Genetics of Down Syndrome and Turner Syndrome

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Questions and Answers

What is the primary reason proposed for the increase in the incidence of Down Syndrome with maternal age?

  • Decrease in the number of available eggs
  • Increased non-disjunction in older eggs (correct)
  • Increased fertility treatments in older women
  • Higher rates of chromosomal anomalies in sperm

In the context of familial Down Syndrome, what is the estimated occurrence rate at birth?

  • 1 in 100,000 births
  • 1 in 31,000 births (correct)
  • 1 in 50,000 births
  • 1 in 10,000 births

What type of mosaicism is defined as being limited exclusively to the gonads?

  • Gonadal mosaicism (correct)
  • Somatic mosaicism
  • Embryonic mosaicism
  • Lethal mosaicism

Which karyotype indicates the presence of an additional chromosome associated with Down Syndrome?

<p>47,XX,+21 (B)</p> Signup and view all the answers

What percentage of Turner Syndrome cases is associated with reduced fertility and delayed or absent periods?

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

What is the chromosomal makeup of Klinefelter syndrome?

<p>47,XXY (C)</p> Signup and view all the answers

Which of the following characteristics is NOT associated with Turner syndrome?

<p>Normal breast development (A)</p> Signup and view all the answers

Which syndrome is characterized by the presence of an extra Y chromosome?

<p>Jacob’s syndrome (D)</p> Signup and view all the answers

In which syndrome do most individuals not survive to birth?

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

What is a common physical characteristic of individuals with Klinefelter syndrome?

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

Which syndrome is associated with only 45 chromosomes?

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

What is a potential cognitive aspect associated with Klinefelter syndrome?

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

Which syndrome can include menstrual irregularities but is considered physically normal?

<p>Triple X syndrome (B)</p> Signup and view all the answers

What is the primary cause of most simple aneuploidy cases?

<p>Meiotic non-disjunctions (A)</p> Signup and view all the answers

Which of the following is a well-known example of mental retardation related to chromosomal abnormalities?

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

What is the consequence of monosomy?

<p>One member of a chromosome pair is missing (C)</p> Signup and view all the answers

In chorionic villus sampling, what tissue is primarily analyzed for a karyotype?

<p>Tissue from the fetal side of the placenta (D)</p> Signup and view all the answers

What defines triploidy in terms of chromosome number?

<p>Two additional chromosome sets (3n) (C)</p> Signup and view all the answers

What is a common risk associated with chorionic villus sampling performed at 10-12 weeks' gestation?

<p>Miscarriage (1-2%) (C)</p> Signup and view all the answers

Which term describes conditions where genetic and phenotypic sex do not correspond?

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

What does aneuploidy specifically refer to?

<p>Less or more than the normal diploid number (B)</p> Signup and view all the answers

Which of the following congenital anomalies is associated with polydactylism?

<p>Extra fingers and toes (B)</p> Signup and view all the answers

What is the consequence if a deletion includes the centromere of a chromosome?

<p>The chromosome will be lost during cell division (D)</p> Signup and view all the answers

In Cri du Chat syndrome, which chromosome band is typically deleted?

<p>Band p15.3 of chromosome 5 (D)</p> Signup and view all the answers

What best describes the result of a chromosome duplication?

<p>Unbalanced gene dosage causing developmental abnormalities (A)</p> Signup and view all the answers

What type of chromosome alteration involves a segment of the chromosome being repeated?

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

Which of the following is a characteristic symptom of Cri du Chat syndrome?

<p>Moon-shaped face (B)</p> Signup and view all the answers

What condition can occur when a haploinsufficient gene is present?

<p>Recessive mutation becomes expressed (A)</p> Signup and view all the answers

Which of the following describes the effect of a deletion in terms of gene product imbalance?

<p>It can create lethal homozygous conditions (B)</p> Signup and view all the answers

What is the result when nondisjunction occurs in a mother with the genotypes XBXb and XBY?

<p>Klinefelter Syndrome and Super Female (B)</p> Signup and view all the answers

How does dosage compensation work in XX females?

<p>They inactivate one of their X chromosomes. (D)</p> Signup and view all the answers

Why might a normal XX female with one X inactivated not be equivalent to a Turner female?

<p>Turner syndrome results from the absence of one entire chromosome. (D)</p> Signup and view all the answers

Which of the following statements about Down Syndrome is correct?

<p>It usually occurs due to nondisjunction of chromosome 21 during meiosis. (C)</p> Signup and view all the answers

What percentage of Down Syndrome cases are associated with defective eggs from mothers?

