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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?
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?
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?
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?
If a female has a dominant mutation on one of her X chromosomes, what scenario will most likely result in a 'normal' phenotype?
Which of the following statements accurately describes the function of the X-inactivation center (XIC)?
Which of the following statements accurately describes the function of the X-inactivation center (XIC)?
In mice exhibiting symptoms similar to human Rett syndrome, how were the neurodevelopmental symptoms reversed in a milestone study?
In mice exhibiting symptoms similar to human Rett syndrome, how were the neurodevelopmental symptoms reversed in a milestone study?
What is the primary role of the Xist RNA transcript in X-inactivation?
What is the primary role of the Xist RNA transcript in X-inactivation?
Which of these options correctly describes the relationship between Xist and Tsix RNA?
Which of these options correctly describes the relationship between Xist and Tsix RNA?
What is the composition of the Barr body during X-inactivation?
What is the composition of the Barr body during X-inactivation?
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)?
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)?
Which of the following is a later, or 'maintenance' mechanism that helps to stabilize X-inactivation after it has been established?
Which of the following is a later, or 'maintenance' mechanism that helps to stabilize X-inactivation after it has been established?
What is the significance of random X-inactivation?
What is the significance of random X-inactivation?
Why do cloned cats sometimes exhibit different coat patterns from their 'parent' even if they are genetically identical?
Why do cloned cats sometimes exhibit different coat patterns from their 'parent' even if they are genetically identical?
If a female is a carrier for an X-linked recessive disorder, what is the probability that her son will inherit the disease?
If a female is a carrier for an X-linked recessive disorder, what is the probability that her son will inherit the disease?
If a male with an X-linked recessive condition has children, what is the expected outcome for his daughters?
If a male with an X-linked recessive condition has children, what is the expected outcome for his daughters?
A female is diagnosed with an X-linked recessive disorder. What must be true about her genotype?
A female is diagnosed with an X-linked recessive disorder. What must be true about her genotype?
Which of the following best describes the inheritance pattern for Haemophilia A?
Which of the following best describes the inheritance pattern for Haemophilia A?
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?
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?
What is the estimated frequency of Haemophilia A in male live births?
What is the estimated frequency of Haemophilia A in male live births?
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?
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?
What is a symptom of Haemophilia A related to joint and muscle tissue?
What is a symptom of Haemophilia A related to joint and muscle tissue?
A male child presents with symptoms of X-linked Hypohidrotic Ectodermal Dysplasia. Which parent must carry the mutated gene?
A male child presents with symptoms of X-linked Hypohidrotic Ectodermal Dysplasia. Which parent must carry the mutated gene?
Why might a female with an X-linked recessive condition exhibit some symptoms, despite having a second X chromosome?
Why might a female with an X-linked recessive condition exhibit some symptoms, despite having a second X chromosome?
A father with an X-linked dominant condition has children. What is the probability that his daughters will inherit the mutation?
A father with an X-linked dominant condition has children. What is the probability that his daughters will inherit the mutation?
In an X-linked recessive disease that affects males more severely, what would the typical phenotype of a female with a heterozygous genotype be?
In an X-linked recessive disease that affects males more severely, what would the typical phenotype of a female with a heterozygous genotype be?
A starch-iodine test shows a patient has areas of brown and yellow colouration on their skin. What does that indicate?
A starch-iodine test shows a patient has areas of brown and yellow colouration on their skin. What does that indicate?
Which of the following describes the inheritance pattern of Rett Syndrome?
Which of the following describes the inheritance pattern of Rett Syndrome?
What aspect of X-linked recessive inheritance makes females less often affected than males?
What aspect of X-linked recessive inheritance makes females less often affected than males?
If a mutation occurs in the ectodysplasin-A (EDA) gene, which arises in ectodermal lineages, what specific symptoms are directly related to this?
If a mutation occurs in the ectodysplasin-A (EDA) gene, which arises in ectodermal lineages, what specific symptoms are directly related to this?
A mother with an X-linked dominant condition marries a normal male. What is the probability of their children being affected?
A mother with an X-linked dominant condition marries a normal male. What is the probability of their children being affected?
A child shows signs of autism, regression of skills, and stereotypical hand movements. How could this relate to the genetics, according to the text?
A child shows signs of autism, regression of skills, and stereotypical hand movements. How could this relate to the genetics, according to the text?
Why can females with a dominant X-linked condition sometimes appear phenotypically normal?
Why can females with a dominant X-linked condition sometimes appear phenotypically normal?
In the diagram provided, which event leads to a mix of cells with and without the mutated allele in females?
In the diagram provided, which event leads to a mix of cells with and without the mutated allele in females?
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?
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?
According to the content, which of the following is a feature of X-linked conditions where the phenotype is localised to individual cells?
According to the content, which of the following is a feature of X-linked conditions where the phenotype is localised to individual cells?
How does the effect of X-inactivation differ in a condition like hemophilia versus a condition like hypohidrotic ectodermal dysplasia?
