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Trinucleotide Repeats
Medical Biochemistry 1
23
Medical
Graduate
11/20/2008

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Cards

Term
What is anticipation?
Definition
The progressively earlier onset and increased severity of a disease in successive generations.
Caused by expansion of unstable triplet reapeats over generations.
Term
What TNR is involved in Huntington's Disease?
Definition

CAG repeat

(CAG for Animalistic Sex)

Term
What TNR is involved in Fragile X?
Definition

CGG/GCC

(CGG for X-linked or received from girl)

Term
What TNR is involved in Spinocerebellar Ataxia?
Definition

CAG

(CAG for Ataxia)

Term
What parental expansion bias is found in Fragile X?
Definition
maternal
Term
What parental expansion bias is found in Myotonic Dystrophy?
Definition
Maternal
Term
What parental expansion bias is found in Huntington's Disease?
Definition
Paternal
Term
What parental expansion bias is found in Spino Cerebellar Ataxias (SCA)?
Definition
Paternal
(pattern: CAG TNRs = paternal bias)
Term
What parental bias is found in Friedrich Ataxia?
Definition
Maternal
Term
Where is the TNR expansion located in Fragile X?
Definition
Promoter
Term
Where is the TNR located in Huntington's Disease?
Definition
Exon
Term
Where is the TNR located in Myotonic Dystrophy?
Definition
3' UTR
Term
What type of inheritance pattern is Myotonic Dystrophy?
Definition
Autosomal Dominant
Term
What are the threshholds for TNR numbers in Myotonic Dystrophy?
Mild, Classic, Congenital
Definition

Mild= 50-150

Classic= 100-1000

Congenital > 1000

Term
What form of inheritance is Fragil X Syndrome?
Definition
X-linked recessive
Term

A post-pubescent boy presents with a long face, large ears, prominent jaw, and large testis.  He is also mentally handicapped.  This patient likely suffers from what disease?

Definition
Fragile X Syndrome
Term
what are is the number of CGG TNRs involved in Normal, premutation, and disease with respect to Fragile X?
Definition

Normal < 50

Premutation 59-200

Disease > 200

Term

An increased risk of what is found in women carrying the PREMUTATION for fragile x?

Definition
Premature Ovarian Failure (20% risk)
Term
An increased risk of what is found in males carrying the premutation for Fragile X?
Definition
FXTAS:
fragile-X associated tremor/ataxia syndrome
Term
What number of Huntington CAG repeats produce a nearly 100% chance of developing the disease?
Definition
> 40
Term
What number of CAG repeats will result in reduced penetrance for Huntington's Disease?
Definition
36-39 repeats
Term

What are the numbers for normal vs. premutation CAG repeats in Huntington's?

Definition

normal < 26

premutation 27-35

Term
A patient with Huntingtons has > 60 CAG repeats.  What type of onset will this patient experience?
Definition

Juvenile onset

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