Lecture 12: Single Gene Disorders: Autosomal Dominant and Recessive Inheritance

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Questions and Answers

Which term describes the specific version of a gene at a particular location in the genome?

  • Heterozygote
  • Phenotype
  • Homozygote
  • Genotype (correct)

In genetics, what is the definition of 'phenotype'?

  • The genetic code of an individual
  • The observable characteristics of an individual (correct)
  • The dominant traits of an individual
  • The recessive traits of an individual

What does it mean for an allele to be 'dominant'?

  • It requires two copies to express a trait.
  • It only affects males.
  • It expresses a trait regardless of the other allele. (correct)
  • It is masked by a recessive allele.

If 'B' represents the dominant allele for brown eyes and 'b' represents the recessive allele for blue eyes, what genotype(s) would result in a person having brown eyes?

<p>BB or Bb (A)</p>
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What is the purpose of a Punnett square?

<p>To calculate the probability of offspring genotypes and phenotypes (B)</p>
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In a pedigree, what shape typically represents a male?

<p>Square (A)</p>
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What does a shaded symbol in a pedigree usually indicate?

<p>Affected individual (B)</p>
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In pedigree analysis, what does a single line connecting a male and a female usually represent?

<p>Marriage/Mating (A)</p>
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What is a consanguineous mating on a pedigree?

<p>Mating between related individuals (D)</p>
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Which type of mutation results in a change in a single nucleotide that leads to a different amino acid being coded for?

<p>Missense mutation (D)</p>
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What is the consequence of a nonsense mutation?

<p>A premature stop codon is introduced. (A)</p>
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What type of mutation involves the insertion or deletion of nucleotides that disrupts the reading frame of a gene?

<p>Frameshift mutation (C)</p>
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Which of the following best describes a 'gain of function' mutation?

<p>A mutation that causes increased protein activity in an unregulated manner. (D)</p>
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What characterizes a 'loss of function' mutation?

<p>Reduced or absent protein function (D)</p>
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In autosomal dominant inheritance, if one parent is affected (heterozygous) and the other is unaffected, what is the probability that their child will inherit the disease?

<p>50% (A)</p>
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Which of the following is a characteristic of autosomal dominant inheritance patterns?

<p>Successive generations are affected. (B)</p>
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What is a key characteristic of autosomal recessive inheritance?

<p>It commonly skips generations (A)</p>
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In autosomal recessive inheritance, if both parents are carriers, what is the probability that their child will be affected?

<p>25% (A)</p>
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Achondroplasia, a form of dwarfism, is caused by a gain-of-function mutation in the FGFR3 gene. What is the effect of this mutation?

<p>Inhibition of chondrocyte proliferation. (D)</p>
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Marfan syndrome is caused by a mutation in the fibrillin-1 (FBN1) gene, leading to abnormal TGF-β signaling. What is the normal function of FBN1?

<p>To sequester TGF-β. (A)</p>
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What is the underlying genetic defect in Familial Hypercholesterolemia?

<p>Mutation in the gene encoding the LDL receptor (LDLR) (C)</p>
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Which of the following is an example of a disease that displays reduced or incomplete penetrance?

<p>Retinoblastoma (B)</p>
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What is the function of the CFTR protein, which is mutated in cystic fibrosis?

<p>Chloride transporter (C)</p>
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The most common form of Tay-Sachs disease, infantile Tay-Sachs, is characterized by neurological deterioration beginning at 3-6 months, with a life expectancy of 2-4 years. This is due to the deficiency of which enzyme?

<p>Hexosaminidase A (Hex A) (C)</p>
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What is meant by the term 'allelic heterogeneity'?

<p>Different mutations at the same locus cause different phenotypes. (B)</p>
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A couple, both asymptomatic for a certain autosomal recessive disorder, have three children. Two are healthy, while one is affected. What is the probability that their next child will also be affected?

<p>25% (C)</p>
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Neurofibromatosis type 1 (NF1) displays variable expressivity. What does this suggest about the presentation of NF1 in different individuals?

