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Molecular Pathology- Lyn
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Medical
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08/25/2011

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Term
Multi-factorial defect
Definition
combination of multiple genes
Term
Chromosomal defect
Definition
a type of genetic defect that can be visualized via cytogenetics
Term
Inherited genetic defect
Definition
a type of mutation in germ cells that are passed on to the offspring and incorporated into all of their cells
Term
Somatic Cell Genetic Defect AKA sporadic mutation
Definition
a type of genetic defect that is caused by change in somatic cell, not transmitted to offspring, may occur after environmental exposure, or spontaneously due to a DNA repair defect
Term
Haplotype AKA haploid genotype
Definition
a collection of single nucleotide polymorphisms that are inherited together on the same chromosome. They represent genetic markers that are closely linked. SNPs may be located at coding or non-coding sites. The pattern of a haplotype is used in genetic association studies of complex diseases.
Term
Steps in how a molecular defect can cause a disease
Definition
Gene is lost or mutated  modified protein product  varying phenotype
Term
When do somatic mutations often arise?
Definition
Somatic mutations often arise when proofreading or repair enzymes are defective resulting in a permanent change
Term
Diseases caused by a point mutation
Definition
Sickle Cell anemia
Alpha thalassemia
Li-Fraumeni cancer syndrome (defect in p53)
Term
Sickle cell anemia
Definition
caused by a point mutation that changes the codon coding for glutamic acid to valine
Term
Alpha-thalassemia
Definition
a point mutation at a stop codon [UAA->CAA(glutamine), UAA->UCA(serine) UAA->UAU (tyrosine) will cause the encoded protein to have extra amino acids. An alternative in-frame stop codon located 31 amino acids downstream will be utilized. Globin protein usually unstable.
Term
WHat are other mutations associated with alpha-thalassemia that can affect RNA processing?
Definition
(a) poly(A) recognition sequence in alpha 2 globin gene will affect mRNA stability,
(b) Splice-site mutations will affect mRNA transcript length.
c)can be caused by deletions in the alpha chain nucleotides, which alters alpha globin synthesis and can cause fetal death (fetal development altered in utero)
Term
Effects of p53 gene mutations
Definition
can cause the development of sporadic cancers in which the mutations,found in the tumor suppressor region, are only found in the tumor DNA.
People with this defect have a rare autosomal dominant defect called Li-Fraumeni cancer syndrome
Term
What can a point mutation nucleotide change within the promoter region lead to?
Definition
. A nucleotide change within the promoter sequences of a gene can lead to either lower or greater gene expression levels
Term
Deamination of methyl cytosine can result in...
Definition
change of CpG to TpG nucleotide.
Term
Other changes that are associated with point mutations due to methylation of a nucleotide in the DNA promoter sequence...
Definition
results in lower or absent gene expression.
Example: . The p16(produces a tumor suppressor protein) and DNA mismatch repair genes are examples where excess methylation of promoter sequences at CpG sites in some tumors have been associated with absent or a severe reduction in transcription.
Term
Nucleotide change at a splice site can cause.....
Definition
Splice site mutation in COL1A2 gene will result in loss of exon 6 leads to Ehlers-Danlos Syndrome.
Term
Where might mitochondrial genome point mutations be located?
Definition
point mutation may be located in tRNA, rRNA or one of the 13 protein encoding genes.
Term
Point mutatuion in the mitochondrial 12S rRNA can lead to....
Definition
alterations in the stem-loop structure, which is believed to increase its binding to some antibiotics
results in familial antibiotic induced deafness
Examples of antibiotics: kanamycin, neomycin
Term
Disorders associated with the deletion of an entire structural gene
Definition
Hemophilia
Beta-Thalassemia
Term
Hemophilia
Definition
a disease that occurs when the entire Factor VIII gene is removed
Term
Beta-Thalassemia
Definition
Splice site mutation caused by deletion of one or more beta-globin genes and affects mRNA processing. Disease severity depends on number of genes deleted. The disease will be lethal if both beta-globin genes are deleted, while a mutation in one of the beta-globin genes will result in a milder disease (microcytic anemia).
Thalassemia results from an imbalance in the synthesis of alpha and ß-globin chains.
Term
microcytic anemia
Definition
A milder form of Beta thalassemia that is caused by a mutation in which only one of the beta thalassemia genes are deleted
Term
Diseases causesd by a partial deletion of a gene
Definition
Duchenne muscular dystrophy
Becker muscular dystrophy
Term
What is the gene responsible for DMD and BMD?
Definition
Gene responsible is dystrophin (located on chromosome X; X-linked pattern of inheritance)
Term
What type of partial deletion/insertion causes DMD?
Definition
more severe than BMD causes an out of frame mutation
Term
What type of partial deletion/insertion causes BMD?
Definition
