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Project Summary: What’s up with nondisjunction? Tracy Evert, Woodland High School, Woodland California Sean M. Burgess, Department of Molecular and Cellular Biology, University of California, Davis This unit was carried out in a biology course comprising academically gifted freshman and sophomore students at Woodland High School from. The unit spanned 2 ½ weeks and involved 6 days of classroom visits by SMB. Overall we feel the unit was very successful. The students were engaged, inquisitive and learned important research, presentation and writing skills. Students were challenged to consider both clinical and human issues associated with certain chromosome abnormalities. On the final day SMB prepared a handout on careers in biomedical sciences and answered questions. Overall objectives: The objective of the unit was to have students gain an understanding of the underlying genetic basis of disease. Students gained skills in analyzing and interpreting karyotypes of patients exhibiting chromosomal aneuploidies. Following power point presentations on cancer and genetic diseases and syndromes (SMB), students worked in groups to diagnose a disease or syndrome indicated by the karyotype they received. Students then carried out independent research and drafted a letter to parents of these patients describing the genetic causes of aneuploidy, symptoms associated with the syndrome, treatments or cures, heritability, life expectancy and quality of life issues including schooling and discrimination. In addition the students found foundations and support groups available on the web for parents to learn more about the disease and find support groups. On the final day students play-acted acting the role of medical geneticists meeting with parents of the child patient by presenting the issues discussed in the letter. Unit outline: Day 1: Students used a worksheet we prepared to write down their ideas of what causes cancer, what happens in a cancer cell and how would having an extra chromosome affect and individual. Call discussion followed. Day 2: SMB presented a 30-minute presentation on the genetic basis of cancer. Students took notes using a T-chart listing facts and questions. Misconceptions from day one were discussed. Students looked slides of human chromosome spreads under the microscope and drew what they observed. Day 3: SMB presented a 30-minute presentation on how karyotypes are constructed and a detailed presentation of Cri-du-chat syndrome that introduced the structure for how the students would be expected to write their letters. Day 4: Students in groups of 3 were assigned a karyotype and given a worksheet to identify chromosome monosomy, trisomy and translocations. Students proceeded to the library to start research to address the topics of the letter. Day 5: Student groups reassembled to discuss the outcomes of their research and to give peer evaluation of the draft letters. Day 6: The final letter was due. Students met in groups of 5 to present their letters to the group of whom analyzed a different karyotype. Outcomes: Class discussion prior to and after the unit showed that the students’ misconceptions of genetic mechanisms underlying cancer and birth defects were largely addressed. The letters prepared by the students were overall excellent. Several students showed professionalism, compassion and eloquence in play acting the role of medical geneticists meeting with parents of the child patient. Overall evaluation: We found that the GENA collaboration was an excellent way for SMB and TE to interact and was a tremendous learning experience for both of us. SMB especially enjoyed contact with 13-14 year old students and sharing her experiences as a geneticist and as a university professor. We intend to carry out the unit next year. For the next offering of this unit SMB will obtain sample slides of human chromosome spreads from her university colleagues since the commercial preparations were of low quality. Next year we intend to prepare a manuscript on the effectiveness of the unit in reaching our goals. For this work we will expand the unit to include more standardized pre and post assessment to better quantify these effects. Two class periods (~ sixty students total) will serve as our sample. GENA Partnership Teaching Plan Outline What’s Up with Nondisjunction? By Sean Burgess, University of Davis, California Tracy Evert, Woodland High School, Woodland, California A. Objectives and student misconceptions about this topic: -Understanding of the underlying genetic basis of disease -Misconceptions of cures and treatment for genetic diseases/syndromes -Misconception of causes of cancer -Ethical issues and prejudice towards people with genetic disorders B. Standards to be addressed: State of California Genetics standards 1d, 2a-2g,4c-4d, 5b C. Major science concepts: Mitosis/meiosis, central dogma of molecular biology, gene expression, mutation, chromosome segregation D. Learning Outcomes: 1. Following this lesson plan students will be able to interpret karyotypes that are associated with cancer and birth defects. They will be able to determine if a karyotype shows male or female, Turner’s syndrome, Klinefelter’s, Down’s, Trisomy 18, cancer or other chromosomal abnormalities. 