3 epigenetics
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Questions and Answers

In a female heterozygous for an X-linked recessive mutation, what factor primarily determines whether a disease phenotype will manifest?

  • Whether the X chromosome carrying the mutant allele gets predominantly inactivated or not. (correct)
  • The overall level of MECP2 expression.
  • The specific type of mutation present on the X chromosome.
  • The degree of symmetry in methylation patterns across the genome.

What is the primary role of the MECP2 protein, as described in the provided content?

  • To catalyze the methylation of cytosine residues in CpG islands.
  • To function as structural component within neuronal cells.
  • To regulate gene transcription by binding to methylated DNA. (correct)
  • To directly facilitate DNA replication.

What explains the observed differences in phenotype between monozygotic female twins who both carry the same X-linked mutation?

  • Differential expression of X-linked genes caused by skewed X-inactivation patterns. (correct)
  • Post-translational modifications of MECP2 protein being different in each twin.
  • The twins having different types of mutations on the X-chromosome.
  • The level of CpG island methylation in both twins is different.

If a female has a dominant mutation on one of her X chromosomes, what scenario will most likely result in a 'normal' phenotype?

<p>The mutant X chromosome is predominantly inactivated. (C)</p> Signup and view all the answers

Which of the following statements accurately describes the function of the X-inactivation center (XIC)?

<p>It is a <em>cis</em>-acting master switch locus that controls X inactivation. (A)</p> Signup and view all the answers

In mice exhibiting symptoms similar to human Rett syndrome, how were the neurodevelopmental symptoms reversed in a milestone study?

<p>By restoring expression of the MECP2 protein. (D)</p> Signup and view all the answers

What is the primary role of the Xist RNA transcript in X-inactivation?

<p>To coat the inactive X chromosome territory and initiate silencing. (C)</p> Signup and view all the answers

Which of these options correctly describes the relationship between Xist and Tsix RNA?

<p><em>Xist</em> RNA is a non-coding transcript from the inactive X, while <em>Tsix</em> is an antisense RNA transcript to <em>Xist</em>. (A)</p> Signup and view all the answers

What is the composition of the Barr body during X-inactivation?

<p>It is a heterochromatic structure formed by the inactive X chromosome. (C)</p> Signup and view all the answers

In the context of X-chromosome inactivation, what distinguishes the chromatin of the active X chromosome (Xa) from that of the inactive X chromosome (Xi)?

<p>Xa exhibits enriched levels of histone H3 lysine 4 trimethylation on promoters, while Xi does not. (B)</p> Signup and view all the answers

Which of the following is a later, or 'maintenance' mechanism that helps to stabilize X-inactivation after it has been established?

<p>DNA methylation. (A)</p> Signup and view all the answers

What is the significance of random X-inactivation?

<p>It establishes clonal inheritance of the inactive X chromosome. (D)</p> Signup and view all the answers

Why do cloned cats sometimes exhibit different coat patterns from their 'parent' even if they are genetically identical?

<p>The reactivated X-chromosomes undergo random inactivation, resulting in a different coat pattern. (A)</p> Signup and view all the answers

If a female is a carrier for an X-linked recessive disorder, what is the probability that her son will inherit the disease?

<p>50% (D)</p> Signup and view all the answers

If a male with an X-linked recessive condition has children, what is the expected outcome for his daughters?

<p>All daughters will be carriers of the condition. (C)</p> Signup and view all the answers

A female is diagnosed with an X-linked recessive disorder. What must be true about her genotype?

<p>She has two copies of the faulty gene. (B)</p> Signup and view all the answers

Which of the following best describes the inheritance pattern for Haemophilia A?

<p>X-linked recessive (D)</p> Signup and view all the answers

If a woman without the disease has a father with an X-linked recessive condition, what is the chance she will pass the carrier status to each of her own children?

<p>50% for her sons and 50% for her daughters (A)</p> Signup and view all the answers

What is the estimated frequency of Haemophilia A in male live births?