caused by an in-frame deletion/insertion less severe than DMD
Exon duplication is associated with 5% of cases
Term
What disease is caused by codon deletion?
Definition
Cystic fibrosis
Term
What specific gene mutation is causes cystic fibrosis?
Definition
Mutation in the chloride ion channel called, cystic fibrosis transmembrane regulator (CFTR).
More specifically,the most common mutation involves loss of an amino acid (phenylalanine) at codon position 508 due to CTT deletion
PCR is used to detect this disorder
Term
What disease is associated with a frameshift mutation?
Definition
Tay-Sachs disease
Term
What is a frame shift mutation?
Definition
: Insertion or deletion of nucleotides will cause a shift in the reading frame during translation of mRNA. A random amino acid sequence will occur on the carboxyl side of the mutation that could result in a truncated protein caused by the introduction of a premature stop codon.
Term
Tay-Sachs disease is due to .....
Definition
to a 4-nucleotide insertion that results in a defective hexosaminidase.
Term
Pleiotropy
Definition
1 gene influences many phenotypic traits
Term
How can the knowledge of a haplotype be used?
Definition
Haplotype may be used in personalized medicine, and to test genetic associations with diseases.
Term
Factor V Leiden
Definition
Caused by a point mutation that results in the loss of a proteolytic cleavage site.
This prevents the inactivation of Factor Va and leads to excessive clotting.
Associated with deep vein thrombosis
Term
What results when there is a loss of DNA methylation?
Definition
Highly methylated CpG DNA regions will adopt a condensed chromatin conformation.
5’-Methylcytosine is chemically unstable and prone to spontaneous deamination forming thymine.
Thymine is not recognized by nuclear DNA repair machinery as abnormal, which leads to a loss of gene expression control.
Term
Ehlers-Danlos Syndrome
Definition
Type VII A & B are caused by a point mutation that prevents post-transcription processing.
This causes a loss of exon 6 in the COLIA2 gene thst encoded for alpha-2 chain of procollagen
This autosomal dominant mutation prevents proteolyitc processing.
Term
Codon Mutation
Definition
occurs when a nucleotide change results in a change in amino acids which could possibly lead to the formation of an oncogene
THis is an example of a ras mutation and can occur in someone that is a smoke.
Term
Myoclonus Epilepsy Associated with Ragged-Red Fibers (MERRF)
Definition
caused by a mutation in mitochondria tRNAlys.
Term
MELAS (Myopathy encephalopathy lactic acidosis and recurrent stroke-like episode)
Definition
caused by a mutation in mitochondria tRNAleu.
Pyruvate can no longer be oxidized, so the pyruvate is converted to lactic acid.
Term
Protein Polymorphism
Definition
Amino acid will change if polymorphism occurs in coding sequence
Term
Example of Polymorphisms
Definition
nucleotide substitutions
nucleotide deletions/insertions
tandem repeats,trinucleotide repeats, and CNV
Term
disorders caused by Polymorphic Triplet repeats AKA trinucleotide repeats
Definition
Fragile X
Myotonic Dystrophy
Huntington's
Term
Fragile X Syndrome
Definition
a mutation in the number of trincleotide repeats that is associated with FMR-1 gene.
Defect can be detected as a region of incomplete condensation in metaphase chromosomes under special culture conditions
Term
Genetic anticipation
Definition
Pre-mutations repeats can be meiotically unstable and offspring can have an expanded number of trinucleotide repeats
Refer to slide 23 about fragile X
Term
What can be used to identify family members?
Definition
Southern Blotting of minisatellites AKA short tandem repeats
Term
What is microsatellite Instability caused by and by what methodis it detected?
Definition
MSI is due to a defective mismatch repair (MMR) gene in certain cancers. Approximately 13% of colorectal, gastric and endometrial carcinomas have a defective MMR gene.
Can be detected using PCR amplication
Term
AN example of insertion of sequences within a gene.
Definition
• Insertion of mobile or “jumping” Alu elements into coding sequences will be lethal.
Term
Partial Gene Duplication and DMD and BMD
Definition
causes disruption of exon organization: duplication of specific exons (5% of cases of DMD/Becker MD).
Term
Multi-Stage Development of Colon Cancer
Definition
1. normal intestinal epithelium
2. aberrant crypt focus
3. adenoma (early, middle, and late)
4. carcinoma
Term
Tumor Suppressor gene can be silenced by:
Definition
1. Partial gene deletion or loss of sequences that is observed as loss of heterozygosity (LOH).
2. Point mutation.
3. Epigenetic defect like CpG islands/sites in the promoter is a substrate for methylation or Hypermethylation is related to a reduction in transcription.
Term
How can Loss of heterozygosity be determined?
Definition
can be determied using southern blotting and must be compared to a normal sample. will appear as a loss of a band
Term
[image]
Definition
this is how deletion of the Rb gene is detected by cytogenetics
Term
Mosaics and Post-zygotic mutations
Definition
Mosaics have Two (or more) Genetically Different Cell Lines
Post-zygotic mutations produce distinct cell lines that have either different sets of chromosomes or different gene mutations for a single gene in different cells.

