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Genetics
Chapter 1-7
241
Medical
Graduate
02/08/2010

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Term
Gregor Mendel
Definition
-Augustinian monk who discovered basic principles of heredity through his experiments with garden peas. He studied approximately 30,000 pea plants in the development of his theory.
-Received no recognition for his work during his lifetime
Term
Unit inheritance
Segregation
Independent assortment
Definition
Gregor Mendel derived three laws from his experiments:
Term
unit inheritance
Definition
parental phenotypes do not blend in offspring
Term
Segregation
Definition
two members of a pair of genes segregate and pass to different gametes
Term
Independent assortment
Definition
random recombination of maternal and paternal chromosomes in gametes.
Term
Mendelian Inheritance
Definition
Also known as single gene inheritance
Describes a trait that is attributable to a single gene
Term
Autosomal dominant
Autosomal recessive
X linked recessive
X linked dominant
Definition
4 Patterns of Mendelian Inheritance
Term
Dominant
Definition
A gene, which is expressed even when present in only one copy, is
Term
Recessive
Definition
A gene expressed only when two copies are present is
Term
X-LINKED RECESSIVE
Definition
In a male with an ___ disorder, only one copy of a gene is needed to produce the disease.
Term
Marfan's-- autosomal recessive
Sickle cell anemia-- autosomal recessive
Color blindness-- x linked recessive
Definition
Examples of Single Gene Disorders
Term
RECESSIVE
Definition
Most disorders caused by enzyme defects are
Term
DOMINANT
Definition
Disorders caused by non-enzymatic or structural proteins are usually
Term
Chromosomal disorders
Definition
Entire chromosomes are missing, duplicated, or otherwise altered. Down Syndrome, Turner Syndrome
Term
Single gene disorders
Definition
Single genes are altered. Also known as Mendelian disorders. Cystic fibrosis, Sickle Cell Disease
Term
multifactorial disorders
Definition
result from a combination of genetic and environmental causes. Cleft lip, cleft palate, diabetes
Term
Mitochondrial disorders
Definition
relatively small number of disorders (approximately 70) caused by alterations in the mitochondrial chromosome
Term
Allele
Definition
Refers to the different forms, or DNA sequences, that a gene may have in a population
Term
Aneuploid
Definition
condition in which the number of chromosomes is not a multiple of 23, as in trisomy, and monosomy
Term
Autosomes
Definition
The 22 pairs of chromosomes excluding the sex chromosomes X and Y
Term
Centromere
Definition
region of a chromosome that separates the two arms; centromeres are the sites of attachment of spindle fibers during cell division
Term
Chromatin
Definition
The combination of proteins and nucleic acids that makes up chromosomes
Term
Chromosome
Definition
Threadlike structure (colored body) consisting of chromatin. Genes are arranged along this structure
Term
codon
Definition
a group of three mRNA bases, each of which specifies an amino acid when translated.
Term
diploid
Definition
Having two copies of each chromosome. In humans, the number is 46
Term
dominant
Definition
Allele that is expressed in the same way in a single copy (heterozygotes) as in a double copy (homozygotes)
Term
eukaryotes
Definition
organisms whose cells have true nuclei
Term
Gene
Definition
the fundamental unit of heredity. A specific region of a chromosome that codes for a single polypeptide (linear chain of amino acids).
Term
Genetic code
Definition
the combinations of mRNA codons that specify individual amino acids
Term
Genome
Definition
the totality of an organism’s DNA
Term
Genotype
Definition
An individual’s allelic constitution at a locus. The precise allelic composition (i.e., letters in the genetic code) with respect to a particular gene
Term
haplotype
Definition
a combination of alleles (for different genes) that are located closely together on the same chromosome and that tend to be inherited together
Term
Germ line
Definition
cells responsible for the production of gametes
Term
haploid
Definition
refers to cells that have one copy of each chromosome, the typical state for gametes. In humans, the number is 23
Term
hemizygous
Definition
Refers to a gene that is present in only a single copy. Most commonly, refers to genes on the single male X chromosome, but can refer to other genes in the haploid state, such as the genes homologous to a deleted region of a chromosome
Term
heterozygote
Definition
an individual who has two different alleles at a locus
Term
histone
Definition
the protein core around which DNA is wound in a chromosome
Term
homozygote
Definition
an individual in whom the two alleles at a locus are the same
Term
karyotype
Definition
a display of chromosomes ordered according to length
Term
locus
Definition
the chromosome location of a specific gene
Term
meiosis
Definition
Cell division in which haploid gametes are formed from diploid germ cells
Term
mitosis
Definition
cell division process in which two identical progeny cells are produced from a single parent cell
Term
nucleotide
Definition
a basic unit of DNA or RNA consisting of one deoxyribose (or ribose in the case of RNA) one phosphate group, and one nitrogenous base.
