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Human Genome Project (HGP)
intl proj to determine sequence of human DNA & identify human genes
started in 1990, completed 2003
sequenced ~3 billion DNA base pairs
produced 1st reference human genome sequence
why was the HGP important
gave scientists a foundation for connecting genetic variation → health/disease
led to advances in:
genetic testing
personalized med
identifying genetic predispositions
important limitations of HGP
knowing the dna sequence ≠ knowing exactly what everything does
og sequencing was slow, expensive, & prone to error
reference genome didn’t represent all human genetic variation
enviro/lifestyle also influence health
genomic banks → cybersecurity/re-identification concerns
genes alone do not determine health
deoxyribonucleic acid (DNA)
genetic storage system of the cell
contains instructions for making proteins

dna nucleotide
5 carbon sugar, phosphate, & nitrogenous base
4 bases:
A- adenine
T- thymine
G- guanine
C- cytosine
base pairing
dna is double stranded → double helix
A ↔ T, G ↔ C
hydrogen bonds hold the paired bases together
genome
ALL of an individuals dna
~3 billion base pairs
exome
protein-coding portions (exons) of the genome
only ~1-2% of genome
contains many known disease-related variants
exome sequencing focuses on these coding regions to look for genetic variants/mutations
whole exome sequencing
sequencing all protein coding regions to look for genetic variants/mutations
basic process: dna sample → dna fragmented → exons captured/isolated → sequenced → compared/analyzed for variants
genomic info can help
diagnose genetic conditions
predict disease risk
manage/prevent disease
promote health from preconception →adulthood
big pic: genetics is another tool for pop. level prevention, not j individual diagnosis
genetics in normal ph functions
surveillance: identify genetic risks in pops
education: explain genetic risks
prevention: identify opportunities for earlier intervention
health services: connect people to appropriate genetic testing/services
policy: protect people while incorporating useful genomic info
research: evaluate whether genetic tests are actually clinically useful
gregor mendel
known as “father of genetics”
used controlled breeding of pea plants to understand traits being passed between generations
developed 2 laws
law of segregation
law of independent assortment
law of segregation
we carry 2 alleles for a trait
alleles separate during reproduction
offpring receive:
1 allele from each parent
law of independent assortment
alleles for unrelated traits can be inherited independently of each other
gene
segment of DNA containing instructions for a functional product
allele
diff version of a gene
dominant
phenotype expressed when 1 copy of allele is present
homozygous
2 identical alleles
ex: AA or aa
heterozygous
2 diff alleles
ex: Aa
hemizygous
only 1 copy of a gene is present
many x-linked genes in XY males
why mendelian genetics doesn’t explain everything
mendel studied simply binary traits with clear inheritance patterns
most common human diseases are much more complicated
often involve:
multiple genes
enviro
behavior
other factors
multifactorial trait/disease
caused by:
multiple genes
enviro
behavior
other factors
ex’s:
type 2 diabetes
heart disease
obesity
ph takeaway: genetic risk ≠ destiny
genetic variation
differences in dna sequences between individuals
explains differences in:
blood group
eye/hair/skin color
most genetic variation is harmless
some variants affect health/disease/treatment response
single nucleotide polymorphism
most common unit of genetic variation
difference in 1 nucleotide at a particular dna position
most occur in non-coding dna & have no obvious effect
some can affect:
gene function
disease susceptibility
med response
SNPs as genetic markers
helps researchers:
track inheritance
identify disease-associated regions
predict genetic predisposition
study treatment/drug response
variation
difference in dna
may b normal & harmless
not every dna difference causes disease
mutation
dna change that can disrupt normal function
may contribute to disease processes
does NOT mean every dna change is harmful
genome wide association studies (GWAS)
search across genomes to identify genetic markers
identify markers associated w particular:
traits
clinical outcomes
compare people w outcome vs. people w outcome
look for shared genetic variants
use of GWAS
understand pop. level disease risk
can contribute to:
personalized meds
predicting treatment outcomes
understanding shared risk factors/health disparities
important: association ≠ variant directly causes disease
type 2 as a multifactorial disease
person either clinically has diabetes or does not
pathway leading to disease can involve:
genetic, enviro, & econ factors
genetics may identify susceptibility
disease cannot necessarily be explained by genetics alone
BRCA1 & BRCA2
genes with inherited variants associated with breast cancer risk
inherited variant ≠ guarantee cancer develops
only about 5–10% of breast cancer cases are inherited
remember: inherit the mutation, NOT the disease
penetrance
whether a genetic trait/phenotype appears
think → will it appear?
