diseases from single gene mutations

Learning Outcomes

  • ALO 1: Explain the operation of multiple alleles in the ABO blood system.

  • ALO 2: Link retinitis pigmentosa to a marker locus on chromosome 7.

  • ALO 3: Discuss genetics in medicine, including DNA fingerprinting and gene therapy.

  • ALO 4: Understand genetic testing, counselling, prenatal diagnosis, genetic screening, and the role of genetic counsellors.

  • ALO 5: Discuss human genetics, its societal implications, and ethical considerations regarding genetics.

ABO Blood System and Multiple Alleles

  • Blood Transfusion: Clumping of donated red cells occurs if recipient's serum has matching antibodies.

  • Genes Affecting Blood Types:

    • Alleles IA and IB synthesize agglutinogens A and B (dominant).

    • Genotype combinations lead to blood groups:

      • Group A: IAIA or IAi

      • Group B: IBIB or IBi

      • Group AB: IAIB

      • Group O: ii

  • Parental Blood Groups and Possible Outcomes:

    • Example pairings include:

      • O x O = O (1)

      • O x A = A, O (2)

      • O x B = B, O (2)

      • A x B = A, B, AB, O (4)

  • Genetic blood types are stable over a person's life and can help predict offspring blood groups, serving as a tool in parentage disputes.

Retinitis Pigmentosa (RP)

  • Description: Hereditary disorder affecting photoreceptors, leading to night blindness and constricted visual field.

  • Symptoms: Night blindness, optical disc pallor, narrowed arterioles.

  • Genetic Inheritance: Inherited primarily with two gene copies needed; however, one copy can sometimes cause the condition.

    • it creates a waxy optic disc pallor

  • Genetic Basis: Linked to mutations in over 60 genes, leading to nonsyndromic retinitis pigmentosa.

  • Treatment Options: Currently, there is no cure, but management strategies include the use of visual aids and potential gene therapy approaches under investigation.

    • linked on chromosome 7 marker

Applications of Genetics in Medicine

  • Unique DNA: Every individual, barring identical twins, has unique DNA.

  • Genetic Variation: Approximately 1 in 500 base pairs differ between humans, with some variations tied to diseases:

    • Cystic fibrosis

    • Cardiovascular diseases

Genetic Markers and Predictive Testing

  • Certain DNA differences can signify inherited diseases—these markers facilitate predictive testing and genetic counselling.

DNA Fingerprinting

  • Method: Analyzes repeating DNA sequences known as VNTRs (Variable Number of Tandem Repeats).

  • Types of Repeats:

    • Microsatellites (shorter than 10 bp)

    • Minisatellites (10-100 bp)

  • Applications: Used in forensic science, including sexual assault cases through DNA analysis of samples.

  • DNA Fingerprinting: digested by enzyme to produce fragements containing VNTRs

    • amplifed by PCR

    • analyzed by electrophoreis to produce bands

Gene Therapy Overview

  • Concept: Involves correcting defective genes to treat diseases, such as replacing 'bad' genes with a 'good' gene.

  • Delivery Methods:

    • Viral vectors (adenoviruses, retroviruses, etc.)

    • Non-viral methods (liposomes, polymers, etc.)

  • Gene therapy has shown promise for diseases like cancer, cystic fibrosis, and hemophilia.

Clinical Applications

  • Examples of clinical trials include treatments for severe combined immune deficiency and retinitis pigmentosa.

Prenatal Genetic Testing

  • Amniocentesis: A technique to diagnose genetic diseases before birth by sampling amniotic fluid.

  • Use Case: Recommended for women over 35 due to higher risk of chromosomal abnormalities like Down Syndrome.

Genetic Screening Types

  • Newborn screening: Early detection can prevent serious conditions like sickle cell anemia.

  • Adult screening: Facilitates informed reproductive choices, such as identifying carriers of recessive disorders.

Role of Genetic Counsellors

  • Responsibilities: Assess risk, interpret test outcomes, and support familial decisions regarding genetic disorders.

  • Common reasons to consult include pregnancy, family planning, and cancer risk assessment.

Ethical Considerations in Genetics

  • Genetic Discrimination: Involves unfair treatment based on genetic factors; highlighted in cases like Angelina Jolie's preventive surgeries following risk assessments.

  • Mitochondrial Replacement Therapy: Raises ethical questions about the implications of inheriting DNA from a third party.

Conclusion

  • Understanding genetics is essential for addressing medical, ethical, and social issues surrounding inherited diseases and genetic information.