cAMP-regulated chloride ion channel with 5 domains:
-2 membrane-spanning domains -2 hydrophilic regions with atp-binding domains -1 highly charged cytoplasmic region with many phosphorylation sequences
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result of CFTR defects
reduced fluid secretion --\> increased mucal protein --\> thick mucous
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loss of function alleles
prevent protein production or lead to a nonfunctional protein (most AR disorders)
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incomplete dominance/semidominance
carriers have slight sub-disease characteristics
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HWE assumptions
1. No Selection 2. No Mutation 3. No Migration 4. No Chance Events (drift) 5. Individuals choose mates at random
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compound heterozygotes
two disease alleles with different mutations
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consanguinity
inbreeding; leads to decreased compound heterozygotes
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causes of ad diseases
gain of function (GOF) mutation
null mutation (haploinsufficiency at the locus)
dominant negative mutation (inactivation of normal product by mutant)
somatic mutation of normal allele
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alpha-1-antitrypsin (P1/SERPINA1)
inhibits elastase which breaks down elastin
mutation destroys recognition of elastase and switches to inhibit thrombin (GoF)
results in bleeding disorder
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osteogenesis imperfecta (OI)
collagen disorder --\> brittle bones; can be AD or AR; result of haploinsufficiency (I) or dom neg (II)
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OI genes and muts
COL1A1 and COL1A2
type I null mutations results in decrease of type I procollagen due to there being half the amount of proalpha1 chains
type II pt mutations results in multiple skeletal problems
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germline/gonadal mosaicism
parent carries mutations in their germ line but does not express the disease phenotype
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mosaicism
postzygotic mutation that results in two or more cell lines that are distinct
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achondroplasia (AD)
dwarfism; 90% of cases are from new muts in the fibroblast growth factor receptor 3 (FGFR3)
homozygous is much more severe than het
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FGFR3
function: limit osteogenesis
mutation leads to activation of receptor
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other FGFR3 diseases
thanatrophoric dysplasia (TD) and hypochondroplasia (HCH)
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AD polycystic kidney disease (ADPKD)
fluid filled kidney cysts
hypertension, hematuria, ab pain, renal failure
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normal polycystin 1 and 2
1. PC1 and 2 heterodimerize 2. PC1 activates g-protein signaling pathway -\> modulating voltage-gated Ca++ and K+ channels
PC2: Ca++ permeable cation channels
3. PC1 and 2 mediate transduction of extracellular mechanical stimulus through the cilia into Ca++ signaling repsonse inside kidney epithelial cells
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2 hit hypothesis ADPKD
inherit one mutation -\> each cyst develops a second mutation
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ADPKD treatment
low sodium intake
antihypertensive therapies
kidney transplant
treatment of polycystic liver disease
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Marfan syndrome inheritance pattern
AD
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marfan syndrome
tall stature, excessive length of upper and lower extremeties, mild pectus excavatum, myopia, joint hypermobility,, HEART PROBLEMS
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marfan syndrome gene
fibrillin (FBN1)
fibrillin \= major component of extracellular microfibrils and has widespread distribution in both elastic and nonelastic connective tissue throughout the body
muts are dom neg
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fbn1 function
binds tumor growth factor beta (TGFB)
insufficient binding leads to overactivation of pathways sensitive to TGFB --\> phosphorylation of smad proteins --\> pathogenesis
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down syndrome (trisomy 21)
mental deficiencies, simian crease, slanted eyes, flattened face, short stature
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edward syndrome (trisomy 18)
mental and physicial deficiencies, facial abnormalities, extreme muscle tone, early death
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patau syndrome (trisomy 13)
mental and physicial deficiencies, defects in organs, large triangular nose, early death
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aneuploidy
loss or gain of whole chromosomes
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x aneuploidies
turner syndrome (X0)
Trisomy X (XXX)
Tetrasomy X (XXXX)
Klinefelter's syndrome (XXY)
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how many barr bodies develop?
Total x chromosomes - 1
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inactivation of x chromosome steps
1. count chromosomes 2. choose random x to inactivate 3. assemble inactivation factors 4. spread along x 5. establish inactive state
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x chromosome inactivation manifestation
underacetylated histones, methylated cpg islands, delayed dna replication
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x inactivation center
cis-acting locus required for x inactivation
contains xist
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x inactivation specific transcript (xist)
constitutively expressed from the inactive x chromosome
encodes rna that is not translated
rna is spliced and poly-adenylated but does not leave the nucleus
coats only the x chromosome that is expressing xist
both necessary and sufficient for x inactivation
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x-inactivation controlling element (XCE)
allows for stable xist rna; influences which x is inactivated
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tsix
modulator of xist activity
spliced and polyadenylated; associated with future x chromosome
if deleted, x chrom without tsix is inactivated
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what % of x-linked genes remain active on inactivated x-chromosome?
15%
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how does xist spread?
xist binds to distal sites that are spatially close to the newly transcribed xist rna.
xist modified chromatin structure at these regions and spreads from there.
regions that excape XCI can loop out and remain active while still permitting spatial spread of xist
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ectodysplasin a (EDA)
protein made by ectodermal dysplasia a (EDA) locus on x chromosome
defects lead to x-linked hyphidrotic ectodermal dysplasia
small region on the ends of X and Y chromosomes that contain homologous gene sequences; x and y pair here
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Leri-Weill dyschondrostenosis
null mutations in SHOX (short stature homeobox) lead to short stature and forearms in typically women
result of haploinsufficiency
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langer mesomelic dysplasia
missense mutations in SHOX lead to a more severe form of leri-weill dyschondrostenosis
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mitochondrial biology
mt chromosome is part of human genome outside of nucleus; many mt genes have moved to nuclear chromosomes
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mitochondrial inheritance
strictly maternal
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why do mitochondrial mutations accumulate?
there is little dna repair
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mitochondrial genome vs nuclear genome
mt: - 100s-1000s of copies of the genome - varying proportion of mutant mtdna molecules - strictly maternal inheritance - no introns (mammals) - one circular dna chromosome, 1-100k copies - 37 genes - very little repetitive dna - continuous transcription of multiple genes - no recombination
nuclear: - 2 copies of genome - 0, 1, or 2 mutant alleles - paternal and maternal inheritance - introns and exons - 23/24 different chromosomes with 46 total - 25000-30000 genes - lots of repetitive dna - individual gene transcription - recombination occurs
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mitochondrial functions
1. produce atp through oxidative phosphorylation 2. initiation of apoptosis 3. generation of reactive oxygen species (ROS)
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important genes in mtdna
polypeptides, rRNA, tRNA
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nuclear vs mt codon usage
to summarize:
1. nuclear and mt have varying stop codons, but still share some of the same codons
2. very few amino acid codons vary between mt and nuclear dna
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what % of mitochondrial proteins are encoded by nuclear DNA? why is that significant?
95%; nuclear gene defects can cause multiple oxphos issues