Term
phenotype
Definition
the observed characteristics of an individual produced by the interaction of genes and environment
Term
pleiotropy
Definition
describes genes that have multiple phenotypic effects
Term
polar body
Definition
cell produced during oogenesis that has a nucleus but very little cytoplasm
Term
polygenic
Definition
Describes a trait caused by the combined additive effects of multiple genes
Term
polyploidy
Definition
chromosome abnormality in which the number of chromosomes in a cell a multiple of 23 but is greater than the diploid number
Term
punnett square
Definition
a table specifying the genotypes that can arise from the gametes contributed by a mating pair of individuals
Term
purine
Definition
the two DNA (also RNA) bases, adenine and guanine, that consist of double carbon nitrogen rings.
Term
Pyrimidine
Definition
the bases (cytosine and thymine in DNA; cytosine and uracil in RNA) that consist of a single carbon-nitrogen ring
Term
recessive
Definition
an allele that is phenotypically expressed only in the homozygous or hemizygous state
Term
RNA
Definition
a single stranded molecule that consists of a sugar (ribose), a phosphate group, and a series of bases (adenine, cytosine, guanine, and uracil). There are three basic types: messenger, ribosomal, and transfer
Term
transcription
Definition
the process in which an mRNA sequence is synthesized from a DNA template
Term
translation
Definition
the process in which an amino acid sequence is assembled according to the pattern specified by the mature mRNA transcript
Term
ACGT nucleotides
Definition
Inheritance is based on DNA: the sequence of ____ encodes all instructions needed to build and maintain an organism
Term
chromosome
Definition
A ___ is a single DNA molecule together with other molecules (proteins and RNA) needed to support and read the DNA
Term
Proteins
Definition
are composed of one or more polypeptides, plus in some cases other small helper molecules (co-factors). they do most of the work of the cell
Term
First, an RNA copy of a single gene is made (transcription).
Then, the nucleotide sequence of the RNA copy (messenger RNA) is translated into the amino acid sequence of the polypeptide
Definition
Genes are expressed in a 2 step process:
Term
alleles
Definition
Genes often have several _____: the same gene in the same chromosomal location, but with minor nucleotide changes that yield slightly different proteins
Term
diploid
Definition
having 2 copies of each gene and each chromosome
Term
centromere
telomere
origins of replication
pseudogenes
transposable elements
genes that make small RNA's and not proteins
Definition
Chromosomal DNA contains other things besides genes, what are they?
Term
centromere
Definition
where the mitotic spindle attaches
Term
telomeres
Definition
special structures on the ends of chromosomes
Term
origins of replication
Definition
where copying of DNA starts
Term
pseudogenes
Definition
non-functional, mutated copies of genes
Term
gene
Definition
The basic physical unit of heredity. A linear sequence of nucleotides along a segment of DNA that provides the coded instructions for the synthesis of RNA
Term
25,000 to 30,000
Definition
Humans have between ____ genes
Term
Adenine and guanine
Cytosine and thymine
Definition
Purines –
Pyrimidines –
Term
histone
nucleosome
Definition
First DNA is wound around a ____ protein core to form a ____
Term
solenoid
Definition
Second the nucleosomes form a helical ___ each turn of which includes about six nucleosomes
Term
chromation loops
Definition
Third the solenoids are organized into ____
Term
hydrogen bonds
Definition
DNA replication begins as the weak ____ between base pairs break producing single stranded DNA
Term
unwinds the double helix
holds the strands apart
Definition
Multiple enzymes are involved in DNA replication. One enzyme ____ and another _____. DNA polymerase travels along the single strand adding nucleotides to the 3’ end of the new strand
Term
5’ to the 3’
Definition
DNA Replication always proceeds from the ____ end
Term
upstream
downstream
Definition
When referring to the orientation of sequences along a gene, the 5’ direction is termed ____ and the 3’ direction is termed ____
Term
cytoplasm
Definition
While DNA is formed and replicated in the nucleus, protein synthesis takes place in the
Term
mRNA
Definition
The DNA code is transcribed into ____ which then leaves the nucleus to be translated into protein
Term
Transcription
messenger RNA (mRNA).
Definition
the process by which an RNA sequence is formed from a DNA template. The type of RNA produced by this process is
Term
RNA polymerase II
Definition
Transcription of DNA to mRNA. ___ proceeds along the DNA strand in the 3' to 5' direction, assembling a strand of mRNA nucleotides that is complementary to the DNA template strand.
