologus recombination is?
Definition
crossing over, sister chromatids 'meet' at the chiasma (where the chromatids physically overlap) in the synatonemal complex and 'cross over' on each other.
Term
describe Independent assortment?
Definition
The random arrangement of paired homologs on the plate at Metaphase I
Term
What happens if you don't have crossing over during prophase?
Definition
You are more likely to get nondisjunction during Meiosis 1 (anaphase I specifically)
Term
True or false: Crossing over increases genetic diversity by creating chromosomes that are part mom and dad; but since they are homologous chromosomes they contain the same gene?
Definition
True, even tho they have different sources the homologous chromosomes still contain the same gene (but may have different alleles).
Term
What is recombination very similar too?
Definition
Double stand break repair mechanism
Term
Difference in Metaphase I (meiosis) and Metaphase of Mitosis?
Definition
Mitosis = separate each individual sister chromatid independently from homogous chromosomes

Meiosis - homologs line up in pairs and chromosomes are separated NOT chromatids (in Metaphase II homologous chromosomes line up independently tho and their individual chromatids get separated like in mitosis)
Term
Orientation is very important to independent assortment, true or false?
Definition
False, as long as the homologous chromosomes are correctly paired (1:1, 23:23, etc) their orientation along the metaphase plate doesn't matter, (i.e. it doesn't matter whether moms chromosome is on top or dads, the number/gene just needs to match).
Term
At what point in meiosis does homologous recombination occur?
Definition
prophase I during pachytene
Term
At what point in Meiosis does independent assortment occur?
Definition
metaphase I
Term
What happens to cohesion in Meiosis?
Definition
During Meiosis I it keeps sister chromatids attached, but dissolves at the ends to allow crossing over during prophase I.

But it remains at centromeres on individual chromosomes during anaphase I (while the homologous pairs are pulled apart) because its protected by Shugoshin (seriously, thats the name).

Is fully dissolved by Anaphase II so the individual chromatids can be separated.
Term
Point of Meiosis II?
Definition
To make 2n diploid cells(2 chromatids) become crazy 1n (1 chromatid) haploid cells.
Term
1 Chromosome =
Definition
2 sister chromatids (1 pair)
Term
Spermatogenesis - Steps
Definition

1. DNA replication of spermatogonium (germ cell) starts at puberty to create primary spermatocytes (4N)


2. Primary spermatocytes (4N) complete meiosis 1 to form 2 secondary spermatocytes (2N)

3. Secondary Spermatocytes (2N) complete Meiosis II to form spermatids (1N)

4. Spermatids remove unnecessary cellular comparments

5.Spermatids undergoes spermiogenesis
to become spermatozoa

6. Spermatozoa undergo capacitation in the female reporductive tract (change in glycoproteins, lipids, ion channels, intercellular pH).

Term
Oogenesis + Fertilization- Steps
Definition

1. Primodial germ cells migrate to developing gonads and undergo mitosis to become oogonia


2. As Meiosis I starts, DNA is replicated and Oogonia become primary oocytes (4N)


3. Prophase I starts, both crossing over and independant assortment occur, oocytes arrest at diplotene (all prior to birth)

 

4. Oocyte maturation- at time of ovulation (puberty) the oocyte completes Meiosis I. One set of homologs (2N) becomes 1st Polar Body, the other set becomes a secondary oocyte (2N) which Arrests at Metaphase II.

 

5. Fertilization triggers the completion of meiosis II. One set of chromatids (1N) form the 2nd Polar Body , the other set become the Ovum (1N) and fuses with the Sperm Nucleus to become the Zygote.

 

 

Term
Where and when do the primary oocytes arrest?
Definition
At birth they arrest at Diplotene in Meiosis I (lasts till puberty/ovulation)
Term
Where/when do the primary oocytes become secondary oocytes
Definition
At puberty/ovulation the Primary Oocytes complete Meiosis I and form a secondary oocyte and a polar body. Then are arrested at Metaphase 2 (until fertilization).
Term
What triggers the secondary oocyte to complete meiosis 2 and become a ovum?
Definition
Fertilization triggers a secondary oocyte to form an ovum and a 2nd polar body. They complete Meiosis II, and then the Ovum and the Capacitated Spermatozoa (sperm nucleus) combine to form the zygote.
Term
A euplid cell contains what amount of chromosomes?
Definition
A multiple of 23 chormosomes
Term
A haploid cell contains how many chromosomes?
Definition
23 Chromosomes
Term
A diploid cell contains how many chromosomes?
Definition
46 chromosomes
Term
A polyploid cells contains how many chromosomes?
Definition

69 or 92 chromosomes

 

