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Genetics. Summary. HY facts
Genetics. Summary. HY facts
1 Autosomal Dominant ¤Observed in multiple generations of a pedigree ¤Females/Males are affected in roughly equal frequencies ¤No skipped generations Examples: ACHONDROPLASIA: prominent forehead, low nasal root, lumbar lordosis. FGFR3 gene (gain of function) -inhibition of bone growth. ¤NEUROFIBROMATOSIS TYPE1 (benign peripheral nerve tumors, cafe-au-lait, ¤NEUROFIBROMATOSIS TYPE 2 - acoustic neromas and cafe-au-lait spots. ¤HUNTINGTON DISEASE - dementia, loss of motor control. Progresses slowly ¤MYOTONIC DISTROPHY - muscle deterioration, cardiac arrhythmia, frontal baldness, testicular atrophy, cataracts 2Autosomal Recessive ¤Seen in only one generation of a pedigree; ¤Occur in heterozygous pairing E.g.: CYSTIC FIBROSIS - elevated sweat Cl level, thick mucus in airways, pancreatic insufficiency, absence of ductus deferens, chronic infections ¤HEREDITARY HEMOCHROMATOSIS - absorption of excess iron in the gut. Deposition of Fe in liver (hepatocellular carcinoma, cirrhosis), pancreas, joints. 3X-Linked Recessive ¤Males prevail ¤Heterozygous female with disorder - Manifesting Heterozygote ¤Skipped generations ¤No male-to-male Examples: HEMOPHYLIA A, B DUCHENNE MUSCULAR DYSTROPHY - disorder of dystrophin, that is connected to dystroglycan complex, death from cardiorespiratory failure 4X-Linked Dominant ¤No male-to-male; ¤No skipped generations; ¤twofold more often in females than in males 5Mitochondrial ¤Disease is from affected female ¤Heteroplasmia ¨C when mutation is only in part of mitochondria EXAMPLES: ¤MERRF (Myoclonic epilepsy,rough rugged fibers) ¤LHON (Leber Hereditary Optic Neuropathy) ¤MELAS (Myoclonic Epilepsy, lactic acidosis, stroke episodes) Variable Expression (causes): ¤ Environmental Influences; ¤ Types of mutations (missence are less severe than nonsense) ; ¤ Modifier lociCan cause different rates of manifestations: NEUROFIBROMATOSIS 1 AND 2. Incomplete Penetrance: ¤ Disease ¨C causing genotype has NO manifestations ¤ Obligate carriers -represent skipped generations, offspring are affected. E.g. HEREDITARY HEMOCHROMATOSIS When penetrance is given, say A%. %Affected = %affected(by Mendelian distribution)*%A %Non-affected = 1 - %affected. Delayed Age of Onset E.g. HUNTINGTON DISEASE Pleiotropy: ¤Single disease-causing mutation affects multiple systems E.G. MARFAN SYNDROME - defective fibrillin Locus Heterogeneity: ¤The same disease phenotype is produced by mutations in different loci. E.g. OSTEOGENESIS IMPERFECTA - 17 and 7 chromosome New Mutation - no comments; Anticipation: ¤More recent generations have greater severity of disease then preceding generations; ¤Trinucleotide repeat polymorphism expansion within or near the coding gene MYOTONIC DISTROPHY FRAGILE X SYNDROME - large ears, enlongated face, hypermobile joints, macroorchidism Imprinting ¤Different manifestations if inherited from different parents. Father: PRADER-WILLI - moderate mental retardation, hypogonadism, small hands and feet and obesity Mother: ANGELMAN - severe mental retardation, seizures, ataxic gait _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ _ _ _ _ _ _ GENETIC STATISTICS (short) Genotype frequency(p2 or q2 or 2 pq): given in Genotype/Count table (genotype: 1,1 and count: 4 thus, gene frequency will be 4/100 = 0,04. Gene/Allele frequency(p or q): go to table, e.g. Allele frequency for 1 is to be found. Genotype/Count: 1,1;1,2;1,3/4;5;9; Thus, allele frequency is equal to (4+4(for 1,1)+5 (for 1,2)+9(for 1,3))/200 = 0,11 Hardy-Weinberg's p*p + 2*p*q + q*q = 1 (For X-associated diseases - in males: just p or q (one X only)) Genetic Drift: in small populations frequency of defective genotype increases; Genetic Flow: mixture of different populations. New genotype is brought to new population. Natural Selection: