Chromosomal Anomaly Defects
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What is Patau syndrome?

Patau syndrome is a syndrome caused by a chromosomal abnormality, in which some or all of the cells of the body contain extra genetic material from chromosome 13.

What can cause Patau syndrome?

Patau syndrome can be caused by each cell containing a full extra copy of chromosome 13 (trisomy 13), extra partial copy of the chromosome, or having two different lines of cells—one healthy and one containing an extra copy of the chromosome (mosaic Patau syndrome).

What is the cause of full trisomy 13?

Full trisomy 13 is caused by nondisjunction of chromosomes during meiosis.

How is mosaic Patau syndrome caused?

<p>Mosaic Patau syndrome is caused by nondisjunction during mitosis.</p> Signup and view all the answers

What is the average maternal age at pregnancy for an increased risk of Patau syndrome?

<p>The risk of Patau syndrome in the offspring increases with maternal age at pregnancy, with about 31 years being the average.</p> Signup and view all the answers

What are the effects of Patau syndrome on normal development?

<p>Patau syndrome disrupts normal development, causing multiple and complex organ defects.</p> Signup and view all the answers

How common is Patau syndrome?

<p>Patau syndrome affects somewhere between 1 in 10,000 and 1 in 21,700 live births.</p> Signup and view all the answers

What are some other nondisjunction conditions similar to Patau syndrome?

<p>Other nondisjunction conditions similar to Patau syndrome include Down syndrome and Edwards syndrome.</p> Signup and view all the answers

What is the difference between full trisomy 13 and mosaic Patau syndrome?

<p>Full trisomy 13 is when each cell contains a full extra copy of chromosome 13, while mosaic Patau syndrome is when there are two different lines of cells, one healthy with the correct number of chromosomes 13 and one that contains an extra copy of the chromosome.</p> Signup and view all the answers

What are some causes of Patau syndrome in terms of genetic material?

<p>Patau syndrome can be caused by each cell containing extra genetic material from chromosome 13, either in the form of a full extra copy of the chromosome or an extra partial copy, or due to the presence of two different lines of cells, one healthy and one containing an extra copy of the chromosome (mosaic Patau syndrome).</p> Signup and view all the answers

What causes Patau syndrome?

<p>Patau syndrome results from trisomy 13, where each cell in the body has three copies of chromosome 13 instead of the usual two.</p> Signup and view all the answers

How can Patau syndrome also occur?

<p>It can also occur as a result of a translocation, where part of chromosome 13 becomes attached to another chromosome before or at conception.</p> Signup and view all the answers

Are most cases of Patau syndrome inherited?

<p>Most cases are not inherited but occur as random events during the formation of reproductive cells.</p> Signup and view all the answers

What is the likelihood of having another trisomy 13 affected child if one of the parents is not a carrier of a translocation?

<p>The chances of having another trisomy 13 affected child is less than 1%.</p> Signup and view all the answers

How is the diagnosis of Patau syndrome usually based?

<p>Diagnosis is usually based on clinical findings, although fetal chromosome testing will show trisomy 13.</p> Signup and view all the answers

Why is the quad screen not reliable for screening Patau syndrome?

<p>The quad screen does not reliably screen for this disorder due to variability of results seen in fetuses with Patau.</p> Signup and view all the answers

How is the medical management of children with Trisomy 13 planned?

<p>Medical management of children with Trisomy 13 is planned on a case-by-case basis and depends on the individual circumstances of the patient.</p> Signup and view all the answers

What are the typical outcomes for infants with Patau syndrome?

<p>Approximately 90% of infants with Patau syndrome die within the first year of life, and those who survive are typically severely disabled with intellectual disability, seizures, and psychomotor issues.</p> Signup and view all the answers

When was the chromosomal nature of Trisomy 13 ascertained?

<p>The chromosomal nature of the disease was ascertained in 1960 by Dr. Klaus Patau and Dr. Eeva Therman.</p> Signup and view all the answers

How many diagnoses of Patau syndrome were made prenatally in England and Wales during 2008–09?