<p>5 in 100,000 (C)</p> Signup and view all the answers

A female is a carrier for a X-linked recessive gene. She has a child with a man who does not carry the same X-linked recessive gene. What fraction of her daughters will be carriers?

<p>2/4 (C)</p> Signup and view all the answers

What is a symptom of Haemophilia A related to joint and muscle tissue?

<p>Easy bruising and haemorrhages (A)</p> Signup and view all the answers

A male child presents with symptoms of X-linked Hypohidrotic Ectodermal Dysplasia. Which parent must carry the mutated gene?

<p>Only the mother, as she is a carrier of the recessive gene. (C)</p> Signup and view all the answers

Why might a female with an X-linked recessive condition exhibit some symptoms, despite having a second X chromosome?

<p>Due to skewed X-inactivation, where the normal allele is silenced. (C)</p> Signup and view all the answers

A father with an X-linked dominant condition has children. What is the probability that his daughters will inherit the mutation?

<p>100% (B)</p> Signup and view all the answers

In an X-linked recessive disease that affects males more severely, what would the typical phenotype of a female with a heterozygous genotype be?

<p>A milder form of the disease, or no apparent effect. (B)</p> Signup and view all the answers

A starch-iodine test shows a patient has areas of brown and yellow colouration on their skin. What does that indicate?

<p>The patient has areas where they are unable to sweat, and other areas where they can sweat. (B)</p> Signup and view all the answers

Which of the following describes the inheritance pattern of Rett Syndrome?

<p>X-linked dominant, primarily affecting females, lethal in males. (C)</p> Signup and view all the answers

What aspect of X-linked recessive inheritance makes females less often affected than males?

<p>Females can be carriers with only one recessive allele on their X chromosomes. (A)</p> Signup and view all the answers

If a mutation occurs in the ectodysplasin-A (EDA) gene, which arises in ectodermal lineages, what specific symptoms are directly related to this?

<p>Defects in hair, teeth, and sweat glands. (B)</p> Signup and view all the answers

A mother with an X-linked dominant condition marries a normal male. What is the probability of their children being affected?

<p>50% of all children, regardless of sex (D)</p> Signup and view all the answers

A child shows signs of autism, regression of skills, and stereotypical hand movements. How could this relate to the genetics, according to the text?

<p>They might have Rett Syndrome due to a mutation in the MECP2 gene. (C)</p> Signup and view all the answers

Why can females with a dominant X-linked condition sometimes appear phenotypically normal?

<p>Due to random X-inactivation, leading to a mosaic of normal and abnormal cells. (D)</p> Signup and view all the answers

In the diagram provided, which event leads to a mix of cells with and without the mutated allele in females?

<p>Random X-inactivation (D)</p> Signup and view all the answers

If a female is a carrier for an X-linked condition where the phenotype depends on a circulating product, how might her clinical presentation differ from that of a male with the condition?

<p>She is more likely to have an intermediate phenotype and be clinically unaffected. (A)</p> Signup and view all the answers

According to the content, which of the following is a feature of X-linked conditions where the phenotype is localised to individual cells?

<p>Patchy expression of normal and abnormal tissue may be observed in female carriers. (D)</p> Signup and view all the answers

How does the effect of X-inactivation differ in a condition like hemophilia versus a condition like hypohidrotic ectodermal dysplasia?

<p>In hemophilia, there is an ‘averaging effect’ due to the circulating product, whereas in hypohidrotic ectodermal dysplasia, each cell’s phenotype is expressed individually. (B)</p> Signup and view all the answers

In a cell where the normal allele is active due to random X-inactivation, what is the expected phenotype in that cell?

<p>The cell will express the normal phenotype. (A)</p> Signup and view all the answers

What is the consequence of 'clonal inheritance of inactivated X'?