Increased frequency of definite genotype in natural environment. AfroAms have more sickle-cell anemia cases. ------------------------------------------------------- ONCOGENES CLASS/STAGE/PROTEIN ENCODED BY ONCOGENE/ONCOGENE/TYPE OF CANCER/ 1 Growth Factor Platelet-derived growth factor sis Astrocytoma, osteosarcoma 2 Receptors Epidermal-growth factor receptor erb B1 sq cell ca of lung 2 Receptors Epidermal-growth factor receptor erb B2 Breast, ovarian, lung and stomach ca 2 Receptors Epidermal-growth factor receptor erb B3 Breast ca 3 Signal transducers Protein tyrosine kinase src Rous avian sarcoma 3 Signal transducers Protein tyrosine kinase abl CML, ALL 3 Signal transducers G prot with guanosine triphosphatase activity ras Abnormal G Protein. Bladder, lung, colon and pancreas ca 4 Nucleal transcription factor Leucine zipper protein fos Finkel-Biskes-Jinkins osteosarcoma 4 Nucleal transcription factor Leucine zipper protein un Avian sarcoma 4 Nucleal transcription factor Helix-loop-helix protein N-myc Neuroblastoma 4 Nucleal transcription factor Helix-loop-helix protein myc Burkitt's ly 4 Nucleal transcription factor Retinoic acid receptor (zinc finger protein) pml/rar §Ò AML CHROMOSOMES GENE/DISEASE/COMMENTS Chromosome 1 ¨CN myc Neuroblastoma Gene Amplification Chromosome 3 (deletion 3p) AD Von Hippel Lindau Renal Cell CA, Adenomas, Cysts Chromosome 4 Huntington¡¯s Choreiform movements, (incr number of CAG trinucleotid repeats within HD gene(codes for NMDA receptor) on 4p -AD) Paternal transmission, ANTICIPATION Chromosome 5 APC Familial Polyposis Coli 100% CA. Suppressor gene (deletion ¨CAD) Gardner¡¯s gets inactivated Chromosome 6 Hemochromatosis Bronze Diabetes (Mutation in Hfe gene) *HLA genes Chromosome 7 CF Sweat test, lungs, pancreas (CTFR ¨Cdelta f508: AR, 70% 3-base deletion that codes for phenyl-alanine at position 508) defective Cl ion channel Chromosome 11 Wilm¡¯s tumor WT1-WAGR Complex, (WT1 and WT2 ¨C 11p) (tumor suppressor gene) hemihypertrophy Chromosome 13 Wilson¡¯s Disease Corneal Kayser-Fleicher (hepatolenticular) rings, Copper metabolism Chromosome 13 Retinoblastoma Two-hit. Inactivated tumor (Rb: homozygous del on Osteosarcoma suppressor gene. 13q at bond q14 Chromosome 13 Patau¡¯s (Trisomy) Chromosome 15 (del15 q11-q13) maternal Angelman¡¯s Microdeletion. MR, burst of laughter Chromosome 15 (del15 q11-q13) paternal Prader-Willi Microdeletion. MR (mental retardation) Chromosome 15 Marfan¡¯s Fibrillin gene, AD, ectopia lentis, MVP Chromosome 16 APKD AD, a/w multiple trinucleotide repeats Chromosome 17 Pancreatic CA Home of p53 Chromosome 17 Breast CA, Ovarian CA Home of p 53 and BRCA 1 (BRCA 1, 17q and 13q) Normally a suppressor gene Chromosome 17 NF1 Inactivated tumor suppr gene normally codes for GTPase-act prot that facilitates conversion of active ras-GTP to inactive ras-GTP (NFT 1, 17q: AD) Chromosome 17 25-50% lung, colon, breast Inactivated tumor suppr gene (p 53, 17p-Guardian of genome) Chromosome 18 (trisomy) Edward's (Trisomy) Rocker bottom feet micrognathia Chromosome 21 (Codes for Amyloid precursor protein) Alzheimer's APP gene codes for amyloid precursor protein, a precursor to the A§Ó-peptide Chromosome 21 Down's (trisomy) simian crease, Brushfield spots Chromosome 22 Di George Syndrome microdeletion of 22q11, CATCH 22 sy Chromosome 22 NF2 Bilat acoustic neuroma, meningioma X-chromosome Fragile X sy Increased number of CGG tandem repeats in the 5' untranslated region of the FMR-1 (flial mental retardation gene X-chromosome Duchenne mutation in DMD gene located in Xp21 destroys ability of dystrophin to anchor actin to the extracell matrix Y ¨C SRY- Sex determining. SRY ¨C inhibits DAX-1 locus, which in turn, inhibits male differentiation genes. On crossover event if SRY region moves to X, this may lead to 46XX males. |
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