<p>During 2008–09, there were 172 diagnoses of Patau syndrome, with 91% of diagnoses made prenatally.</p> Signup and view all the answers

What is Trisomy 18?

<p>Trisomy 18, also known as Edwards syndrome, is a genetic disorder caused by the presence of a third copy of all or part of chromosome 18.</p> Signup and view all the answers

What are some common features of Trisomy 18?

<p>Common features of Trisomy 18 include small size at birth, heart defects, small head, small jaw, clenched fists with overlapping fingers, and severe intellectual disability.</p> Signup and view all the answers

What causes most cases of Trisomy 18?

<p>Most cases of Trisomy 18 occur due to problems during the formation of the reproductive cells or during early development.</p> Signup and view all the answers

How can Trisomy 18 be confirmed during pregnancy?

<p>Trisomy 18 can be confirmed by amniocentesis, which can be preceded by suspicion from an ultrasound during pregnancy.</p> Signup and view all the answers

What is the typical survival rate for individuals with Trisomy 18 beyond a year of life?

<p>Survival beyond a year of life for individuals with Trisomy 18 is around 5–10%.</p> Signup and view all the answers

Who is Trisomy 18 named after?

<p>Trisomy 18 is named after English geneticist John Hilton Edwards, who first described the syndrome in 1960.</p> Signup and view all the answers

What is the risk of having a second child with Trisomy 18 after having one affected child?

<p>After having one child with the condition, the risk of having a second is typically around one percent.</p> Signup and view all the answers

How common is Trisomy 18 at birth?

<p>Trisomy 18 occurs in around 1 in 5,000 live births.</p> Signup and view all the answers

What is the second-most common condition due to a third chromosome at birth?

<p>Trisomy 18 is the second-most common condition due to a third chromosome at birth, after Down syndrome.</p> Signup and view all the answers

What is the chance of Trisomy 18 occurring in relation to the mother's age?

<p>The chance of Trisomy 18 occurring increases with the mother's age.</p> Signup and view all the answers

Describe the characteristics of Edwards' syndrome.

<p>Edwards' syndrome presents with various characteristics, including kidney malformations, heart defects, omphalocele, intellectual disability, and physical malformations such as microcephaly and clubfoot.</p> Signup and view all the answers

What causes Trisomy 18?

<p>The syndrome is caused by the presence of an extra copy of genetic material on the 18th chromosome, either in whole (trisomy 18) or in part (due to translocations), with effects varying depending on the extent of the extra copy, genetic history, and chance.</p> Signup and view all the answers

How does Trisomy 18 occur?

<p>Trisomy 18 occurs due to meiotic nondisjunction, resulting in the presence of three copies of chromosome 18, and is more prevalent in female offspring.</p> Signup and view all the answers

How can the diagnosis of trisomy 18 be confirmed?

<p>Diagnosis of trisomy 18 can be confirmed by ultrasound, chorionic villus sampling (CVS), or amniocentesis, with specific biomarkers such as PAPP-A, AFP, uE3, and free beta HCG being indicative of the condition.</p> Signup and view all the answers

What is the prognosis for trisomy 18?

<p>The prognosis for trisomy 18 is generally poor, with about 95% of affected pregnancies not resulting in live births, and half of live infants not surviving beyond the first week of life.</p> Signup and view all the answers

What is the estimated median lifespan of infants with Trisomy 18?

<p>Trisomy 18 has an estimated median lifespan of five to 15 days, with 8-12% of infants surviving longer than 1 year and only 1% living to age 10, although survival rates may be higher with surgical intervention.</p> Signup and view all the answers

How common is Trisomy 18?

<p>Trisomy 18 occurs in about 1 in 5,000 live births, but more pregnancies are affected as the majority of those diagnosed with the condition prenatally do not survive to birth, and the risk increases with maternal age.</p> Signup and view all the answers

When was Trisomy 18 first identified?

<p>Trisomy 18 was first identified by John Hilton Edwards in 1960, and later confirmed to be caused by an extra chromosome 18, with the average maternal age for conceiving a child with this disorder being 32.5.</p> Signup and view all the answers

What are some associated anomalies with Trisomy 18?

