Genes Patho Exam #4

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1
Gametes
sperm and egg
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Haploid cell
only one member of each chromosome pair
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Somatic cells
all other cells
46 chromosomes (23 pairs)
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Diploid cells
one donated by father and mother to each chromosome pair
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Homologous (autosomes)
22 of 23 pairs are identical in male and female
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Karyotype
order of display of chromosomes
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Why do genetic testing?
uncover possible abnormalities
predict certain traits (normal and abnormal
assess risks/ benefits
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Chromosome Aberrations?
leading cause of mental retardation (MR) an miscarriage
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Euploid
normal number of chromosomes = 46
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Polyploidy
more than diploid number = over 46
liver, bronchial, and epithelial tissues
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Triploidy
zygote has three copies instead of two
incompatible with postnatal survival
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Tetraploidy
euploidy cells have 92 chromosomes
incompatible with postnatal survival
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Aneuploid
does not contain 23 chromosomes
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Trisomy
three copies of one chromosome
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Monosomy
one copy of chromosome
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What is aneuploidy?
nondisjunction
failure of chromatid separation
autosomal = down syndrome; risk increases with age
1 in 500 males; 1 in 900 females
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What is the patho of down syndrome?
trisomy 21 (96%)
risk increases with maternal age
risk for Alzheimer's disease
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What is the patho of turner's syndrome?
monosomy 45, X
underdeveloped sex organs
short in stature
female genitalia
thick neck -- webbed neck
ovaries are underdeveloped
wide set nipples
thickened legs
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What is the patho of Klinefelter Syndrome?
47, XXY
karyotype
small testes - underdeveloped
excessive breast tissue
limbs are very long
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Deletions
broken chromosomes, one chromosome is there and one is missing
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Duplications
two of something, less serious than deletions
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Inversions
piece of genetic material gets flipped around
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Translocations
should be on one side but flipped to otherside
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Fragile X Syndrome
second most common cause of MR
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What is the patho of Fragile X Syndrome?
chromatin fails to condense during mitosis
affects males>females
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What is the clinical manifestations of Fragile X Sydnrome?
MR
long face, large mandible, large everted ears
hyperextensible joints, high-arched palate
mitral valve prolapse
macroorchidism (difficult reproduction)
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Genotype
gene composition
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Phenotype
outward appearance
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Dominant
observable affects
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Recessive
hidden effectd
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Carrier
has diseases gene but phenotypically normal
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Transmission dominant inheritance
delayed age of onset
penetrance and expressivity
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Characteristic of transmission dominant
males = females in transmission
no skipped generations
transmit to 1/2 their offspring
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Recurrence Risk of transmission dominant
probability of disease is subsequent offspring
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Transmission recessive inheritance characteristics
males = females
disease many be seen in siblings of affected individuals but usually not in parents
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Consanguinity
mating of related individuals
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Recurrence Risk Recessive
1/4 normal homozygous
1/2 carriers and phenotypically normal
1/4 homozygote with disease
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