Patho CH. 4 - Genes & Genetic Diseases

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pinacolada117  on August 27, 2011

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pathophysiology

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Patho CH. 4 - Genes & Genetic Diseases

DNA structure
1. Deoxyribose
2. Phosphate molecule
3. 1 of 4 nitrogenous bases
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DNA structure 1. Deoxyribose
2. Phosphate molecule
3. 1 of 4 nitrogenous bases
Purines Double ring nitrogenous bases
1. Adenine
2. Guanine
Pyrimidines Single ring nitrogenous bases
1. Thimine
2. Cytosine
Nucleotide structure - A deoxyribose molecule
- A phosphate group
- A nitrogenous base
Pairings of Bases - Adenine & Thimine (2 H+ bonds)
- Guanine & Cytosine (3 H+ bonds)
DNA polymerase -Enzyme that moves along DNA strand to add
correct nucleotides
- Proofreads to ensure correct pairing
-Excises incorrect matches
Mutagens Agents known to increase incidence of mutation
-Radiation
-Chemicals (ex. nitrogen mustard, alkylating agents, sodium nitrite
Cytoplasm Where does protein synthesis take place?
Protein synthesis from nucleus to cytoplasm by: Transcription & translation
How RNA differs from DNA -Single strand molecule
-Uracil instead of thimine (can pair with aenine)
What is transcription? Process where RNA is synthesized from DNA template
Transcription process -mRNA formed base don DNA sequence
-RNA polymerase binds to promoter site
(site that specifies beginning of gene)
-It then exposes DNA strands with open bases
-Then it detaches from DNA
-mRNA goes from nucleus to cytoplasm
Transcription occurs until -Termination sequence is reached
Ribosome -Site of actual protein synthesis
-Equal parts protein and ribosomal RNA (rRNA)
-Binds mRNA and tRNA so base pairing can
occur
2 types of human cells 1.Gametes (sperm & egg cells)
2. Somatic cells (all others beside sperm/egg)
Somatic cells -All cells besides sperm & egg cells
-23 pairs of chromosomes (diploid)
-One part of each pair from mother and father
-22 pairs are homologous; 1 is sex chromosome
(XX = female, XY= male)
Gamete cells -Sperm & egg cells
-23 single chromosomes (Haploids)
-Formed from diploid cells by meiosis
Chromosome structure -Short arm = "p" petite
-Long arm = "q"
-Centromere = where sister chromatids attach
Euploidy When cells have the normal number of chromosomes
Polyploidy When cells have more copies of each chromosome than normal
-Triploidy (3 copies of chromosome pairs)
-Tetraploidy (4 copies = 92 pairs)
Aneuploid cell Cell that doesn't contain proper multiple of a specific chromosome; either autosomal or sex cells
-Trisomy: 3 copies of a chromosomes (not lethal)
-Monosomy: only one copy of a diploid cell (lethal)
Viable autosomal trisomies -13th chromosome
-18th chromosome
-21st chromosome (Down's)
Down's syndrome Trisomy of the 21st chromosome
Down's Syndrome characteristics -Low nasal bridge, epicanthal folds
-Flat, low-set ears
-Protruding tongue
-Poor muscle tone (hypotonia)
Down's Syndrome effects -Congenital heart defects
-Reduced ability to fight respiratory infections
-Susceptibility to leukemia
-Alzheimer-like by age 40
-20% die before age 10
Trisomy X -Most common sex chromosome aneuploidy
-Females, have 3 X's
-Sterility, menstrual irregularity, retardation possible
-Symptoms severity increased with # of X's
45X (Turner's Syndrome) -Single X chromosome in gamete (no X or Y)
-Females only (lack of Y chromosome0
Turner's Syndrome characteristics -Short
-Webbing of the neck
-Widely spaced nipples
-Coarctation (narrowing) or aorta
-Sparse body hair
-Pedal edema in newborns
-Reduced carrying angle of the elbow)
Treatment for those with Turner's syndrome -Estrogen to promote secondary sex characteristics and reduce osteoporosis
-Human growth hormone
Klinefelter's syndrome (47 XXY karyotype) -At least 2 XXs, and a Y (male appearing)
-Maternal nondisjunction of X, increases with
maternal age
-Male, but sterile and may appear feminine
-Moderate mental impairment
-Degree of physical/mental impairment
increases with each added X
XYY Karyotype - Affects males
- Taller than average
- 10 to 15 point less on IQ
- Suggested predisposition to behavioral disorder
Clastogens Increase incidence/severity of chromosome breakage
-Ionizing radiation
-Viral infections
-Chemicals
Tyes of Chromosome Structure Abnormalities 1.Deletions
2.Duplications
3.Translocations
4.Inversion
Deletion abnormality -Caused by broken chromosomes and loss of DNA
-ex. Cri du Chat
Cri du Chat -Deletion abnormality - deletion of part of
chromosome 5
-Low birthweight
-Severe mental retardation
-Small head (microcephaly)
-Cat-like cry
Duplication abnormality Causes less effects that deletion abnormality
Inversion abnormality -Portion of chromosome broken, taken out
-Reinserted in inverted order
-"Balanced" since no loss of genetic material
Effects of Inversion abnormalities -Often none
-"position effects" from neighboring DNA
-Mostly affects offspring of affected (cause deletion or duplication)
Translocation anormalities Interchanging of genetic material between nonhomologous chromosomes
i.e. Robertsonian translocation
Robertsonian Translocations -Long arms of 2 nonhomologous fuse = 1 chromosome
-Chromosome 13, 14, 15, 21, 22 (nonimportant)
-Effect seen in offspring with duplications or deletions (21 fused, cause extra 21st =Down's)
Reciprocal translocation -Break takes place in 2 diff chromosomes
-Material is exchanged
-Gametes can be normal, translocate, or have deletions/duplications
Fragile Site Abnormalities -Areas of chromosome that develop distinct breaks or gaps
-No relation to disease, or known cause
-Fragile X syndrome
Fragile X Syndrome -Located on long arm of X chromosome
-Uncommon since male may not express traits (as is normal with most X-chromosome abnormalities)
-mental retardation
Locus Position along the chromosome that a gene occupies
Homozygous When the two genes at a locus are identical (one from each parent)
Heterozygous When the two genes from parents at a given locus are different
Genotype The composition of genes at a given locus
Phenotype The outward appearance of a person with a given genotype (affected by environment)
Dominant allele *The allele whose effects are observable
*Denoted by capital letter (Aa or AA)
Recessive allele *The allele whose effects are hidden
*Denoted by lowercase letter
*To be expressed must be homozygous (aa)
Gene carrier -Individual who carries the recessive gene, but phenotypically does not display attributes

