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GMC Diseases
Diseases in Genes, Molecules and Cells Class
32
Medical
Graduate
09/19/2010

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Cards

Term
Achondroplasia
Definition
AD
Fibroblast Growth Factor Receptor tyrosine kinase - Gain of Function to be constitutively active, inhibits proliferatio of chondrocytes
100% is a mutation @ 1138 Guanine
80% is de novo
lack of allelic heterogeneity
Term
Alzheimer Disease
Definition
Polygenic/Multifactorial
PSEN1/2
B amyloid precursor protein metabolism cause neural disfunction and apoptosis
Term
Hereditary Breast and Ovarian Cancer
Definition
AD
BRCA1 and BRCA2 mutations
DNA repair genes - TSG
Show loss of heterozygosity
Term
Charcot-Marie Tooth Disease Type 1A
Definition
AD
PMP22
Distal Weakness, no reflexes
20-33% de novo
Involved in myelin compaction
full penetrance, variable expressivity
Term
Chronis Myelongenous Leukemia
Definition
Somatic Translocation of 2 genes (BCR-ABL) to make oncogene
No risk of transmission to kids
Term
CF
Definition
autosomal recessive
CFTR problem, poor movement of salts
very heterogenous mutation
Term
Duchenne Muscular Dystrophy
Definition
X-Linked
Huge dystrophin gene (79 exons) - muscle wasting, especially in calf
Females can be affected due to X inactivation
14% germline mosaicsm
15% de novo

Beckers is less severe case
Term
Familial Adenomatous Polyposis
Definition
AD
APC *already has AP in it!
protein mutation (cytoskeleton and apoptosis protein)
High degree of loss of Heterozygosity
25% de novo
Term
Familial Hypercholesterolemia
Definition
AD
LDL Receptor Mutation
Dominant negative as multiple LDL parts have to come together for dimer
Term
Fragile X Syndrome
Definition
X Linked Mental Retardation
FMR1 Mutation - CGG Triplet Repeat Expansion
premutation 50-200
mutation > 200 causes hypermethylation and gene inactivation
Half of females that are carriers will be affected, depending on X inactivaton
Expands in oogenesis
Term
Glucose 6 Phosphate Dehydrogenase Deficiency
Definition
X Linked
G6PD Mutation
Hyemolytic Anemia as lack of NADPH for oxidant detoxification
A- African
B-Mediterranean - more severe
Carriers do not show symptoms
Term
Hereditary Hemocromatosis
Definition
AR
HFE mutation
Fatigue, Importance, high serum Iron
95% homozygous Cys282Try
5% hetero Cys282Try and His63Asp but needs environment
Mutant HFE interferes with Hepcidin and causes enterocytes and macrophages to release iron
low penetrance
northern european decent most prominant
Term
Hemophilia
Definition
X - Linked
A - F8
B - F9 - more rare
F8 and F9 are clotting factors
Very rare in females from x inactivation
Point mutation De novo always in spermatogenesis
Deletion de novo always in oogenesis
Term
Hereditary Nonpolyposis Colon Cancer
Definition
AD
DNA Mismatch Repair Gene Mutations
Lots of microsatellite instability
Lots of loss of heterozygosity
80% Penetrance
Term
Hirschsprung Disease
Definition
AD or AR or Multigenic
RET gene
Constipation and Abdominal Distension
absence of paraganglian cells in the submucosal [;exuses of the intestine
4:1 males to females
Recurrence highest for long and female proband
Term
Huntington Disease
Definition
Autosomal Dominant
HD mutation - CAG repeat > 36
Increases in spermatogenesis
anticipation
Chorea nonreptitive jerks
Term
Marfan Syndrome
Definition
AD
FBN1 mutation (fibrillin)
30% de novo
ectopic lens
dominant negative pathogenesis and haploinsufficiency
very allelic heterogenous
Term
MERRF
Definition
mitochondrial
tRNAlys mutation
Myoclonic Epilespy with Ragged Red Fibers
Very heteroplasmic
Bad complex 1 and 4
Term
Neurofibromatosis 1
Definition
AD
NF1 mutation
neurofibromin gene
50% de novo
Loss of function of gene product
100% penetrance, very variable expressivity
Term
Ornithine Transcarbamylase Deficiency
Definition
X Linked
Hyperammonia
De novo almost always in spermatogenesis (women become carrier and gives to son)
Girl carriers can become ill later in life w/ heavy protein intake
Term
Sickle Cell Disease
Definition
AR
valine for glutamic acid at AA6
Can be SS or CS (more mild)
lack of allelic heterogeneity
1/600 African Amer
Hb C most common in africans
Term
Tay sachs
Definition
AR
HEXA mutation
GM2 ganglioside Accumultion
Ash Jew have 1/30 carrier
French Canadians High too
Term
Thalassemia
Definition
AR
alpha or Beta globin deficiency
Most common single gene disorder
Malaria resistance
Very heterozygous
unbalence of alpha and beta globulins

alpha - deletions, no alphas makr 4 Hb's together called Barts causing hypoxia as bad O2 transport, onset prenateally, normally 4 functional genes with increasing severity as more are mutated

beta- onset a few months after birth as Beta replaces fetal gamma, substitutions, 2 genes and major (severe anemia) if both are affected
Term
Xeroderma Pigmentosum
Definition
AR
Defect of Nucleotide Excision Repair
Higher in Japanese
Tons of allelic Heterogeneity
more susceptible to carcinogens
Term
AD de novos
Definition
Achondroplasia - 80%
NF1 - 50%
MARFAN - 30%
Familial Adenomatous Polyposis - 25%
Term
AD groups
Definition
Repeats, Cancers, ECM
Term
X Linked Carriers with phenotypes
Definition
Females Frequently Own Disease
Term
X Linked but carriers without Phenotype
Definition
Lady Got Help Hiding
Term
Autosomal Recessive Groups
Definition
Blood, Jews/Japs
Term
Mutifactorial
Definition
Alziehmers
Single Organ Defects
Hiresprung
Term
DNA Repair Disorders
Definition
XP - Nucleotide Excision Repair
Hereditary Nonpolyposis Colon Cancer - Mismatch Repair Genes
Term
Trinucleotide Repeat Disorders
Definition
Fragile X
Hunters
Myotonic Dystrophy
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