Term
DNA-binding motifs
Definition
Transcription factors contain ____ that allow them to interact with specific DNA sequences. In some cases, they bend DNA so that distant enhancer sequences can interact with target genes
Term
nuclear enzymes
functional RNA
Definition
Sections of the primary RNA are removed by ____, and the remaining sections are spliced together to form the ____ that will migrate to the cytoplasm
Term
introns
exons
Definition
The excised RNA sections are called ___ and the sequences that are left to code for proteins are called ___
Term
gene splicing
Definition
Only after ___ is complete, does the mature transcript move out of the nucleus into the cytoplasm
Term
universal
Definition
A significant feature of the genetic code is that it is _____: virtually all living organisms use the same DNA codes to specify amino acids
Term
translation
Definition
The process in which mRNA provides a template for the synthesis of a polypeptide
Term
mRNA
Definition
In the process of translation, the ___ sequence serves as a template to specify sequences of amino acids. These sequences are assembled by ribosomes
Term
single-copy DNA
Definition
___ sequences are seen only once (or possibly a few times) in the genome. It accounts for about 45% of the genome and includes the protein-coding genes
Term
protein-coding DNA
Definition
represents only a small fraction of all single-copy DNA, most of which is found in introns or in DNA sequences that lie between genes
Term
repetitive DNA
dispersed repetitive DNA and satellite DNA
Definition
The remaining 55% of the genome consists of ____, sequences that are repeated over and over again in the genome, often thousands of times. There are two major classes:
Term
Satellite repeats
Definition
are clustered together in certain chromosome locations, where they occur in tandem
Term
Dispersed repeats
Definition
as the name implies, tend to be scattered singly throughout the genome; they do not occur in tandem
Term
cell division (mitosis and cytokinesis) and interphase
Definition
The cell cycle consists of the alteration of __ and ___. DNA replication and protein synthesis take place during interphase
Term
prophase- mitosis
Definition
the chromosomes become visible under a light microscope. The two sister chromatids are attached at the centromere. The nuclear membrane begins to disappear and spindle fibers begin to form radiating from two centrioles located on opposite sides of the cell
Term
Metaphase
Definition
The chromosomes reach their most highly condensed state.
Clinical diagnosis of chromosomal disorders is usually based on chromosomes in this phase
Term
anaphase
Definition
The centromere of each chromosome splits.
At the end of this phase the cell contains 92 separate chromosomes, half lying near one side of the cell and half near the other side of the cell.
Term
telophase
Definition
The final stage of mitosis is characterized by the formation of new nuclear membranes around each of the two sets of 46 chromosomes. The spindle fibers disappear and the chromosomes begin to decondense. Cytokinesis usually occurs after nuclear division. With completion of telophase two diploid daughters cells have been formed.
Term
meiosis
Definition
Cell division in which haploid gametes are formed from diploid germ cells.
Two cell divisions occur
Term
During meiosis I
Definition
(reduction division stage) two haploid cells are formed from a diploid cell.
Term
second meiosis (equatorial division)
Definition
takes place, during which each haploid cell is replicated
Term
mutation
Definition
An alteration in the sequence of DNA
All genetic variation originates from this
Term
somatic cells
germline cells
Definition
Mutations in ___ can lead to cancer
Mutations in ___ can be transmitted from one generation to another
Term
genotype
Definition
The alleles that are present at a given locus are referred to as the individual’s
Term
3 billion
Definition
The human genome is approximately ___ base pairs in length
Term
Missense
Nonsense
Frameshift
Promoter
Splice site
Mobile element insertion
Expanded repeats
Definition
7 Types of Mutations
Term
Silent substitutions
Non-silent substitution
Missense
Nonsense
Definition
Base pair substitution:
Term
multiple of three
Definition
Involves the insertion or deletion of one or more base pairs. Tend to be especially harmful when the number of missing or extra base pairs is not a ___
Term
frame shift mutation
Definition
deletions or insertions tend to be especially harmful when the number of missing or extra base pairs is not a multiple of three. Such insertions can alter all of the downstream codons. This is termed a
Term
stop codon
Definition
Often, a frameshift produces a ___ downstream of the mutation causing a truncated polypeptide
Term
promoter mutation
Definition
Alters the regulation of transcription or translation
Term
A promoter mutation
Definition
___ can decrease the affinity of RNA polymerase for a promoter site on the DNA resulting in decreased production of a protein
Term
splice site mutations
Definition
These occur at intron-exon boundaries and alter the splicing signal that is necessary for proper excision of an intron
Term
insertion of mobile elements
Definition
Several types of DNA sequences are capable of propagating copies of them-selves; these copies are then inserted in other locations on chromosomes. Such insertions can cause frameshift mutations
Term
type 1 neurofibromatosis
Definition
The insertion of mobile elements has now been shown to cause isolated cases of ___ and other diseases.
Term
expanded repeat mutation
Definition
Affects tandem repeated DNA sequences that occur within or near certain disease-related sites. The repeat units are usually 3 bp long. Occasionally, the number of repeat units increases dramatically. When this occurs, it can cause genetic disease
Term
Gain of function
Definition
___ mutations produce dominant disorders such as Charcot-Marie-Tooth disease and Huntington disease
Term
negative dominant mutation
Definition
Another loss of function mutation is the ____ which results in a protein that is not only nonfunctional but also inhibits the function of the protein produced by the normal allele in the heterozygote.