<p>The syndrome is also associated with in utero cardiac anomalies, central nervous system anomalies, and the presence of choroid plexus cysts, which may indicate its presence.</p> Signup and view all the answers

What are some notable causes of death in Trisomy 18?

<p>Notable causes of death in trisomy 18 include apnea and heart abnormalities, making it impossible to predict an exact prognosis during pregnancy or the neonatal period.</p> Signup and view all the answers

Explain the concept of polyploidy and its prevalence in different organisms.

<p>Polyploidy is a condition in which the cells of an organism have more than two pairs of homologous chromosomes. It is especially common in plants and is less common in animals. Most eukaryotes are diploid, but some organisms are polyploid.</p> Signup and view all the answers

Describe the difference between haploid and diploid cells in organisms.

<p>Haploid cells have one set of chromosomes, while diploid cells have two complete sets of chromosomes, one from each parent.</p> Signup and view all the answers

Discuss the process of polyploidy occurrence in organisms.

<p>Polyploidy may occur due to abnormal cell division during mitosis, the failure of chromosomes to separate during meiosis, or from the fertilization of an egg by more than one sperm. It can also be induced in plants and cell cultures by certain chemicals.</p> Signup and view all the answers

Explain the significance of gametophyte and sporophyte generations in plants and multicellular algae.

<p>Plants and multicellular algae have life cycles with two alternating multicellular generations. The gametophyte generation is haploid and produces gametes by mitosis, while the sporophyte generation is diploid and produces spores by meiosis.</p> Signup and view all the answers

What are some common methods of inducing polyploidy in plants and cell cultures?

<p>Polyploidy can be induced by certain chemicals such as colchicine and oryzalin, which can result in chromosome doubling.</p> Signup and view all the answers

What are the implications of polyploidy in the context of abnormal cell division?

<p>Polyploidy can result from abnormal cell division during mitosis or from the failure of chromosomes to separate during meiosis, leading to an abnormal chromosome complement.</p> Signup and view all the answers

Explain the occurrence of polyploidy in different organisms and organs.

<p>Polyploidy is widespread among mammals and occurs in organs such as the brain, liver, heart, and bone marrow. It is also found in somatic cells of animals such as goldfish, salmon, and salamanders, as well as in ferns and flowering plants, including agricultural crops like wheat, Brassica, and sugarcane.</p> Signup and view all the answers

What are the different types of polyploids and how are they labeled?

<p>Polyploid types are labeled according to the number of chromosome sets in the nucleus, such as haploid (1x), diploid (2x), tetraploid (4x), hexaploid (6x), and octaploid (8x).</p> Signup and view all the answers

Describe autopolyploidy and its significance in plants and animals.

<p>Autopolyploids are polyploids with multiple chromosome sets derived from a single taxon. Autotriploidy can result in seedlessness in plants and is utilized in salmon and trout farming to induce sterility. Autopolyploids possess at least three homologous chromosome sets, leading to high rates of multivalent pairing during meiosis and a decrease in fertility.</p> Signup and view all the answers

What are allopolyploids and how do they occur?

<p>Allopolyploids have chromosomes derived from two or more diverged taxa and can occur through the fusion of unreduced gametes from different taxa or after hybridization of diploid F1 hybrids.</p> Signup and view all the answers

How can autopolyploids arise and what methods can induce autopolyploidy artificially?

<p>Autopolyploids may arise from spontaneous, somatic genome doubling, and can also be induced artificially using methods such as protoplast fusion or treatment with colchicine.</p> Signup and view all the answers

What is the significance of polyploidy in genetics, evolution, and agriculture?

<p>Polyploidy is a significant phenomenon with implications for genetics, evolution, and agriculture, and is found in a diverse range of organisms.</p> Signup and view all the answers

Explain why hybridization followed by genome duplication may be a common path to allopolyploidy.

<p>Hybridization followed by genome duplication may be a common path to allopolyploidy because F1 hybrids between taxa often have relatively high rates of unreduced gamete formation, leading to abnormal pairing between homoeologous chromosomes or nondisjunction during meiosis. Allopolyploidy can restore normal, bivalent meiotic pairing by providing each homoeologous chromosome with its own homologue, resulting in rapid restoration of bivalent pairing and disomic inheritance following allopolyploidization.</p> Signup and view all the answers

What is the significance of multivalent pairing in recently formed allopolyploids?

