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Medical Genetics TBL 2
NA
110
Medical
Professional
02/01/2012

Additional Medical Flashcards

 


 

Cards

Term
Neurofibromatosis
Definition

Autosomal Dominant,

Often (~1/3) resulting from a new mutation

Term
Germ Line Mosaicism
Definition

Mutation in a parent's gonadal and germ-line cells, so their kids come out all fucked up.

 

Non-classical Inheretance;

Observed for Autosomal Dominant & occasionally X-linked mutations

Term
Allelic heterogeneity
Definition

Different Mutations at the same locus alter severity/penetrance of a disorder.

 

Think of BRCA1/BRCA2 and Breast Cancer

Term
Locus Heterogeneity
Definition
Mutations at multiple loci cause identical or very similar phenotype conditions
Term
Double heterozygotes
Definition

Two mutations at two different loci. 

Consider the 7-year old developing colon cancer.

Term
Phenotypic Diversity (disease)
Definition
Two different clinical entities caused by different mutations at the same locus. Think of Becker's vs. Duschene's Muscular Dystrophy, but totally different diseases (this is more allelic heterogeneity).
Term
RET-proto oncogene and Hirschsprung Disease
Definition
Loss of function mutation at Ret tyrosine kinase receptor gene
Term
RET proto-oncogene and MEN 2A
Definition
AD gain of function caused by constitutive activation of tyrosine kinase receptor
Term
Variable expressivity
Definition

Symptoms are not fully expressed.

Can lead to retroactive diagnosis if offspring obviously have symptoms

Term
Reduced penetrance
Definition
Not everyone bearing the disease genotype shows symptoms. But can have offspring that do.
Term
Uniparental disomy
Definition
Rare inheritance of two chromosomes pairs from same parent, none from other parent
Term
Complete Molar Pregnancy
Definition
Egg w/ no genetic information is fertilized by sperm.  Mother's body treats tissue like a pregnancy, but can just become cancerous growth.
Term
Partial Molar Pregnancy
Definition
Egg is fertilized by two sperm, the placenta becomes a molar growth.  Too much genetic info.
Term
Autosomal Recessive Maternal Imprinting Defect
Definition

Women unable to form female-specific methylation patterns (imprinting) on paternally-inherited chromosomes.

 

Too much genetic input from the male; identical to complete androgenous hydatidiform mole

Term
Genomic Imprinting
Definition

Describes when genes display distinct expression patterns depending upon whether inherited from Mother or Father.

 

Methylation from mother & father are in eggs and sperm, and contribute to expression in offspring.

Chromosomal disomy & genetic imprinting can effectively eliminate certain genes from expression.

Term
Prader-Willi Syndrome
Definition

15q12 region normally only expressed in father. When it isn't = Prader-Willi.

Caused by paternal deletion on Chr. 15 (~75%),

or maternal uniparental disomy of Chr. 15.

 

sno-RNA seems particularly important to PWS expressivity

 

 

Term
Angelman Syndrome
Definition

Caused by paternal disomy at 15q12, or deletion of mother's 15q12.

 

Locus-specific assessment is usually too micro, easiest way to diagnose is through microarray

Term
Beckwith-Weidemann Syndrome
Definition

Excess paternal contribution of 11p15

OR maternal deletion at 11p15.

Term
LOI
Definition

Loss of Genomic Imprints.

Implicated in certain cancers, esp. in overpromotion of growth-inducing genes

Term
Barriers to successful cloning
Definition

Imprinting Issues and Epigenetic factors.

You just get genetic information without regard for what to use!

Term
Huntington's Disease (HD)
Definition

Autosomal Dominant disease, caused by excessive CAG repeats (~37+)

 

Repeat # tends to be fixed from mother,

likely to expand if from father.

 

Term
Fragile X
Definition

Triplet expansion makes X chromosome 'fragile'

 

Expansion occurs in the female zygote, CGA promoter is overmethylated

Term
Friederich Ataxia
Definition

Muscle weakness that anticipates via triplet expansion.

Autosomal recessive, expansion occurs in gene intron

Term
Myotonic dystrophy
Definition
Autosomal dominant, expansion occurs in 3' untranslated region
Term
Endosymbiont Theory
Definition

Proposed my Margulies (1970) -

the evolutionary theory explaining genome-bearing organelles (mitochondria, chloroplasts) origin in cells.

 

Briefly, they were engulfed prokaryotes but reached a symbiotic relationship with eukaryotic hosts before being digested. Main advantage is in energy productoin.

Now replicate with cells.

Term
Leber's Hereditary Optic Neuropathy (LHON)
Definition

Mitochondrially inherited condition;

 

Only exhibits if cytoplasm is homoplasmic -> one type of organelle DNA.

 

Three different mt loci that can result!  Locus heterogeneity...

Term
Heteroplasmy
Definition
There is a mix of mitochondria in a cell, some containing a mutation and some wildtype
Term
Homoplasmy
Definition
All mitochondria within a cell contain the same mutation
Term

Myoclonic Epilepsy and Ragged Red Fiber Disease

(MERRF)

Definition

Mitochondrially inherited

 

Severity is proportional to level of heteroplasmy.

