Genetic Disorders: Marfan and Albinism

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Questions and Answers

What does the term 'Albinism' derive from?

  • A Greek word for light
  • A Latin word meaning white (correct)
  • A French term for absence
  • An Arabic phrase for clarity

Which of the following tissues are most affected by Albinism?

  • Nervous tissues
  • Connective tissues
  • Ectoderm-derived tissues (correct)
  • Muscle and bone

What is a major characteristic of Albinism?

  • Abnormal skin growths
  • Diminished or absent melanin (correct)
  • Excess melanin production
  • Increased skin elasticity

What is the main cause of the decreased skin pigmentation in Albinism?

<p>Genetic mutations affecting melanin production (B)</p> Signup and view all the answers

What is the inheritance pattern of Marfan syndrome?

<p>Autosomal dominant (B)</p> Signup and view all the answers

Which feature is typically NOT associated with Albinism?

<p>Increased melanin production (A)</p> Signup and view all the answers

In which part of the body is melanin primarily absent due to Albinism?

<p>Ectoderm-derived tissues (A)</p> Signup and view all the answers

What percentage of Marfan syndrome cases are attributable to de novo mutations?

<p>25% (B)</p> Signup and view all the answers

How does Albinism primarily affect an individual's appearance?

<p>Leads to pale skin and light hair (A)</p> Signup and view all the answers

On which chromosome is the FBN1 gene, associated with Marfan syndrome, located?

<p>Chromosome 15 (B)</p> Signup and view all the answers

What is the role of fibrillin in connective tissues?

<p>Maintains elasticity and stability (A)</p> Signup and view all the answers

What can be a significant health concern for individuals with Albinism?

<p>Heightened sensitivity to sunlight (D)</p> Signup and view all the answers

What is a major risk regarding the aorta in individuals with Marfan syndrome?

<p>Aortic dissection (A)</p> Signup and view all the answers

What are microfibrils primarily responsible for?

<p>Strength and stability in tissues under stress (D)</p> Signup and view all the answers

How common is Marfan syndrome in the general population?

<p>1 in 3000 to 5000 (B)</p> Signup and view all the answers

Which of the following best describes the consequences of a loss of function in the FBN1 gene?

<p>Deficiency or non-production of fibrillin (C)</p> Signup and view all the answers

What percentage of global albinism cases is attributed to OCA2?

<p>30% (B)</p> Signup and view all the answers

Which gene mutation is associated with OCA1?

<p>TYR (B)</p> Signup and view all the answers

What type of inheritance pattern is observed in Oculocutaneous Albinism (OCA)?

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

What is the primary role of the OCA2 gene in albinism?

<p>Acts as a transport system (C)</p> Signup and view all the answers

What is the chance of a child having albinism if both parents are carriers of the gene?

<p>1 in 4 (B)</p> Signup and view all the answers

Which type of albinism is most common in Puerto Rico?

<p>HPS (D)</p> Signup and view all the answers

Which gene mutation is linked to OCA4?

<p>SLC45A2 (A)</p> Signup and view all the answers

What type of mutation is characterized by the loss of one or more nucleotides?

<p>Deletion (B)</p> Signup and view all the answers

In X-linked inheritance of ocular albinism, what is the chance that a son of a carrier mother will have albinism?

<p>1 in 2 (B)</p> Signup and view all the answers

Which gene is responsible for protecting melanocytes from Reactive Oxygen Species (ROS) damage?

<p>DCT (C)</p> Signup and view all the answers

What are the two main types of albinism?

<p>Oculocutaneous Albinism and Ocular Albinism (C)</p> Signup and view all the answers

Which of the following is NOT a common eye condition associated with albinism?

<p>Astigmatism (D)</p> Signup and view all the answers

Which of the following describes foveal hypoplasia?

<p>Failure of the foveal pit to develop properly (C)</p> Signup and view all the answers

What impact does albinism have on vision?

<p>Poor vision is common even with corrective lenses (D)</p> Signup and view all the answers

Which of the following treatments is recommended for managing skin protection in individuals with albinism?

<p>Sunscreen and protective clothing (B)</p> Signup and view all the answers

What could be an effective accommodation in an academic setting for students with albinism?

<p>Providing enlarged text in presentations (A)</p> Signup and view all the answers

What is the primary characteristic of dystonia?

<p>Involuntary muscle contractions causing twisting movements (D)</p> Signup and view all the answers

Why is genetic counseling important for families with albinism?

<p>It assists in family planning and understanding risks (D)</p> Signup and view all the answers

What is a common misconception about people with albinism?

<p>They should be treated differently than others (B)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with Parkinsonism?

<p>Oculomotor abnormalities (D)</p> Signup and view all the answers

At what age do symptoms of dystonia typically begin?

<p>30s-40s (B)</p> Signup and view all the answers

Which treatment is often used to relieve symptoms of parkinsonism?

<p>Carbidopa/Levodopa (B)</p> Signup and view all the answers

Which of the following disorders may develop alongside parkinsonism?

<p>Dystonia (C)</p> Signup and view all the answers

What genetic mutation is associated with XDP?

