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What is Patau syndrome?
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?
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?
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?
How is mosaic Patau syndrome caused?
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What is the average maternal age at pregnancy for an increased risk of Patau syndrome?
What is the average maternal age at pregnancy for an increased risk of Patau syndrome?
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What are the effects of Patau syndrome on normal development?
What are the effects of Patau syndrome on normal development?
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How common is Patau syndrome?
How common is Patau syndrome?
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What are some other nondisjunction conditions similar to Patau syndrome?
What are some other nondisjunction conditions similar to Patau syndrome?
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What is the difference between full trisomy 13 and mosaic Patau syndrome?
What is the difference between full trisomy 13 and mosaic Patau syndrome?
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What are some causes of Patau syndrome in terms of genetic material?
What are some causes of Patau syndrome in terms of genetic material?
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What causes Patau syndrome?
What causes Patau syndrome?
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How can Patau syndrome also occur?
How can Patau syndrome also occur?
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Are most cases of Patau syndrome inherited?
Are most cases of Patau syndrome inherited?
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What is the likelihood of having another trisomy 13 affected child if one of the parents is not a carrier of a translocation?
What is the likelihood of having another trisomy 13 affected child if one of the parents is not a carrier of a translocation?
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How is the diagnosis of Patau syndrome usually based?
How is the diagnosis of Patau syndrome usually based?
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Why is the quad screen not reliable for screening Patau syndrome?
Why is the quad screen not reliable for screening Patau syndrome?
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How is the medical management of children with Trisomy 13 planned?
How is the medical management of children with Trisomy 13 planned?
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What are the typical outcomes for infants with Patau syndrome?
What are the typical outcomes for infants with Patau syndrome?
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When was the chromosomal nature of Trisomy 13 ascertained?
When was the chromosomal nature of Trisomy 13 ascertained?
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How many diagnoses of Patau syndrome were made prenatally in England and Wales during 2008–09?
How many diagnoses of Patau syndrome were made prenatally in England and Wales during 2008–09?
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What is Trisomy 18?
What is Trisomy 18?
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What are some common features of Trisomy 18?
What are some common features of Trisomy 18?
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What causes most cases of Trisomy 18?
What causes most cases of Trisomy 18?
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How can Trisomy 18 be confirmed during pregnancy?
How can Trisomy 18 be confirmed during pregnancy?
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What is the typical survival rate for individuals with Trisomy 18 beyond a year of life?
What is the typical survival rate for individuals with Trisomy 18 beyond a year of life?
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Who is Trisomy 18 named after?
Who is Trisomy 18 named after?
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What is the risk of having a second child with Trisomy 18 after having one affected child?
What is the risk of having a second child with Trisomy 18 after having one affected child?
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How common is Trisomy 18 at birth?
How common is Trisomy 18 at birth?
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What is the second-most common condition due to a third chromosome at birth?
What is the second-most common condition due to a third chromosome at birth?
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What is the chance of Trisomy 18 occurring in relation to the mother's age?
What is the chance of Trisomy 18 occurring in relation to the mother's age?
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Describe the characteristics of Edwards' syndrome.
Describe the characteristics of Edwards' syndrome.
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What causes Trisomy 18?
What causes Trisomy 18?
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How does Trisomy 18 occur?
How does Trisomy 18 occur?
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How can the diagnosis of trisomy 18 be confirmed?
How can the diagnosis of trisomy 18 be confirmed?
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What is the prognosis for trisomy 18?
What is the prognosis for trisomy 18?
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What is the estimated median lifespan of infants with Trisomy 18?
What is the estimated median lifespan of infants with Trisomy 18?
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How common is Trisomy 18?
How common is Trisomy 18?
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When was Trisomy 18 first identified?
When was Trisomy 18 first identified?
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What are some associated anomalies with Trisomy 18?
What are some associated anomalies with Trisomy 18?
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What are some notable causes of death in Trisomy 18?
What are some notable causes of death in Trisomy 18?
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Explain the concept of polyploidy and its prevalence in different organisms.
Explain the concept of polyploidy and its prevalence in different organisms.
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Describe the difference between haploid and diploid cells in organisms.
Describe the difference between haploid and diploid cells in organisms.
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Discuss the process of polyploidy occurrence in organisms.
Discuss the process of polyploidy occurrence in organisms.
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Explain the significance of gametophyte and sporophyte generations in plants and multicellular algae.
Explain the significance of gametophyte and sporophyte generations in plants and multicellular algae.
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What are some common methods of inducing polyploidy in plants and cell cultures?
What are some common methods of inducing polyploidy in plants and cell cultures?
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What are the implications of polyploidy in the context of abnormal cell division?
What are the implications of polyploidy in the context of abnormal cell division?
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Explain the occurrence of polyploidy in different organisms and organs.
Explain the occurrence of polyploidy in different organisms and organs.
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What are the different types of polyploids and how are they labeled?
What are the different types of polyploids and how are they labeled?
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Describe autopolyploidy and its significance in plants and animals.
Describe autopolyploidy and its significance in plants and animals.
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What are allopolyploids and how do they occur?
What are allopolyploids and how do they occur?
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How can autopolyploids arise and what methods can induce autopolyploidy artificially?
How can autopolyploids arise and what methods can induce autopolyploidy artificially?
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What is the significance of polyploidy in genetics, evolution, and agriculture?
What is the significance of polyploidy in genetics, evolution, and agriculture?
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Explain why hybridization followed by genome duplication may be a common path to allopolyploidy.
Explain why hybridization followed by genome duplication may be a common path to allopolyploidy.
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What is the significance of multivalent pairing in recently formed allopolyploids?
What is the significance of multivalent pairing in recently formed allopolyploids?
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How may established allopolyploids benefit from fixed heterozygosity of homoeologous alleles?
How may established allopolyploids benefit from fixed heterozygosity of homoeologous alleles?
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Provide examples of allopolyploids and allotetraploids in crop species.
Provide examples of allopolyploids and allotetraploids in crop species.
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What is aneuploidy and how does it differ from polyploidy?
What is aneuploidy and how does it differ from polyploidy?
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Explain the concept of endopolyploidy and provide examples of organisms where it occurs.
Explain the concept of endopolyploidy and provide examples of organisms where it occurs.
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What is the significance of the Triangle of U in Brassicaceous crops?
What is the significance of the Triangle of U in Brassicaceous crops?
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What complex patterns of allopolyploid evolution have been observed in animals?
What complex patterns of allopolyploid evolution have been observed in animals?
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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.