-Can be passed to future offspring
Mendel's Principle of Segregation Homologous genes separate from each other during reproduction, and each reproductive cell carries only of of the genes
Single-gene Diseases' 4 Major Modes of Inheritance 1. Autosomal dominant
2. Autosomal recessive
3. X-linked dominant
4. X-linked recessive
When is amniocentesis performed? 16 weeks gestation
When is chorionic villus sampling performed? 10 weeks gestation
Amount of risk of prenatal diagnosing of chromosomal abnormalities Amniocentesis = 0.5% risk losing fetus
Chorionic villus sampling = % risk
Proband -First person in the family diagnosed, or seen
Male = Propositus
Female = Proposita
Autosomal Dominant Disorders -Rare
-Males & females equally as likely to inherit
-No skipping generations (if child has, one parent must have)
-Affected heterozygous people transmit to half of offspring
Penetrance Percentage of persons with a genotype that also exhibit the phenotype
Chromosome 13 "Tumor-suppressor gene" - protein regulates cell cycle
Types of Autosomal -Retinoblastoma
-Achrondroplascia
-Huntington's disease
-Type 1 neurofibromatosis (Recklinghausen disease)
Expressivity Extent of which phenotype is expresses
i.e. Recklinghausen disease
Von Recklinghausen disease -Variable expressivity
-Range from dark skin spots to numerous malignant fibromas, scoliosis, seizures, HTN, learning disabilites
Factors influencing expressivity? -Genes at other loci (modifier genes)
-Environmental factors
-Mutations at a locus
Autosomal Recessive Disorders -Rare
-Must be homozygous to express disease
-Increased incidence in incest
-Approx 1/4 of offspring in carrier parents will be affected
Cystic FIbrosis -Autosomal recessive
-Defective chloride transport -> salt imbalance -> thick secretions/mucous
-Pancreas and lungs mostly affected
X-linked Inheritance -Mostly on X chromosomes, and mostly recessive
-Females can by homozygous diesase or normal, or heterozygous
-Males who carry recessive X will show traits (Y doesn't hide)
Common Recessive Disorders -Hemophilia (X-linked)
-Cystic Fibrosis
-Sickle Cell Disease
-Duchenne muscular deficiency (lacks dystrophin) (X-linked)
Hemophlia A Factor VIII deficiency
Hemophilia B Factor IX deficiency

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