Shared Flashcard Set

Details

Genetics2
See title
21
Medical
Graduate
02/08/2012

Additional Medical Flashcards

 


 

Cards

Term
Linkage
Definition
the tendency for genes or segments of DNA closely positioned along a chromosome to segregate together at meiosis and thus, be inherited together
Term
Linkage Analysis
Definition
Also called INDIRECT DNA alanysis

The use of many DNA markers (normal variants) that are near ot within the gene of interest to track within a family the inheritance of a disease causing mutation in that gene
Term
Marker
Definition
An identifiable segment of DNA with enough variation between individuals that its inheritance and co-inheritance with alleles of a given gene can be traced.
Term
PHASE
Definition
For two or more closely linked markers,the alleles contained on the same chromosome ;haplotype
Term
LInkage Disequilibrium
Definition
In a population, co-occurence of specific alleles at a higher frequency than would be predicted by random chance- over representation of specific haplotypes
Term
Haplotype Analysis
Definition
Molecular genetic testing to identify a set of closely linked segments of DNA- used in linkage analysis or when a given trait is in linkage disequilibrium with a marker or set of markers
Term
recombination frequency determines extent of linkage (fact)
Definition
Term
Genetic testing (direct vs. indirect (linkage))
Definition
Direct= probe on the allege/gene
Indirect= testing of unknown disease allele using multiple, closely linked, flanking markers [any known variant that is in linkage with an (unknown) causative mutation potentially can be used for linkage analysis]
Term
Utility of Linkage Analysis/ Importance of Haplotype (phase)
Definition
When direct DNA analysis is not possible.
When the disease causing mutation within the gene of interest is unknown in a specific family

Must be established in each family.
Only in the rare instance of linkage disequilibrium is a specific haplotype highly likely to be associated with a specific disease-causing mutation.
Term
Limitations of Linkage Analysis
Definition
The accuracy of the linkage depends on:
1. Accuracy of clinical diagnosis
2. Distance between the disease-causing mutation and the markers. Linkage analysis may yield false positives/false negative results if recombination between markers occurs during gamete formation. Risk of recombination is lowest if intragenic markers are used.
3. Informativeness of genetic markers in in the family. In MOST situations, a marker that is homozygous is not informative. A marker that is heterozygous MAY be informative.
Term
TriNucleotide Repeat Expansion Disorders TNR
Definition
Clinically diverse disorders that share a novel mutational mechanism

Genes containing tandem repeats of 3 basepairs.

Unstable expansion of repeat copy number from one generation to the next.

Expansion disrupts normal gene function, causing neurological disease
Term
Fragile X Syndrome
Definition
1. X-linked
2. Most common form of inherited mental retardation (1 in 5000 males)
3. CGG expansion in 5' untranslated region of FMR1 gene- expansion accompanied by DNA methylation, which shuts down gene expression
4. Full mutation: males (100% affected) females (50% affected)
Term
CGG repeat expansion in Fragile X (number of repeats vs outcome)
Definition
1. 6-54 repeats= normal allele= STABLE
2. 55-200 repeats= premutated allele= stable/unstable
3. 200-1300 repeats= UNSTABLE= Fragile X syndrome


5' untranslated region of FMR gene
Term
Normal range of repeat copy number (for fragile X)
Definition
MOST people have 25-32 repeats on the FMR1 alleles
Term
Prevalence of Fragile X
Definition
Affected males is 1 in about 5000 males

Unaffected premutation carrier females is 1 in about 100 females (variable size and variable risk for expansion)

Minor phenotypic abnormalities, including premature ovarian failure and FXTAS (fraX associated tremor/ataxia syndrome) may be present in premutation carriers
Term
Two main categories of Trinucleotide Repeat Disorders
Definition
1. Trinucleotide repeats expansions in NONCODING regions that interfere with normal gene expression- loss of function like in Fragile X

2. Expansions of Polyglutamine (CAG)n tracts in CODING sequence= neuronal degeneration [gain of function like in Huntingtons Disease)
Term
TNR expansions: Pathogenic Mechanisms
Definition
1. Fragile X- expansion on 5' UTR interferes with FMR1 expression
2. Myotonic Dystrophy- expansion in 3' UTR in DMPK gene disrupts normal gene slicing of other genes
3. Huntington Disease- expansion of polyglutamine tract causes protein to form toxic aggregates
Term
Huntington Disease
Definition
1. Autosomal Dominant
2. Adult onset neurodegenerative disorder
3. Gene product (huntingtin) includes polyglutamine tract encoded by (CAG)n

Normal alleles= 10-35 CAg repeats (alleles in normal range are variable but stable)
Disease alleles= >35 CAG repeats (meiotically unstable, continued expansion)
Term
Genotype/Phenotype correlation in HD
Definition
Larger repeat number associated with earlier onset age
Term
Anticipation
Definition
General feature of TNR disorders

Progressively earlier onset/increased severity in successive generations

Caused by successive increase in repeat copy number from generation to generation

[continued expansion of repeat copy number in descendants associated with increased severity]
Term
Molecular Mechanism of TNR expansion
Definition
1. Likely mechanism- strand slippage or altered DNA conformation during DNA replication
2. Some disorders (Huntington) most unstable in male meiosis
3. Some disorders (Fragile X) most unstable in female meiosis
4.Minor instability during mitosis- somatic mosaicism
Supporting users have an ad free experience!