Shared Flashcard Set

Details

7. The Era of Genomics: The Power of Microarrays
BrownMed
28
Chemical Engineering
Undergraduate 4
11/16/2010

Additional Chemical Engineering Flashcards

 


 

Cards

Term
chromosomal microarray is increasingly used for (3) / because
Definition
individuals with unexplained developmental delay/intellectual disability, autism spectrum disorders, or multiple congenital anomalies / because it works better than karyotypes for submicroscopic del/dup
Term
(2) are generally not detectable by microarrays, / but it's ok because
Definition
balanced rearrangements and low-level mosaicism / these are relatively infrequent (<1%)
Term
green top
Definition
sodium-heparin top, used for karyotype or FISH (known microdeletion, etc.)
Term
purple top
Definition
EDTA top gets rid of ions that degrade DNA; need DNA (microarray) for multiple abnormalities, achondroplasia = single gene disorders, fragile x (repeat disorder)
Term
which top do you send for a cleft lip?
Definition
neither - it's probably multifactorial
Term
0 apgar score, missing nasal bone, developmental delay, simple ears, sagittal ridging (early skull bone closing), "failure to thrive", low tone... advanced maternal age + previous still birth. workup is normal.
Definition
treated by G tube placement, EKG, aCGH microarray/FISH
Term
williams syndrome
Definition
7q11.23 - cocktail personality, good at music, idiopathic hypercalcemia, hypertension, facial dysmorphisms, congenital heart disease, failure to thrive, premature aging. detectable by FISH.
Term
deletion 22q11
Definition
velocardiofacial syndrome - hypocalcemia, heart defect, cleft palate, lopsided face, thymic hypoplasia
Term
FISH
Definition
on a CHIP; schools of FISH
Term
why do trisomy 13, 18, 21 patients live?
Definition
there are fewer genes on those chromosomes than on any others
Term
microarray structure
Definition
glass microscope supports, silicon chips or nylon membranes with spots of DNA, cDNA, or oligonucleotides on them. spots are all different colors! patient vs. control dna (both co-hybridized onto a chip and then analyzed)
Term
array elements
Definition
= the spots on a microarray
Term
red on microarray
Definition
duplication
Term
green on microarray
Definition
deletion
Term
black on microarray
Definition
indicates equal control to patient ratio
Term
how are spots interpreted?
Definition
results are averaged over usually three spots per well (locus) and expressed as a ratio
Term
results of aCGH (4)
Definition
diagnostic, uncertain, benign polymorphisms, normal
Term
CGH
Definition
comparative genomic hybridization = regular type of microarray
Term
CESH
Definition
comparative expressed sequence hybridization - analyzes the level or volume at which a certain gene is expressed. offers help for different treatment options.
Term
SNP arrays and pharmacogenomics
Definition
poor metabolizers (2 mutant alleles) > ultrarapid metabolizers (multiple functional alleles); CYP450 genes metabolize more than 90% of commercially available drugs
Term
how often can you make a diagnosis from microarray testing
Definition
15-20% of the time
Term
Smitti-M syndrome
Definition
head banging, fighting, no sleep, very difficult child. detectable by microarray
Term
22q11 duplication
Definition
detectable by microarray (FISH on boards)
Term
potential applications of microarrays in pediatrics
Definition
oncology - disease classification, risk stratification. infectious disease - pathogen detection and subtyping, antibiotic resistance analysis. pharmacogenetics - prediction of drug responses and adverse reactions
Term
what disease is most common genetic disorder in children? microarray significance?
Definition
asthma! several susceptibility genes identified. personalized pharmacological therapy
Term
microarray sent for
Definition
unknown microdeletion or duplication syndrome. for global developmental delay / congenital abnormalities.
Term
single gene disorders (3) / top
Definition
marfan syndrome, NF-1, achondroplasia - purple EDTA (DNA) top
Term
do all the genetics practice problems
Definition
Supporting users have an ad free experience!