<p>Multivalent pairing is common in many recently formed allopolyploids, indicating that meiotic stabilization occurs gradually through selection, and pairing between homoeologous chromosomes is rare in established allopolyploids.</p> Signup and view all the answers

How may established allopolyploids benefit from fixed heterozygosity of homoeologous alleles?

<p>Established allopolyploids may benefit from fixed heterozygosity of homoeologous alleles, which can have beneficial heterotic effects, either in terms of fitness in natural contexts or desirable traits in agricultural contexts, potentially explaining the prevalence of allopolyploidy among crop species.</p> Signup and view all the answers

Provide examples of allopolyploids and allotetraploids in crop species.

<p>Examples of allopolyploids in crop species include bread wheat and Triticale with six chromosome sets, while examples of allotetraploids include cotton, peanut, and quinoa with multiple origins. In Brassicaceous crops, the Triangle of U describes the relationships between diploid Brassicas and allotetraploids derived from hybridization among the diploid species.</p> Signup and view all the answers

What is aneuploidy and how does it differ from polyploidy?

<p>Aneuploidy refers to a numerical change in part of the chromosome set, whereas polyploidy refers to a numerical change in the whole set of chromosomes. Organisms in which a particular chromosome, or chromosome segment, is under- or over-represented are said to be aneuploid.</p> Signup and view all the answers

Explain the concept of endopolyploidy and provide examples of organisms where it occurs.

<p>Endopolyploidy refers to polyploidy occurring in some tissues of animals that are otherwise diploid. For example, human muscle tissues exhibit endopolyploidy. Additionally, prokaryotes, such as the large bacterium Epulopiscium fishelsoni, may also be polyploid.</p> Signup and view all the answers

What is the significance of the Triangle of U in Brassicaceous crops?

<p>The Triangle of U describes the relationships between the three common diploid Brassicas and three allotetraploids derived from hybridization among the diploid species. It illustrates the complex patterns of allopolyploid evolution in Brassicaceous crops.</p> Signup and view all the answers

What complex patterns of allopolyploid evolution have been observed in animals?

<p>Complex patterns of allopolyploid evolution have been observed in animals, as in the frog genus Xenopus.</p> Signup and view all the answers

Study Notes

Patau Syndrome: Causes, Diagnosis, Treatment, and Prognosis

  • Patau syndrome results from trisomy 13, where each cell in the body has three copies of chromosome 13 instead of the usual two.
  • It can also occur as a result of a translocation, where part of chromosome 13 becomes attached to another chromosome before or at conception.
  • Most cases are not inherited but occur as random events during the formation of reproductive cells.
  • Unless one of the parents is a carrier of a translocation, the chances of having another trisomy 13 affected child is less than 1%.
  • Diagnosis is usually based on clinical findings, although fetal chromosome testing will show trisomy 13.
  • The quad screen does not reliably screen for this disorder due to variability of results seen in fetuses with Patau.
  • Medical management of children with Trisomy 13 is planned on a case-by-case basis and depends on the individual circumstances of the patient.
  • Approximately 90% of infants with Patau syndrome die within the first year of life, and those who survive are typically severely disabled with intellectual disability, seizures, and psychomotor issues.
  • Trisomy 13 was first observed in 1657, but the chromosomal nature of the disease was ascertained in 1960 by Dr. Klaus Patau and Dr. Eeva Therman.
  • In England and Wales during 2008–09, there were 172 diagnoses of Patau syndrome, with 91% of diagnoses made prenatally.
  • There were 111 elective abortions, 14 stillbirth/miscarriage/fetal deaths, 30 outcomes unknown, and 17 live births in that period.
  • A retrospective Canadian study of 174 children with trisomy 13 showed a median survival time of 12.5 days, with one and ten year survival rates of 19.8% and 12.9% respectively.

