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Genes & Genetic Mutations

Genetics Basics

23 pairs of chromosomes, 46 total

22 are autosomes, and 1 pair is the sex chromosomes

  • Aneuploidy: the presence of, or absence of one or more chromosomes

    • Trisomy: three copies of one chromosome

    • Monosomy: only one copy of any chromosome, is often lethal

★ It is better to have extra than less ★

  • Nondisjunction: cause aneuploidy; failure of homologous chromosomes to separate normally during mitosis/meiosis

Autosomal Aneuploidy

  • ==Cause of aneuploidy = nondisjunction ==

  • Do not involve the sex chromosomes

  • Abnormal amount of chromosomes (ex: 45 or 47)

  • Ex: Down syndrome (trisomy 21)

Sex Chromosome Aneuploidy

  • Involves the sex chromosomes

  • Abnormal amount of X chromosomes

    • Ex: Turner (X) or Klinefelter (XXY or XXXY)

Autosomal Dominant

  • Does NOT skip generations

  • NO CARRIERS

    • Affected offspring produced by normal parent and affected heterozygous parent

    • Half of offspring normal; half will express disease

  • Only affects structural changes

  • Usually develops later in life, usually people afflicted have already had children

    • Ex: Huntington, neurofibromatosis, marfan’s

Autosomal Recessive

  • ^^Skips generations; has CARRIERS ^^

  • Most cases, both parents of affected individuals are heterozygous carriers

    • Recurrence risk for offspring is 25%

      • 50% carriers

      • 25% normal

    • Males and females equally affected

  • Ex: Cystic fibrosis, sickle cell anemia, PKU, Tay-Sachs

  • Most don’t live past the age of 20yrs

Sex-Linked Inheritance

  • Most X-Linked disorders are recessive

  • Mother → Son

    • 50% risk of being affected

  • Father → All of his daughters affected

    • Ex: Hemophilia

Down Syndrome

  • AUTOSOMAL ANEUPLOIDY

  • Trisomy 21

  • Caused by nondisjunction

  • More commonly caused by increased maternal age ( >35yrs)

  • Presents:

    • Flat facial profile

    • Congenital heart disease

    • Growth failure

    • Range of mental retardation

Turner Syndrome (45 X)

  • SEX CHROMOSOME ANEUPLOIDY

  • Affects females only

  • One X chromosome

  • Characteristics:

    • Short stature

    • No menstrual cycles

    • High number of aborted fetuses

    • Usually inherited from mother

Klinefelter Syndrome (47 XXY)

  • SEX CHROMOSOME ANEUPLOIDY

  • Affects males only

  • At least 2 Xs and 1 Y

  • Characteristics:

    • Tall stature

    • Gynecomastia

    • Wide hips

    • Long arms & legs

    • Have Barr bodies

Huntington Disease

  • AUTOSOMAL DOMINANT

  • Chromosome 4

  • Characteristics:

    • Chorea

    • Doesn’t skip generations

    • Severe degeneration of the basal ganglia and cerebral cortex; depletion of GABA

    • 5 year time frame of survival

Neurofibromatosis

  • AUTOSOMAL DOMINANT

  • aka von Recklinghausen disease

  • Characteristics:

    • Cafe au lait spots

    • Neurofibromas

    • Located on chromosome 17

Cystic Fibrosis

  • AUTOSOMAL RECESSIVE

  • Most common in Caucasians

  • Impacts the lungs and digestive system

  • Defective CFTR gene

    • Lifespan ~20-25yrs

Sickle Cell

  • AUTOSOMAL RECESSIVE

  • Most common in African Americans

  • Deoxygenation and dehydration causes a sickle shape in RBCs

Hemophilia

  • SEX/X-LINKED RECESSIVE

  • Serious bleeding disorders

  • Involve gene deletions or point mutations

  • First signs by 3-4 yrs

    • Hemophilia A (VIII deficiency)

    • Hemophilia B (IX deficiency)

    • Hemophilia C (XI deficiency)