2. Students will be able to write a letter to the parents of a make-believe child that includes the karyotype findings and process, causes and inheritance, symptoms and cures, life expectance and lifestyle (including school and discrimination concerns, support and contact information. Skills students will use in this teaching plan: -Analyze karyotypes and know how they are generated -Letter writing -Researching genetic disorders -Understanding of mitosis and meiosis E. Curriculum materials that will form the basis of this teaching plan: Internet, Holt Modern Biology, PowerPoint presentations by geneticist, research worksheets, laminated cards with different karyotypes, sample letter to parents of child with birth defect. Conceptual Sequence for the Unit: Biology Year Genetics Unit Cell Division Unit Parts: Mitosis/Meiosis Comparison Nondisjunction Fertilization Our Karyotyping Unit Key words to know: autosomes, sex chromosomes, chromosome number, deletion, translocation, anuploidy, trisomy, karyotype, meiosis, mitosis, chromosomes, chromatids, centromeres, nondisjunction Prior knowledge: Students will have to have a solid understanding of mitosis and meiosis, the purpose of each, and the steps of each. They will need to understand the importance of maintaining a constant chromosome number within a species and the role of the chromosomes in determining inheritance. F. We are using the 5 Es learning cycle including engage, explore, explain, evaluate, and extend. What is up with nondisjunction? Day 1 Introduction of Guest Geneticist Form groups of two students for this day Engage: Exercise #1 (Appendix A) Time: 15 minutes a. Students will answer the following questions individually on a worksheet (4 minutes). 1. What causes cancer? What happens in a cancer? 2. How would having an extra chromosome affect an individual? b. Students discuss their answers with their partner and narrow answers to three ideas per question and record then on the worksheet and come up with further questions (6 minutes). c. Teacher selects several students to share answers with the entire class (5 minutes) Explore: Exercise #2 (Appendix B) Time: 15 minutes A. Look at chromosome spread under microscope and write a brief description of what they see on the worksheet. (10 minutes) B. Teams of two students will look at printout of chromosome smears and describe any differences including chromosome number. (5 minutes) The karyotypes used are from: http://www.biologycorner.com/worksheets/karyotype/chromosomestudy-teacher.html C. Class discussion (remaining time). Day 2 Explain: A. Presentation on Cancer using PowerPoint by guest geneticist. B. Students will take notes on a T chart with 15 facts in the left column and 10 questions in the right column. C. Student will return to Day 1 worksheet and identify and correct misconceptions regarding cancer. D. Students share with the class what their misconceptions were regarding cancer. Day 3 Explain: A. Presentation on Karyotypes and nondisjunction using PowerPoint (example: Cri-duChat) by guest geneticist. B. Students will take notes on a T chart with 15 facts in the left column and 10 questions in the right column. C. Student will return to Day 1 worksheet and identify and correct misconceptions regarding having an extra chromosome. D. Students share with the class what their misconceptions were regarding having an extra chromosome. Day 4 Explore: Karyotype analysis (15 minutes) A. Teacher will assign groups of 3 students. B. Groups are given one of 8 possible karyotypes. See Appendix C. Students describe their assigned karyotype and describe using terms that were presented earlier. A worksheet with terms will be provided (e.g. trisomy, monosomy, translocation, deletion, duplication). Karyotype choices 1. Trisomy 13 2. Trisomy 21 3. Trisomy 18 4. XO 5. XXX 6. XXY 7. XYY 8. Cancer C. Teacher will check accuracy of assessment. D. Briefing on research assignment. Pass out research outline. Explain letter writing assessment. Appendix C (30 minutes) Day 5 Extend: Research disease/disorder in computer lab Day 6 Extend: ½ time spent doing research ½ time spent in a discussion within the three-member team on the same