Term
sickle cell disease
Definition
Caused a single missense mutation that effects a substitution of valine for glutamic acid at position 6 of the β-globin polypeptide chain
Term
Spontaneous mutations arise naturally during the course of DNA replication. Induced mutations are caused by outside agents collectively referred to as mutagens.
Definition
Spontaneous vs. induced mutations
Term
ionizing radiation
Definition
X-rays and nuclear fallout can eject electrons from atoms. These ions can promote chemical changes that change the DNA bases
Term
nonionizing radiation
Definition
– does not form ions but can move electrons from inner to outer orbits. UV radiation is an example of this. Can cause the formation of covalent bonds between adjacent pyrimidine bases
Term
base analogs
Definition
chemicals that have structures which are similar to the DNA bases. They can be mistakenly substituted for a true DNA base during replication.
Term
acridine dyes
Definition
Other chemical mutagens such as ___ can insert themselves between existing bases
Term
Large genes
Definition
____ because of their size are generally more likely to experience mutations
Term
methylated CG dinucleotides
advanced paternal age
Definition
Mutation hot spots, such as ___ also occur. For some single-gene disorders, there is an increase in mutation risk with ____.
Term
Protein electrophoresis
Southern Blotting and Restriction Fragment Analysis
DNA Amplification using the Polymerase Chain Reaction
Definition
Types of Detection and Measurement of Gene Variation
Term
protein electrophoresis
Definition
increased the number of detectable polymorphic systems considerably. This technique makes use of the fact that a single amino acid difference in a protein (the result of a mutation in the corresponding DNA sequence) can cause a slight difference in the electrical charge of the protein
Term
restriction fragment analysis
Definition
An early approach to the detection of genetic variation at the DNA level took advantage of the existence of bacterial enzymes known as restriction endonucleases. These enzymes cleave human DNA at specific sequences
Term
radioactive probes
Definition
To visualize only the fragments corresponding to a specific region of DNA, a probe, consisting of a small piece of single-stranded human DNA (a few kilobases [kb] in length), is constructed using recombinant DNA techniques. The probe is labeled and then exposed to the Southern blot.
Term
southern blot
Definition
It can detect insertions or deletions in DNA sequences, which cause specific fragments to become larger or smaller. If a disease-causing mutation alters a specific restriction site, as in the case of sickle cell disease, this technique can be used as a cheap and efficient diagnostic tool. Because most disease-causing mutations do not affect restriction sites, this approach is somewhat limited
Term
restriction fragment length polymorphisms (RFLPs),
Definition
Southern blotting was instrumental in analyzing ____, which are found throughout the human genome as a result of normal DNA sequence variation. These sequence variants were used to localize many important disease-causing genes, including those responsible for cystic fibrosis, Huntington disease, and type 1 neurofibromatosis
Term
Southern blotting
restriction sites (RFLPs)
Definition
Restriction enzymes can cut DNA into fragments, which are sorted according to their length by electrophoresis, transferred to a solid membrane (____), and visualized through the use of labeled probes. This process can detect deletions or duplications of DNA, as well as polymorphisms in ____.
Term
polymerase chain reactions
Definition
Is quicker and requires much less DNA for the detection of DNA variation
Heating and cooling cycles are used to denature DNA and then build new copies of a specific primer bound sequence using DNA polymerase. Typically the cycles are repeated 20-30 times producing millions of copies of the original DNA
Term
PCR process
Definition
consists of three basic steps: DNA denaturing at high temperature, primer hybridization at a low temperature, and primer extension at an intermediate temperature. The result is a product that consists almost entirely of a specific DNA sequence.
Term
independence principle
Definition
allows us to deduce two fundamental concepts of probability, the multiplication rule and the addition rule
Term
the multiplication rule
Definition
states that if two trials are independent, then the probability of obtaining a given outcome in both trials is the product of the probabilities of each outcome
Term
the addition rule
Definition
states that if we want to know the probability of either one outcome or another, we can simply add the respective probabilities together
Term
gene and genotype frequencies
Definition
specify the proportions of each allele and each genotype, respectively, in a population. Under simple conditions these frequencies can be estimated by direct counting
Term
the Hardy-Weinberg principle
Definition
specifies the relationship between gene frequencies and genotype frequencies. It is useful in estimating gene frequencies from disease prevalence data and in estimating the incidence of heterozygous carriers of recessive disease genes.
Term
natural selection
Definition
the evolutionary process in which alleles that confer survival or reproductive advantages in a specific environment are selected positively to increase in frequency, and alleles that confer lower survival or reproductive disadvantages are selected negatively so that they decrease in frequency.
Term
genetic drift
Definition
a random evolutionary process that produces larger changes in gene frequencies in smaller populations
Term
founder effect
Definition
small founder populations can experience large changes in gene frequency because of their small size, is a special case of genetic drift
Term
genotype frequency
Definition
The proportion of individuals in a population that carry a specific genotype. (A genotype is an individual’s allelic constitution at a locus.)