Term
A child is born with 69 chromosomes (a polyploidy) what is term for this, and what is his expected outcome?
Definition

Triploidy - Child may be born alive, but will die soon after birth

 

Term
During prenatal testing a fetus presents with 92 chromosomes, after retesting and confirming, you know that this is a polyploidy. What causes this error and how would you name it, what is expected outcome?
Definition
Tetrapoloidy - results from failure to complete early mitotic divisions in zygote, cannot survive
Term
What is tripoloidy, what does it result from usually, what is the usualy outcome?
Definition

Triploidy is when there is a third copy of the 23 chromosomes (so 69 total). It is usually considered a results of Dispermy (two sperm fertilizing one ovum)

Fetus usually have problem associated with placenta, and undergo spontaneous abortion (although it is possible to survive to birth).

 

Term
Triploidy is the same as trisomy (T or F)?
Definition

 

NO, TRIPLOIDY (69 CHROMOSOMES) IS NOT THE SAME AS TRISOMY(47 CHROMOSOMES)

Term
What are Anueploid cells?
Definition

"not true set of chromosomes"

cells that contain an extra or are missing a chromosome. Exp: monosomy (45 chromosomes) or trisomy (47 Chromosomes)

 

Aneuploidy results from non disjunction during Meiosis (anaphase I or II)

 

Term
What causes Aneuploid cells?
Definition
Nondisjunction during Meiosis (Anaphase I or II)
Term
The Only viable monosomy (45 Chromosomes)
Definition
X Chromosome Momosomy (Turners syndrome)
Term
The three viable Trisomys?
Definition
21 (downs), 18 (edwards), 13 (patau)
Term
What is nondisjunction of chromosomes?
Definition
homologous chromosomes not separating correctly (can occur in Anaphase I or II)
Term
What is the cause of nondisjunction of chromosomes?
Definition

Can result from the lack of homologous recombination.

 

In meiosis I nondisjuntion you have one maternal chromosome and one paternal.

 

In meiosis II nondisjunction you have two paternal or two maternal chromosomes.

 

 Meiosis I is more common than Meiosis II non disjunction

Term
Uniparental disomy
Definition
One parent contributes two copies of a chromosome and the other parent contributes none. Example is isodisomy, and heterodisomy
Term
isodisomy
Definition
Two copies of the same chromosome
Term
heterodisomy
Definition
one copy of each homolog
Term
What percentage of spontaneous abortions (miscarriages) are caused by chromosomal abnormalities? What percentage occur in live births?
Definition

50% (during 1st trimester)

20% (during 2nd trimester)

 

1 in 150 live births (0.67%)

Term
Where do Karyograms arrest cells? What disorders are they most useful for?
Definition

At metaphase

Trisomys, Monosomys, etc.

Term
What are autosomes?
Definition
Every chromosome except the sex chromosome (X and Y)
Term
metacentric chromosomes
Definition
Chromosomes with centromeres in the middle. Each side is equal length.
Term
submetacentric
Definition
centromere is off center
Term
Acrocentric
Definition

Centromere is at end of chromosome

exp = 13,14,15,21,22

Term
Flourescent In Situ Hybridization (FISH)
Definition

Used to examine chromosomal reaarangements, copy number

 

Specifically important for translocations

Term
Microarray analysis
Definition

Detect Loss of Function and Gain of Function

Shows duplications and deletions

 

Does NOT detect balanced abnormalities

Term
Consanguinity
Definition

Literally means 'with blood.' represented by a double line on pedigress.

 

Think Consanguinity = Cousin Couples (upto 2nd degree)

 

Fun fact: Charles Darwin was part of a 'cousin couple' (first degree)

 

 

Term
What happens in consanguinity?
Definition
increase risk of autosomal recessive disorders.
Term

Difference between Gene and Allele

 

Definition

A gene is simply a protein encoding DNA sequence

An Allele is a variant of a gene.

 

So if you take gene 20 from dad, and gene 20 from mom, they are the same gene, but have different alleles.

Term
Missense mutation
Definition
a substituion of a nucleotide that results in a change of an amino acid
Term
nonsense mutation
Definition
makes a stop codon
Term
Silent mutation
Definition
Has no effect on protein synthesis/function
Term
Frameshift mutation
Definition
insertion or deletion that results in a number non-divisible by 3, thus changing the reading frame
Term
Sporadic
Definition
Mutation arising after conception
Term
Loci
Definition
Simply the location of the gene on the chromosome
Term
Examples of Gain-Of-Function mutations?
Definition

Protein is made and either increases protein activity or the amount of protein

 

Duplications

Missense

Promoters

Splicing

Term
Example of Loss-of-function mutations
Definition

No protein is made or protein does not work properly


Nonsense, Frameshift, missense, promoter, splicing, deletion

 