<p>The same mutation leads to vastly different clinical presentations between individuals (A)</p>
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Li-Fraumeni syndrome is an autosomal dominant cancer syndrome. An individual inherits one mutated allele of a tumor suppressor gene. Why is the chance that the other allele will undergo mutation in that individual very high?

<p>There is always a second 'hit' that inactivates the remaining allele via mutation or loss of heterozygosity. (C)</p>
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A researcher is studying a novel autosomal recessive disorder. They identify a family where both parents are healthy and have one affected child. If the parents have another child, what is the probability that this child will be a carrier of the disorder but not affected?

<p>50% (C)</p>
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A genetic counselor is analyzing a pedigree for a rare disorder. They observe that an unaffected couple has multiple affected children, but neither parent has any family history of the condition. What is the most likely explanation for this inheritance pattern?

<p>Autosomal recessive inheritance. (B)</p>
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In the context of autosomal dominant disorders with age-dependent penetrance, consider a scenario where an individual inheriting the disease-causing allele does not manifest the phenotype until late adulthood. What is the most plausible biological mechanism underlying this phenomenon?

<p>Epigenetic modifications accumulating over time that alter the expression of the disease-causing allele or modifier genes. (A)</p>
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Consider a hypothetical scenario where a novel gene, 'LONGEVITY1,' is discovered to play a crucial role in DNA repair and cellular senescence. Homozygous loss-of-function mutations in 'LONGEVITY1' result in a significantly shortened lifespan and increased susceptibility to various age-related diseases. However, heterozygotes for this mutation exhibit only a subtle reduction in lifespan compared to individuals with two wild-type alleles. If 'LONGEVITY1' is located on an autosome, what is the most likely mode of inheritance for the 'shortened lifespan' phenotype associated with its mutations?

<p>Autosomal recessive, as the full phenotype requires homozygous loss-of-function mutations. (C)</p>
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In a scenario involving a novel autosomal recessive metabolic disorder, affected individuals exhibit a deficiency in a crucial enzyme responsible for the detoxification of a specific environmental toxin. Heterozygous carriers of the disease allele display normal enzymatic activity under typical conditions. However, upon exposure to considerably elevated levels of the environmental toxin, carriers exhibit a mild but detectable reduction in enzymatic function. What is the most precise classification of the relationship between genotype and phenotype in these carriers?

<p>Incomplete dominance, as carriers exhibit an intermediate phenotype under specific environmental conditions. (A)</p>
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A research team discovers a novel gene that strongly influences the severity of asthma. Certain polymorphisms within this gene are found to either exacerbate or ameliorate the effects of known asthma-related genes. These polymorphisms do not directly cause asthma but significantly alter its phenotypic expression. What is the most accurate classification of this newly discovered gene?

<p>A modifier gene, as it alters the phenotypic expression of other genes without directly causing asthma. (D)</p>
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Consider a complex signaling pathway involving several proteins, where a dominant mutation in one of the upstream kinases results in constitutive activation of the pathway, leading to uncontrolled cell proliferation. A researcher identifies a compound that specifically inhibits the activity of a downstream transcription factor in this pathway, effectively blocking the proliferative signal. If this compound is administered to individuals carrying the dominant kinase mutation, what is the most likely effect from a genetics perspective?

<p>Phenotypic suppression of the dominant mutation, circumventing its effects on cell proliferation. (B)</p>
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A geneticist is studying a population where a particular autosomal recessive disorder has a significantly higher prevalence than predicted based on the calculated carrier frequency. Despite the population not being geographically isolated, there's a strong cultural preference for marriage within a specific religious subgroup. Additionally, a subset of this population practices consanguineous marriages at a rate much higher than the global average. What is the most likely explanation for the elevated prevalence of the disorder in this population?

<p>A founder effect combined with genetic drift, leading to an enrichment of the disease allele over time. (D)</p>
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Consider a scenario where a novel drug is being developed to mitigate the symptoms of an autosomal dominant disorder. During clinical trials, it's observed that individuals with a specific genetic background (particular set of alleles at other loci) respond exceptionally well to the drug, experiencing near-complete remission of symptoms. In contrast, individuals lacking this background show only a modest improvement. From a genetics perspective, how could the genetic background be classified?

