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Questions and Answers
What is the primary consequence of mitotic nondisjunction?
What is the primary consequence of mitotic nondisjunction?
Which type of chromosomal abnormality is characterized by the presence of an extra chromosome?
Which type of chromosomal abnormality is characterized by the presence of an extra chromosome?
In which trisomy syndrome is the individual most likely to have a risk of congenital heart defects and developmental delays?
In which trisomy syndrome is the individual most likely to have a risk of congenital heart defects and developmental delays?
What does the term 'uniparental disomy' refer to?
What does the term 'uniparental disomy' refer to?
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Which of the following conditions is specifically linked to Turner syndrome?
Which of the following conditions is specifically linked to Turner syndrome?
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What is a key difference between mitotic nondisjunction and meiotic nondisjunction?
What is a key difference between mitotic nondisjunction and meiotic nondisjunction?
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Which aneuploidy is most likely to result in spontaneous pregnancy loss?
Which aneuploidy is most likely to result in spontaneous pregnancy loss?
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What is the primary correlation found in studies regarding maternal age and aneuploidy?
What is the primary correlation found in studies regarding maternal age and aneuploidy?
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What defines chimerism in an individual?
What defines chimerism in an individual?
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What is a characteristic of aneuploidy related to chromosome gene content?
What is a characteristic of aneuploidy related to chromosome gene content?
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Which mechanism is primarily responsible for uniparental disomy?
Which mechanism is primarily responsible for uniparental disomy?
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What is the result of segmental uniparental disomy?
What is the result of segmental uniparental disomy?
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How do trisomies primarily differ from monosomies in terms of viability?
How do trisomies primarily differ from monosomies in terms of viability?
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How can trisomic rescue contribute to the development of uniparental disomy?
How can trisomic rescue contribute to the development of uniparental disomy?
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Which process is most responsible for the occurrence of chromosomal aneuploidies?
Which process is most responsible for the occurrence of chromosomal aneuploidies?
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What is the outcome associated with nondisjunction during maternal meiosis I?
What is the outcome associated with nondisjunction during maternal meiosis I?
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Which condition can uniparental disomy have significant implications for?
Which condition can uniparental disomy have significant implications for?
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Which statement best describes Turner syndrome?
Which statement best describes Turner syndrome?
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What is isodisomy?
What is isodisomy?
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Which of the following conditions is associated with uniparental disomy?
Which of the following conditions is associated with uniparental disomy?
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Which type of mosaicism involves two lines of opposite imbalance?
Which type of mosaicism involves two lines of opposite imbalance?
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What might explain the presence of gonadal mosaicism in all women regarding chromosome 21?
What might explain the presence of gonadal mosaicism in all women regarding chromosome 21?
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What primarily causes the absence of phenotypic consequences in most cases of uniparental disomy?
What primarily causes the absence of phenotypic consequences in most cases of uniparental disomy?
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What kind of mosaicism can lead to hermaphroditism in an individual?
What kind of mosaicism can lead to hermaphroditism in an individual?
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What does early mitotic error typically lead to regarding cell lines?
What does early mitotic error typically lead to regarding cell lines?
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What does the production line hypothesis explain concerning oocytes?
What does the production line hypothesis explain concerning oocytes?
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Which chromosomal abnormality is commonly observed in trisomy syndromes?
Which chromosomal abnormality is commonly observed in trisomy syndromes?
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What role does cohesin play in meiosis I nondisjunction?
What role does cohesin play in meiosis I nondisjunction?
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What is the chromosomal configuration in Turner syndrome?
What is the chromosomal configuration in Turner syndrome?
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Which risk factor is associated with increased chances of nondisjunction resulting in uniparental disomy?
Which risk factor is associated with increased chances of nondisjunction resulting in uniparental disomy?
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What is the most common example of aneuploidy observed in humans?
What is the most common example of aneuploidy observed in humans?
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Study Notes
Mosaicism vs. Chimerism
- Different cell types in a chimera are derived from two separate zygotes
- Chimerism is a result of a post-zygotic fusion of dizygotic twin zygotes
- Confined chimerism only involves specific tissues containing two different cell lines
- Mosaicism originates from mitotic errors, whereas chimerism involves cellular fusion
- Mosaicism explains the presence of two cell lines in a single individual without apparent errors
- This can explain cases like 46,XY/46,XX hermaphroditism or a 45,X/69,XXY fetus
Uniparental Disomy (UPD)
- UPD is the inheritance of two copies of a chromosome from a single parent
- Despite the presence of two chromosome copies, the individual can still have developmental issues
- Isodisomy occurs when both chromosomes are identical, while heterodisomy involves different chromosomes
- UPD can result in homozygosity for autosomal recessive genes, leading to disease manifestation
- UPD is often asymptomatic, but can have significant implications in differentially methylated regions
- UPD is linked to conditions like Beckwith-Wiedemann syndrome, Prader-Willi syndrome, and Angelman syndrome
UPD Mechanisms: Whole Chromosomes
- UPD arises from two separate abnormal events, usually caused by nondisjunction
- Nondisjunction, a failure of chromosomes to separate properly during cell division, is a key factor in UPD development
- The primary event is typically sporadic, with no increased risk of recurrence, unless parental chromosomes are affected
- Advanced maternal age is a known risk factor for nondisjunction
- UPD can occur through different mechanisms:
- Trisomic Rescue: A trisomic conceptus undergoes chromosome loss to become disomic.
- Monosomic Rescue: A monosomic conceptus duplicates the remaining chromosome to become disomic.