Term
Genotype
Definition
The genetic information for a organism, either as a whole or specific gene
Term
Phenotype
Definition
The physical manifestion of the genetic information
Term
Homozygous traits
Definition
Two of the same alleles
Term
Heterozygous traits
Definition
Have a mixture of different alleles
Term
Dominant Allele
Definition

Codes for the phenotype that is expressed when it is heterozygous with another allele

 

(Bb) where B is brown and is the expressed (dominant phenotype)

Term
Recessive Allele
Definition
Codes for a phenotype that is only expressed when allele is homozygous
Term
Autosomal Dominant Inheritance
Definition

Does NOT skip generations (vertical transmisson)

Males and female affected equally

Transmited by males and females

CAN include Father to son transmission

Term
Autosomal Recessive Inheritance
Definition

Can Skip Generations with multiple affected siblings (horizontal transmission)

 

Transmitted by phenotypically 'healthy' parents to affected offspring

 

Occurs in higher frequency in consanguinous mating (like Darwins kids being infertile)

 

Affects male and females equally

Term
Marfan Syndrome (S/s, Dominance)
Definition

1. Autosomal Dominant


2. S/s - Aortic root aneurysm or dissection

Ectopic lens (abnomal lens position)

Tall stature, arm legth > height (Kevin Durant)

arachnodactyly (long slinder fingers) with joint hypermobility

 

 

Term
Neurofibromatosis (Dominance/Symptoms)
Definition

1. Autosomal Dominant (Even tho considered dominant two copies of the NF1 gene must be altered to trigger tumor formation in neurofibromatosis type 1, if you have one mut you almost always get the other later)

 

2. S/s- Multiple Benign Fleshy Tumors (nuerofibromas)

Irregular Pigmented skin (cafe au lait)

Benign Tumors on Iris (Lisch Nodules/hamartomas)

MR

CNS Tumors

Development of Ca of CNS or muscle (only if

 

 

 

 

Term
Charcot Marie-Tooth Disease Type 1 (Dominance/symptoms)
Definition

AKA Herdiatary Motor and Sensory Nueropathy Type 1 (HMSN1)

 

1. Autosomal Dominant

2. S/s- Symptoms present by age 20

Slow progressing weakness

Hammer Toe

Atrophy of the distal Leg muscles

Mild sensory impairment

Foot deformities

weakness in hand muscles (late sign)

decreased/absent reflexes

Upper extremity ataxia and tremor

 

 

Term
Charcot-Marie Tooth Disease Type 1 (type of mutation, Mutated Gene function)
Definition

Gene Duplication; Gain of Function Mutation

 

Gene: PMP22

Function of Gene: produces Peripheral myelin protein 22 a important portective protein that is part of myelin. When there are two copies of PMP22, too much of the protein is produced, which prevents it from being processed. This leads to less functional PMP22, which then cause demylenation, which leads to nerve damage/ s/s of Charcot-Marie Tooth disease.

Term
Marfan Syndrome (Type of Mutation; function of mutated Gene, expression)
Definition

Type of mutation: missense or deletion


 Gene: Fibrillin-1 (FBN1)

Function of gene: essential for the formation of elastic fibers found in connective tissue

Leads to abnormal TGF-Beta  signalling ( helps to control the growth and division (proliferation) of cells)


Allelic Heterogeneity(thousands of mut lead to same disorder)


Pleiotrophy - Multiple phenotypic effect from a single allele or pair of alleles (the effects not thought to be related.

Term
Nuerofibromatosis (Type of Mutation/ Mutated Gene Function/Expression)
Definition

3. Loss of function mutation

 

4. Gene is NF1

Function of Gene: making a protein called neurofibromin, which supresses tumors by turning off RAS (a protein that stimulates cell growth and division).

Is a neg regulator of the ras signaling pathway

 

5. Variable Expressivity - can have same mut/dz but have different levels of severity


Term
CHARGE syndrome (Dominance/Symptoms)
Definition

1. Autosomal Dominant

 

2. S/s - Coloboma (eye defect)

Heart Defects

Atresia of the choanae (narrowing of nasal airway)

Retardation of Growth

Genital Underdevelopment d/t hypogonadatrophic hypogonadism

Ear Abnormailities

 

Term
CHARGE Syndrome (Type of Mutation/ Mutation Gene function)
Definition

Type of mutation: Usually Loss of Function mutation

Gene: CHD7 (chromodomain helicase DNA binding protein 7)Gene Function: Provides instructions for making a protein that most likely regulates gene activity (expression) by a process known as chromatin remodeling
Term
Cystic Fibrosis (Dominane/Symptoms)
Definition

1. Autosomal Recessive

 

2. S/s - Increased Na in Sweat

Pancreatic Insufficiency

Thick Dehydrated Mucus

Fibrotic Lungs with Reoccurent Infections

Hypertonic GI, Resp, and Reproductive Epithelial cells.