topic Day 7 Discuss letter more. Answer any questions regarding any of the following parts: 1. How is karyotype performed 2. Findings from analysis 3. Describe genetic cause of aneupoidly 4. Symptoms and treatments 5. (non) Inheritance 6. Life issues to consider a. Life expectancy b. Independent living c. Schooling /discrimination Write letter as homework Day 8 Evaluate: Reintroduce 3 previous misconceptions Meet in teams of 5 to share portions of letters (each student representing a different genetic disorder) Students will use the rubric to evaluate each other during the presentation. Revise ideas about cancer and aneuploidy Come up with future questions: What is one thing more you would like to know about these diseases? Letter writing will serve as the summative assessment. The rubrics used are in Appendix C. Appendix A ------------------------------------------------------------------------------------------------------------ Day 1: What’s up with nondisjunction? Your name: _____________________ Date: ____________________ Partner’s name: __________________ A. Individual response: 1. What causes cancer? What happens in a cancer cell? 2. How would having an extra chromosome affect an individual? B. Partner discussion- Record three responses to the above questions. 1. What causes cancer? What happens in a cancer cell? 2. How would having an extra chromosome affect an individual? C. What more do we want to know about either of these question? D. (following presentation) How did this presentation change your ideas about cancer? E. (following presentation) How did this presentation change your ideas about having and extra chromosome? Appendix B ------------------------------------------------------------------------------------------------------------ Day 1: What’s up with nondisjunction? Your name: _____________________ Date: ____________________ Partner’s name: __________________ A. Look under the microscope of spread metaphase chromosomes from a human cell. Describe and draw what you see. B. Look at print-outs of chromosome spreads and note the differences between them, including chromosome numbers. Remember human females have 22 pairs of autosomes plus two X chromosomes (46 total); males have 22 pairs of autosomes plus one X chromosome and one Y chromosome (46 total). You will be using Normal A and Patient A or Normal A or Patient B. 1. Circle the sex chromosomes in the Normal karyotype (e.g. X and Y) 2. Is the Normal karyotype you have from a male or a female? How can you tell? 3. How are chromosomes within one karyotype different from one another? 4. Compare the two karyotypes, how do they differ? How are they alike? Normal A Patient A Normal B Normal B Patient B Appendix C -----------------------------------------------------------------------------------------------------------Day 4: What’s up with nondisjunction? Your name: _____________________ Date: ____________________ Partners’ names: __________________ _______________________ A. You will be given a karyotype from an individual who has a chromosome number that differs from the normal 46 chromosomes. Examine the print and describe your interpretation of the abnormality using one or more of the following terms: Chromosome 1, Chromosome 2, …. Etc. Y chromosome, X chromosome Monosomy (monosomic); Trisomy (trisomic) Translocation, Deletion, Duplication Put your answer here: _______________________Have the teacher or geneticist make sure you have identified it correctly. B. Use the internet to gather information about the human disorder associated with your assigned karyotype. A starting place is listed below. National Library of Medicine :http://www.nlm.nih.gov/nlmhome.html. C. Address each of the following topics in your research to write your final letter: 1. How is a karyotype performed? 2. Findings from your analysis: give the name of the syndrome or disorder associated with your assigned karyotype. 3. Describe a genetic cause of aneupoidy. 4. What symptoms are associated with this syndrome? 5. Is there a treatment or cure? 6. If a mother gives birth to a child with this disorder what are the chances that her subsequent children will also have it? 100%? 50%? Less than 5%? 7. What is the life expectancy for this individual? 8. Can this individual expect to live independently? 9. Is there anything parents should know about schooling or discrimination associated with this syndrome? 