<p>95% (D)</p> Signup and view all the answers

What is a common characteristic associated with Down Syndrome?

<p>Flattened facial patterning (C)</p> Signup and view all the answers

How does the incidence of trisomy compare to monosomy in terms of viability?

<p>Trisomy is generally more viable than monosomy. (B)</p> Signup and view all the answers

What could lead to inconsistencies between syndromes and X inactivation?

<p>Random inactivation and incomplete inactivation for some genes (D)</p> Signup and view all the answers

What genetic abnormality is characterized by a deletion on the maternal chromosome 15?

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

Which of the following conditions is associated with the paternal deletion of a gene where the maternal copy is imprinted?

<p>Prader-Willi syndrome (A)</p> Signup and view all the answers

In which chromosomal abnormality does a person have an extra chromosome 21?

<p>47,XX,+21 (C)</p> Signup and view all the answers

What mechanism is primarily responsible for the maintenance of genomic imprinting?

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

What feature is typical of Angelman syndrome?

<p>Frequent laughter and smiling (C)</p> Signup and view all the answers

What kind of chromosomal abnormality is indicated by 46,XY,t(2;4)(p12;q12)?

<p>Reciprocal arrangement of chromosomes (A)</p> Signup and view all the answers

Which of the following best describes heterochromatin?

<p>Tightly packed and gene repressive (C)</p> Signup and view all the answers

Which gene is an example of one that is imprinted?

<p>Insulin-like growth factor 2 (Igf2) (B)</p> Signup and view all the answers

Flashcards

Chromosomal Disorders

A condition where there is an abnormal number of chromosomes in a cell, often resulting from errors during cell division. This can involve an extra or missing chromosome (aneuploidy) or an entire extra set of chromosomes (polyploidy).

Nondisjunction

The failure of chromosomes to separate properly during cell division, leading to an abnormal number of chromosomes in the daughter cells. This can occur during meiosis (gamete formation) or mitosis (regular cell division).

Meiotic Nondisjunction

A type of nondisjunction that occurs during meiosis (sex cell division), leading to gametes with an incorrect number of chromosomes. This can result in offspring with chromosomal disorders.

Mitotic Nondisjunction

A type of nondisjunction that happens during mitosis (regular cell division), leading to cells with an incorrect number of chromosomes within the organism. This can contribute to the development of certain cancers.

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Euploid

An individual with a normal set of two chromosomes (2n) for each pair.

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Triploidy

A condition where an organism possesses one extra set of the entire genome, resulting in three sets of chromosomes (3n).

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Trisomy

A condition characterized by the presence of one extra chromosome, resulting in three copies of that chromosome (2n+1).

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Monosomy

A condition characterized by the absence of one chromosome, resulting in only one copy of that chromosome (2n-1).

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Cri du Chat Syndrome

A condition where a portion of chromosome 5 is deleted, resulting in a characteristic cat-like cry in infants.

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Chromosome Deletion

A change in chromosome structure where a segment is lost.

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Chromosome Duplication

When a chromosome segment is repeated, leading to an extra copy of genes.

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Anomalies of Chromosome Structure

Changes that affect the arrangement of genetic material within a chromosome. Examples include translocations, deletions, duplications, inversions and ring chromosomes.

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Chromosome Inversion

Occurs when a chromosome breaks and the broken ends rejoin in a reversed order.

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Ring Chromosome

A type of chromosomal abnormality where a chromosome loses its ends and forms a ring shape.

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Translocation

A type of chromosomal rearrangement where parts of two non-homologous chromosomes exchange segments.

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Haploinsufficiency

This refers to conditions where a single copy of a gene is not sufficient to produce a normal phenotype, causing developmental abnormalities.

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Down Syndrome

A condition where an individual possesses an extra copy of chromosome 21.

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Familial Down Syndrome

A type of Down Syndrome where the extra chromosome 21 is attached to another chromosome, often chromosome 14.

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Mosaicism

The presence of two or more genetically distinct cell lines in an individual.

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Klinefelter syndrome

A chromosomal disorder resulting from the presence of an extra X chromosome in males (XXY), leading to physical and developmental differences.

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Turner syndrome

A chromosomal disorder caused by the absence of one X chromosome in females (X0), resulting in various physical and developmental features.

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X-inactivation

The process by which one of the two X chromosomes in females is inactivated to equalize the expression of X-linked genes with males.

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Turner Syndrome

A genetic disorder characterized by the presence of only one X chromosome in females (XO), leading to various physical and developmental features. It is often associated with short stature, infertility, and sometimes heart defects.

