HCR 240 Week 1: Genes and Genetics

Genes and Genetics

Deoxyribonucleic Acid (DNA)

  • DNA is the hereditary material in cells.

  • It has a double helix structure.

  • Contains four nitrogenous bases:

    • Adenine (A)

    • Cytosine (C)

    • Guanine (G)

    • Thymine (T)

  • Nucleotide = Phosphate group + pentose sugar + nitrogenous base.

  • Complementary base pairing:

    • A bonds with T

    • C bonds with G

  • In RNA:

    • A bonds with U (Uracil)

    • C bonds with G

  • DNA provides the code for the organization of amino acids, forming a polypeptide, and ultimately a protein.

  • There are 20 amino acids.

  • Triplets of nucleotides (3) code for a specific amino acid, called a codon.

  • There are 64 possible codon combinations.

  • 3 of these are stop codons (nonsense codons).

Replication

  • The DNA strand is untwisted and unzipped.

  • A single DNA strand acts as a template.

  • DNA polymerase adds new nucleotides and proofreads.

  • If an incorrect nucleotide is added, DNA polymerase will excise and replace it.

Mutations of DNA

  • Base pair substitution (point mutation):

    • One base pair is incorrectly substituted for another.

      • Silent: Incorrect base pair still codes for the correct amino acid.

      • Nonsense: Incorrect base pair codes for a stop codon.

      • Missense: Incorrect base pair codes for an incorrect amino acid.

  • Mutagens (ROS, radiation, toxic chemicals) can cause errors during proofreading or changes to the parent DNA, leading to mutations.

  • Frame shift mutations:

    • Insertion or deletion of one or more base pairs.

    • Alters all subsequent codons, often leading to premature stop codons.

From DNA to Protein

  • DNA remains in the nucleus, but amino acids and proteins are formed in the cytoplasm.

  • Process to create proteins involves three steps:

    1. Transcription

    2. RNA splicing

    3. Translation

Transcription

  • RNA is synthesized from a DNA template via RNA polymerase.

  • There are 4 mRNA base pairs (A, U, G, and C) chosen based on the complementary DNA sequence.

  • Transcription continues until a termination sequence is reached.

  • Gene expression is regulated by transcription factor proteins.

RNA Splicing

  • mRNA is removed from the nucleus.

  • Once removed, RNA matures through the removal of introns.

  • Extrons are combined to form functional mRNA.

Translation

  • Functional mRNA is converted into polypeptides with the assistance of ribosomes and transfer RNA (tRNA).

  • tRNA contains a sequence of nucleotides (anticodon) complementary to the triad of nucleotides on the mRNA strand (codon).

  • The termination signal on the mRNA sequence ends translation.

Chromosomes

  • Somatic cells:

    • Contain 46 chromosomes (23 pairs).

    • One from the mother and one from the father.

    • Diploid cells (2n).

  • Gametes (sperm and egg cells):

    • Contain 23 chromosomes.

    • Haploid cells (n).

  • Meiosis: Formation of haploid cells from diploid cells.

  • 22 out of 23 chromosome pairs are autosomal (not sex-related).

  • The 23rd pair is sex-related and determines the genotypical sex of the child.

    • XX: female

    • XY: male

Genetic Diseases and Chromosomal Abnormalities

  • Polyploidy: Cells with 3 or more copies of each chromosome; fetuses do not survive (stillborn or miscarriage).

  • Aneuploidy: Cells with an abnormal number of one particular chromosome, typically a result of nondisjunction.

    • Down syndrome (trisomy 21)

    • Trisomy X (47, XXX)

    • Turner syndrome (45, X)

    • Klinefelter syndrome (47, XXY)

Down Syndrome

  • Trisomy 21.

  • Occurs 1 in 800 live births.

  • Incidence increases with maternal age.

  • Increased risk of congenital heart defects, respiratory infections, leukemia, and Alzheimer's disease.

  • Life expectancy is around 60 years.

  • Manifestations may include:

    • Intellectual disabilities

    • Low nasal bridge

    • Epicanthal folds

    • Protruding tongue

    • Flat and low-set ears

    • Short stature

    • Poor muscle tone

Sex-linked Aneuploidy

  • Turner Syndrome:

    • Females have only one X chromosome (45, X).

    • Occurs 1 in 2500 female births.

    • Manifestations: absence of ovaries (sterile), short stature, webbing of the neck, widely spaced nipples, high rates of fetal mortality.

    • Teenagers receive estrogen replacement therapy to promote secondary sexual characteristics.

  • Trisomy X:

    • 1 in 1000 female births.

    • Females have three or more X chromosomes.

    • Symptoms are variable and include sterility, menstrual irregularity, and/or cognitive deficits.

    • May not be diagnosed until later in life.

  • Klinefelter syndrome:

    • 1 in 1000 male births.

    • At least one Y and two or more X chromosomes (XXY).

    • Characteristics include: overall male appearance, gynecomastia, small testes, sparse body hair.

    • May also have an extra Y chromosome.

    • Typically have worsening symptoms with additional X chromosomes (XXXX or XXXY).

Chromosomal Structure Abnormalities

  • Fragile X Syndrome:

    • Site is on the long arm of the X chromosome; has an elevated number of repeated DNA sequences (CGG).

    • Manifestations include intellectual disabilities, behavioral problems, long and narrow faces, large protruding ears, hyper-extensible finger joints.

    • Second most common cause of intellectual disability after Down syndrome.

Fundamentals of Genetics

  • Allele: Different forms of a gene; typically inherit one from mother and one from father.

  • Homozygous: Alleles that are identical (AA or aa).

