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Transcript
Classes of Monogenic
Disorders
Autosomal Dominant and
Recessive Inheritance
Tuesday, October 26, 2010
Autosomal Dominant Inheritance
1
Examples of Monogenic
Disorders
Polycystic Kidney disease
Sickle Cell anemia
Cystic Fibrosis
X-linked
Hemophilia
Tuesday, October 26, 2010
Galactosemia
Autosomal Dominant Inheritance
3
Tuesday, October 26, 2010
• In dominant genetic diseases, the defective
gene overcomes the normal gene and
disease occurs
• there is a whole spectrum of levels of
dominance, depending on how much damage
a bad gene does and how adequately the
second normal gene can compensate for the
failing defective gene.
• a dominant disease affects a gene for a
structural protein, causing malformed
proteins that cause disease
Autosomal Dominant Inheritance
Autosomal Dominant Inheritance
4
Inheritance Pattern for
Autosomal Dominant Disorders
Dominance
Tuesday, October 26, 2010
2
• These are diseases caused by an error in a
single DNA gene.
• Autosomal means the errors occurs on
chromosome 1..22 rather than on the 23rd
sex-linked X chromosome.
• Some examples of autosomal dominant
diseases are Huntington's disease ,
achondroplasia (dwarfism), Polycystic
Kidney disease and Marfan Syndrome
Marfan Syndrome
Autosomal
Recessive
Autosomal Dominant Inheritance
Autosomal Dominant Traits
Hutington Disease
Autosomal
Dominant
Tuesday, October 26, 2010
5
•
•
•
•
No carriers
Usually inherited
Parent-to-child transmission
Both affected parents to child
transmission
• Double-dominant parent to child
transmission
• Undiseased parents to child transmission
• Vertical inheritance
October 26, 2010
6
Gender
bias Autosomal Dominant Inheritance
•Tuesday,
1
Double-dominance
Sporadic Genetic Disease
• usually causes very severe disease or even
spontaneous abortion or stillbirth.
• Double dominance is usually only possible for
a child born to parents that both have the
same dominant genetic disease,
• A double-dominant disease is like a recessive
disease, except that carriers of it have the
ordinary single-dominant condition.
• For example, the genetic dominant condition
of achondroplasia(dwarfism)
• A genetic disease that occurs when
neither parent has any genetic defect.
• These cases arise via random genetic
mutations in the DNA.
• A sporadic genetic mutation is more likely
for a dominant disease than for a
recessive genetic disease.
Tuesday, October 26, 2010
Tuesday, October 26, 2010
Autosomal Dominant Inheritance
7
Autosomal Dominant Inheritance
8
Chromosome Genetic
Diseases
Causes of Chromosome
Diseases
• These are genetic diseases where a large
part of the genetic code has been
disrupted.
• Chromosomes are long sequences of DNA
that contain several genes.
• Humans have 2 copies of each of the 23
chromosomes
• arise from huge errors in the DNA that
result from having extra chromosomes,
large missing sequences, or other
major errors.
• caused by a random physical error
during reproduction and are not inherited
diseases
Tuesday, October 26, 2010
Chromosome Diseases
9
Tuesday, October 26, 2010
Chromosome Diseases
10
Spontaneous Chromosome
Errors
Types of Chromosome
Diseases
• arise spontaneously from parents where
neither has the disease.
• elderly ladies are more likely to have
babies with Down syndrome.
• Many chromosome errors cause the fetus
to be aborted before birth, but some
syndromes can be born and survive
• There are several common types of
chromosome errors that cause disease.
• The following major classes of chromosome
diseases can occur:
– Trisomy conditions e.g. Down syndrome
– Monosomy conditions e.g. Turner
syndrome).
– Sex chromosome conditions
Tuesday, October 26, 2010
Chromosome Diseases
11
Tuesday, October 26, 2010
Chromosome Diseases
12
2
Rarer Types of Chromosome
Diseases
Non-contagiousness of
chromosome diseases
• There are also some other rarer types of
chromosome conditions that may lead to
diseases
– Translocation disorders e.g. Translocation Down
• Genetic and chromosome diseases occur
at birth.
• Not infectious diseases
• You are either born with the error in your
chromosomes or not
• Genetic tests by antenatal testing for
genetic diseases
Syndrome
– Subtraction disorders
– Mosaicisim
– One-sided chromosome disorders
Tuesday, October 26, 2010
Chromosome Diseases
13
1. Sex Chromosome
Conditions
Tuesday, October 26, 2010
Chromosome Diseases
14
2. Autosomal Trisomy
Chromosome Diseases
• Sex chromosome defects:
• Turner syndrome (XO syndrome,
monosomy X, missing Y):
• Klinefelter syndrome (XXY syndrome,
also rarely XXXY):
• Jacobs syndrome (XYY syndrome):
• Triple-X (XXX, also XXXX or XXXXX):
• Down syndrome (trisomy 21):
• Edwards syndrome (trisomy 18):
• Patau syndrome (trisomy 13):
Note that there is no ordering, and XYX would be the
same as XXY.
Tuesday, October 26, 2010
Chromosome Diseases
15
Miscarriages Caused by
Trisomy
Tuesday, October 26, 2010
Chromosome Diseases
16
Causes of Trisomy
• trisomies at autosomes 13, 15, 18, and 21.
• Trisomy at the other autosomes are
probably fatal in embryos leading to
spontaneous miscarriage.
• frequency of natural miscarriages, around
1-in-5,
• Down syndrome occurs more frequently in
older women, one might theorize of the
reason why.
• Aging mothers.
• ability to recognize wrong cells in a fetus is
lost.
• uterus is an immune-privileged site during
pregnancy.
Tuesday, October 26, 2010
Tuesday, October 26, 2010
Chromosome Diseases
17
Chromosome Diseases
18
3
3. Monosomy and
Autosome Subtraction
Disorders
Polygenic Diseases
• Cri-du-chat syndrome (cat's cry):
• Prader-Willi Syndrome
(PWS) and Angelman Syndrome (AS):
• Uniparental Disomy
Tuesday, October 26, 2010
Chromosome Diseases
19
• polygenic diseases are affected by
many genes.
• They have limited genetic basis.
• a child inherited a genetic
predisposition
• E.g. cancers, heart
disease, autoimmune diseases, etc.
• family history is a risk factor for the
disease
Tuesday, October 26, 2010
Chromosome Diseases
20
4