 

Term
Cystic Fibrosis (Type of Mutation/Mutated Gene Function)
Definition

Type of Mutation:

Usually deletion,  Loss of Function mutation

 

Gene:CFTR - Regulates the flow of Cl ions in and out of cells.


DeltaF508 is most common

Mutation in this gene leads to misfolding of the protein which leads to early degradation.

 

 

Term

Hemoglobinopathies

Thalassemia  (dominance/symptoms)

Definition

1. Autosomal Recessive

 

2. S/s - Reduced level of Adult Hemoglobin (HbA)

Term

Hemoglobinopathies Thalassemia (Type of Mutation/Mutation Gene function)

Definition

 

Type of Mutation:

α-thalassemia: mutation decreasing α-globin

β-thalassemia: mut decreasing β-globin           

β° - thalassemia: complete absence of β-globin  (frameshift, nonsense, splice mutation)                        

 β+- thalassemia: reduced amount of β-globin (splice mutations, promoter mutations)


Gene: HBA1 or HBA2 (hemoglobin, alpha 1 or 2); HBB (hemoglobin, beta) gene

Function: Make up the subunits of hemoglobin (2 alpha globin, 2 B globins)


Heterozygotes = Thalessemia Minor

Homozygotes = Thalessemia Major


Heterozygote screening in Cyprus and Sardinia lowered incidence by 65-80%

Term
Sickle Cell dz (Dominance/Symptoms)
Definition

1. Autosomal Recessive 


2. S/s - joint pain, fatigue, swelling hands and feet, jaundice as a result of vaso-occulsions

 

Term
Sickle Cell dz (Type of Mutation/Fuction of mutated Gene)
Definition

3. Missense Mutation

 

4. Gene - Glu6Val mut in β-globin chain 

Gene function - substitutes a valine for a glutamine at position 6; This changes how the protein folds when O2 is present


Heterozygous individuals still get some symptoms.


Positive selection w/ Malaria Heterozygote advantage.

Term
Tay Sachs Dz (Dominance/ symptoms)
Definition

1. Autosomal Recessive

 

2. S/s - Normal infant till 3-6 months then has nuerological deteriation

Higher incidence in Ashkenazi Jews* (Eastern European Jews...)

Cherry Red Spot on Retina

 

 

 

*heterozygote screen lower incidence 65-80%)

Term
Tay Sachs Dz (Type of mutation/Function of Gene)
Definition

Type of mutation - Frameshift Mutation

 

Gene: HEXA (Hexoaminadase A)

Function of Gene: Helps form a enzyme that breaks down GM2 ganglioside. Mutation leads to inability to breakdown GM2. So this substance builds up to toxic levels, particularly in nerve cells in the brain and spinal cord, and causes progressive nuerological damage.

Term
Achondroplasia (Dominance/Symptoms)
Definition

1. Incomplete Dominance

 

2. S/s - Dwarfism,

Short limbs,

long and narrow trunk,

macrocephaly w/prominent forehead.

Normal intelligence,

some impaired motor skills


If both dominant genes expressed it is a lethal phenotype (i.e. AA is lethal and not viable)

Term
Achondroplasia (Type of Mutation/Gene function)
Definition

Type of Mutation: Gain-of-Function mutation

 

Gene: Caused by Gly380Arg mutation in FGFR3 gene

Gene function: Encodes a tyrosine receptor that intiates a signaling cascade that controls bone growth and differentiation. The Gly380Arg mutation leads to constitutively active receptor and inhibits chrondrocyte proliferation.

 

Assortive Mating - only 66% Viable for the gene as a double mutation is lethal/nonviable

Term
Codominance:
Definition

The classic example is Blood groups. The phenotype for more than one allele is shown at the same time.

 

Neither Allele blocks the others phenotype

 

A - α1.3-Nacetylgalactosamyl transferase

B - α1.3-Ngalatcosyltransferase

O  - no transferase ativity

Term
Mosaicism
Definition

When a new (de novo) mutation arises in one cell in the early embryo.

 

So the mutation is only in part of the cells somatic cells. Could be viable depending on how many cells are affected.

