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Pathophysiology Exam 1 Genes
Covers Genes and Genetic diseases
65
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Undergraduate 3
02/11/2012

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Term
Diploid
Definition
Chromosomes occur in pairs, and there are 23 pairs of chromosomes in the diploid cell.
Term
Haploid
Definition
Having only one member of each chromosome pair, giving a total of 23 chormosomes. (Gametes are haploid)
Term
Somatic Cells
Definition
All cells except gametes
Term
Gametes
Definition
Sperm and egg
Term
Mitosis
Definition
Process by which a somatic cell duplicates all of it’s 46 chromosomes and distributes them equally to 2 daughter cells so that each daughter cell receives the identical full set of 46 chromosomes
Term
Meiosis
Definition
the cell separates into two daughter cells, then each set of pairs separates creating a total of 4 daughter cells, each having 23 chromosomes, one of the the parents from the parent cell
Term
Homologous Chromosomes
Definition
identical in microscopic appearance. (XX)
Term
Autosomes
Definition
22 homologous pairs
Term
Sex Chromosomes
Definition

the 23rd pair that have either two homologous X chromosomes (XX=Female) or a non-homologous pair of X and Y, (XY=Male)

Term
Karotype
Definition

an orderes display of chromosomes and allows one to identify the 22 pairs and the sex chromosomes.  Used to identify conditions caused by chromosomal aberrations.

Term
. Determine whether the following sex chromosomes complexes (although abnormal) would be male or female: XXXY
Definition
Male
Term
. Determine whether the following sex chromosomes complexes (although abnormal) would be male or female: XXXX
Definition
Female
Term
. Determine whether the following sex chromosomes complexes (although abnormal) would be male or female: X0
Definition
Female
Term
Differentiate between: polyploidy and aneuploidy
Definition

Polyploidy- when a cell has more than the diploid number (69 or 92)

Aneuploidy- a somatic cell that doesn’t contain a multiple of 23 Chromosomes (has one or two missing or an extra chrom.)

Term
Differentiate between: triploidy and tetraploidy
Definition

Triploidy- When a zygote with somatic cells has 3 copies of each chromosome rather than 2.

Tetraploidy-when cells have 92 chromosomes

Term
Compare the survival rate of children born with polyploidy and aneuploidy (both autosomes and sex chromosomes).
Definition

Polyploidy majority all children conceived are either spontaneously aborted or die shortly after birth.

Term
Describe the genotype and phenotype of persons with Down syndrome
Definition

DS results from the presence of an extra copy of chromosome 21.

 

Term
Trisomy vs. Monosomy
Definition

The term "trisomy" is used to describe the presence of an extra chromosome — or three instead of the usual pair;

 

The term "monosomy" is used to describe the absence of one member of a pair of chromosomes. Therefore, there are 45 chromosomes in each cell of the body instead of the usual 46

Term
Is Down syndrome an example of autosomal aneuploidy or sex chromosome aneuploidy?
Definition
It’s an example of sex chromosome aneuploidy.
Term
What does 47, XY, +21 mean
Definition

47- shows that there’s an extra chromosome; XY shows that it’s male; 21 means it’s in the 21st pair of chromosomes.

Term
What is the most common kind of chromosomal mosaicism? How does this differ from a person with complete Down syndrome in terms of the number of chromosomes found in each cell of the body and the severity of the symptoms?
Definition

-Most common is trisomy with 47 chromosomes.

With trisomy mosaicism, they will have some cells with the typical number of chromosomes (46) and some cells with can extra chromosome 21.  It can make for a less severe case of Down Syndrome.

Term
What are the two ways that trisomy mosaicism may develop (i.e., distributed throughout the cells of the body)?
Definition

1-in an abnormal fertilized egg with 47 chromosomes, one of the cells make lose the extra chromosome at cell division, leaving 26 chromosomes in that cell.  All cells from that cell with have 46 chromosomes.  The rest will have 47.

2- In a typical zygote with 46 chromosomes, at cell division, one of the cells may retain a duplicated copy of one of the chromosomes.  His produces a cell with 47 chromosomes.  All cells from that cell will have 47 chromosomes.  The rest will have 46.

Term
 At what age does the risk of having a child increase exponentially?
Definition
35
Term
What age is considered the threshold for a screening test for Down syndrome?
Definition
It’s at age 35 that marks the screening threshold.
Term

Which of the following female associated chromosome aneuploidy would have the most severe mental and physical disabilities: XXX, XXXX, XXXXX

Definition

XXXXX- more severe mental retardation and various physical defects.

Term
In Turner’s syndrome, why do the ovaries not develop? What affect does this have on Puberty? Stature? Uterus? Vagina? and Mental capacity?
Definition

The ovaries do not develop because one of the X chromosomes is missing or misshapen in most of the cells, causing them to not go through puberty as a teenager and withholds the levels of estrogen needed to develop the ovaries, breasts, and menstruation.  Their stature is usually a great deal smaller than others.  The unterus and vagina are normal and there is no mental retardation due to Turner’s Syndrome.

