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Haemoglobin
Major component of red blood cells— responsible for transporting oxygen in the blood to the tissues and returning CO2 to the lungs
2 alpha chains, 2 beta chains, heme cofactor, carries iron which can bind oxygen
Haemoglobin is a heterotetramer of ______ and ____ and each chain is associated with ______ which _______
tandem gene duplications, LCR
Due to _____ in ancestral sequences the haemoglobin locus has several coding regions controlled by a ______
spatial (tissue specific), temporal (time-dependent)
LCRs exert ____ and ____ control
a1 and a2, no amino acid differences, epsilon and gamma and delta and beta, up to 39 amino acid differences
The alpha globin cluster contains ______ which have ______; the beta globin cluster contains _____ which have ________
alpha and gamma Hb, birth, alpha and beta Hb
Fetal Hb is made of ______ and switches to adult Hb at ______ which is made of ______
Alpha, partial pressure of oxygen in the air, alpha/beta, alpha/gamma
___ Hb does not show temporal regulation. At birth ________ triggers the genetic switch to adult haemoglobin (HbA)— in adults 98% of haemoglobin is _____ and 2% is _____
Thalassemia
Caused by mutations in the coding regions of the globin loci that can decrease the synthesis of either alpha or beta haemoglobin
Alpha Thalassemia
Decreased alpha globin synthesis sometimes due to a point mutation in a1 or a2
deletion of 1 or more coding regions, NAHR, a1, gamma
80-85% of cases of alpha thalassemia are caused by ______ due to _____ most often between ___ and ___
form homotetramers, gamma tetramer, Hb Bart’s, beta tetramer, HbH
If there is not enough alpha globins the excess gamma and beta globins ______. In the fetus, this means _____, which is referred to as _____. In the adult, this means _____, which is referred to as _____
anemia, dizziness, cramps, shortness of breath, and jaundice
Alpha thalassemia symptoms include:
Beta Thalassemia
Decreased beta globin synthesis sometimes due to point mutations in HbB
excess alpha globin, damage to plasma membrane, toxic protein aggregates, normal phenotype, beta thalassemia minor, beta thalassemia major
90% of cases of beta thalassemia are due to ______. Insufficient beta globin causes ______ which causes ____ and ____. 2 functional beta globin genes = ____, 1 functional beta globin gene = _____, and 0 functional beta globin genes = _____
anemia, jaundice, heart issues, kidney problems, and bone abnormalities
Beta thalassemia symptoms include:
inability to turn over iodine
The yellow colouring of jaundice is caused by…
Complex Thalassemia
Thalassemias caused by deletions in the locus control region
Hereditary Persistant Fetal Haemoglobin
Caused by deletions that remove the haemoglobin delta and beta coding regions but the locus control region remains intact
HbF
Heterozygouse HPFH have 20-30% _____
Hb binds more tightly therefore oxygen is not offloaded to tissues as well but this does not typically result in any clinical presentations
Symptoms of HPFH include:
loosens the interactions between histones and DNA by neutralizing the positive charge on histones therefore weakening the ionic association between the DNA backbone and nucleosome
Addition of acetyl groups to histone lysine residues…
H3 and H4 acetylation
_____ in the haemoglobin LCR is associated with beta globin expression
Imprinting
One copy of a gene in an individual is expressed while the other is suppressed due to epigenetic differences that are dependent on the parent of origin
methylated, maternally imprinted, paternally imprinted, imprintining is reset through the germline
During gametogenesis DNA is differentially _____— ~80 regions are _____ while ~3 regions are ____ therefore _____
imprinting control regions, cis regulation of alleles
Imprinting methylation occurs at ______ within imprinted gene clusters which allows for _______
Prader-Willi Syndrome
Caused by loss of paternal gene expression on chromosome 15 that can occur due to deletion of the paternal copy, maternal uniparental disomy, or imprinting defects
Angelman Syndrome
Caused by loss of maternal gene expression on chromosome 15 that can occur due to deletion of the maternal copy or paternal uniparental disomy leading to UBE3A deficiency
SNRPN, possibly involved in tissue-specific alternative splicing, necdin, regulator of neural interactions
PWS and AS are caused y deletions of 15q12 affecting the ____ (__________) and ___ (_________) genes
paternal, maternal
PWS happens when the deletion lies on the ____ chromosome but the _____ chromosome is inactivated
obesity, short stature, obsessive eating, small hands/feet, mild intellectual disability
Prader-Willi syndrome symptoms include:
severe intellectual disability, happy and affectionate
Angelman syndrome symptoms include:
Uniparental Disomy
An individual carries two copies of a chromosome from one parent
Non-disjunction and aneuploidy (n-1), non-disjunction and aneuploidy (n+1), both chromosomes with deletions inherited
_____ in the paternal lineage and _____ in the maternal lineage = Prader-Willi by UPD. _____ from the paternal lineage = Angelman by UPD.