 

Exp would be partial Trisomy 9

Term

Down Syndrome / Trisomy 21

Definition

SYMPTOMS:

- brachycephaly (flat head)

- flat Nasal Bridge

- brushfield Spots on margin of iris

- wide gap b/w toes 

- single transverse palmar (simian) crease

- epicanthal Folds

- developed hearing loss

- risk of early Alzheimer's

- Pleiotropy

- Non-Disjunction

-Chromosomal Analysis shows three 

   copies of the 21st chromosome

Term
Edwards Syndrome / Trisomy 18
Definition

- Non Disjunction @ Meiosis II

- Malformations of Brain

- Rocker Feet

- Microcephaly

- Low-set-ears rotated backwards

- Prominent Occiput

- Poor prognosis --> few survive first year

- Chromosomal Analsys shows 3 copies of

  chromosomal 18

Term
Trisomy 13 / Patau Syndrom
Definition

- Non-Disjunction

- Holoprosencephaly (failure of braint to develop)

- Cleft lip / cleft palate (malformation)

- Renal Abnormalaties

- Cutaneous scalp defects

- The worst prognosis of of other tirsomy syndromes

Largest cause of spontaneous abortion

Chromosomal analysis reveals three copies of

  chromosome 13


Term
Turners / Monosomy X
Definition

- Nondisjunction of Sex chromosomes

- No Bar Bodies

- Most Common Isochromosome

- Female

- Webbed Neck

- Wide spaced nipples

- Renal / cardiac defects

- Edema of feet at birth

Shortned fourth metacarpal

- Otitis Media (hearing loss)

- gonadal dysgenesis

- Microaray analysis: found no duplications

Term
Klinefelter Syndrome
Definition

- Non-Disjunction Sex Chromosomes

- Errors in Paternal Meiosis I (sperm brings X&Y)

- one bar body

- No syptoms prior to puberty

- tall

- thin

- hypogonadism discovered @ puberty

- underdeveloped secondary sex characteristics

- infertility

- Most frequent for of sex aneuploidy

Term
DiGoerge Syndrome
Definition

- Cleft Palate

- Identifiable = Look of Face

- FIRST SIGN: behavior problems

- Thymic Hypoplasia --> increased susceptibility to

                                      infections 

- ADD & ASD(Autisim Spectrum Disorder)

- Hypoparathyroidism

- Hypocalcemia --> Convulsions

- GENE = TBX1

- Chromosome = 22q11

- Microdeletion

- affects apoptosis of embryonic development

   associated w/Cardiac Defects (80% have ♥ defects)

- Diagnosed by FISH

Term

Cri-du-Chat

Syndrome

Definition

- Laryngeal Defects

- Catlike High Pitched Cry

- Microcephaly

- Hypotelorism

- Broad Nasal Root

- Downslanting Palpebral Fissure

- High Arched Palate 

- 5p Deletion

Term

Wolf-Hirshhorn 

Syndrome

Definition

- Wide spaced eyes

- short distance b/w nose and lips

- downturned mouth

- Hypotonia

- Strong Social Skills

- 4p16 deletion

 

Term
Williams Syndrome
Definition

- Cocktail Party Personality

- Poor visospacial abilities

- Low IQ (40-80)

- Short palpebral fissure

- short nose w/depressed bridge

- full lips/cheeks

- wide-spaced teeth

- microdeletion 7q11.23

-DX: by FISH

Term

FH

(Familial Hypercholesterolemia)

Definition

- Autosomal Dominant

- Allelic Heterogeneity (many mutations--> same disease)

- Incrased LDL in blood --> coronary artery disease

- Mutations in LDLR affecting synthesis, transport,

   binding, clustering, and recycling of LDL

- Heterozygotes --> 1/2 normal LDLRs asymptomatic

                               until 30-40 yrs

- Homozygotes --> no normal LDL, xanthomas by 4yrs

                             old, severe hypercholesterolemia  @

                             birth

-TX: liver transplant /  conventional therapies

Term

Vitamin-D Resistant

Rickets

Definition

- Slow Growth

- Short Stature

- Bone Abnormalaties

- Genu Varum Legs

- X-Linked Dominant

- Gene: PHEX

- Low Serum Phophate

Term
Rett Syndrome
Definition

- X-Linked Dominant

- MECP2

- Wringing of Hands

- Intelectual Disability

- MECP2 Protien binds methylated DNA (CG regions) 

- No MECP2 --> improperly expressed genes during brain

                        development

- Lethal in Males

Term
Hemophilia-A
Definition

- X-Linked Recessive --> 50% chance of "son" affected

                                 --> 25% chance of a "child" 

- Severe bleeding wounds

- hemorrhages in joints (hemarthroses) / muscles,

   intracranial 

- Bruising

- Clotting Factor VIII malfunction

- TX: clotting factor VIII

Term

DMD

(Duschenne Muscular Dystrophy) 

