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LEARNING OBJECTIVES
Classify genetic disorders
Describe mutations
TERMINOLOGY
hereditary :
Inherited from parents
familial :
Transmitted in the gametes through generations
congenital :
present at birth (not always genetically determined - e.g.
congenital syphilis, toxoplasmosis)
! not all genetic diseases are congenital - e.g. Huntington
disease - 3rd to 4th decade of life
INTRODUCTION
Normal human cells contain 23 pairs of
chromosomes
This includes one pair of sex chromosome XX or XY
During cell division we can identify chromosomes
WHAT ARE
MUTATIONS?
The term mutation refers
to permanent
transmissable changes in
the DNA.
May occur in somatic cells
(arent passed to
offspring)
May occur in gametes
(eggs & sperm) and be
passed to offspring
TYPES OF GENE
MUTATIONS
Include:
Point Mutations (Substitutions)
Missense (another amino acid substituted)
Nonsense (Causes stop codon)
Frameshift mutations
Insertions
Deletions
GENE MUTATIONS
Point Mutations changes in one
or a few nucleotides
Substitution
THE FAT CAT ATE THE RAT
THE FAT HAT ATE THE RAT
Insertion
THE FAT CAT ATE THE RAT
THE FAT CAT XLW ATE THE RAT
Deletion
THE FAT CAT ATE THE RAT
THE FAT ATE THE RAT
GENE MUTATIONS
Frameshift Mutations
shifts the reading frame
of the genetic message so
that the protein may not
be able to perform its
function.
Insertion
Deletion
THE FAT CAT ATE THE RAT
TEF ATC
H ATA TET GER AT
GENE MUTATION
ANIMATION
CLASSIFICATION
3 groups of genetic diseases
1. Monogenic/ Single gene (Mendelian) disorders
2. Chromosomal aberrations (Cytogenetic disorders)
3. Disorders with multifactorial inheritance (polygenic)
GENETIC DISORDERS
Single gene
- Dominant/recessive pedigree patterns (Mendelian inheritance).
- Can affect structural proteins, enzymes, receptors, transcription factors.
Chromosomal
- Thousands of genes may be involved.
- Multiple organ systems affected at multiple stages in gestation.
- Usually de novo (trisomies, deletions, duplications) but can be inherited
(translocations).
Multifactorial
- Environmental influences act on a genetic predisposition to
produce a liability to a disease.
- One organ system affected.
- Person affected if liability above a threshold.
Chromosomal disorders
DEFINING CHROMOSOMAL
LOCATION
Arm
2
1
1
1
2
1
2
q
3
2
Chromosome 17
3
2
1
2
1
5
4
3
2
1
3
1
2
3
1
2, 3
4
1
2
3
17q11.2
CONTINUE
Haploid: set of 23 chromosomes
Diploid: normal number of 46 chromosomes
Aneuploidy: less than an even multiple of 23 usually is
45 or 47 and rarely 48,49
Triploidy: 69 chromosomes
Mosaicism:
CAUSE:
NONDISJUNCTION
Failure of
chromosomes to
separate during
meiosis
Causes gamete to
have too many or
too few
chromosomes
NUMERIC ABNORMALITIES
Autosomal:
Downs syndrome, Edward, Patau
Cri Du Chat
1. CHROMOSOME NUMBER
ABNORMALITY
TRISOMY 21 (47, XX, +21)
2. CHROMOSOME STRUCTURE
ABNORMALITIES
Translocation
Deletion
Derivative
chromosome
Inversion
Insertion
Isochromosome
Ring
chromosome
CHROMOSOME
MUTATIONS
Deletion
Inversion
Translocation
Duplication
DELETION
Due to breakage
A piece of a
chromosome is lost
INVERSION
Chromosome segment
breaks off
Segment flips around
backwards
Segment reattaches
TRANSLOCATION
Involves two
chromosomes that
arent homologous
Part of one
chromosome is
transferred to
another
chromosomes