<p>TAF1 gene mutation (D)</p> Signup and view all the answers

Which type of dystonia can benefit from botulinum toxin injections?

<p>Focal dystonia (D)</p> Signup and view all the answers

Which additional symptoms might patients with dystonia experience?

<p>Cognitive and psychiatric symptoms (B)</p> Signup and view all the answers

What is the primary focus of oculocutaneous albinism research according to the listed sources?

<p>Inheritance patterns in different populations (B)</p> Signup and view all the answers

Which gene is primarily associated with the development of pigmentation in oculocutaneous albinism?

<p>TYRP1 (C)</p> Signup and view all the answers

Which of the following best describes 'lubag' as mentioned in the context of X-linked dystonia parkinsonism?

<p>A movement disorder endemic to Panay, Philippines (D)</p> Signup and view all the answers

What is the significance of the MC1R gene in relation to albinism?

<p>It is involved in the melanin synthesis process. (A)</p> Signup and view all the answers

What research focus is suggested by studying membrane transport proteins in melanosomes?

<p>Regulation of ion transport for pigmentation (C)</p> Signup and view all the answers

What role does the SLC45A2 gene play in pigmentation disorders?

<p>Influences melanin distribution in skin and hair (A)</p> Signup and view all the answers

Which condition is characterized by both dystonia and parkinsonism, particularly noted in the Panay region?

<p>X-linked dystonia parkinsonism (C)</p> Signup and view all the answers

The research referenced covers various genes involved in albinism. Which gene is NOT directly related to this condition?

<p>GBA (C)</p> Signup and view all the answers

Flashcards

Marfan syndrome inheritance

A genetic condition inherited through autosomal dominant pattern, linked to mutations in the FBN1 gene.

Autosomal dominant inheritance

A type of inheritance where a single mutated gene from one parent can lead to a genetic condition in the offspring.

FBN1 gene

The gene responsible for producing fibrillin-1, a protein crucial for connective tissue.

Fibrillin-1 function

Maintains elasticity and stability in connective tissues, like those in the aorta.

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Aortic manifestations of Marfan syndrome

Marfan syndrome can lead to aortic problems, including aneurysm and dilation, potentially causing life-threatening dissection.

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Marfan syndrome prevalence

Estimated to affect 1 in 3000 to 5000 individuals, highlighting its relatively common occurrence.

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Sporadic Marfan syndrome cases

A new mutation in the FBN1 gene, not inherited from parents, can cause symptoms.

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75% chance of inheritance

The possibility the condition is not caused by a genetic mutation.

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Marfan Syndrome

A hereditary disorder affecting connective tissue, causing skeletal, cardiovascular, and ocular issues.

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Melanin

A pigment that determines skin, hair, and eye color.

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Albinism

A group of genetic conditions causing reduced or absent melanin production.

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Ectoderm

The outermost germ layer during embryonic development that gives rise to skin, hair, and nerves.

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Heritable diseases

Conditions passed down through families due to mutations in genes.

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Skin pigmentation

The color of the skin due to the presence and amount of melanin.

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Genetic conditions

Diseases or traits caused by changes in an organism's DNA.

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Mutation

A change in the DNA sequence that can cause a genetic condition.

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Oculocutaneous albinism

A group of genetic conditions that result in a lack of pigment in the skin, hair, and eyes.

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SLC45A2 gene

A gene involved in the production of melanin, a pigment in the skin, hair, and eyes.

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TYRP1 gene

A gene that helps make melanin.

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TYR gene

A gene that plays a key role in melanin production.

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SLC24A5

A gene involved in pigmentation.

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X-linked dystonia parkinsonism (XDP)

A rare genetic disorder causing muscle stiffness and movement problems.

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Lubag

Filipino term for X-linked dystonia parkinsonism (XDP).

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Ocular Albinism

A less common type of albinism that only affects the eyes.

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Vision Problems in Albinism

People with albinism often have poor vision due to various eye conditions.

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Nystagmus

Rapid, involuntary eye movement.

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Photophobia

Sensitivity to bright light and glare.

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Foveal Hypoplasia

Incomplete development of the foveal pit in the eye, causing vision problems.

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Skin Cancer Risk in Albinism

People with albinism are at a higher risk of skin cancer.

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Vision Care in Albinism

Regular eye exams, corrective lenses, and assistive devices are crucial for managing vision problems related to albinism.

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What is dystonia?

A neurological disorder causing involuntary muscle contractions, leading to twisting movements and abnormal postures. It can affect various body parts like the neck, face, or limbs.

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What is Parkinson's disease?

A neurodegenerative disorder primarily affecting movement. It's characterized by the loss of dopamine-producing neurons in the brain, particularly in the substantia nigra region.

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What are the symptoms of dystonia?

Dystonia leads to painful muscle spasms, impacts movements and postures, and can cause abnormal postures.

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What are the features of Parkinsonism?

Parkinsonism includes symptoms like bradykinesia (slow movement), rigidity, resting tremors, and postural instability.

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What is lubag syndrome?

A type of dystonia (a movement disorder) involving involuntary muscle contractions, particularly affecting the back causing severe back pain.

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What is XDP?

