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Which cells are diploid
Somatic cells
Which cells are haploid
Gametes
Single gene disorders
Monogenic, single gene pair, autosomal or X-linked
Chromosomal abnormalities
Altered structure or number
Multifactorial traits
Combo of genetic and environmental influences
All tumor suppressor gene mutations are
Autosomal dominant
Hereditary chance of passing on an autosomal dominant trait
50%
Loss of function mutations (dominant)
Defects in structural proteins or regulatory proteins
Haploinsufficiency and an example
1 copy not enough, familial hypercholesterolemia
Hereditary chance of passing on autosomal recessive traits
25%
Catalytic proteins and incest usually lead to
Autosomal recessive mutations
Adult hemoglobin
HbA (2 a 2 B)
Fetal hemoglobin
HbF (2 a 2 y)
How many alpha hemoglobin copies
4
How many beta hemoglobin copies
2
A-thalassemia missing 1 copy
Silent carrier, normal
A-thalassemia Missing 2 copies
Trait, like B-minor
A-thalassemia missing 3 copies
HbH disease, like B-intermedia
A-thalassemia Missing all 4 copies
Hydrops fetalis
Which disease is Hb BART associated with
Alpha thalassemia
What causes symptoms in beta thalassemia
Increased insoluble A hemoglobin that prevents RBC production and low normal hemoglobin
Minor B thalassemia
1 normal, 1 mutant
Major B thalassemia
2 mutants, skeletal deformities
Neurofibromatosis type 1
Autosomal dominant, mutation in regulatory NF1 gene
Marfan syndrome
Autosomal dominant, defect in FBN-1 gene that encodes fibrillin
Achondroplasia
Autosomal dominant, mutation in FGFR3 gene receptor
Thalassemias
Autosomal recessive
Symptoms of NF1
Cafe spots, neurofibromas, axillary freckling, and Lisch nodules
Types of achondroplasia
1 copy: little person
2 copies: death in infancy
Point mutation
transition (purine to purine) or transversion (purine to pyrimidine)
Silent mutation
One codon change, AA stays the same
Missense mutation
Codon and AA change
Conservative missense mutation
Similar AA (like two polar)
Nonsense mutation
Early stop codon
Nonstop mutation
Changes stop codon to normal codon
Insertions and deletions
Frameshift: not a 3
In-frame: 3, full AA inserted or deleted
Trinucleotide repeat expansion mutations
Amplifies repeated bases, faulty protein in coding region, low production/toxicity in UTR
Splice mutations
Removing exons or leaving introns
Large segment mutations
Incorrect recomb or unequal crossover in meiosis
Polymorphisms
Frequency of 1% or more
Sickle cell
Missense mutation in Bs-globin gene
PKU
Nonsense mutation in phenylalanine hydroxylase gene
Renal cell carcinoma
Nonstop mutation in BRCA-1 or Von-Hip
Duchennes muscular dystrophy
Frameshift mutation
Becker muscular dystrophy
In-frame mutation
Cystic fibrosis
In-frame mutation in coding region
Fragile X syndrome
RE in 5’ UTR of FMR1 gene
Myotonic dystrophy
RE in 3’ UTR of DMPK gene
Friedreichs Ataxia
RE in intron of frataxin
Huntington’s
RE in coding region of HTT
B-thalassemia mutation
Splicing in promoter
Variable expression
NF type 1
Pleiotropy
Marfan syndrome, 1 mutation affects multiple systems
Germline Mosaicism
Type 2 OI (new mutation of autosomal dominant)
Reduced Penetrance
Retinoblastoma, requires 2 events
Delayed age of onset examples
Huntingtons and myotonic dystrophy
Locus heterogeneity
Same phenotype, diff mutation loci/ gene (EDS)
Anticipation
each generation gets longer RE and earlier onset and worse symptoms
Genetic drift
Rare genes in one population (MSUD)
Gene flow
Exchange of genes between populations
Consanguinity
Incest, siblings have 50% same genes
Methemoglobinemia
Congenital or from nitrates, chocolate blood and blue skin
Von-Hippel Lindau
Autosomal dominant defect in HDL tumor suppressor gene, causes pehochromo
Pheochromocytomas
Tumor of adrenal glands (Von-Hip)
X-linked dominant
Rare, usually females because males die
Examples of X-linked dominant
Rett syndrome and hypo ricketts
X-linked
Mainly males, mother is carrier, no male to male transmission
Hemizygous
Males for X
Hemophilia A + B
X-linked, mutation of clotting factors 8 or 9
Duchenne muscular dystrophy
X-linked, defect in dystrophin, more common, more severe
Becker muscular dystrophy
X-linked, defect in dystrophin, less common, milder
X inactivation
Barr body is inactive X, Xist is transcribed on inactive X
Fragile X syndrome
X-linked, not dominant or recessive, more in males, less severe in females
Mitochondrial inheritance
All offspring from affected mother, heteroplasmy from # of mtDNA copies
3 mitochondrial inheritance examples
Leber, MERFF, MELAS
Nondisjunction
Failure of chromosomes to separate, usually in meiosis 1
Down syndrome
Trisomy 21
Edward’s syndrome
Trisomy 18
Patau syndrome
Trisomy 13
Klinefelter syndrome
XXY (males)
Turner Syndrome
X (webbed neck)
Jacob’s syndrome
XYY (tall, acne)
Triple X
XXX (x inactivation provides balance)
Multifactorial inheritance deals with what
Polygenic traits (combined activity of several genes)
Relative risk ratio for disease
Prevalence in relatives / in general population
What traits follow a bell curve
BP, head size, height, IQ, skin color
What traits do not follow a bell curve
Diseases
Liability/ threshold model
Must cross threshold of liability to express disease, lower threshold is higher prevalence
Recurrence risk
Likelihood of disease in an individual after a relative presents affected
Heritability
Amount of a condition that’s determined by genes
Regression to the mean
Children will get closer to average if parents are both very far from mean