Term

What is the usually treatment for Turner syndrome when a girl nears 10 years? Reaches 13 or 14? Throughout her life?

Definition

At 10, she is given low does of biosynthetic growth hormone alond with estrogen to increase the growth rate.  At 13 or 14, she is given female hormones to bring about sexual development, and most women will have to take female hormone pills throughout their lives.

Term

When considering XYY, what is effect does this male aneuploidy have on IQ? Inclination to commit violent crimes? Behavioral disorders?

Definition

Their abilities for intellectual function and educational attainment are lower.  That with the physical abonomalities such as height and acne and hyperactive, impulsive, and often times violent temper outbursts often lead to criminal behavior and violent crimes.

Term

What is the genotype of Klinefelter’s syndrome?

Definition

Has extra sex chromosomes.

Term
What is meant by “eunuchoid body” proportions and what causes it?
Definition

This syndrome causes the man to have larger breasts, smaller testes, poor facial hair growth, and inability to produce sperm.

Term

What treatment of this condition will improve the physical and secondary sex characteristics? Developmental disabilities?

Definition

Regualar injections of testosterone beginning at puberty and surgery to change some of the visible aspects of the syndrome.

The main developmental issue is a language impairment.

Term
ultrasound
Definition

can be used to detect visible congenital anomalies like spina bifida and malformations of the head, face, body, and limbs.  It can’t determine the biochemical or chromosomal alterations.

Term
amniocentesis
Definition

used to check chromosomes, can check for downs syndrome, spina bifida.

Term
Chronic Villus Biopsy
Definition
A piece of the villi is taken from the unterus and is tested.
Term

What are the two advantages of chronic villus sampling over amniocentesis? Risks?

Definition

Faster results, abortion much safer at this stage, but more dangerous for miscarriage and for digital or limb deficiencies.

Term
How can crossing over cause deletions and additions of genetic material within the homologous chromosomes?
Definition

Through unequal or uneven crossing over.  Produce gametes that are carrying deleted or duplicated genetic material.

Term

Compare crossing over to translocation.

Definition

Crossing over- during meiosis, the homologous chromosomes normally pair up and exchange genetic alleles.

Traslocation- two non-homologous (different sets) chromosomes break and exchange fragments.

Term

What is reciprocal translocation and how can it produce deletions and additions of genetic material in gametes?

Definition

Reciprocal translation- (even distribution) When there is no loss of genetic material.  This can still happen with gametes with a combination of duplication and deletion of genetic material. Meiotic division determines what is carried on.

Term
. The extent of chromosome breakage is increased in the presence of clastogens. What are clastogens and give examples.
Definition

Clastogens- increase point mutation.

UV light- cause a bump in the genetic material and can prevent the material from reaching the messenger rNA that will be translated to a protein.

Ex: ionized resonated, radiation, extreme heat, chemicals, tobacco, etc.

Term

What would be more lethal, a child born with additional chromosome material or minus the normal amount of chromosome material?

Definition

Minus is more lethal.

Term

Explain cri-du-chat syndrome (i.e., cause and symptoms).

Definition

“Cry of the cat”- deletion on 5th chrom.  Critical for the neuronal circuit development.  Function on central nervous system.  The severity depends on the amount that is deleted.  Symptoms- motor capacity, muscle weakness, all systems are slowed in development.  IQ is low, intelligence is greatly effected.

Term
Using the genes for the condition of phenylketonuria
Definition

P is dominant allele and produces the enzyme phenylalanine hydroxylase and that converts to phenylalanine tyrosine.  It has to do this because the phenylalanine will build up in the child’s system and it will affect their brain growth and maturity.

Small p is recessive and it does not produce the phenylalanine hydroxylase.  The gene is mute and doesn’t produce that enzyme.

Term
dominant and recessive alleles
Definition

If the child is homozygous dominant, it produces the enzyme, but if it’s homozygous recessive, then they may have it.  But giving strict guidelines for protein foods, it can control the amount of phenylalanine in their system. 

Term

Explain dominance, recessiveness, and co-dominance in terms of the ABO blood type.

Definition

3 alleles:

AI producesàred cell membrane protein A

IB producesà red cell membrane protein B

IO producesà does not produce red cell A Membrane.

6 different types of genotypes:

Blood type A: either homozygous or homo A

B: homo B or heter B

AB: both proteins

O: homo O

Term

A couple both have an autosomal dominant disease (both heterozygous), what is the risk of their first child having the disease? Their second child being born without the disease?

Definition

Gender does not matter:

 

Risk is 50% chance of having a child with it and without it.  Every childbirth is going to have a 50% chance. Each si independent.

Term
For a couple, the husband has an autosomal dominant disease (heterozygous) but the wife does not. If their first child is a male, what is the risk that he will have the disease? If the second child is a female, what is the risk that she will have the disease?
Definition

Gender does not matter:

50% chance that they will and won’t.