Term
gene frequency
Definition
In a population, the proportion of chromosomes that contain a specific allele.
Term
Hardy-Weinberg Equilibrium
Definition
-gene frequencies remain constant from one generation to the next.
-Happens when mating is random and the population is large, with no migration, genetic drift, mutation, or natural selection.
Term
autosomal dominant inheritance
Definition
Only one copy of a mutant allele is necessary for expression of the trait
Term
autosomal dominant pedigree
Definition
-Transmission is vertical (from generation to generation)
-Number of affected males and females is equal
-Male-to-male transmission is observed
-Unaffected individuals have unaffected children (exception is decreased penetrance).
-Disorder may arise as a new mutation.
-Phenotype can vary from affected person to affected person in same family
Term
autosomal dominant pedigree
Definition
characterized by vertical transmission of the disease phenotype, a lack of skipped generations, and roughly equal numbers of affected males and females. Father-to-son transmission may be observed
Term
recurrence risk
Definition
The probability that an individual offspring will be affected by the disease in question is termed the ___
Term
50%
Definition
The recurrence risk for an autosomal dominant disorder is ___. Because of independence, this risk remains constant no matter how many affected or unaffected children are born
Term
autosomal recessive
Definition
-The disorder is rarely present in the parents, collateral relatives or ancestors, but may appear in siblings.
-Number of affected males and females is equal.
-Consanguinity is more likely to be present
Term
autosomal recessive pedigree
Definition
-Cluster in ethnic groups with relative geographic or religious isolation and increased consanguinity.
-Penetrance is usually complete and there is little phenotypic variability.
-Most of these disorders are enzyme abnormalities.
Term
Quasidominant inheritance
Definition
The recurrence risk for autosomal recessive diseases is usually 25%. ___, with a recurrence risk of 50%, is seen when an affected homozygote mates with a heterozygote.
Term
Quasidominant Inheritance
Definition
Occurs when a carrier of a recessive disease gene mates with an individual who is homozygous for the disease. Roughly half the children will be affected and half will be heterozygous carriers. This pattern mimics that of an autosomal dominant trait.
Term
new mutations
Definition
a common cause of the appearance of a genetic disease in a person with no previous family history of the disorder. The recurrence risk for the person's siblings is very low, but the recurrence risk for the person's offspring may be substantially increased
Term
germline mosaicism
Definition
Occasionally two or more offspring may present with an autosomal dominant or X-linked disease when there is no family history of the disease. The most likely explanation is
Term
penetrance
Definition
The probability of expressing a phenotype given that an individual has inherited a predisposing genotype
Term
reduced
Definition
With ___ penetrance, an individual who has the genotype for a disease may not exhibit the disease phenotype at all, even though they can transmit the disease gene to the next generation
Term
Huntington disease
Definition
A delay in the age of onset of a genetic disease is known as age dependent penetrance. One of the best known examples is ____
Term
Penetrance
Variable expression
Definition
____ is an all-or-none phenomenon: One either has the disease phenotype or does not. ___ refers to the degree of severity of the disease phenotype
Term
environmental effects, modifier loci, or allelic heterogeneity
Definition
Variable expression of a genetic disease may be caused by
Term
locus heterogeneity
Definition
Quite commonly, a single disease phenotype is caused by mutations at different loci in different families, which is termed ____
Term
Adult polycystic kidney disease (APKD)
Definition
is an autosomal dominant disorder in which a progressive accumulation of renal cysts is seen. Occurring in about 1 of every 1000 persons of European descent, this disorder is responsible for 8% to 10% of end-stage renal disease in North America. It can be caused by mutations in genes on either chromosome 16 (PKD1) or chromosome 4 (PKD2).
Term
pleiotropy
Definition
Describes genes that have multiple phenotypic effects.
Examples are Marfan syndrome and cystic fibrosis
Term
consanguinity
Definition
increases the chance that a mating couple will both carry the same disease-causing mutation. It is seen more often in pedigrees involving rare recessive diseases than in those involving common recessive diseases
Term
Mary Lyon
Definition
proposed that one X chromosome in females is inactivated. This would result in an equal-ization of X-linked gene products in males and females.
Term
Lyon hypothesis
Definition
stated that X inactivation occurs early in female embryonic development and that the X contributed by the father is inactivated in some cells whereas in other cells the X contributed by the mother is inactivated.
Term
The Barr Body
Definition
The inactive X chromosome, visible as a densely staining chromatin mass in the somatic cells of normal females
Term
one less than the
Definition
The number of Barr bodies in somatic cells is always ____ number of X chromosomes.
Term
XIST gene
Definition
located in the X inactivation center and is required for X inactivation. It encodes an RNA product that coats the inactive X chromosome
Term
inactive X chromosome
Definition
X inactivation is also associated with methy-lation of the ____, a process that may help to ensure the long-term stability of inactivation.
