Genetics III

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Questions and Answers

A patient was diagnosed with breast cancer at the age of 25 years. Genetic screening found that normal and tumor cells of the patient are heterozygous for an allele with a loss-of-function mutation in the TP53 gene. Please choose the correct answer!

The patient has Lynch syndrome.

Duchenne's muscular dystrophy is caused by the dysfunction of dystrophin. Please choose the correct answer!

Dystrophin is a large protein involved in linking the cytoskeleton of muscle cells to the extracellular matrix.

Many genetic disorders have autism spectrum symptoms as part of their phenotype. Please choose the correct answer!

Phenotypes of Rett, Angelmann and Prader-Willi syndromes all are indirectly, or directly caused by abnormal expression of the UBE3A gene, indicating its role in the development of autism spectrum symptoms.

What kind of protein is impaired in case of androgen insensitivity syndrome?

<p>Intracellular receptor that interacts with testosterone and dihydrotestosterone.</p> Signup and view all the answers

Lynch syndrome is autosomal dominant predisposition to colorectal cancer is mainly caused by pathogenic allelic variants of the MSH2, MLH1 or MSH6 genes. The sentence describes

<p>locus heterogeneity.</p> Signup and view all the answers

Which of the following inheritance patterns is characteristic of biotinidase deficiency?

<p>Autosomal recessive</p> Signup and view all the answers

Heritability of liability to Parkinson's disease is estimated to be 0.34 - 0.40. What can be concluded from these numbers?

<p>It is inherited as a multifactorial trait with low impact of each risk gene.</p> Signup and view all the answers

Which of the following statements is most accurate about Huntington's disease?

<p>It is caused by a trinucleotide repeat expansion in the huntingtin gene.</p> Signup and view all the answers

From the given below molecular mechanisms, please find one that best fits to the described defect leading to the Loeys-Dietz syndrome.

<p>Loss of function in genes encoding products involved in transforming growth factor beta pathway.</p> Signup and view all the answers

Please find correct statement about familial adenomatous polyposis (FAP)!

<p>FAP usually manifests before 40 years of age.</p> Signup and view all the answers

Congenital adrenal hyperplasia is caused by

<p>recessive loss-of-function mutation of hormone biosynthesis.</p> Signup and view all the answers

What is common and what is different between Hurler/Scheie (MPS type I) and Hunter (MPS type II) syndromes?

<p>Common: Diagnostic methods Different: Inheritance type, phenotype of the patient and causative gene</p> Signup and view all the answers

Which of the mentioned syndromes can be undetected even after puberty?

<p>Klinefelter, 47 XXY, 47 XXX</p> Signup and view all the answers

What is the primary role of the PMP22 gene in the development of Charcot Marie T ooth disease?

<p>Myelin formation in peripheral nerves</p> Signup and view all the answers

Which of the following is NOT a potential complication associated with Turner syndrome?

<p>Breast cancer</p> Signup and view all the answers

Which type of the following mutations can lead to the development of cancer?

<p>gain of function mutations in oncogenes</p> Signup and view all the answers

Please read the description of the case and detect a disorder: “A 62-year-old female presented with unintentional, involuntary, irregular, non-patterned movements, behavioural changes, and progressive cognitive decline over the past three years. She has been experiencing uncontrolled jerking movements in her arms and legs, which have worsened over time. These movements are more noticeable during periods of stress or excitement and tend to improve during rest. Additionally, she has become increasingly forgetful, struggling with everyday tasks, and exhibiting emotional instability. There is no history of substance abuse or any significant past medical history. Her father was diagnosed at the age of 50 with the same disease. ”

<p>Huntington's disease</p> Signup and view all the answers

Please find the FALSE statement about fragile X syndrome!

<p>Premutation carrier with 120 CGG repeats has nearly 100% probability to increase amplification to full mutation.</p> Signup and view all the answers

One of the classic signs of Duchenne's muscular dystrophy is

<p>Gowers sign</p> Signup and view all the answers

Please find the correct sequence: karyotype – gonads – phenotype (external genitalia) in case of a typical complete androgen insensitivity syndrome!

<p>46,XY – testes – female</p> Signup and view all the answers

Please complete the following sentence. The Philadelphia chromosome

<p>is a product of a reciprocal translocation.</p> Signup and view all the answers

Cools et al. (2023) describes a case of the first child of Belgian parents. A first-term noninvasive pregnancy test (NIPT) revealed a 46,XX karyotype, but significant virilization was observed on repeated prenatal ultrasound examinations. The child was born on term, after an otherwise uneventful pregnancy. At birth, genital virilization corresponded to Prader stage V , with an external genitalia score (EGS) of 9/12 (fused labio-scrotal folds, phallic structure of 36 mm, urethral meatus on top of the phallic structure, no palpable gonads). Elevated serum 17-hydroxy-progesterone (5050 ng/dl, ref 7–106) was discovered, and hydro- and fludrocortisone supplementation were started on day 5. Subsequent genetic analysis revealed a biallelic total deletion of the suspected gene, both parents were found to be heterozygous carriers for the deletion. The child is affected b

<p>Congenital adrenal hyperplasia</p> Signup and view all the answers

Which of the following characteristics is commonly associated with individuals with 47,XYY syndrome?