- Mitotic Error and Rescue: A trisomic embryo undergoes a mitotic error, losing one chromosome, resulting in a disomic conceptus.
Segmental UPD
- Only a portion of the chromosome, instead of the whole chromosome, experiences UPD
- Segmental UPD is often observed in chromosomes subject to imprinting, potentially impacting specific tissues and exhibiting mosaicism
- Segmental UPD can develop due to:
- Postzygotic somatic recombination between maternal and paternal homologs
- Nondisjunction creating a disomic gamete, leading to trisomic conception, followed by crossing-over and chromosome loss
- Repair of double-strand breaks via break-induced replication
Aneuploidies: Introduction
- Aneuploidy refers to an abnormal number of chromosomes, whereas euploidy denotes balanced chromosomal content
- The severity of autosomal aneuploidies corresponds to the gene content of the affected chromosome, not its size
- Severe phenotypes are associated with chromosomes rich in genes, particularly structural genes
- Autosomal aneuploidies involving chromosomes with significant genetic content are often lethal before birth or even implantation
Trisomy and Monosomy
- Trisomy involves three copies of a chromosome, while monosomy involves only one copy
- All autosomal trisomies have been reported in spontaneous miscarriages, but the frequency varies
- Trisomy 16 accounts for ~30% of spontaneous miscarriages
- In live births, only trisomies 13, 18, and 21 are commonly observed, with other trisomies being rare and primarily found in mosaics
- Monosomies are exceptionally rare in both miscarriages and live births, likely due to lethality before detection
Mechanisms of Aneuploidy: Nondisjunction
- Nondisjunction, the failure of chromosomes to separate correctly during cell division, is the most common cause of aneuploidy
- Nondisjunction primarily occurs in maternal meiosis I, accounting for the majority of cases, with exceptions for chromosomes 7, 13, and 18
- Advanced maternal age is directly correlated with an increased risk of nondisjunction
- Meiosis I nondisjunction can occur through:
- Both homologous chromosomes migrating to the same pole
- Premature separation of one homologous chromosome
Maternal Age and Nondisjunction
- The "Production Line Hypothesis" suggests that oocytes mature in the same order as fetal development
- The "Limited Oocyte Pool Model" implies that the number of follicles decreases with age, increasing the chance of selecting lower-quality oocytes
- Despite extensive research, our comprehension of nondisjunction's processes and causes remains incomplete
Mitotic Nondisjunction
- During mitosis, sister chromatids should separate evenly, ensuring each daughter cell receives an equal amount of genetic material.
- Mitotic nondisjunction occurs when the chromatids fail to split properly, leading to unequal distribution.
- Several outcomes are possible, including:
- One daughter cell receiving an extra chromosome
- One daughter cell lacking a chromosome
- Both daughter cells gaining or losing a chromosome
- The consequences depend on the timing and severity of the error.
- Early errors can affect a broader range of tissues, resulting in more severe phenotypes.
- Late errors tend to have a more localized impact, with fewer cells affected.
- The severity of the abnormality also plays a role; severe abnormalities are more likely to result in cell death, reducing the impact.
Mosaicism: Mitotic Nondisjunction
- Mosaicism is characterized by the presence of two or more cell lines with different genetic compositions within a single individual.
- Detection often requires analyzing multiple tissues or cell types.
- The first few mitotic divisions are particularly vulnerable to errors during development, potentially leading to more than one aneuploid cell line.
- Structural rearrangement mosaicism is rare and involves cell lines with opposing chromosomal imbalances.
- Gonadal mosaicism, while potentially common, is challenging to assess, leading to less accurate data.
- The timing of the mitotic error directly impacts the prevalence of the aneuploid cell line:
- Earlier events result in a greater number of affected cells, leading to broader and potentially more severe phenotypic consequences.
- The severity of the abnormality plays a role: more severe abnormalities increase the likelihood of cell death and removal of the affected cell line.
Mosaicism Types
- Multiple types of mosaicism exist, including confined placental mosaicism, fetal mosaicism (with and without a normal placenta)
- Mosaicism does not need to be organized or symmetrical, with different tissues potentially exhibiting varying degrees of aneuploidy.
- Gonadal mosaicism is often a concern as it can lead to genetic abnormalities in offspring.
- The types of mosaicism are distinguished based on the tissues where the aneuploidy is present.
- Confined placental mosaicism indicates the presence of aneuploidy only in the placenta.
- Fetal mosaicism indicates the presence of aneuploidy in the fetus, with or without placental involvement.
Chimerism vs. Mosaicism
- Chimerism and mosaicism are often confused, but there are key differences:
- Origin: Chimerism originates from the fusion of two distinct zygotes, while mosaicism results from errors during cell division.
- Cell Lines: Chimerism involves two genetically distinct cell lines from different zygotes, while mosaicism involves two cell lines that originated from the same zygote.
- Timing: Chimerism occurs before or during early embryonic development, while mosaicism occurs later during development from mitotic errors.
Summary of Key Concepts:
- Nondisjunction, the failure of chromosomes to separate properly during cell division, is a major cause of aneuploidy.
- Advanced maternal age is a significant risk factor for nondisjunction.
- Mosaicism is the presence of two or more cell lines with different genetic compositions within an individual, often resulting from mitotic errors.
- Chimerism is the presence of two or more cell lines from different zygotes, which are genetically distinct.
- Understanding the mechanisms of nondisjunction, mosaicism, and chimerism is crucial for diagnosing and managing genetic disorders.
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