Term
x-linked recessive inheritance
Definition
-Hemizygous males are affected
-Heterozygous female carriers are usually unaffected
-Heterozygous females have 50% chance for having heterozygous carrier daughters and 50% chance for having hemizygous affected sons.
-Affected males will have all normal sons and all heterozygote (carrier) daughters.
Term
x-linked recessive inheritance
Definition
-Incidence is much higher in males than females.
-No male-to-male transmission.
-Trait is passed from an affected male to all of his daughters and then to ½ of the daughter’s sons.
-Carrier females may show variable expression of the trait.
-Appearance of “skipped” generations
Term
x-linked recessive
Definition
Carrier female mates with normal male.
-Daughters will be 50% normal and 50% carriers
-Sons will be 50% normal and 50% affected
Term
x-linked recessive
Definition
Affected father mates with normal mother
-All of the sons must be normal
-All of the daughters will be carriers
Term
x-linked recessive
Definition
Affected father mates with carrier mother
-Half of the daughters will be heterozygous carriers, while half, on average, will be homo-zygous for the disease gene and thus affected
-Half of the sons will be normal and half will be affected. It may appear that father-son transmission has occurred, but the affected son has actually received the disease allele from his mother.
Term
x-linked dominant diseases
Definition
-Fewer in number and prevalence than X-linked recessive diseases.
-They are about twice as common in females as in males, skipped generations are uncommon, and father-son transmission is not seen.
-Hypophosphatemic rickets, incontinentia pigmenti Type 1, and Rett syndrome
Term
x-linked dominant
Definition
-Affected fathers cannot transmit the disease to their sons. All of their daughters must inherit the disease gene, so all are affected.
-Affected females are usually heterozygotes and thus have a 50% chance of passing the disease allele to their daughters and sons
Term
sex-limited trait
Definition
occurs in only one of the sexes due, for instance, to anatomical differences (inherited uterine or testicular defects)
Term
sex influenced trait
Definition
An autosomally transmitted trait that is expressed in both sexes, but with widely different frequencies (e.g. male pattern baldness, congenital adrenal hyperplasia).
Term
mitochondrial disease
mitochondrial disease
Definition
Organ systems with large ATP require-ments tend to be the one most seriously affected by _____. The CNS consumes about 20% of the body’s ATP production and is therefore often affected by _____.
Term
heteroplasmy
Definition
Each cell contains a population of mtDNA molecules. A single cell can harbor some molecules that have a mtDNA mutation and some that do not. This is called ____ and is an important cause of variable expression in mitochondrial dz.
Term
heteroplasmy
Definition
the mtDNA is a mixture of normal and mutant forms
Term
homoplasmy
Definition
the mtDNA is all the same type, ie. all normal or all mutant
Term
Genomic imprinting
Definition
For some human genes, one of the alleles is transcriptionally inactive (no mRNA is produced), depending upon the parent from whom the allele was received.
Term
imprinting
imprinted
Definition
process of gene silencing is known as ___, and the transcriptionally silenced genes are said to be ____
Term
heavily methylated
Definition
Imprinted alleles tend to be ____
Term
anticipation
Definition
refers to progressively earlier or more severe expression of a disease in more recent generations. Expansion of DNA repeats has been shown to cause this in some genetic diseases. These diseases can be divided into three major categories, depending on the size of the expansion, the location of the repeat, the phenotypic consequences of the expansion, the effect of the mutation, and the parent in whom large expansions typically occur
Term
Fragile X Syndrome
Definition
The single most common inherited cause of mental retardation.
Name derived from the fact that the X chromosomes of affected individuals, when cultured in folic acid deficient media, sometimes exhibit breaks and gaps near the tip of the long arm.
Term
Fragile X syndrome
Definition
It is the single most common cause of inherited mental retardation
It is characterized by large ears and a long face
It is characterized by macro-orchidism
The degree of mental retardation tends to be milder in females
Term
Chromosomal abnormalities
Definition
-Occur in approximately 1 of every 150 live births.
-They are a leading cause of mental retardation and pregnancy loss
-Are seen in 50% of first trimester and 20% of second trimester spontaneous abortions
Term
Karyotype
Definition
A display of chromosomes, ordered according to length. Depending on the position of the centromere, a chromosome may be acrocentric, submetacentric, or metacentric.
Term
Fluorescence in situ hybridization (FISH)
Definition
A technique in which a labeled probe is hybridized to metaphase, prophase, or interphase chromosomes. It can be used to test for missing or additional chromosomal material as well as chromo-some rearrangements.
Term
Spectral karyotyping
Definition
uses varying combinations of five different fluorescent probes in conjunction with special cameras and image-processing software so that each chromosome is uniquely colored (painted along its entire length with a series of probes) for ready identification. Such images are especially useful for identifying small chromosome rearrangements
Term
Comparative Genomic Hybridization (CGH)
Definition
-technique in which differentially labeled DNA from test and control sources is hybridized to normal metaphase chromosomes or probes in microarrays, allows the detection of chromosome duplications and deletions but not balanced rearrangements.