E.g. DM1 gene locus (myotonic dystrophy type 1)- range of somatic CTG expansion in different tissues; may increase with age.
Term
Polyploidy
Definition
Any multiple of the haploid number of chromosomes, e.g., 3N, 4N (common in spontaneous abortions).
Term
Aneuploidy
Definition
Change in the number of one chromosome.
Examples: Autosome, e.g., trisomy 21 (Down syndrome)
Sex chromosome, e.g., Klinefelter’s syndrome (47,XXX); Turner syndrome (45,X0).
Term
Spontaneous Fetal Loss for Autosomal Trisomies
Definition
Less than 50% survival rate of trisomy 21. Poor survival of trisomy 13 (Patau syndrome) and 18 (Edwards syndrome) conception, but no survival of trisomy 16.
Term
Uniparental Disomy
Definition
Both copies of a single chromosome (or major part of that chromosome) is inherited from the same parent. The other parent contributes nothing to that portion of the embryo’s genome.
Mutations to genes located on Y chromosome.

Examples: Beckwith-Wiedemann, Prader-Willi and Angelman syndromes
Term
Isodisomy
Definition
When both copies of a autosomoal chromosome are inherited from one parent and the copies are the same
Term
Heterodisomy
Definition
When both copies of a autosomoal chromosome are inherited from one parent and the copies are different
Term
Types of structural defects
Definition
1. Micro-deletions/contiguous gene syndromes
2. Translocation
3. Inversions, insertions, and duplications
4. Interchange between X and Y chromosomes
Term
Micro-deletions/contiguous gene syndromes
Definition
a specific region of the chromosome is deleted.
Examples: Angelman/ Prader-Willi denoted as: del (15) (q11q13)
Term
Translocation
Definition
Burkitt's lymphoma is due to a translocation between the long arms of chromosome 8 and 14.
Term
FISH
Definition
Flourescent in situ hybridization. can be used to examine 2 or 3 probes simulatenously
Can only detect chromosomal aberrations NOT DNA base pair mutations
Term
Detection of Mutations
Southern Hybridization/Fragment Length Polymorphism (RFLP)
Definition
RFLP exploits the differences in DNA sequences from different individuals by the use of restriction endonucleases. Restriction endonucleases cleave DNA only at specific recognition sites (palindrome). When a single base pair mutation occurs at a homologous site (in an allele), the sequence is no longer a "recognition site" and the DNA is not cleaved. The separated DNA fragments will always appear 'co-dominant,' unlike a biochemical assay where an enzyme level is measured.
Technique may be used to detect tandem repeat sequences, exon deletion or duplication (assuming these regions are flanked by a restriction site).

Example SS anemia by the use of MstII
Term
PCR
Definition
useful when only small amounts of DNA are available. PCR-RFLP involves a combination of DNA amplification of a fragment of a gene under study, followed by digestion with a restriction enzyme.
Term
[image]
Definition
chromosomal translocations
Term
[image]
Definition

Insertion of Chromosomal Region

Term
[image]
Definition

Structural Chromosomal Mutations

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