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Jacob's Syndrome

A genetic condition in males with an extra Y chromosome (47,XYY).

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Triple X Syndrome

A genetic condition in females with an extra X chromosome (47,XXX).

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Sex Chromosomes

The 23rd pair of chromosomes that determine an individual's sex.

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Genomic Imprinting

A process where the expression of a gene depends on its parent of origin. It means a gene's expression is determined by whether it was inherited from the mother or father.

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Deletion

A type of chromosome structure anomaly where a segment of a chromosome is lost.

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Duplication

A type of chromosome structure anomaly where a segment of a chromosome is duplicated, leading to an extra copy of those genes.

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Chromatin Remodeling

The alteration of chromatin structure, influencing gene expression. It refers to changes in how tightly DNA is packed, impacting how easily genes are accessed and transcribed.

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Angelman Syndrome

A genetic disorder where a specific gene is silenced due to imprinting, resulting in developmental delays, severe speech impairment, and characteristic happy demeanor.

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Prader-Willi Syndrome

A genetic disorder impacting both physical and intellectual development, characterized by poor weight gain in infancy, excessive weight gain later, delayed sexual maturity, and an obsession with food.

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Trisomy 21 (Down syndrome)

A genetic disorder where three copies of chromosome 21 are present instead of the usual two.

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Study Notes

Chromosomal Disorders

  • Chromosomal disorders arise from abnormalities in chromosome structure or number
  • Causes include ionizing radiation, viral infections, and chemical toxins, as well as meiotic or mitotic nondisjunctions.
  • Meiotic nondisjunctions are prominent in most simple aneuploidy cases (monosomy or trisomy).
  • Mitotic nondisjunctions are also possible.
  • Clinical presentations of chromosomal abnormalities often include infertility/sterility, intersex conditions (mismatch in genetic and phenotypic sex), multiple congenital malformations, and mental retardation (e.g., Down syndrome, fragile X syndrome)
  • Sterility is the inability to produce offspring, whereas infertility is the inability to conceive.

Types of Chromosomal Abnormalities

  • Numerical Abnormalities:
    • Euploid: Normal chromosome set (2n)
    • Polyploidy: Extra chromosome sets (3n, 4n, etc.) - triploidy, tetraploidy
    • Aneuploidy: Fewer or more chromosomes than the normal diploid number
      • Monosomy: One member of a chromosome pair is missing (2n-1)
      • Trisomy: One chromosome set consists of three copies (2n+1)
  • Structural Abnormalities
    • Translocations: Movement of a chromosome segment to a non-homologous chromosome
      • Robertsonian translocations: Fusion of acrocentric chromosomes.
      • Reciprocal translocations: Exchange of segments between two non-homologous chromosomes
    • Deletions: Loss of a chromosome segment
    • Duplications: Repetition of a chromosome segment
    • Ring chromosomes: Formation of a ring-shaped chromosome due to breaks and rejoining
    • Inversions: Reversal of a chromosome segment
  • Specific Syndromes Associated With Anomalies:
    • Cri-du-chat syndrome: Deletion of a portion of chromosome 5
    • Down syndrome: Trisomy 21
    • Edwards syndrome: Trisomy 18
    • Patau syndrome: Trisomy 13
    • Klinefelter syndrome: 47,XXY
    • Turner syndrome: 45, X
    • Jacob's syndrome: 47, XYY

Karyotypes

  • A karyotype is a visual representation of an organism's chromosomes
  • It displays the total chromosome number and sex chromosome composition, with any detectable anomalies noted.

Genetic Testing

  • Amniocentesis: Prenatal test to analyze amniotic fluid for fetal chromosomal abnormalities (14-16 weeks gestation)
  • Chorionic villus sampling (CVS): Prenatal test using chorionic villi to assess fetal chromosomal abnormalities (10-12 weeks gestation)

Other Key Concepts

  • Mosaicism: A condition where different cells in an individual have different chromosomes.
  • Nondisjunction: The failure of chromosomes to separate properly during cell division
    • May occur during meiosis I or II
  • Imprinting: The expression of a gene is influenced by the parent of origin of the gene.

Epigenetics & Genomic Imprinting

  • Some genes are expressed differently depending on the parent they inherit from.
  • Imprinting is a form of epigenetic modification in which genes are expressed preferentially from either the mother or the father.
  • This is usually maintained by DNA methylation (addition of methyl groups to DNA).
  • Examples include Angelman and Prader-Willi syndromes, both caused by defects in genomic imprinting.

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