  • Heterozygous: Alleles that are different (Aa).

  • Dominant: Allele with observable effect (denoted by capital letter).

  • Recessive: Allele with non-observable effect in the presence of a dominant allele (denoted by lowercase letter).

  • Co-Dominant: Both alleles have an observable affect (example: blood type AB).

  • Genotype: Composition of genes at a given locus.

  • Phenotype: Outward appearance of an individual (genotype + environment).

    • Example: Phenylketonuria (PKU) - without treatment leads to intellectual disorders; with dietary restrictions, the child will have a normal phenotype.

  • Carrier: Individual with disease-causing allele but with a normal phenotype, most typically occurs with heterozygous alleles.

  • Sex Determination:

    • One copy of the Y chromosome is sufficient to initiate the process of gonadal differentiation that produces a male fetus.

      • Number of X chromosomes does not alter this process.

    • Sex-determining region on the Y chromosome is called SRY.

    • In some mutations, SRY can cross over to the X chromosome (XX karyotype but with a male phenotype) or be deleted from the Y chromosome (XY karyotype with female phenotype).

Genetic Disease Inheritance

  • 4 major types:

    1. Autosomal dominant

    2. Autosomal recessive

    3. X-linked dominant

    4. X-linked recessive

  • Not sex-linked vs. Sex-linked (Y-linked genetic diseases do occur, but they are more rare).

Autosomal Dominant

  • Diseases are rare (<1 in 500).

  • Condition is expressed equally in males and females (not sex-linked).

  • Transmission of affected individuals to their offspring is not sex-linked.

  • No generational skipping occurs:

    • All affected children will have an affected parent.

    • Nonaffected parents cannot pass it to their children.

    • Exceptions may occur if there is a germline mosaicism.

  • Transmission is approximately 50%.

  • Example: Huntington’s disease.

Genetic Complications

  • Germline mosaicism:

    • Parent carries the mutation in his or her gamete cells but does not have the autosomal dominant disease in his or her somatic cells (parent with normal phenotype; asymptomatic carrier).

    • Disease can pass on to children despite no recorded family history.

  • Penetrance:

    • Percentage of individuals who have the diseased genotype and express the diseased phenotype.

    • Incomplete penetrance: 90% of people with the gene mutation for retinoblastoma (eye tumor) will have the disease, and 10% will not.

    • Age-dependent penetrance: People with the genes for Huntington’s disease will not show symptoms until they are in their 30-40s.

  • Expressivity:

    • Extent of variation in a phenotype associated with a particular genotype. Can be caused by modifier genes, environmental factors, and mutations.

    • Example: Neurofibromatosis type 1: expressivity varies from brown spots on the skin to malignant tumors, scoliosis, gliomas, and neuromas.

Autosomal Recessive

  • Rare to have the disease; more common to be a carrier.

  • Condition is expressed equally in males and females (not sex-linked).

  • Transmission of affected individuals to their offspring is not sex-linked.

  • Since the abnormal allele is recessive, the person must be homozygous to express the disease (dd) – this means that both parents must be carriers (dd or Dd).

    • Most commonly, both parents are heterozygous (Dd).

    • Carrier detection tests can help identify people who are heterozygotes.

  • Parents who are heterozygous carriers have a 25% chance of passing on the disease to their children, a 25% chance of not passing the disease, and a 50% chance of having children who are also carriers.

  • Generational skips may occur with autosomal recessive diseases.

  • Example: Cystic fibrosis:

    • Mutated gene forms defective chloride channels, which leads to a salt imbalance that results in abnormally thick, dehydrated mucus.

    • Affects the lungs and pancreas.

    • Patients typically do not survive past 40 years of age.

  • Consanguinity:

    • Mating of two related individuals (also known as inbreeding).

    • Proportion of shared genes depends on the closeness of the biologic relationship.

    • Dramatically increases the recurrence risk of recessive disorders.

X-Linked Dominant

  • X-linked dominant disorders are incredibly rare.

  • Females are more likely to be affected by X-linked dominant disorders than males.

    • Males who have an X-linked disorder have a 100% chance of passing the disorder to their daughters and a 0% chance of passing it to their sons.

    • Females who have an X-linked disorder have a 50% chance of passing it to their sons or daughters.

  • One example of an X-linked dominant disorder is fragile X syndrome.

X-Linked Recessive

  • Since males only have one copy of the X chromosome, they are significantly more likely to be affected by X-linked recessive disorders.

    • Males only need one copy of the recessive gene, whereas females would need two.

  • An affected father will:

    • Never be able to pass the gene to his sons (can only give Y chromosome).

    • Always pass the gene to his daughters (must give affected X chromosome), who will then become carriers.

  • Generational skips may occur due to female carriers.

  • Example: Duchenne Muscular Dystrophy:

    • Occurs 1 in 3500 males vs 1 in 50,000,000 females.

    • Exhibits progressive muscular degeneration.

    • Deletion of DMD gene causes dystrophin to not work properly; consequently, muscle cells do not survive.

X-Linked Recessive Complications

  • Even though females have two X chromosomes, they only need one set of X chromosome proteins.

  • To correct for this, each cell will select one X chromosome to deactivate.

    • Cells may choose different X chromosomes to deactivate.

    • The deactivated chromosome becomes a Barr body.

    • 15% of the genes on the Barr body may escape deactivation.

  • If female cells inactivate one X chromosome, then why is Turners syndrome a problem?

  • If female cells inactivate one X chromosome, then why do female carriers of an X-linked recessive disorder typically not have symptoms?

Assignments

  • See assignments in Canvas.

  • Week 1 Worksheet.

  • You will need to use the book and complete the assigned readings.