<p>As a set of genetic modifiers, influencing the expressivity of the primary disease allele. (D)</p>
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Consider a scenario where a child is diagnosed with an autosomal dominant disorder, but neither parent exhibits any signs or symptoms of the disease, and comprehensive genetic testing rules out non-paternity. Furthermore, the child's sibling is also unaffected as are all other family members. What is the most likely genetic explanation for this observation?

<p>De novo mutation in the child that occurred during either meiosis in the parent or early in the proband's development. (B)</p>
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Two parents, who are both phenotypically normal, have a child diagnosed with an autosomal recessive disorder caused by a mutation in a gene responsible for protein folding in the endoplasmic reticulum. Further investigation reveals that the child is homozygous for the mutation, yet the parents' genotyping shows that while both carry the mutation, they each have a different mutation. How can one best explain this observation?

<p>The child inherited two different mutant alleles (compound heterozygosity), and each parent contributed one unique allele. (C)</p>
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In a population genetics study, it is observed that a particular autosomal recessive disorder is more prevalent in offspring from first-cousin marriages compared to the general population. However, within the group of first-cousin marriages, there is considerable variation in whether or not offspring are affected. What term best describes this observation from the perspective of quantitative genetics?

<p>Variable expressivity, where individuals with the same predisposing genotype express the trait to varying degrees. (D)</p>
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A research team is investigating a newly discovered autosomal dominant disorder associated with a gain-of-function mutation in a receptor tyrosine kinase. The mutation leads to constitutive activation of downstream signaling pathways, promoting cellular proliferation and tumor formation. However, the onset and severity of tumor development vary considerably among individuals carrying the same mutation. What is the best explanation for this phenomenon?

<p>Variable expressivity, where genetic and environmental factors influence the severity of the tumor phenotype. (B)</p>
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A researcher identifies a family with a history of a rare autosomal dominant neurological disorder. Upon analyzing the family's genetic data, the researcher finds that several individuals who carry the disease-causing allele do not exhibit any clinical signs of the disorder, even at advanced ages. Further investigation reveals that these individuals possess a specific variant of a microRNA gene that targets and reduces the expression of the mutated disease gene. How would you best define the phenomenon observed in these asymptomatic carriers?

<p>Reduced penetrance, where individuals carrying the disease allele do not express the phenotype. (A)</p>
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An autosomal recessive disorder manifests with variable severity; some individuals are severely affected while others have mild symptoms. Research suggests the variation is not due to environmental factors or other mutations within the primary disease gene. Instead, it is hypothesized that the disorder's expression is modulated by variants in genes encoding heat shock proteins (HSPs), crucial for protein folding and stability. What is the best way to characterize the role of HSP genes in this specific observation?

<p>Modifier genes, where different HSP variants influence the expressivity of the primary disease gene. (B)</p>
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A genetic counselor is advising a couple where both partners are carriers for an autosomal recessive metabolic disorder. Their first child is affected by the disorder. They seek guidance on the recurrence risk for future pregnancies. What is the most precise estimate of the probability that their next child will also be affected by the disorder, considering standard Mendelian inheritance?

<p>Approximately 25%, based on the principles of Mendelian segregation and independent assortment. (C)</p>
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A researcher is investigating a family with a history of an autosomal dominant disorder characterized by progressive neurodegeneration. Upon analyzing the inheritance pattern, the researcher observes that the age of onset of the disorder tends to be earlier and the symptoms more severe in subsequent generations. What is the most likely genetic phenomenon underlying this observation?

<p>Genetic anticipation, where the severity and age of onset of the disorder change in successive generations. (A)</p>
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A genetics researcher is investigating a rare autosomal recessive disorder characterized by a deficiency in a specific enzyme. The researcher identifies a family in which both parents are healthy but have one affected child. Upon sequencing the relevant gene in the affected child, it is discovered that the child is heterozygous for two different loss-of-function mutations. What is the most accurate term for this genetic state?