expressivity
degree/severity of the phenotype once it appears
think → how strongly does it appear?
genotype
individuals genetic makeup/alleles
phenotype
observable trait or outcome
can reflect genotype & enviro
ex’s:
weight
height
eye color
disease state
epigenetics
changes in gene expression
occurs w out changing dna sequence itself
dna sequence stays the same
which genes are ON/OFF can change
important: same genotype ≠ always same gene expression
epigenome
collection of chemical modifications
regulates how dna is used
can be influenced by:
development
stress
aging
pollution
nutrition
dna methylation
methyl groups added to dna by methyltransferases
generally → gene OFF / ↓ expression
transcription machinery has less access to gene
can be reversed through demethylation
remember: more methylation → usually less expression
histones
proteins that dna wraps around to help package dna
how tightly dna is wrapped determines whether genes are accessible
histone acetylation
enzyme → HAT
loosens/open chromatin
dna more accessible
↑ gene expression
remember: acetylation = OPEN/ON
histone deacetylation
enzyme → HDAC
tighter/closed chromatin
dna less accessible
↓ gene expression
remember: deacetylation = CLOSED/OFF
histone methylation
can ↑ or ↓ gene expression
effect depends on:
location
context
cell differentiation & epigenetics
epigenetic changes turn certain genes off/on so cells become specialized
allows cells to become specialized
ex:
brain cell vs. muscle cell
essentially same dna → diff genes expressed → diff structures/functions
lifelong enviro epigenetic changes
cells respond to:
diet
pollution
stress
aging
enviro can modify gene activity over time
connects enviro → epigenetic change → altered gene expression → potentially altered health
x chromosome inactivation
occurs in XX individuals
1 X chromosome is largely inactivated early in embryonic development
prevents too much expression of X-linked genes
called:
x-inactivation
lyonization
provides dosage compensation
random x-inactivation
which X is turned off is generally random in each cell
once selected → stays turned off
silencing maintained through later cell divisions
creates mosaic of cells
some use maternal X
others use paternal X
xist gene
key role in X-inactivation
produces XIST RNGA
RNA coats X chromosome
recruits silencing mechanisms
chromosome becomes largely inactive
dna methylation helps lock in repression
calico cats
fur color gene located on X chromosome
female cat may have:
Xᴼ → orange
Xᴮ → black
random X-inactivation →patches of diff colors
visually demonstrates:
random X-inactivation
cellular mosaicism
genomic imprinting
epigenetic process
expression of an allele depends on which parent it came from
one parental copy may be silence
other copy expressed
mutation can have v diff effects depending on whether inherited from mom v dad
chemical exposures & epigenetics
environmental exposures can modify gene regulation
understanding pathways helps ph:
identity possible causes of disease
advocate for environmental protections/policies
prenatal cig smoke exposure
major prenatal chem exposure
cig smoke contains thousands of chemicals including carcinogens
associated w:
prematurity
birth defects
miscarriage
SIDS
prenatal cig smoke & epigenetics
smoke exposure → altered/reduced dna methylation
→ altered gene expression
fetal brain research found methylation changes involving neuronal development
connection: exposure → epigenetic change → altered development/disease risk
epigenetic biomarker
persistent epigenetic pattern
may provide evidence of a past exposure
potentially useful when disease occurs years after exposure
potential exposures detected through epigenetic biomarkers
metals
pesticides
benzene
synthetic hormones
pollution
ph value of epigenetic biomarkers
could improve:
exposure assessment
identification of harmful exposures
environmental disease research
prevention/policy
idea: past exposure → persistent epigenetic mark → potentially measurable later
teratogen
substance, agent, or factor that can cause:
birth defects
developmental abnormalities
affects a developing fetus