Definition

- Out of Frame Deletion

- X-linked recessive

- DMD franshift Mut --> deletion

- Increased Kreatine Kinase Activity

- No Dystrophin produced

- Missing Exons 45-54

- Gower Maneuver

- Delayed motor skills (walk @ 18 months)

- 95% get ♥ disease

- more severe than Becker (in frame deletion)

- DX: by genetic testing

Term
Colorblindness
Definition

- X-linked Recessive

- Deletion

- Red-Green condes on X w/similar sequences cause

  errors during homologous recombination --> deletions

Term
Christianson Syndrome
Definition

- X-linked Recessive

- Gene: SLC9A6 & NHE6 (Na/H Exchange)

- Inability to speak and walk

- Ataxia

- Open Mouth

- Abnormal eye movements

- Happy

Term
Fragile-X Syndrome
Definition

- X-Linked Recessive

- High Percentage of Manifesting Heterozygoes 

- Maternal Anticipation

- CGG repeats in 5'UTR of FMR1 gene

       * Norml < 55  / Premutation 55-200  /  Mutation > 200

- GENE: FMR1 (gene silencing via methylation) --> blocks

              Translation 

- Most Common Inherited Form of Intellectual Disability

Term

Fragile X Syndrome

Symptoms

Definition

- Intelectual Disability

- Shy 

- Hyperactive

- Big, Forehead, Jaw, Ears

- @-Birth = Macrosomia (excessive weight) &  

   macrocephaly

- @ Puberty = Abnormally Large Testicles

Term

Huntington's Disease

(HD)

Definition

- Autosomal Dominant

- Paternal Anticipation

- Unstable Repeats in CAG --> Incr. Glutamine Residues

       * > 40 = Disease

       * 36-39= can develop later in life

       * < 60 = Juvenie HD

- Gene: HTT

- Protein: Huntington's Protein

- Inverse correlation b/w # of repeats and age of onset

Term

Huntington's Disease (HD)

SYMPTOMS

Definition

- ONSET: Clumsiness, agitation, personality changes,

                 depression


- LATER: motor disturbances-jerky, brief, involuntary

               movements in face and upper arms


 Progressive decrease in attention/learning/memory

--> dementia

Term
Myotoic Dystrophy
Definition

- Gene: DMPK = Protein Kinase

- Unstable repeats in CTG 3'UTR

- errors in splicing mRNA

 

SX:

- Progressive Muscle deteriorarion Myotonia

- Inability to relax

- Arrhythmias

- Develeoped Insulin Resistance

- Facial Features Progress

Term

MERRF Disease

(Myoclonic Epilepsy & Ragged-Red Fiber Disease)

Definition

- Mitochondrial Inheritance

- Mutaion A--> G subsitution at locas 8344 in gene  

                       encoding tRNAlys

- Gene: tRNAlys

- Homoplasy (all or none mutated)

- Heterplasy ( mixed mitochondria)

 

SX:

- Twitching Muscle Spasms

- Seizures

- ataxia

- Ragged-Red-Fibers (only occurs w/Mito Inheritance)

- Muscle Biopsy shows ragged red stuff

 

Term

MELAS Syndrome

(Mitochondrial Encephalomyopathy Lactic Acidosis &

Stroke-Like Episodes)

Definition

- Mitochondria Inheritance

- Point Mutation

- tRNAleu

- <1% chance of affected father passing to daughter

 

SX

- SX appear in Childhood

- Muscle Weakness & Pain

- Headaches

- Vomiting

- Seizures

- Strke-Like Episodes --> damage brain

Term
Leigh Syndrome
Definition

- Mitochondrial Inheritance

- Point Mutation

- Gene: MT-ATP6 (involved in Oxidative Phosphorylation)

- affected father has  <1% chance of passing to

  daughter

- Juvenile Subacute Necrotizing Encphalomyopathy

 

SX

- Profressive loss of psychomotor skills

- Vomiting

- Diarrhea

- Dysphagia (difficulty swallowing--> failure to thrive)

- Weak muscle tone

- Patches of damaged tissue in brain

- death with-in a couple years

 

Term

LHON

(Leber's Hereditary Optic Neuropathy)

Definition

- Mitochondrial Inheritance

- Point Mutation

- Gene: ND4 Gene

- involved in Complex-I o f ETC (oxidative Phosph.)