<p>Compound heterozygous, where two different mutant alleles are present. (C)</p>
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A researcher is studying a family with a history of a rare autosomal dominant disorder. Upon examining the pedigree, the researcher notices that several individuals who carry the disease-causing allele do not exhibit any signs or symptoms of the disorder. Further investigation reveals that these individuals also possess a specific variant of a gene that encodes a chaperone protein, responsible for assisting in the proper folding of other proteins. What is the most likely explanation for the lack of phenotypic expression in these individuals?

<p>The chaperone protein variant is acting as a modifier gene, altering the expression of the disease phenotype. (C)</p>
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In the context of autosomal recessive inheritance, consanguinity is known to increase the risk of offspring being affected by rare disorders. Consider a scenario where a couple, who are first cousins, are planning to have children. Both are phenotypically normal but are concerned about the possibility of having a child with a specific rare autosomal recessive disorder prevalent in their community. They seek genetic counseling to assess their risk. Which of the following is the primary reason why consanguinity elevates this risk?

<p>Reduced genetic diversity, leading to higher prevalence of the disease-causing allele in their shared ancestry. (D)</p>
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A researcher discovers a new mutation in the promoter region of a gene essential for embryonic development. Individuals carrying this mutation exhibit drastically reduced expression of the gene, leading to embryonic lethality. However, in rare instances, some individuals with the mutation survive to adulthood but exhibit a range of developmental abnormalities with varying degrees of severity. What phenomenon most likely accounts for the survival of these individuals?

<p>Variable expressivity, where individuals with the same mutation exhibit different degrees of phenotypic severity. (B)</p>
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A geneticist is studying an autosomal dominant disorder characterized by progressive muscle weakness. The geneticist identifies a family in which one parent is affected, but their child, who inherited the disease-causing allele, does not develop any symptoms until late in life, much later than the parent. This phenomenon is observed even through the child is confirmed to have inherited the disease allele. What is the most likely explanation?

<p>Age-dependent penetrance, reduced penetrance, or variable expressivity, where the effect of the disease allele is dependent on age or other genetic or environmental factors. (D)</p>
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A couple, both identified as carriers for two different autosomal recessive disorders (disorder A and disorder B), seeks genetic counseling. The gene for disorder A and the gene for disorder B are located on different chromosomes. What is the probability that their child will inherit at least one copy of each of the mutated genes (i.e., being a carrier for both disorders)?

<p>$9/16$ (C)</p>
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A researcher is investigating a family with a history of a rare autosomal recessive disorder. The researcher plans to use homozygosity mapping to identify the disease-causing gene. However, the researcher discovers that the affected individuals in the family are homozygous across large portions of their genomes, even regions not linked to the disease. What is the most likely explanation for this observation?

<p>The family has a history of consanguinity, leading to increased homozygosity due to shared ancestry. (B)</p>
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Consider a gene with a known loss-of-function mutation that causes a severe autosomal recessive disorder. Researchers identify a family where the parental genotypes and phenotypes do not align with expected Mendelian inheritance patterns. Specifically, one child presents with the disorder despite only inheriting one copy of the mutated gene from a carrier mother; the father isn't a carrier as confirmed by molecular testing of multiple tissues. What is the most plausible explanation for this discrepancy?

<p>The affected child has uniparental disomy, inheriting two copies of the mutated chromosome from the mother and none from the father. (B)</p>
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A genetic study reveals that the severity of an autosomal dominant disorder is correlated with the number of CAG repeats in the coding region of the disease-causing gene. Individuals with a higher number of repeats exhibit earlier onset and more severe symptoms. What genetic phenomenon is likely responsible for this correlation?

<p>Anticipation, where the severity of the disease increases in subsequent generations due to expansion of repeat. (A)</p>
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A study identifies a novel missense mutation in a gene encoding a structural protein. While some individuals carrying this mutation exhibit a severe phenotype, others carrying the same mutation show mild or no symptoms. All individuals show the same level and type of the mutant protein. Further experiments determine that the protein interacts with a variety of other proteins, but only some are present in certain cell types. This interaction also increases the amount of the initial mutated protein. What genetic concept is most likely responsible?