-can detect deletions and duplications shorter than 100 kb and requires only small amounts of DNA.
Term
Triploidy
Definition
-Is seen in only about 1 in 10,000 live births but accounts for 15% of the chromosomal abnormalities occurring at conception
-The most common cause is the fertilization of an egg by two sperm.
Term
tetraploidy
Definition
It has been seen in only a few live births, and those infants survived only for a short period. Can be caused by a mitotic failure in the early embryo in which all of the duplicated chromosomes migrate to one of the two daughter cells. Can also result from the fusion of two diploid zygotes.
Term
Trisomy 21
Definition
-Karyotype 47, XY, +21 or 47, XX, +21
-Occurs in approx. 1 of every 800 - 1000 live births
-In 1959 the cause was discovered to be the presence of an extra copy of chromosome 21.
Term
nondisjuction
sterile
ovulate
Definition
-95% of Down syndrome cases are caused by ___, with most of the remaining cases caused by chromosome translocations.
-Males with Down syndrome are almost always ____
-Females can reproduce although 40% fail to ____.
Term
Trisomy 21
Definition
The most significant problems include mental retardation, gastrointestinal tract obstruction, congenital heart defects, respiratory tract infections, and leukemia.
Term
Trisomy 21
Definition
The extra 21st chromosome is contributed by the mother in approx 90% of the cases.
Mosaicism is seen in 2-4% of cases and is often associated with a milder phenotype
Term
Trisomy 18
Definition
-Known as Edwards syndrome is the second most common autosomal trisomy with a prevalence of about 1 per 6,000 live births.
-It is the most common chromosome abnormality among stillborns with congenital malformations. Fewer than 5% survive to term.
Term
Trisomy 18
Definition
-Small for gestational age, characteristic facial features, and a distinctive hand abnormality with overlapping fingers, small ears with unraveled helices, short sternum, and short big toes.
-Congenital heart defects, omphalocele, diaphragmatic hernia, and occasionally spina bifida.
Term
Trisomy 13
Definition
-Patau syndrome is seen in about 1 of every 10,000 lives births.
-Characterized by oral-facial clefts, microphthalmia, and post axial polydactyly
-Malformations of the CNS are frequent as are heart defects and renal abnormalities
-95% die within the first year of life
Term
sex chromosome aneuploidy
Definition
Among live born infants approx 1 in 400 males and 1 in 650 females have some form of _____.
Term
Sex Chromosome Aneuploidy
Definition
Because of X inactivation, the consequences of this class of aneuploidy are less severe than those of autosomal aneuploidy
Term
Turner Syndrome
Definition
-Karyotype 45, X
-Individuals with this syndrome are female and usually have a characteristic phenotype which consists of short stature, sexual infantilism and ovarian dysgenesis, triangular face, webbed neck, broad shield like chest
Term
Turner syndrome
Definition
-Congenital heart defects are common consisting primarily of coarctation of the aorta and/or bicuspid aortic valve.
-Individuals with this have normal intelligence.
Term
Klinefelter Syndrome
Definition
-Karyotype 47, XXY
-Occurs in approximately 1/500 to 1/1000 live births.
-Common cause of primary hypogonadism in males and most are sterile.
-Tall with disproportionately long arms and legs.
Term
Klinefelter Syndrome
Definition
Reduced IQ although not mentally retarded.
Because of the subtlety of this disorder, many are not diagnosed until after puberty
Maternal age: incidence increases with maternal age
Term
Trisomy X
Definition
-47 XXX occurs in approximately 1/1000 females and is benign except for reduced fertility, menstrual irregularities, and mild mental retardation.
-90% of cases are the result of nondisjunction in the mother and the incidence increases with increasing maternal age.
Term
47, XYY Syndrome
Definition
-Males with this karyotype tend to be taller than average and have a 10-15 point reduction in IQ.
-Higher than average incidence of hyper-activity, ADD, and learning disabilities.
Term
Translocations
Definition
is the interchange of genetic material between non-homologous chromosomes and are of two types:
-Reciprocal
-Robertsonian
Term
Reciprocal translocations
Definition
Breaks occur in two different chromosomes and the material is mutually exchanged. The resulting chromosomes are called derivative chromosomes. The carrier is usually unaffected but his or her offspring can carry the translocation, or can have duplications or deletions of genetic material.
Term
Robertsonian translocations
Definition
The short arms of two nonhomologous chromosomes are lost and the long arms fuse at the centromere to form a single chromosome. The carriers of this type of translocation are phenotypically normal but have only 45 chromosomes in each cell. They can produce conceptions with monosomy or trisomy.
