Lecture 2 PDF - Genetic Counselling
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Weill Cornell Medical College
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Summary
This lecture discusses genetic counselling and inheritance patterns, and provides probability questions for students to solve. Specific topics include cystic fibrosis and phenylketonuria. It involves analysis of pedigrees to understand and define the different modes of inheritance and probabilities.
Full Transcript
A woman comes to your office for genetic counselling because her niece has cystic fibrosis (autosomal recessive). She is concerned that she might be a CF carrier. What is the probability that this woman is a heterozygous carrier for a cystic fibrosis mutation? ½ What is the probability that the ch...
A woman comes to your office for genetic counselling because her niece has cystic fibrosis (autosomal recessive). She is concerned that she might be a CF carrier. What is the probability that this woman is a heterozygous carrier for a cystic fibrosis mutation? ½ What is the probability that the child (P) will be affected with Phenylketonuria PKU (autosomal recessive disorder), knowing that his/her mother is a known heterozygous carrier of a PKU mutation? What is the probability that the child (P) will be affected with Phenylketonuria PKU (autosomal recessive disorder), knowing that his/her mother is a known heterozygous carrier of a PKU mutation? 1 x R x ¼ = 1 x 1/64 x ¼ = 1/256 Phenylketonuria is a recessive inborn error of metabolism of the amino acid phenylalanine that results in severe mental retardation of affected children. The female II-3 (red circle) in the pedigree shown below is affected, whereas II-2 and II-4 are not affected. If the persons III-1 and III-2 mate, what is the probability that their offspring will be affected? (Assume that persons II-1 and II-5 are homozygous for the normal allele.) Phenylketonuria is a recessive inborn error of metabolism of the amino acid phenylalanine that results in severe mental retardation of affected children. The female II-3 (red circle) in the pedigree shown below is affected, whereas II-2 and II-4 are not affected. If the persons III-1 and III-2 mate, what is the probability that their offspring will be affected? (Assume that persons II-1 and II-5 are homozygous for the normal allele.) III-1 (heterozygous) x III-2 (heterozygous) x ¼ 1/3 x 1/3 x ¼ = 1/36 Pedigree Analysis How do you evaluate a pedigree to determine the mode of inheritance of a particular trait? - form a hypothesis as to how the trait is inherited - test the pedigree for consistency with that hypothesized mode of inheritance - if consistent with the hypothesized mode of inheritance, -accept your hypothesis only when all other modes of inheritance can be been ruled out. P What is the probability that this pending pregnancy will be affected? What mode of inheritance? What mode of inheritance? Huntington disease: autosomal dominant late onset rare What is the probability that this child may get Huntington disease (assuming a long life)? Probability father has inherited the Huntington allele = 1/2 Probability child inherits Huntington allele from the father if the father inherited the Huntington allele = 1/2 Probability father has inherited the Huntington allele = 1/2 Probability child inherits Huntington allele from the father if the father inherited the Huntington allele = 1/2 1/2 x 1/2 = 1/4