<p>Variable Expressivity (D)</p>
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You discover a family with an autosomal dominant intellectual disability, in which members that inherit the causal variant have some degree of intellectual disability. You perform whole genome sequencing on members of this family and perform a genome wide association study (GWAS). What would you expect to find if no SNPS or other variants are found to be statistically significant?

<p>There are other genetic variants are impacting the degree of disability experienced (C)</p>
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A researcher is studying a family affected by an autosomal dominant disorder with complete penetrance. However, after extensive analysis of the pedigree, they identify one individual who inherited the disease-causing allele but does not show any symptoms of the disorder. This individual is confirmed to carry the mutated allele through genetic testing and has lived well past the typical age of onset. What genetic phenomenon could explain this observation?

<p>Suppression by modifier genes or environmental factors, where other genes or environmental conditions counteract the effects of the disease allele. (A)</p>
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Flashcards

What is a Phenotype?

The observable characteristics/traits of an organism.

What is a Genotype?

The specific genetic makeup of an organism.

What is a Heterozygote?

Having two different alleles for a particular gene.

What is a Homozygote?

Having two identical alleles for a particular gene.

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What is a Dominant Allele?

An allele that expresses a phenotype even when only one copy is present.

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What is a Recessive Allele?

An allele that only expresses a phenotype when two copies are present.

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What is a Pedigree?

Pictorial representation of a family history used to illustrate inheritance patterns.

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What are Gene Mutations?

Alterations in the DNA sequence that can lead to changes in protein structure and function.

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What is a Point Mutation?

A mutation where a single nucleotide is changed.

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What is a Missense Mutation?

A mutation resulting in a codon that codes for a different amino acid.

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What is a Nonsense Mutation?

A mutation resulting in a premature stop codon.

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What is an Insertion Mutation?

A mutation where extra nucleotides are added into the DNA sequence.

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What is a Deletion Mutation?

A mutation where nucleotides are removed from the DNA sequence.

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What is a Frameshift Mutation?

A mutation that changes the reading frame of the genetic code.

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What is a Gain of Function Mutation?

Mutation results in increased protein activity, often in an unregulated manner.

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What is a Loss of Function Mutation?

Mutation results in reduced or absent protein function.

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What is a Punnett Square?

A tool used to predict the probability of offspring genotypes and phenotypes.

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What is Autosomal Dominant Inheritance?

A genetic disorder where a dominant allele on a non-sex chromosome causes the disease.

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What is Achondroplasia?

A skeletal dysplasia resulting in dwarfism, caused by a gain-of-function mutation in FGFR3.

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What is Marfan Syndrome?

A connective tissue disorder caused by mutations in the FBN1 gene, affecting many body systems.

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What is Neurofibromatosis Type I?

A genetic disorder characterized by the growth of tumors along nerves, caused by mutations in NF1.

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What is Familial Hypercholesterolemia?

A genetic disorder caused by mutations in the LDLR gene.

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What is Retinoblastoma?

A rare form of cancer that develops in the retina, often due to mutations in the RB1 gene.

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What is Autosomal Recessive Inheritance?

A genetic disorder where a recessive allele on a non-sex chromosome causes the disease.

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What is Cystic Fibrosis?

A genetic disorder caused by mutations in the CFTR gene.

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What is Tay-Sachs Disease?

A genetic disorder due to a deficiency in hexosaminidase A, leading to ganglioside accumulation in neurons.

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What are New Mutations?

Mutations that arise spontaneously and are transmitted from unaffected parents to affected offspring.

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What are Pedigree Symbols?

Standardized visual representations showing inheritance patterns within families.

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What is Missense mutation ?

Mutation that results in a codon that codes for a different amino acid.

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What is Allelic heterogeneity?

Over 1,800 different mutations in the CFTR gene have been identified.

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Mutation type

Severity of disease is determined by this in Cystic Fibrosis.

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What is Pleiotropy?

Multiple, apparently unrelated effects from disrupting one gene.

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What is Reduced Penetrance?

When not all individuals inheriting a mutation show the trait.

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What is Variable Expressivity?

Severity varies greatly even with the same mutation.

