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Genetics
Test 2 set 3
43
Other
Graduate
02/02/2009

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Term
genetic disease
Definition
this type of disease occurs when an alteration in DNA of a gene changes the the gene products  amount or function or both
Term
molecular disease
Definition
this type of disease is one in which the primary disease-causing event is a mutation  inherited or acquired
Term
primary abnormalities
Definition
occur in the process of producing a normal protein  Transcription, Translation and maturation
Term
secondary abnormalities
Definition
result from a failure of a modifying event (usually involves a mutation in another protein) that is required for maturation of the protein
Term
globin
Definition
these genes were the first to be cloned
also provide a model of gene action during development
Term
his 92
Definition
the histidine to which iron is covanlenly linked
Term
#136
Definition
G g, A g are identical, except amino acid residue ____
Term
temporal switches
Definition
are accompanied by changes in the major sites of erythropoesis
Term
ζ→α, ε→ g switch
Definition
6th week, concomitant with switch from yolk sac to fetal liver
Term
Erythroid-specific Enhancer elements
Definition
GATA
TGACTCAG (NF-E2) these are examples of
Term
HS-40
Definition
Locus Control Region for α-Globin Gene Cluster
Term
Cis
Definition
Contains _____-acting elements for binding of erythroid-specific transcription factors
Term
HS2-HS4
Definition
locus control region for beta globin is located where?
Term
sigma, delta, gamma, beta-thalassemia
Definition
deletion in the LCR of the Beta globins leads to this
Term
structual variants
Definition
altered globin polypeptide without affecting rate of synthesis; Result mostly from point mutations
Classification depending on clinical phenotype
Variants that cause Hemolytic anemia
Novel properties
Unstable
Variants that cause altered oxygen transport
Term
thalassemias
Definition
decreased synthesis of one or more globin chains
Term
Hereditary Persistence of fetal hemoglobin
Definition
impaired perinatal switch from γ to β-globin synthesis
Term
Hb Hammersmith
Definition
this disease results from a change in the polypeptide chain associated with the B chain PHE42-->SER; unstable Hb, Hb precipitation, and a decreased O2 affinitiy
Term
HB Gun Hill
Definition
this disease is a result in the beta chain 5 amino acid deletion; unstable Hb, Increased 02 affinity; slipped mispairing during DNA replication within same gene  15 base pair in-frame deletion in beta globin
Term
Mst II RFLP
Definition
what technique do you use for sickle cell diagnosis
Term
HbC
Definition
Mutation in β globin, residue 6, Glu→Lys
Term
Hb Hyde Park
Definition
this hemoglobin disease is a change in the beta chain from HIs92--> Tyr. the substitution makes oxidized heme iron resistant to methemoglobin reductase which cant carry O2 and causes cyanosis
Term
Hb Kempsey
Definition
in this hemoglobin deficiecny the b chain changes from ASP99-->ASN; it keeps the Hb in its high o2 affinity structure and causes less O2 to tissues and polycythemia; mutation locks hemoglobin into relaxed structure
Term
Hb Kansas
Definition
this hemoglobin deficiency is a change in the beta chain Asn102--> thr; this substitution keeps the Hb in its low O2 affinity structure and is asymptomatic and can causes cyanosis; mutation inhibits formation of relaxed structure
Term
Hb Tak
Definition
this hemoglobin deficiency is an addition of 11 residues in the beta chain and causes a greatly increased O2 affinity due to the new C-terminal hydrophobic tail preventing formation of a stable deoxy structure
Term
oxyhemoglobin
Definition
Hb capable of reversible oxygention and the Heme iron is in reduced state
Term
cyanosis
Definition
accumulation of methemoglobin causes?
Term
NADH cytochrome b5 reductase
Definition
what maintains Heme iron in the reduced state?
Term
HbE
Definition
sturctual variant of Beta globin gene--> Glu26Lys homozygotes asymptomatic with mild anemia, mutation occurs in the coding region and activates cryptic splice site which competes with the normal donor site which causes a reduced usage of the normal donor site
Term
hemoglobin lepore
Definition
sigma globin gene deleted but fusion gene sigma beta is present in this condition
Term
anti-Lepore
Definition
in this condition both sigma globin gene and fusion gene beta sigma are present example Hb Miyada
Term
thalassemia
Definition
these are all symptoms of what; chain that is produced at normal rate is in relative excess--> precipitates in cell (Heinz Bodies)--> damage to cell membrane--> premature red cell destruction--> hemolytic anemia and a defect in production of hemoglobin--> hypochromic, microcytic anemia
Term
Hb Barts
Definition
a gamma 4 composition leading to hydrops fetalis
Term
bone marrow expansion
Definition
in this beta thalassemia; chipmunk facies, frontal bossing, thinning and pathological fractures of long bones and vertebrae (widening diploic space radiating straitions; hair on ned appearance"
Term
HbH
Definition
this is also known as a beta 4 tetramer (5-40%)
Term
hydrops fetalis
Definition
due to homozygous deletion of all four alpha and beta genes
Term
Hb constant spring
Definition
this is a nondeletion form of alpha thalassemia which is less common and due to instability of mutant alpha globin chain
Term
calorie diversion to erythropoeisis
Definition
growth retardation, inanity, increased risk of infections, endocrine dysfunction and death during first decade
Term
thalassemia minor
Definition
usually present as profound microcytosis, hypochromia, minial or mild anemia, increase in Hb A2, +/- increasae in HbF
Term
simple Beta thalassemia
Definition
result mostly from point mutations only common beta globin deletion-->619 bp deletion at 3' end and most mutation decrease the abundance of B-globin mRNA
Term
splice junction mutations
Definition
mutations in 5' intron donor or 3' intron acceptor sites
Term
intron mutations
Definition
intron mutations that activate cryptic splice site
Term
exon mutations that affect splicing
Definition
exon mutation that affect splicing by activating cryptic splice sites (e.g. HbE)
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