Term

Explain how the following conditions allow autosomal dominant diseases to stay within the gene pool of a population and give an example of each: delayed age of onset

Definition

Delayed onset: don’t know until ages of 30 and 40 and have lready passed it on to children.  That’s how it stays in the population.

Term
Explain how the following conditions allow autosomal dominant diseases to stay within the gene pool of a population and give an example of each:  penetrance
Definition

Penetrance: if a disease has 95% pen. Then 95% can be born with the gene and have the diease, but 5% can have the dominant gene without showing the disease but can still pass it along.

Term
Explain how the following conditions allow autosomal dominant diseases to stay within the gene pool of a population and give an example of each:  expressivity.
Definition

Expressivity: variation of severity. Like (The elephant man) von reclehousen disease.  A child can be born with one or all.  Mild or severe.  It can still be passed along even if they don’t know and their child can have all.

Term
An autosomal dominant disease has 90% penetrance. What does that mean?
Definition

90% who have the dominant gene will show signs of the disease and 10% can have the dominant gene but will show no signs of the disease but they can still pass it along.

Term
For an autosomal recessive disease, the husband is a carrier and the wife is homozygous normal. If they have a child, what is the chance for that child to be normal? Born with the disease? Born as a carrier?
Definition

100% chance that the child will be healthy.  There is a 0 percent chance that a child will be born with the disease. 50% chance that any children will be a carrier.

Term

For an autosomal recessive disease, both husband and wife are carriers. If the first child is a girl, what is her risk of having the disease? Of being a carrier? Of being homozygous normal?

Definition

Gender doesn’t matter.

Any child born has a 25% chance that the child has the disease.  50% carrier but healthy w/out the disease.  25% chance of homozygouse normal.

Term

For a X-linked recessive disease, the husband is normal and the wife is a carrier. What is the risk of a male child with the disease? A female child with the disease? A male child without the disease? A female child with the disease?

Definition

X linked disease the man can only be hemizygous because he only has one X and only carry one gene.  Male child: 50%

Female child: 0%

Male w/out: 50%

Term

For a X-linked recessive disease, the husband has the disease (he is red-green color blind) and the wife is a carrier. What is the risk of a male child with the disease? A female child with the disease? A male child without the disease? A female child without the disease?

Definition

Male: 50%

Female child: 50%

Female w/out: 50%

Male w/out: 50%

Term
For X-linked inheritance, explain the term “hemizygous”.
Definition

Only the male is hemizygous bc he only has one X

Term
. Is the Fragile-X syndrome a dominant or recessive condition? The absence of this gene has what result?
Definition

Bc its X linked, it’s not really dominant.  It’s x linked in that if a male child was born with the x chromosome that is less than 200 repeats of CGG on the X chrom it won’t have the disease.  For the male it’s dominant and recessive. If it’s greater they have it.

Term
For Fragile-X syndrome, what is the genotype of a permutation carrier for the FMR-1 gene? Full mutation? What is the root cause Fragile X syndrome?
Definition

Premutation: 50-200 repeats.  Full: greater than 200 repeats.

Fragile x: when the repeats is beyond 200 mehtylization with occur in that area so that the enzyme with read the gene and can’t get through.  It’s not a problem with the gene, it’s the enzyme RNA getting to the area and it knocks it off.  Causes mental retardation.

Term

Fragile-X syndrome, the husband has 10 copies of the repeat on his X chromosome and the wife has one X chromosome with 35 copies of the repeat and the other X chromosome with 400 copies of the repeat. What is the chance for this couple to have a male child with the condition? A female child with the condition?

Definition

Male: 50% will be born with genotype

Female: 50% chance to be born with genotype.  Depends on mosaicism. 

     X35      X400

       X10  10/35  10/400

       Y       35Y     400 Y

If most chroms carrying 35 or 10, there’s a good chance that she will be more normal.

Term
Compare Medelian genetic diseases to polygenic diseases
Definition

Mendelian: either dominant or recessive but no co-dominant.  Didn’t get the X link

Term

Define multifactorial inheritance.

Definition

Polygenic, more than one allele.  One allele is not necessarily dominant

Environmental: has a large effect on certain conditions.

Term
Using the polygenic alleles for diabetes as given in the syllabus, differentiate between “bad” alleles and “good” alleles.
Definition

D-1 and D-2: decrease the risk by 2 and 1 increments

D+1, D+2: bad genes: increase the risk in 1 to 2 increments

Term

39. What is the main environmental factor that influences the development of DM2?

Definition

Obesity (BMI greater than 30)

-Eating high calorie diets

-Don’t excersize

Term

What are two factors that together are considered a single entity known as liability for DM2? As exemplified in this text, explain how one can reach the threshold for these two factors?

Definition

Genetic and environmental:

BMI greater than 30

Genetics: Incriments greater than 2

Term
How do the Pima Indians exemplify multifactorial inheritance?
Definition

They’re a generation with bad genes.  8% prevalence in one area, but in another area it’s 50-70% prevalence.  They have bad genes but their lifestyles make it worse.

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