<p>Cells that originate from a cell with a particular inactivated X chromosome will all have the same inactivated X. (B)</p> Signup and view all the answers

Which of the following is most likely a characteristic feature of a female carrier for hypohidrotic ectodermal dysplasia?

<p>Patches of skin with normal sweat glands and other patches with absent sweat glands. (C)</p> Signup and view all the answers

If a female carrier’s cells containing an active mutated allele give rise to new cells, what characteristic would these new cells display?

<p>They will continue to express the mutated phenotype. (C)</p> Signup and view all the answers

Which best describes the relationship between X-inactivation and phenotype?

<p>X-inactivation can result in either normal or mutated allele expression in different cells. (D)</p> Signup and view all the answers

Flashcards

X-inactivation

One active X chromosome and one inactive X chromosome are present in female cells for dosage compensation.

Barr Body

The inactive X chromosome in female cells condenses into a dense structure called the Barr Body.

What is Xist?

Xist is an essential non-coding RNA transcribed from the X-inactivation center (XIC) of the inactive X chromosome. It coats the inactive X chromosome and triggers silencing.

What is Tsix?

Tsix is a non-coding RNA transcribed antisense to Xist and serves as a regulator for Xist expression.

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X-Inactivation process

Xist-dependent silencing occurs in a step-by-step process involving primary and secondary silencing factors, and ultimately leads to long-term maintenance of the inactive X chromosome.

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Chromatin modifications on the inactive X chromosome

The inactive X chromosome is characterized by specific chromatin modifications, such as histone deacetylation, DNA methylation, and enrichment of specific histone variants, all contributing to gene silencing.

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How is the inactive X chromosome inherited?

The X-inactivation status is inherited through cell division, ensuring that the same X chromosome remains inactive in all daughter cells.

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Coat color variation in cloned animals

The process by which cloned individuals, despite being genetically identical, can exhibit different coat patterns due to the random nature of X-inactivation in each cell during early development.

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X-linked disorders

Genetic disorders caused by mutations in genes located on the X chromosome. These disorders are often more prevalent in males because they only have one X chromosome, whereas females have two.

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X-linked recessive inheritance

A pattern of inheritance where a recessive mutation on the X chromosome is passed from a parent to their child. The expression of the disorder can vary depending on the sex of the child and which parent carries the mutation.

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Carrier

A female individual who carries a recessive mutation on one of her X chromosomes but does not exhibit the disorder. She can still pass the mutation on to her children.

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Homozygous for X-linked recessive disorder

An individual with two copies of the mutated gene, one on each X chromosome, resulting in the expression of the X-linked recessive disorder.

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Haemophilia A

A bleeding disorder caused by a deficiency in clotting factor VIII, a protein crucial for blood clotting. It is an X-linked recessive disorder.

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Maternal transmission

An individual who inherits a mutation on the X chromosome from their mother.

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Paternal transmission

An individual who inherits a mutation on the X chromosome from their father.

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X-linked Disorders in Heterozygous Females

X-linked disorders can affect females with the same mutation in different ways depending on which X chromosome is predominantly inactivated. If the mutant X is inactivated, they have a normal phenotype, but if the normal X is inactivated, they exhibit the disease phenotype.

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Skewed X-inactivation in Twins

Monozygotic, identical twins with the same X-linked mutation can show varying phenotypes due to skewed X-inactivation. One twin might inactivate their mutant X (normal phenotype), while the other inactivates their normal X (disease phenotype).

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Rett Syndrome

Rett syndrome is a neurodevelopmental disorder caused by mutations in the MECP2 gene, which encodes a protein crucial for regulating gene expression by binding to methylated DNA regions.

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MECP2 Restoration in Mice

Researchers have developed a knock-out mouse model for Rett syndrome that mimics many human symptoms, and a study showed that restoring MECP2 expression in these mice reversed neurological issues and extended lifespan.