<p>Tall stature</p> Signup and view all the answers

What could be a potential cause of haemolytic anaemia in a 5-year-old child who consumed fava beans and underwent anti-malarial therapy the day before?

<p>glucose-6-phosphate dehydrogenase (G6PD) deficienc</p> Signup and view all the answers

A 25-year-old male presents with tall stature, joint hyper-mobility, pectus excavatum, and aortic root dilation. His paternal uncle died suddenly at the age of 30 due to aortic dissection, and his maternal grandmother had a history of lens dislocation. All of the following are true EXCEPT:

<p>There is no difference in clinical presentation between homozygotes and heterozygotes patients with the described disorder (complete dominance).</p> Signup and view all the answers

Please find the correct statement about Myotonic dystrophy type 1!

<p>The severity of the disease is determined by the number of CTG repeats.</p> Signup and view all the answers

Please find the WRONG statement!

<p>Larger deletions which include the RB1 gene have lower penetrance than null mutations of the same retinoblastoma causative gene.</p> Signup and view all the answers

Please identify which disorder belongs to 46, XY DSD!

<p>androgen insensitivity syndrome</p> Signup and view all the answers

Please find the WRONG statement!

<p>Monogenic autosomal dominant Alzheimer's disease is characterized by incomplete penetrance of 70%</p> Signup and view all the answers

Which of the following diseases has locus heterogeneity in case of monogenic type of inheritance

<p>Alzheimer’s disease</p> Signup and view all the answers

In which of the named diseases breastfeeding is contraindicated as breast milk contains milk sugar?

<p>Galactosemia</p> Signup and view all the answers

Charcot-Marie-T ooth disease is most often caused by

<p>Gene duplication</p> Signup and view all the answers

Please choose the correct event sequence which leads to facio-scapulo-humeral muscular dystrophy, type 1!

<p>Deletion in the long arm of chromosome 4 decreases number of D4Z4 repeats. This causes hypo-methylation and causes over-expression of the DUX4 gene.</p> Signup and view all the answers

Male with karyotype 46,XX

<p>has the SRY gene on one of X chromosomes due to illegitimate recombination.</p> Signup and view all the answers

α-synuclein can cause autosomal dominant form of Parkinson’ s disease

<p>if duplication of the SNCA gene has happened.</p> Signup and view all the answers

Please find the correct statement about Alzheimer’ s disease!

<p>Aggregation and accumulation of amyloid-β 1-42 peptide in the brain may result from increased production of amyloid-β 1-42 peptide, decreased degradation by amyloid-β 1-42 peptide degrading enzymes, or reduced clearance across the blood-brain barrier.</p> Signup and view all the answers

Which syndrome is characterised by short stature, intellectual disability, and aortic stenosis with hypertrophic cardiomyopathy?

<p>Noonan syndrome</p> Signup and view all the answers

The phenotype of Klinefelter syndrome is NOT influenced by

<p>variations of expression levels of the BRCA1 gene.</p> Signup and view all the answers

The most characteristic symptoms of myotonic dystrophy type 1 are NOT

<p>Insulin resistance</p> Signup and view all the answers

Patient 1: A 6-year-old girl, reported with a chief complaint of decayed teeth in both upper and lower front and back region. The medical history revealed that shehas Marfan syndrome with tricuspid prolapse and other cases of exceptional height in the family. Patient 2: A 50-year-old man, presented with exceptionally tall stature and family history of Marfan syndrome. Physical examination revealed features consistent with Marfan syndrome, including compromised span and mild pectus excavatum. The patient’ s father had a history of aortic disease, which prompted further investigation into the familial occurrence of Marfan syndrome. Which of the following best explains why clinical manifestations differ in Marfan syndrome?

<p>Variable expressivity</p> Signup and view all the answers

Flashcards

Loss-of-function mutation in TP53

A genetic condition where there is a loss of function in the TP53 gene, resulting in increased susceptibility to cancer.

Dystrophin

A large protein that connects the cytoskeleton of muscle cells to the extracellular matrix, essential for muscle function.

Phenotype

The outward expression of a gene, including observable characteristics and traits.

Locus Heterogeneity

A situation where mutations in different genes can lead to the same or very similar phenotypes.