Histologically, mitos end up clustered near edges of cells.

This effects more sensitive tissues (esp. brain) first

 

Term
MtDNA Depletion Diseases
Definition

Caused by nuDNA genes, but result in loss of mitochondrial DNA in affected tissues.

 

Encompasses many issues w/ helicase winding

Term

Reactive Oxygen Species (ROS)

 

Definition

Mt with inefficient electron transport can cause produce ROS products, which can further stress / mutate mtDNA.

 

Can cycle into apoptosis

Term
DNA Probe Label
Definition
Fluorescent P(32) Phosphate
Term
Restriction Endonucleases
Definition
Cut DNA at specific Recognition sites.
Term
Sequence Tagged Sites (STS)
Definition

Identification of region of unique DNA sequence

at known locations in the genome

Term
Expressed Sequence Tagged Sites (EST)
Definition

cDNA is obtained via reverse transcription of mRNA, and then short sequences from cDNA clones are used to create ESTs. These are simply expressed genes.

 

(Lets you know what in a genome that looks like a gene actually serves as one.)

Term
Plasmid Cloning
Definition

Human segment of DNA (something of interest) is excised with Restriction Endonucleases (commonly EcoR1),

then DNA-ligased into bacterial plasmids.

Bacterial colonies pick up, grow on agar.

 

Boom, you have many more copies.

Term
Genomic vs. cDNA libraries
Definition

cDNA libraries contains what is shown to be expressed after a reverse-transcription of mRNA.  Basically filters for function, under whatever conditions mRNA was extracted.

 

Genomic libraries contain all gen. information - non-expressed genes, exons, promoters, regulatory elements, etc.

A downside is, you may not necessarily know what you have.

Term
Cloning strategies
Definition
[image]
Term

Using Protein Sequences to guide cDNA sequence

(and subsequent primer design)

Definition
Term
Linkage analysis
Definition

Utilizing the Co-segregation of a marker

with some disease allele

Term
Candidate Gene Approach
Definition

Using the disease phenotype to guess

at what gene(s) may underlie.

Term
Mutational Analysis
Definition

Really the final, definitive step of gene localization.

Markers narrow down to a couple genes, the exons of which are then sequenced.

What locus/loci are mutationally different in disease cases than wildtype (healthy patients)?

Term
Genetic Engineering
Definition

Using genetic techniques to modify genes, to

*Study expression

*Study structure/function relationships

*Study gene function (i.e. via knockouts)

Term
Southern Blot
Definition

Used for hybridized DNA detection

after RFLP

Term
Northern Blot
Definition

Detects RNA -

same technique as Southern / RFLP

Term
Western Blot
Definition

Detects Proteins.

Same techniques as Southern, Northern Blots

Term
Using RFLP to Linkage Map Mutations
Definition
Using a marker that only seems found near disease-causing allele. (Making some rather big assumptions here, IMO).
Term
Indirect DNA Tests
Definition

Testing for presence of markers that are closely linked w/ disease alleles.

Esp. in families that have particular prevalence of the disease.

Term
Direct DNA Testing
Definition
Approach looking specifically at mutations which cause disease, not just linked. ex. mutation underlying sickle cell also causes loss/gain of restriction site
Term
ASO
Definition

Allele-specific oligonucleotide probes.

Bind to specific alleles.

Normal ASO, Mutant ASO

Term

Array-based Comparable Genomic Hybridization

(aCGH)

Definition
Counts copy number across whole genome -- detecting whole/partial monosomies and trisomies
Term
Whole-genome sampling analysis (WGSA)
Definition

Array-based SNP genotyping (~10,000 loci),

reads SNPS, gives copy number (uniparental disomy),

and loss of heterozygosity in cancer cells

Term
Newborn screening tests
Definition

Most states require PKU, four others

 

*Mass spectometry can detect 70-90 diseases from newborns

*American College of Medicine recommends ~25 tests to be screened.

Term
cM
Definition

One percent recombination distance.

 

If A and B are 1 cM apart, their linkage will be

unbroken in 99% of the offspring

Term
Syntenic
Definition

Loci occuring on same chromosome

(barring recombination)

Term
LOD Score Analysis
Definition

Long-Of-The-Odds

Likelihood that two loci are linked at a particular recombination frequency, versus unlinked.

(An iterative measure as you get more info.)

 

LOD = log10( | Prob linked / Prob unlinked | )

Term
Negative LOD Scores
Definition

Indicate two loci are not linked

at any recomb. frequency

Term
Positive, peaking LOD scores
Definition

Indicate linkage.

 

Where LOD score values peak along

axis of recombination frequencies

gives greatest odds that two markers are

linked at this distance.

Term
Zmax score
Definition

ex./ if 6 kids and no recombinants,

Z = log10(2^6) = 1.8.

 

Conventionally, if Z >=3, 1000x likelihood of linkage.