A rare genetic disorder that causes a combination of symptoms similar to Parkinson's disease and dystonia.

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What are the treatments for XDP?

There's no cure for XDP, but medications like Carbidopa/Levodopa, anticholinergic drugs, and Tetrabenazine/Zolpidem can help manage symptoms.

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How do Botulinum Toxin Injections help with dystonia?

Botulinum Toxin Injections are used to treat focal dystonia by reducing involuntary muscle contractions in specific body areas.

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Oculocutaneous Albinism (OCA)

A group of genetic disorders causing a lack of melanin production, leading to reduced pigmentation in the skin, hair, and eyes.

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Autosomal Recessive Inheritance

A pattern of inheritance where a child inherits two copies of a mutated gene, one from each parent, to develop a trait.

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Mutation Types: Missense

A single nucleotide is swapped for another in the DNA sequence, which may result in a different amino acid in the final protein.

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Mutation Types: Nonsense

A mutation that creates a premature stop codon in the DNA sequence, resulting in a shortened and often non-functional protein.

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Mutation Types: Splice

A mutation affecting areas of the genetic code that are skipped, resulting in disrupted protein coding sequence.

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Mutation Types: Deletion

Removing one or more nucleotides from the DNA sequence, altering the protein structure.

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Mutation Types: Insertion

Adding one or more extra nucleotides into the DNA sequence.

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Mutation Types: Frameshift

Alteration in DNA sequence causing an extra or fewer nucleotide, which in turn shifts the reading frame during protein synthesis.

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Mutation Types: Loss-of-Function

Mutations like frameshifts and nonsense mutations that completely or partially disable a gene's protein product.

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Mutation Types: Duplication

A segment or piece of DNA is repeated, which may result in an extra section of protein or code produced.

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Study Notes

Marfan Syndrome

  • A genetic disorder inherited from a parental generation, affecting connective tissue.
  • Primarily affects eyes, heart, blood vessels, and skeleton.
  • Caused by a defect in the FBN1 gene, creating fibrillin proteins crucial for connective tissues.
  • Offspring has a 50% chance of inheriting the defective gene from either parent.
  • First described by Antoine-Bernard Marfan in 1896.
  • Famous people with Marfan syndrome include Osama Bin Laden, Michael Phelps, and Abraham Lincoln.
  • Autosomal dominant, with only a parent having the disorder as a risk factor.
  • 25% of cases are sporadic due to novo mutations.
  • Incidence: 1 in 3000 to 5000 individuals.
  • Awareness and medical access issues contribute to delayed diagnoses and treatment in the Philippines.

Albinism

  • A collection of heritable diseases caused by diminished/absent melanin in ectoderm-derived tissues (skin, hair, eyes).
  • This results in a distinct decrease in skin pigmentation.
  • Originates from the Latin word "albus," meaning "white".
  • Two major categories:
    • Oculocutaneous Albinism (OCA): Affects skin, hair, and eyes.
    • Ocular Albinism (OA): Affects only the visual pathway.
  • Historical background: Earliest descriptions found in the Book of Enoch, and Pliny's writings.
  • Sir Archibald Edward Garrrod identified albinism as an inborn error of metabolism.
  • Common historical misconceptions: sometimes connected to the divine or deemed a negative thing.
  • Incidence: 1 in 20,000 globally, with variations in regions.
  • OCA1 is the most common type in Caucasians, followed by OCA2 (more common in Africa).
  • OCA genetics are passed on in an autosomal recessive pattern. OCA5-8 are rare variants.
  • OA genetics are passed on in an X-linked pattern, with males showing the trait more frequently, and females generally carriers.

Sex-Linked XDP

  • XDP is also known as Lubag in American literature.
  • It manifests as a severe, progressive torsion dystonia initially, lasting for the first 10-15 years.
  • It might then transform into parkinsonian features later in life.
  • First noted in the 1970s in Panay, Philippines.
  • The name reflects the tremor-like movement symptoms.
  • Inherited through an X-linked recessive pattern.
  • Primarily affecting males.
  • Associated with TAFI gene mutations.
  • Possible links to environmental factors and emotional stress exist.

Treatment/Management

  • Marfan Syndrome: No cure; focus on relieving symptoms. Doctors might prescribe anti-inflammatory drugs, and angiotensin blockers and beta blockers. Additional therapies might include support for relieving spinal curvature, contacts or glasses, occupational and physical therapy to strengthen muscles, and lifestyle changes.
  • Albinism: No cure; treatment addresses the resultant issues and involves genetic counseling, vision care (regular eye exams, corrective lenses, low-vision aids), and protective measures for skin (sunscreen, protective clothing, regular check-ups).
  • XDP: No cure; medications include carbidopa/levodopa (relieves Parkinsonism symptoms), anticholinergics (for muscle issues), and tetrabenazine/zolpidem (for dystonia). Therapies such as Botulinum toxin injections, and Deep Brain Stimulation might help manage symptoms.

Recommendations

  • Be aware of the characteristics of both diseases
  • Advocate for better awareness and care for these conditions.
  • Promote inclusivity and empathy; consider support for affected individuals/communities.
  • Support research to further understand the diseases; Encourage gathering data and education.

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