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Reactivating an Inactive X Chromosome

Current understanding of X-inactivation suggests it's a stable process in most cells once established. Reactivating an inactive X chromosome could be challenging, but potential therapeutic strategies are being explored for Rett syndrome and other X-linked disorders.

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Dominant X-linked condition in females

Females with a dominant X-linked condition can have a normal phenotype if the dominant allele is on the active X chromosome.

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Recessive X-linked condition in females

Females with a recessive X-linked condition can be carriers, meaning they have one normal and one mutated allele.

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Averaging effect in X linked recessive conditions

In conditions where the phenotype depends on a circulating product, the effect of the mutated allele is averaged out in females due to having both normal and mutant cells.

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Intermediate phenotype in female carriers

Female carriers of X-linked recessive conditions can have an intermediate phenotype due to the averaging effect of normal and abnormal cells.

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Mosaic phenotype in X-linked recessive conditions

Females with a recessive X-linked condition can show patches of normal and abnormal tissues if the phenotype is a localized property of individual cells.

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Mosaic phenotype in female carriers

In conditions where the phenotype is a localized property of individual cells, female carriers can have a mosaic phenotype, showing patches of normal and abnormal tissues. This is because the inactivation of the X chromosome is random, leading to different tissues with different X chromosome expressions.

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Examples of X-linked recessive conditions with mosaic phenotype

Hypohidrotic ectodermal dysplasia and Duchenne muscular dystrophy are examples of X-linked recessive conditions where female carriers show patches of normal and abnormal tissue.

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Example of X-linked recessive condition with averaging effect

Haemophilia A is an example of an X-linked recessive condition where female carriers have an intermediate phenotype, clinically unaffected, but biochemically abnormal.

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X-linked Hypohidrotic Ectodermal Dysplasia

A genetic disorder that affects the development of hair, teeth, and sweat glands, primarily affecting males due to its X-linked recessive inheritance.

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Ectodysplasin-A (EDA) gene

A gene located on the X chromosome that is responsible for the development of ectodermal structures such as hair, teeth, and sweat glands. Mutations in this gene cause X-linked Hypohidrotic Ectodermal Dysplasia.

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X-linked Dominant Inheritance

A condition where individuals inherit a single copy of a dominant gene mutation on the X chromosome.

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Mosaicism in X-linked Recessive Conditions

Females with a recessive X-linked condition may experience some symptoms due to random X-inactivation where some cells express the mutated gene.

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Starch-iodine Test

A test used to determine the functionality of sweat glands. Areas with functional sweat glands turn brown due to iodine reaction, while areas without functional sweat glands remain yellow.

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Heterozygous

The state of having two different alleles, one from each parent, for a particular gene.

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Homozygous

The state of having two identical copies of an allele for a specific gene.

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Non-penetrance

A genetic condition where a person inherits a dominant gene mutation but does not show any symptoms.

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Study Notes

Epigenetics and Underlying Principles

  • Epigenetics studies changes in gene expression without altering the underlying DNA sequence.
  • This involves processes like X-inactivation.

Sugar in First 1,000 Days Linked to Poor Health Later

  • Early childhood diet, specifically the first 1,000 days after birth, correlates with later health outcomes.
  • High sugar intake during those crucial developmental years can negatively impact later health.

X-inactivation

  • Mammals use epigenetic mechanisms to inactivate one X chromosome in each female cell.

  • This is a form of dosage compensation.

  • The inactive X chromosome appears as a Barr body.

  • The X-inactivation center (XIC) controls the process

  • X-inactivation is a sequential process involving Xist RNA, chromatin modification, and DNA methylation.

  • Xist RNA coats inactive X chromosome territory.

  • Inactivation starts at the X-inactivation center which is a cis-acting master switch. Xic in the mouse, and XIC in humans.

  • X inactivation initially starts at the X inactive center

  • 80% of the distal region of the X chromosome.

  • A second non-coding RNA, Tsix , is expressed on the opposite strand of the Xist gene to ensure correct expression.