How does the effect of X-inactivation differ in a condition like hemophilia versus a condition like hypohidrotic ectodermal dysplasia?
In a cell where the normal allele is active due to random X-inactivation, what is the expected phenotype in that cell?
In a cell where the normal allele is active due to random X-inactivation, what is the expected phenotype in that cell?
What is the consequence of 'clonal inheritance of inactivated X'?
What is the consequence of 'clonal inheritance of inactivated X'?
Which of the following is most likely a characteristic feature of a female carrier for hypohidrotic ectodermal dysplasia?
Which of the following is most likely a characteristic feature of a female carrier for hypohidrotic ectodermal dysplasia?
If a female carrier’s cells containing an active mutated allele give rise to new cells, what characteristic would these new cells display?
If a female carrier’s cells containing an active mutated allele give rise to new cells, what characteristic would these new cells display?
Which best describes the relationship between X-inactivation and phenotype?
Which best describes the relationship between X-inactivation and phenotype?
Flashcards
X-inactivation
X-inactivation
One active X chromosome and one inactive X chromosome are present in female cells for dosage compensation.
Barr Body
Barr Body
The inactive X chromosome in female cells condenses into a dense structure called the Barr Body.
What is Xist?
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?
What is Tsix?
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X-Inactivation process
X-Inactivation process
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Chromatin modifications on the inactive X chromosome
Chromatin modifications on the inactive X chromosome
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How is the inactive X chromosome inherited?
How is the inactive X chromosome inherited?
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Coat color variation in cloned animals
Coat color variation in cloned animals
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X-linked disorders
X-linked disorders
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X-linked recessive inheritance
X-linked recessive inheritance
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Carrier
Carrier
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Homozygous for X-linked recessive disorder
Homozygous for X-linked recessive disorder
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Haemophilia A
Haemophilia A
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Maternal transmission
Maternal transmission
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Paternal transmission
Paternal transmission
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X-linked Disorders in Heterozygous Females
X-linked Disorders in Heterozygous Females
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Skewed X-inactivation in Twins
Skewed X-inactivation in Twins
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Rett Syndrome
Rett Syndrome
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MECP2 Restoration in Mice
MECP2 Restoration in Mice
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Reactivating an Inactive X Chromosome
Reactivating an Inactive X Chromosome
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Dominant X-linked condition in females
Dominant X-linked condition in females
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Recessive X-linked condition in females
Recessive X-linked condition in females
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Averaging effect in X linked recessive conditions
Averaging effect in X linked recessive conditions
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Intermediate phenotype in female carriers
Intermediate phenotype in female carriers
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Mosaic phenotype in X-linked recessive conditions
Mosaic phenotype in X-linked recessive conditions
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Mosaic phenotype in female carriers
Mosaic phenotype in female carriers
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Examples of X-linked recessive conditions with mosaic phenotype
Examples of X-linked recessive conditions with mosaic phenotype
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Example of X-linked recessive condition with averaging effect
Example of X-linked recessive condition with averaging effect
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X-linked Hypohidrotic Ectodermal Dysplasia
X-linked Hypohidrotic Ectodermal Dysplasia
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Ectodysplasin-A (EDA) gene
Ectodysplasin-A (EDA) gene
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X-linked Dominant Inheritance
X-linked Dominant Inheritance
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Mosaicism in X-linked Recessive Conditions
Mosaicism in X-linked Recessive Conditions
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Starch-iodine Test
Starch-iodine Test
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Heterozygous
Heterozygous
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Homozygous
Homozygous
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Non-penetrance
Non-penetrance
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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
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Mammals use epigenetic mechanisms to inactivate one X chromosome in each female cell.
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This is a form of dosage compensation.
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The inactive X chromosome appears as a Barr body.
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The X-inactivation center (XIC) controls the process
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X-inactivation is a sequential process involving Xist RNA, chromatin modification, and DNA methylation.
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Xist RNA coats inactive X chromosome territory.
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Inactivation starts at the X-inactivation center which is a cis-acting master switch. Xic in the mouse, and XIC in humans.
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X inactivation initially starts at the X inactive center
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80% of the distal region of the X chromosome.
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A second non-coding RNA, Tsix , is expressed on the opposite strand of the Xist gene to ensure correct expression.
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The inactive X chromosome adopts a heterochromatic structure known as a "Barr body".
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Chromatin features in active vs. inactive X chromosomes differ significantly regarding histone modifications and DNA methylation
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Once established, inactivation is maintained by DNA methylation.
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X-inactivation is random which means each cell randomly inactivates either a maternal or paternal X chromosome.
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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
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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.
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X-linked disorders influence inheritance patterns.
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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.
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The X chromosome patterns (inactivation)can have effects on the phenotype such as creating varied outcomes in heterozygous females.
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Diseases such as haemophilia A and Hypohidrotic Ectodermal Dysplasia, display different symptoms in individuals with skewed X-inactivation patterns.
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Females with recessive X-linked conditions can manifest symptoms.
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Heterozygous females with dominant X-linked conditions can remain phenotypically normal.
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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.