Punnett Square for X-Linked Recessive

XH

Xh

XH

XHXH

XHXh

Y

XHY

XhY

Normal father, carrier mother; most common route

B

Genes & Genetic Mutations

Genetics Basics

23 pairs of chromosomes, 46 total

22 are autosomes, and 1 pair is the sex chromosomes

  • Aneuploidy: the presence of, or absence of one or more chromosomes

    • Trisomy: three copies of one chromosome

    • Monosomy: only one copy of any chromosome, is often lethal

★ It is better to have extra than less ★

  • Nondisjunction: cause aneuploidy; failure of homologous chromosomes to separate normally during mitosis/meiosis

Autosomal Aneuploidy

  • ==Cause of aneuploidy = nondisjunction ==

  • Do not involve the sex chromosomes

  • Abnormal amount of chromosomes (ex: 45 or 47)

  • Ex: Down syndrome (trisomy 21)

Sex Chromosome Aneuploidy

  • Involves the sex chromosomes

  • Abnormal amount of X chromosomes

    • Ex: Turner (X) or Klinefelter (XXY or XXXY)

Autosomal Dominant

  • Does NOT skip generations

  • NO CARRIERS

    • Affected offspring produced by normal parent and affected heterozygous parent

    • Half of offspring normal; half will express disease

  • Only affects structural changes

  • Usually develops later in life, usually people afflicted have already had children

    • Ex: Huntington, neurofibromatosis, marfan’s

Autosomal Recessive

  • ^^Skips generations; has CARRIERS ^^

  • Most cases, both parents of affected individuals are heterozygous carriers

    • Recurrence risk for offspring is 25%

      • 50% carriers

      • 25% normal

    • Males and females equally affected

  • Ex: Cystic fibrosis, sickle cell anemia, PKU, Tay-Sachs

  • Most don’t live past the age of 20yrs

Sex-Linked Inheritance

  • Most X-Linked disorders are recessive

  • Mother → Son

    • 50% risk of being affected

  • Father → All of his daughters affected

    • Ex: Hemophilia

Down Syndrome

  • AUTOSOMAL ANEUPLOIDY

  • Trisomy 21

  • Caused by nondisjunction

  • More commonly caused by increased maternal age ( >35yrs)

  • Presents:

    • Flat facial profile

    • Congenital heart disease

    • Growth failure

    • Range of mental retardation

Turner Syndrome (45 X)

  • SEX CHROMOSOME ANEUPLOIDY

  • Affects females only

  • One X chromosome

  • Characteristics:

    • Short stature

    • No menstrual cycles

    • High number of aborted fetuses

    • Usually inherited from mother

Klinefelter Syndrome (47 XXY)

  • SEX CHROMOSOME ANEUPLOIDY

  • Affects males only

  • At least 2 Xs and 1 Y

  • Characteristics:

    • Tall stature

    • Gynecomastia

    • Wide hips

    • Long arms & legs

    • Have Barr bodies

Huntington Disease

  • AUTOSOMAL DOMINANT

  • Chromosome 4

  • Characteristics:

    • Chorea

    • Doesn’t skip generations

    • Severe degeneration of the basal ganglia and cerebral cortex; depletion of GABA

    • 5 year time frame of survival

Neurofibromatosis

  • AUTOSOMAL DOMINANT

  • aka von Recklinghausen disease

  • Characteristics:

    • Cafe au lait spots

    • Neurofibromas

    • Located on chromosome 17

Cystic Fibrosis

  • AUTOSOMAL RECESSIVE

  • Most common in Caucasians

  • Impacts the lungs and digestive system

  • Defective CFTR gene

    • Lifespan ~20-25yrs

Sickle Cell

  • AUTOSOMAL RECESSIVE

  • Most common in African Americans

  • Deoxygenation and dehydration causes a sickle shape in RBCs

Hemophilia

  • SEX/X-LINKED RECESSIVE

  • Serious bleeding disorders

  • Involve gene deletions or point mutations

  • First signs by 3-4 yrs

    • Hemophilia A (VIII deficiency)

    • Hemophilia B (IX deficiency)

    • Hemophilia C (XI deficiency)

Punnett Square for X-Linked Recessive

XH

Xh

XH

XHXH

XHXh

Y

XHY

XhY

Normal father, carrier mother; most common route