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Autosomal Recessive Inheritance

A type of inheritance where two copies of the mutated gene are needed to cause the disorder. One copy of the normal gene is enough to prevent the condition.

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Heritability

The proportion of variation in a trait attributable to genetic factors. It ranges from 0 to 1, with higher values indicating a stronger genetic influence.

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Huntington's Disease

A neurological disorder caused by a trinucleotide repeat expansion in the HTT gene leading to a dysfunctional protein with a repeating glutamine sequence.

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Loeys-Dietz Syndrome

A group of disorders caused by mutations in genes involved in the transforming growth factor beta (TGF-β) signaling pathway, leading to defects in connective tissue.

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Lynch Syndrome

An inherited predisposition to develop colorectal cancer, commonly caused by mutations in genes involved in DNA mismatch repair.

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Familial Adenomatous Polyposis (FAP)

A condition characterized by multiple polyps in the colon, mostly caused by mutations in the APC gene.

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Congenital Adrenal Hyperplasia

A group of genetic disorders caused by mutations in genes involved in the synthesis of steroid hormones, leading to hormonal imbalances.

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Mucopolysaccharidoses (MPS)

A genetic syndrome characterized by excessive buildup of mucopolysaccharides in the body, leading to various health issues.

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Klinefelter Syndrome

A genetic condition where individuals have an extra X chromosome (47,XXY).

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Charcot-Marie-Tooth Disease

A genetic disorder affecting the development of peripheral nerves, primarily due to mutations in the PMP22 gene involved in myelin formation.

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Gain of function mutations

Gain of function mutations lead to an increased or abnormal activity of a gene product.

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Huntington's Disease

A neurological disorder characterized by progressive involuntary movements, cognitive decline, and behavioral changes.

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Fragile X Syndrome

A genetic disorder characterized by an expansion of a CGG trinucleotide repeat in the FMR1 gene, leading to intellectual disability and other symptoms.

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Gowers Sign

A sign of Duchenne Muscular Dystrophy where the patient uses their hands to help them stand up from a sitting position.

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Reciprocal Translocation

A chromosomal abnormality where a piece of one chromosome breaks off and attaches to another chromosome.

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Biotinidase Deficiency

A genetic disorder caused by a deficiency in the enzyme biotinidase, leading to biotin deficiency.

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Duchenne Muscular Dystrophy

A genetic disorder caused by a mutation in the gene for the protein dystrophin, resulting in progressive muscle weakness and degeneration.

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47,XYY Syndrome

A genetic condition where individuals have an extra Y chromosome (47,XYY) leading to various physical characteristics.

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Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency

A genetic disorder caused by a deficiency in the enzyme glucose-6-phosphate dehydrogenase (G6PD), leading to red blood cell breakdown under certain conditions.

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Complete Androgen Insensitivity Syndrome

A genetic condition where individuals have a deletion of the entire SRY gene causing a 46,XY karyotype with female phenotype.

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Myotonic Dystrophy Type 1 (DM1)

A genetic disorder characterized by a trinucleotide repeat expansion in the DMPK gene, leading to progressive muscle weakness and other symptoms.

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46,XY DSD

A disorder of sex development (DSD) characterized by a 46,XY karyotype but with female external genitalia due to androgen insensitivity.

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Galactosemia

A genetic disorder caused by mutations in genes involved in the production or breakdown of galactose, leading to complications after consuming milk sugar.

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Facioscapulohumeral Muscular Dystrophy (FSHD)

A genetic disorder characterized by a deletion in the long arm of chromosome 4, affecting the D4Z4 repeats and leading to muscle weakness and other symptoms.

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Alzheimer's Disease

A genetic disorder characterized by the aggregation and accumulation of amyloid-β 1-42 peptide in the brain, leading to progressive dementia.

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Noonan Syndrome

A genetic disorder characterized by short stature, intellectual disability, and heart defects, often involving the aorta.

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Variable Expressivity

A pattern of inheritance where the severity of the trait varies between individuals with the same genotype.

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Myotonic Dystrophy Type 1 (DM1)

A genetic disorder characterized by an expansion of a CTG trinucleotide repeat in the DMPK gene, leading to progressive muscle weakness and other symptoms.

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Locus heterogeneity in Alzheimer's disease

A condition where two or more genes are responsible for causing a particular trait. In this case, in the monogenic type of inheritance, several genes can cause Alzheimer's diease.

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α-synuclein causing Parkinson's disease

A genetic disorder caused by a duplication of the SNCA gene, leading to increased levels of α-synuclein and an increased risk of developing Parkinson's disease.

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Male with karyotype 46,XX

A genetic condition where an individual has both male (XY) chromosomes but develops female external genitalia.

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