- Mostly in males

 

SX

- SX appear teens to 20

- Blurry Vision

- Vision Loss

- Movement disorders

- Cardiac  Conduction Defects


 

Term
Prader-Willi Syndrome
Definition

- Maternal Imprinting

- MUPD15

- Chromosome 15q11-q13

 

SX

- Obesity

- Small feet & Hands

- seizures

- Severe Hypotonia (can't hold head up)

- feeding difficulties early in infancy

- Scoliosis gets severe fast

- Excessive eating 

- Severe Intelectual Disability

Term
Angelman Syndrome
Definition

- Paternal Imprinting

       * 2 imprinted blanks from father (if spontaneous)

       * Chromosomal deletion from mother

- PUPD15

- Chromsome 15q11-q13

 

SX

- Unusal facial appearance

- Short stature

- severe intelectual disability

- spasticity

- seizures

- Extremely Happy Personality

Term

Beckwith-Wiedemann

Syndrome

Definition

- Paternal Imprinting   

       * 2 imprinted blanks from father

- PUPD11

- Chromosome 11


SX

- Macrosomia

- Macroglossus

- Umbilical hernia

- severe hypoglycemia

- develop malignant neoplasms of kidney, adrenals & liver

Term

Silver-Russell 

syndrome

Definition

- Maternal Imprinting

- MUPD7

- Chromosome 7


SX

- Poor appetite --> hypoglycemia

- Small triangluar face

- Small Jaw

Term

Digenic Retinits Pigmentosa

(DRP)

Definition

- Multifactoral Inheritance

       *need at least heterzyogocity for mutation w/both

        genes peripherin and ROM1 to have disease

- Gene: ROM1 Peripherin

- Vision Loss when one mutant allele for both genes

- Encodes photo receptors

Term
Alzheimer Disease
Definition

- Multifactoral Inheritance

- APOE (Apolipoprotein E) Presentin 1&2

- Amyloid-beta-precurrsor Protein (APP) cleaved

   improperly --> beta amyloid plaques


-Three Variants = ε2, ε3, ε4

- two ε4s = 98% chance Alzheimers in 65-74 y

   w/symptoms of dementia

 

Term
Type-1 Diabetes Mellitus
Definition

- Autoimmune Destruction of beta-cells in Pancreas

  (can't make insulin)

- Multifactoral Inheritance

- 12 Different HLA ALLELES

- Qualitative Phenotypes (disease or no disease)

- 1/500 caucasians @ birth

- λsib = 7% /.2% = 35

Term
Type 2 Diabetes Mellitus
Definition

- Multifactoral Inheritance

- TCF7L2

- PPAR-gamma

- 0.9 heritability

- Risk Factors: Family HX & Obesity

Term
Obesity
Definition

- LOF mutation in Leptin or Receptor

- Gene: LEP

- Heritibility = 0.6-0.8

- Leptin = Hormone regulating satiety


Term
Alcoholism
Definition

- Alcoholism Proteins:  ADH & ALDH

- Addiction Proteins:   GABA

- Heritability:

       *Type 1 = 0.21

       *Type 2= 0.80


Term
Crohn Disease
Definition

- Gene: NOD2

- Protein: Nucleotide Oligomerization Domain Protein

               = responsible for binding bacterial cell walls &    

                  triggering inflamatory response


SX

- Abdominal Pain

- Cramping Diarrhea

- bloody stool

- transmural ulceration

- granulomas of the GI tract

- fistulas

- inflammation of joints, eyes, skin

Term
Schizophrenia
Definition

- Genes: DTNBP1

             NRG1

             G30

- Monozygotic Twin = 44.2% risk

- Dizogotic Twins = 12.1% risk


SX:

- Delusions

- Hallucinations

- Retreat from Reality


Term
Sonic Hedgehog
Definition

- Gene: SHH

- affects DIFFERENTIATION

- Autosomal Dominant

- LOF mutation

- has Variable Expressivity

- Starts in Notochord --> affects neuro development

- Intertwined w/limb development and FGF8


SX:

- Holoprosencephaly (Failure of midface & forebrain to

                                  develop)

- Leads to cleft lip & palate

- Hyper telorism (eyes together)

- absence of forebrain structures

Term
Pallister-Hall Syndrome
Definition

- Malformation = intrinsic abnormalities of genetic

                           programming

- GLI3 - short, truncated

- only REPRESSES gene expressin


SX:

Extra fingers/toes (fused)

 

Term
Greig Cephaloplysyndactyly
Definition

- Malformation

- More severe

- Autosomal Dominant

- GLI3 - LOF Mutation = more severe than Pallister-Hall


SX:

- Extra fingers / toes (fused)

- widely spaced eyes,

- macrocephaly

 

 


Term
Rubenstein-Tabi Syndrome
Definition

- LOF Mutation

- Gene: CREBBP (transcriptional activator)


SX

- Short stature

- Beaked Nose

- broad terminal phalanxes of big toe/thumb

- delayed bone maturity

- cardiac defects

 

 

Term
Tetra-amelia Syndrome
Definition

- Autosomal Recessive

- LOF mutation

- Gene: WNT3 --> Req'd for ant./post. axis formation


SX:

- missing all 4 limbs

- malformations of face, head, heart, nervous system, &

   skeleton



Term
Grebe Chondrodysplasia
Definition

- Autosomal Recessive

- Gene: CDMP1 = cartilage derived morphogenetic protein 1

                                 = (TGB Family)

- Everything is short

- brachydactyly (short fingers and toes)

- knob-like fingers

Term
HOX genes
Definition

- HOXD13 Mutation 

- Incomplete Dominance

- affects differentiation in ebryonic development

- ant./post. axis & development of limbs

- Heterozygotes = less severe sx

- Homozygotes = more severe sx

- 3'UTR similarities b/w flies/mice/humans

- contains a DNA binding motif called homeodomain 

                                                           (homeobox)

- GOF mutation --> poly-alanine residues

       * normal = 15 alanines

       * mutation= 22-24 alanines


SX:

- interphalangeal webbing 

- extra digits

 

Term
Holt Oram Syndrome
Definition

- Autosomal Dominant

- LOF mutation affecting transcription factor

- Gene: TBX5 --> req'd for organogenesis & axis

                           formation for upper limb


SX

- Triphalangeal thumbs

- Carpal bone abnormalities

- short forearm

 

***child w/ above sx = _____- _____ Syndrome

       Adult w/ above sx= Drug induced

                                     (drug  no longer on maket)

 

 


Term

Miller Dieker

Syndrome

Definition

- Autosomal Dominant

- Affects MIGRATION of embryonic development

- LOF mutation

- Gene:  LIS1 on 17p --> affects waves of cortical

                                     neurons. So, lack of correct

                                     migration of cell types in brain


SX

- Lissencephaly (smooth brain)

- Thickened hypercellular cerebral cortex w/undefined

   cellular layers

Term
Oligohydraminos
Definition

- DEFORMATION (extrinsic factors on fetus)

- result of LOW AMNIOTIC FLUID

 

SX

- Club Foot

- Arthrogyposis-congenital joint contractures

- Hip dysplasia

- potter sequence


TX: correct w/braces & PT

Term
Amniotic Bands
Definition

- Disruptions

       (destruction of irreplaceable normal fetal tissue)

- 9th-38th week of fetal development

 

Term

1. MALFORMATION

2. DISRUPTION

3. DEFORMATION

Definition

1. intrinsic abnormalaites 3rd-9th weeks of development


2. amniotic bands 9th-38th weeks


3. extrnisic factors (i.e. low amniotic fluid)

Term
Potter Suequence
Definition

- a sequence that affects one organ system

   w/pleiotropic effects


- E.G. 

   renal abnoramalities --> Low amniotic fluid --> compressed fetus --> potter

                                          (oligohydramnios)                                         facies


SX = compression of fetus --> shmusched face 


Term

Ellis-van Creveld

Syndrome

Definition

- Autosomal Recessive

- made prevalent by consaguinity

- Gene Mutations: EVC & EVC2

- FOUNDER EFFECT

- Amish Community / Lancaster County, PA

- Example of Variable Expressivity


SX

Cleft lip/palate,

polydactyly,

limited range of motion,

short limbs,

short stature,

sparse/absent/fine hair,

tooth abnormalities.          

 

Term
ΔCCR5
Definition

- positive selection for HOMOzygotes

- B/C ΔCCR5 aids in HIV entering cell, homozyogote

   mutants = resistant to HIV

ΔCCR5 mutation --> no chemokine receptor 5 protien

- prominent in Northern Europeans & Skandinavians

Term

Sickle Cell 

Pisitive selection

Definition

- positive selection for HETEROzygotes

- Individuals heterozygous for sickle cell trait are

   resistant to Malaria


Term

Cystic Fibrosis 

Positive Selection

Definition

- positive selection (selective advantage) for

   HETEROzygotes

- Heterozygotes = 50% less CFTR --> selective

   advantage against Cholera

Term
Congenital Hearing Loss
Definition

- Assortive Mating

- Autosomal Recessive & Dominant

- Chromosome 13

- Gene: GJB2 --> encodes connexin-26 proteins involved

                           in gap junctions

- 1/1000 chidlren affected

- 80% nonsyndromic deafness

- Mutations in >30 genes --> deafness 

= Locus Heterogeneity = many genes/mut.--> one disease


- RECESSIVE ALLELES that cause Deafness:

* 30delG -  Caucasions

*167delT - Ashkenazi Jews

* 235delC - Japenese


 

Term

Define


1.Stratification

 

2. Assortive Mating

Definition

1. groups have higher proportion of a mutated allele


2.  seeking an individual with a specific trait

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