Trisomy 18: Characteristics, Genetics, Diagnosis, Prognosis, Epidemiology, and History

  • Edwards' syndrome presents with various characteristics, including kidney malformations, heart defects, omphalocele, intellectual disability, and physical malformations such as microcephaly and clubfoot.
  • The syndrome is caused by the presence of an extra copy of genetic material on the 18th chromosome, either in whole (trisomy 18) or in part (due to translocations), with effects varying depending on the extent of the extra copy, genetic history, and chance.
  • Trisomy 18 occurs due to meiotic nondisjunction, resulting in the presence of three copies of chromosome 18, and is more prevalent in female offspring.
  • Diagnosis of trisomy 18 can be confirmed by ultrasound, chorionic villus sampling (CVS), or amniocentesis, with specific biomarkers such as PAPP-A, AFP, uE3, and free beta HCG being indicative of the condition.
  • The prognosis for trisomy 18 is generally poor, with about 95% of affected pregnancies not resulting in live births, and half of live infants not surviving beyond the first week of life.
  • Trisomy 18 has an estimated median lifespan of five to 15 days, with 8-12% of infants surviving longer than 1 year and only 1% living to age 10, although survival rates may be higher with surgical intervention.
  • Trisomy 18 occurs in about 1 in 5,000 live births, but more pregnancies are affected as the majority of those diagnosed with the condition prenatally do not survive to birth, and the risk increases with maternal age.
  • Trisomy 18 was first identified by John Hilton Edwards in 1960, and later confirmed to be caused by an extra chromosome 18, with the average maternal age for conceiving a child with this disorder being 32.5.
  • The syndrome is also associated with in utero cardiac anomalies, central nervous system anomalies, and the presence of choroid plexus cysts, which may indicate its presence.
  • Notable causes of death in trisomy 18 include apnea and heart abnormalities, making it impossible to predict an exact prognosis during pregnancy or the neonatal period.
  • The syndrome may also present with excess amniotic fluid or polyhydramnios, and very rarely with Dandy–Walker malformation, with a small percentage of cases being mosaic trisomy 18 or resulting from translocations.
  • While the syndrome is rare, it has significant implications for prenatal diagnosis, with a majority of affected pregnancies not resulting in live births and a poor overall prognosis for affected infants.

Polyploidy and its occurrence in different organisms

  • Polyploidy is widespread among mammals and occurs in organs such as the brain, liver, heart, and bone marrow.
  • It is also found in somatic cells of animals such as goldfish, salmon, and salamanders, as well as in ferns and flowering plants, including agricultural crops like wheat, Brassica, and sugarcane.
  • Polyploidization can lead to sympatric speciation, as polyploids are often unable to interbreed with their diploid ancestors.
  • Polyploid types are labeled according to the number of chromosome sets in the nucleus, such as haploid (1x), diploid (2x), tetraploid (4x), hexaploid (6x), and octaploid (8x).
  • Autopolyploids are polyploids with multiple chromosome sets derived from a single taxon, and can result from the fusion of unreduced gametes, leading to triploid or tetraploid offspring.
  • Autotriploidy can result in seedlessness in plants and is utilized in salmon and trout farming to induce sterility.
  • Autopolyploids may arise from spontaneous, somatic genome doubling, and can also be induced artificially using methods such as protoplast fusion or treatment with colchicine.
  • Autopolyploids possess at least three homologous chromosome sets, leading to high rates of multivalent pairing during meiosis and a decrease in fertility.
  • Allopolyploids have chromosomes derived from two or more diverged taxa and can occur through the fusion of unreduced gametes from different taxa or after hybridization of diploid F1 hybrids.
  • Polyploids that fall between autopolyploids and allopolyploids may display intermediate levels of polysomic inheritance and are referred to as segmental allopolyploids.
  • About half of all polyploids are thought to be the result of autopolyploidy, although the exact proportion is hard to estimate.
  • Polyploidy is a significant phenomenon with implications for genetics, evolution, and agriculture, and is found in a diverse range of organisms.

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Test your knowledge about Patau Syndrome with this quiz covering causes, diagnosis, treatment, and prognosis. Explore the genetic basis, diagnostic methods, medical management, and survival rates associated with this rare chromosomal disorder.

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