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Study Notes

Single Gene Disorders: Autosomal Dominant and Recessive Inheritance Lecture Objectives

  • Define phenotype, genotype, heterozygote, homozygote, dominant, and recessive
  • Distinguish the characteristic features of autosomal dominant and recessive inheritance patterns
  • Utilize the Punnett square to predict the genotype and phenotype of offspring
  • Produce and interpret pedigrees of single-gene inheritance patterns
  • Use information in a pedigree to calculate probabilities of autosomal dominant and recessive diseases
  • Apply the knowledge gained in this lecture to relevant clinical concepts

Pedigrees

  • Pedigrees are pictorial representations of the inheritance pattern of specific conditions within a family.
  • A detailed family history is essential for creating an accurate and reliable pedigree.
  • Standardized structures and symbols are used to display the incidence of a condition within a family history.

Standard Pedigree Nomenclature

  • Males are represented as squares, and females as circles.
  • Matings are shown with one-line connections, offspring are shown beneath the matings.
  • Affected individuals' symbols are shaded in completely.
  • Carriers may be indicated by half-shaded symbols or a dot in the center.
  • Deceased individuals are crossed out.
  • Age of diagnosis or death may be indicated under the symbol for the individual.
  • The proband (person of interest) is commonly designated with an arrow.
  • Generations are identified by Roman numerals.
  • Individuals within a generation are identified with Arabic numerals.

Types of Gene Mutations: Point Mutations

  • Point mutations cause a change in a single nucleotide in the DNA sequence.
  • Missense mutations result in a codon that codes for a different amino acid.
  • Nonsense mutations result in a premature stop codon.

Types of Gene Mutations: Insertion and Deletion

  • Insertion: Extra nucleotide is added.
  • Deletion: Loss of a nucleotide.
  • Insertions and deletions can change the reading frame and result in a frameshift mutation.

Consequences of Gene Mutations

  • Gain-of-function mutations result in a protein with increased activity in an unregulated manner.
  • Loss-of-function mutations result in either the lack of a protein product or the synthesis of a non-functional protein.

Genotype vs. Phenotype

  • Genotype refers to the specific allele (version of a gene) that an individual has at a particular locus within the genome.
  • Phenotype is the physical manifestation of an individual's genotype.

Dominant and Recessive Alleles

  • A dominant allele expresses a phenotype whether there are two copies or only one.
  • A recessive allele only expresses a phenotype if there are two copies present.
  • For eye color, the allele for brown eyes is dominant, and the allele for blue eyes is recessive.

Punnett Square

  • The Punnett Square can be used to calculate the probability of a genotype and phenotype for the offspring of a mating between two individuals whose genotype is known.
  • Dominant alleles are indicated by capital letters, and recessive alleles are indicated by lower-case letters.

Autosomal Dominant Inheritance

  • Successive generations are affected (vertical)
  • No skips in generations
  • Both males and females are affected, with similar frequency
  • The disease is transmitted to subsequent generations by both males and females
  • Can include father-to-son transmission

Achondroplasia

  • Common form of dwarfism, autosomal dominant
  • Caused by Gly380Arg mutation in the FGF receptor gene, FGFR3.
  • FGFR3 encodes a receptor tyrosine kinase responsible for bone growth and differentiation.
  • Results in a gain-of-function mutation, leading to a constitutively active receptor inhibiting chondrocyte proliferation.
  • Symptoms of which includes:
    • Short limbs
    • Long and narrow trunk
    • Macrocephaly with promintent forehead
  • Individuals homozygous for the Gly380Arg mutation are generally not viable.

Marfan Syndrome

  • An autosomal dominant disease due to mutation in the fibrillin-1 (FBN1) gene.
  • Loss of function of FBN1 leads to abnormal TGF-β signaling.
  • Development is impacted because FBN1 sequesters TGF-β, inhibiting its signaling.
  • Symptoms incudes:
    • Aortic root, aneurysm or dissection
    • Ectopic lentis; tall stature, abnormally long arms
    • Arachnodactyly (spider fingers) with joint hypermobility
  • Presents as an example of pleiotropy, where disruption of one gene leads to multiple, seemingly unrelated effects.