Z =< 2 indicates no proof of linkage

 

Term
Linked in Coupling
Definition

Linked together on same chromosome, as in scenario

 

 

A| |A'

| |

B| |B'

 

Here, A is linked in coupling to B and in repulsion to B'

Term
The 10cM Limit
Definition
The practical limit of distance from genetic marker to disease, to be of any predictive use
Term
Thalassemia
Definition
Autosomal Recessive
Term
Sickle-Cell Anemia
Definition
Autosomal Recessive
Term
Cystic Fibrosis
Definition
Autosomal Recessive
Term
Tay-Sachs
Definition
Autosomal Recessive
Term
Phenylketonuria (PKU)
Definition
Autosomal Recessive
Term
Albinism
Definition
Autosomal Recessive
Term
Huntington's Disease
Definition

Autosomal Dominant,

CAG repeat that shows anticipation when inhereted from father

Term
Haplo-insufficiency
Definition

Expression from a single allele/chromosome is

insufficient for a normal phenotype

Term
Dominant Negative
Definition

Mutation in one allele disrupts function of product from normal allele.

Often times in protein complexes, i.e. Marfan

Term
Neurofibromatosis
Definition

Autosomal Dominant.

~1/3 are new mutations

Term
Marfan syndrome
Definition
Autosomal Dominant
Term
Achondroplasia
Definition
Autosomal Dominant
Term
Familial hypercholesterolemia
Definition

Autosomal dominant

(Loss of function of one allele)

Term
Osteogenesis Imperfecta
Definition

Autosomal Dominant

"Bird Bones"

Term
Pseudodominance
Definition

Where autosomal recessive traits appear dominant

due to consanguinity in the pedigree

Term
Hemophilia
Definition
Recessive X-linked
Term
Color blindness
Definition
Recessive X-linked
Term
BMD
Definition

Becker's Muscular Dystrophy

Recessive X-linked,

BMD is milder clinical version.

Muscular dystrophy shows phenotypic diversity.

Term
DMD
Definition

Duchenne's Muscular Dystrophy,

Recessive X-linked.

DMD is the more clinically severe form,

Muscular Dystrophy shows phenotypic diversity between the two forms.

Term
Incontinentia pigmenti
Definition
X-linked Dominant
Term
Lyonization
Definition

Inactivation of the 2nd

X chromosome in females

Term
Rett Syndrome
Definition
X-linked Dominant
Term
Ornithine transcarbamylase deficiency
Definition
X-linked Dominant
Term
Fragile X
Definition

X-linked Dominant,

due to runaway microsatellite on X chromosome.

Anticipation occurs in female gametes.

Term
Metacentric
Definition

Chromosomal centromere roughly in

physical center of chromosome

Term
Sub-metacentric
Definition

Centromere is more toward one end

of the chromosome

Term
(p)
Definition
Short arm of chromosome
Term
(q)
Definition
Long arm of chromosome
Term
Acrocentric
Definition

Chromosome in which short arm is more of a

"stalk" on which satellite DNA sits

Term
Interphase
Definition
Cell is not in mitosis
Term
G-banding
Definition

Chromosomes digested slightly before

staining with Giesma.

Dark bands are GC-rich "G-bands".

Light are G-negative.

Term
R-Banding
Definition

Essentially the reverse of Giesma-banding;

AT-rich regions are stained

Term
Down's Syndrome
Definition
Trisomy 21
Term
Patau Syndrome
Definition
Trisomy 13
Term
Turner's Syndrome
Definition

X0

(Phenotypically femal-ish)

Term
Cri du chat
Definition

Deformed 5th chromosome,

leading to mental retardation, head deformity.

"Cry of the cat" - make that sound

Term
Nucleosome
Definition

Fundamental Unit of Chromosome Packing,

chromatin subunit.

"Bead on a string"

Term
Histone
Definition
Proteins that package DNA into Nucleosomes
Term
Heterochromatin
Definition

Tightly compacted, darkly-stained bundles of genes

hardly ever expressed.

Effectively silenced by histones,

as in X-inactivation (Barr bodies)

Term
Euchromatin
Definition

Lightly stained regions of chromosomes,

containing most genes.

Free to be transcribed.

Term
(alpha)-satellites
Definition
Thousands of 171bp repeats in centromere
Term
Mini-satellites
Definition
15-65 bp repeats disbursed throughout DNA
Term
Microsatellites
Definition
2-4 bp repeats disbursed throughout genome
Term
SINES
Definition

Short, Interspersed Elements (100-300 bp)

found in single copies at many locations in the genome

Term
LINES
Definition

Long Interspersed Elements (5-7kB)

found in single copies at many locations in the genome

Term
Joint Probability
Definition
Prior * Conditional Probability
Term
Posterior Probability
Definition

Joint Probability /

(Joint + Prior Probability)

Term

Chromosome banding convention:

 

A(p/q)BC

Definition

A: Chromosome number

B: Chromosome zone (1 or 2)

C: Chromosome band, from centromere out.

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