  • The inactive X chromosome adopts a heterochromatic structure known as a "Barr body".

  • Chromatin features in active vs. inactive X chromosomes differ significantly regarding histone modifications and DNA methylation

  • Once established, inactivation is maintained by DNA methylation.

  • X-inactivation is random which means each cell randomly inactivates either a maternal or paternal X chromosome.

  • Some disorders are X-linked recessive; the X-linked recessive disorder is passed down from the female parent, 50 percent of male children will have the disease while 50 percent of the female children will be carriers. - If the mutant gene is passed from the male parent: None of male children will have the disease; All female children will be carriers

  • Inactivation of one X chromosome in females is a clonal event. This means all cells derived from an individual cell inherit the same X chromosome inactivation pattern.

  • X-linked disorders influence inheritance patterns.

  • Disorders depend heavily on the expression and/or inactivation of the X chromosome, for example if a female is a carrier of an X-linked recessive disease and has a skewed inactivation pattern. The skewed X inactivation pattern means that a disproportionate amount of the cells are inactivating one X chromosome over the other.

  • The X chromosome patterns (inactivation)can have effects on the phenotype such as creating varied outcomes in heterozygous females.

  • Diseases such as haemophilia A and Hypohidrotic Ectodermal Dysplasia, display different symptoms in individuals with skewed X-inactivation patterns.

  • Females with recessive X-linked conditions can manifest symptoms.

  • Heterozygous females with dominant X-linked conditions can remain phenotypically normal.

  • Monozygotic female twins can be discordant for X-linked conditions, This shows that skewed X-inactivation can affect the phenotype of individuals with the same genetic makeup and inheritance patterns.

Learning Outcomes/Summary

  • X-inactivation resolves the difference in the number of genes between the X and Y chromosomes.
  • X -inactivation is a sequential process that originates from the X inactive center (XIC).
  • X-inactivation involves non-coding RNAs, histone modification, DNA methylation and histone variants
  • X-inactivation is a clonal process
  • X-linked genetic conditions exhibit traits of Mendelian inheritance; BUT some females carrying dominant mutations can be phenotypically normal or manifest symptoms from skewed X-inactivation and some females carrying recessive mutations can be phenotypically normal or reveal abnormal traits due to skewed X-inactivation.

Cure for Rett Syndrome?

  • Rett syndrome is caused by mutations in the methyl-CpG-binding protein 2 (MECP2).
  • The protein MECP2, is especially abundant in neurons and functions as a global transcriptional regulator,
  • MECP2 acts by specifically binding to methylated DNA.

Knock-out Mouse and Phenotypes

  • A knock-out mouse captures a broad range of phenotypes seen in human patients. A spectrum of phenotypes were seen when a knock out mouse was used to capture the spectrum of phenotypes that occur for knock- out mouse models using a human disease model.
  • A milestone study showed that restoring MECP2 expression reversed neurological symptoms and normalizes lifespan in a mouse model.

X Chromosome Reactivation

  • X chromosome reactivation typically occurs in the very early stages of embryonic development but is possible in vitro as seen when cells are reprogrammed into iPS cells.

Dual Modality in Vivo Approach

  • Combining Xist-binding antisense oligonucleotides with DNA methylation inhibitors boosts MECP2 expression in inactive X chromosomes up to 30,000-fold in cell lines or studies.

Brain-specific Approach

  • A brain-specific approach that uses a conditional Xist allele and a brain-specific cre recombinase is possible in mice but not yet applicable to humans.
  • AzaC, an alternative approach, when used for long periods of time, causes toxicity.
  • Introducing a normal copy of MECP2 into cells via gene therapy is another potential treatment method.

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Description

This quiz covers key concepts related to X-linked disorders, focusing on mechanisms like X-inactivation and the implications of mutations. It explores how these factors influence disease phenotype, particularly in females who are carriers. Additionally, questions delve into specific proteins and RNA functions critical to understanding X-linked conditions.

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