Neurofibromatosis

  • An autosomal dominant disease caused by mutations in NF1
  • Symptoms may includes:
    • Multiple benign fleshy tumors (neurofibromas)
    • Irregular pigmented skin (cafe au lait spots)
    • Begnign tumors on the iris (lisch nodules)
  • Presented as Example of variable expressivity
    • Degree of severity can vary greatly among individuals with the same mutation
    • Parent with mild case can have child with severe case, even though they have the same mutation

Familial Hypercholesterolemia

  • Autosomal dominant disease caused by mutation in the gene encoding the LDL receptor, LDLR.
  • Prevents liver cells from removing LDL from the blood, leading to high levels of LDL.
  • Heterozygous individuals (HeFH) have a reduction in LDL receptor function, causing cardiovascular disease by 30-40 years of age.
  • Homozygous individuals (HoFH) develop childhood onset cardiovascular disease and xanthomas.

Retinoblastoma

  • A predisposition to cancer of the retina.
  • Associated with mutations in RB1, a tumor suppressor gene that encodes for a protein involved in control of the cell cycle.
  • This is an example of reduced/ incomplete penetrance
    • Not all individuals that inherit an RB1 mutation develop retinoblastoma.
    • ~10% of those with an inherited mutation do not develop retinoblastoma

Autosomal Dominant Inheritance Pattern: Examples of Diseases

  • Familial hypercholesterolemia
  • Huntington disease
  • Neurofibromatosis type1
  • Hereditary spherocytosis
  • Marfan syndrome
  • Acute intermittent porphyria
  • Achondroplasia
  • Inherited cancer syndromes

Autosomal Recessive Inheritance

  • Can occur in one generation (not successive) with multiple affected
    • siblings (horizontal)
  • Affects males and females equally
  • Transmitted by phenotypically healthy parents to affected offspring
  • Occurs in higher frequency from consanguineous mating

Cystic Fibrosis

  • Autosomal recessive disease
  • One of the most common genetic diseases. In the US, 1 in 3,500 live births.
  • Caused by mutation in CFTR gene
  • Encodes the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR).
  • Example of allelic heterogeneity
    • Over 1,800 different mutations in the CFTR gene have been identified
    • Severity of disease is determined by the type of mutation present

Tay-Sachs Disease

  • Autosomal recessive disease with a deficiency in the enzyme hexosaminidase A (Hex A).
  • The enzyme breaks down ganglioside normally
  • Ganglioside is a type of lipid found in the plasma membrane of neurons.
  • Deficiency causes an accumulation of ganglioside in neurons, resulting in neuronal cell death.
  • In the most common form, infantile Tay-Sachs, neurological deterioration begins at around 3-6 months of age and continues to progress until death at 2-4 years.
  • A common clinical finding in these individuals is a "cherry-red spot" on the retina.

Autosomal Recessive Inheritance Patter: Example of Diseases

  • Glycogen storage diseases
  • Phenylketonuria (PKU)
  • Maple Syrup Urine Disease (MSUD)
  • Thalassemia
  • Sickle cell anemia
  • Cystic fibrosis
  • Tay-Sachs disease
  • Albinism

Cancer Syndromes Exhibit Autosomal Dominant Inheritance Pattern

  • Inheriting one abnormal copy of a gene from one parent is sufficient for disease.
  • Each child has a 50% chance of inheriting the mutation.
  • Equally transmitted by men and women, with no skipped generations.
  • An individual inherits only one mutated allele of a tumor suppressor, the chance that the other allele will undergo mutation in that individual's lifetime is very high.

New Mutations

  • New (spontaneous) mutations can be transmitted from an unaffected parent to an affected offspring.
  • If the mutation occurs in the germ line of the parent
  • May not have family history of a disease
    • may only be present in subsequent generations

Cystic Fibrosis Additional Info

  • CFTR is a Cl- transporter found in the plasma membrane.
  • The function if CFTR is regulated by both ATP binding and phosphorylation by protein kinase A (PKA).
  • In addition to chloride, the CFTR protein can transport bicarbonate (HCO3-).
    • This plays an important component for physiological pH buffering system.

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