Term
deletion
Definition
caused by a chromosome break and subsequent loss of genetic material.
Term
Cri-du-chat syndrome
Definition
is an example of a chromosome deletion syndrome and is caused by a deletion of the distal short arm of chromosome 5: 46, XY, del(5p)
Term
Microdeletion syndromes
Definition
A subtype of chromosome deletion that can be observed only in balanced chromosomes or, in some cases, using molecular genetics approaches. Syndromes caused by the deletion of a series of adjacent genes are sometimes called contiguous gene syndromes.
Term
Subtelomeric Rearrangements
Definition
Involve deletions or duplications of DNA in the gene-rich regions near telomeres. Rearrangements in this region frequently cause genetic disease.
Term
Uniparental Disomy
Definition
A condition in which one parent has contributed two copies of a chromosome and the other parent have contributed none.
This is a cause of Prader-Willi syndrome
Term
duplications
Definition
-can arise from unequal crossover, or they can occur among the offspring of reciprocal translocation carriers
-generally produce less serious consequences than deletions do
Term
Chromosome inversions
Definition
relatively common structural abnormalities and may be either pericentric (including the centro-mere) or paracentric (excluding the centro-mere).
Term
isochromosomes
Definition
formed when a chromosome divides along an axis perpendicular to its usual axis of division. This produces one chromosome with only the short arms and another with only the long arms.
Term
The Philadelphia chromosome
Definition
is associated with chronic myelogenous leukemia.
Term
Chromosome Instability Syndromes
Definition
These syndromes all involve increased frequencies of chromosome breakage and an increased risk of malignancy. All are associated with defects in DNA replication or repair.
Term
metabolic disorders
Definition
The incidence of ___ is approx 1/2500 live births, or 10% of all monogenic conditions in children.
Term
inborn errors metabolism
Definition
Most ____ are inherited in an autosomal recessive pattern. The carrier state usually is not associated with morbidity. Carrier and diagnostic testing are becoming widely available for many disorders.
Term
glucose and galactose
fructose and glucose.
Definition
-Lactose is disaccharide composed of ____
-Sucrose is composed of _____
Term
Galactosemia
Definition
The most common of the inherited disorders of carbohydrate metabolism. Newborn screening is widespread. Treatment consists of eliminating dietary galactose. If left untreated, children develop liver disease, poor growth, and mental retardation. Mutations in GAL-1-P-uridyl transferase are the most common cause
Term
Galactosemia
Definition
a serious disease with early onset of symptoms; the incidence is 1 in 60,000. The newborn infant normally receives up to 20% of caloric intake as lactose, which consists of glucose and galactose. Without the transferase the infant is unable to metabolize galactose 1-phosphate, the accumulation of which results in injury to parenchymal cells of the kidney, liver, and brain.
Term
cysteine, taurine, tyrosine, histidine and arginine
Definition
are semiessential amino acids in children, because the metabolic pathways that synthesize these amino acids are not fully developed.
Term
Hyperphenylalaninemias
Definition
Defects in the metabolism of phenylalanine (an essential amino acid) cause some of the most widely studied of all metabolic defects
Term
Hyperphenylalaninemias
Definition
Elevated levels of plasma phenylalanine disrupt essential cellular processes in the brain such as myelination and protein synthesis, eventually causing mental retardation.
Term
degradative pathways
Definition
Errors in the ____ result in the accumulation of metabolites that would otherwise have been recycled or eliminated.
Term
Lysosomal Storage Diseases
Definition
These are the prototypical inborn errors of metabolism: disease results from the accumulation of substrate. Accumulation of undegraded molecules results in cell, tissue, and organ dysfunction.
Term
MPS Disorders
Definition
a group of diseases caused by a reduced ability to degrade one of more glycosaminoglycans. Glycosaminoglycans are degradation products of proteoglycans found in the extracelluar matrix.
Term
MPS Disorders
Definition
-Except for X-linked Hunter syndrome , all of these disorders are inherited in an autosomal recessive fashion.
-All are characterized by chronic and progressive multisystem deterioration.
-Hurler, severe Hunter, and Sanfilippo syndromes are characterized by mental retardation.
Term
Urea Cycle Disorders
Definition
consists of five major biochemical reactions that convert nitrogenous waste products to urea, which is then excreted by the kidney. Defects in this pathway lead to the accumulation of urea precursors, progressive neurologic impairment, and death. The most common defect is X-linked ornithine trans-carbamylase (OTC) deficiency.
Term
Wilson's Disease
Definition
-Results from an excess of copper caused by defective excretion of copper into the biliary tract. This causes progressive liver and neurological abnormalities
-Autosomal recessive
-Decreased serum ceruloplasmin
-Kayser-Fleischer rings
Term
Pharmacogenetics
Definition
the study of the genetic basis for variation in drug response.
Term
pharmacogenomics
Definition
employs tools for surveying the entire genome to assess multigenic determinants of drug response
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