10. Are there support groups for parents of children with this disorder/disease? What is the name of the group? How does a parent contact the group? **Be sure to keep track of your sources of information (e.g. URL’s, books, articles etc.) since you will need to cite them at the end of the letter as a reference for the parents. ** Put the letter in a letter format. ** Sign the letter with your name and fictitious title. ** Include a date and fictitious names for the parent. ** The letter must be single spaced and typed. Due Date for the letter is ______________________________! Appendix C ------------------------------------------------------------------------------------------------------------ What’s up with nondisjunction? These are the karyotypes we used for the students to identify and research. The students in the group presentations used this rubric. Student Name_____________________________________ Assess each student by checking a yes or a no for each of the following ten items. If they talk about the item you will check yes. If they do not talk about the item you will ask the question of the student and if they can answer you are to check yes. If they do not answer then you are to check no. Please total the number at the bottom of each column. Items to discuss Yes 1. How is a karyotype performed? 2. Findings from your analysis: give the name of the syndrome or disorder associated with your assigned karyotype 3. Describe a genetic cause of aneuploidy. 4. What symptoms are associated with this syndrome? 5. Is there a treatment or cure? 6. If a mother gives birth to a child with this disorder what are the chances that her subsequent children will also have it? 100%? 50%? Less than 5%? 7. What is the life expectancy for this individual? 8. Can this individual expect to live independently? 9. Is there anything parents should know about schooling or discrimination associated with this syndrome? 10. Are there support groups for parents of children with this disorder/disease? What is the name of the group? How does a parent contact the group? Totals: Your Name_________________________________________________________ Comments: No This is the rubric used by the teacher to evaluate the letters. Student Name: Date: Karyotype Assessment Rubric criteria science information description correct, informative, complete information points earned 0 4 8 12 16 20 readability, "realness" of dialogue between make-believe expert and set of parent The letter seems real. It is detailed and professional. It reflects sensitivity towards the issues. 0 2 4 6 8 10 presentation engaging, neatness, letter format, date, signature, mechanics of letter 0 2 4 6 8 10 grammar, punctuation, spelling the grammar, punctuation, and spelling do not interfer with the understanding of the letter 0 2 4 6 8 10 total points teacher comments: Genetic mechanisms of cancer February 13, 2009 Sean M. Burgess Associate Professor Molecular and Cellular Biology University of California, Davis What causes cancer? 2007 Estimated US Cancer Deaths* Lung & bronchus 31% Men 289,550 Women 270,100 •26% Lung & bronchus Prostate 9% Colon & rectum 9% Pancreas 6% Leukemia 4% Liver & intrahepatic bile duct 4% Esophagus 4% Urinary bladder 3% • 3% Non-Hodgkin lymphoma Non-Hodgkin lymphoma 3% • 3% Uterine corpus Kidney 3% All other sites •15% Breast •10% Colon & rectum • 6% Pancreas • 6% Ovary • 4% Leukemia 24% • 2% Brain/ONS • 2% Liver & intrahepatic bile duct •23% ONS=Other nervous system. Source: American Cancer Society, 2007. All other sites Cancer originates at a defined location in the body Cancer name reflect type of cell that is affected A cancer cell divides out of control One cell of a tissue becomes a cancer cell and divides How does cancer spread? Not all tumors are cancerous What makes a cell divide out of control? Mutations change the way cells divide http://www.cancer.gov/cancertopics/what-is-cancer Genome catastrophe is a hallmark of cancer Cancer cell karyotype Normal karyotype A near-triploid cell line from lung, metastatic site, lymph node carcinoma. http://www.path.cam.ac.uk/~pawefish/LungCellLineDescriptions/NCI-H1770.html Spontaneous cancers are caused by mutations in growth-control genes Some mutations inactivate protective genes Genetic predisposition for breast cancer Out of every 100 women who inherit a mutated BRCA1 or BRCA2 gene, as many as 60 will develop breast cancer by age 50; by age 70, approximately 80 will develop breast cancer. http://learn.genetics.utah.edu/content/disorders/whataregd/brca/index.html Hereditary predisposition to cancer Inherited conditions come from mutations in tumor suppressor genes What causes cancer? Viruses associated with human cancer Young women should be vaccinated against HPV to prevent cervical cancer Chemicals that cause cancer If you smoke you have >90% lifetime risk of lung cancer 20-year lag time between smoking and lung cancer Lifetime Probability of Developing Cancer Men Women All sites† 1 in 2 All sites† 1 in 3 Prostate 1 in 6 Breast 1 in 8 Lung and bronchus 1 in 12 Lung & bronchus 1 in 16 Colon and rectum 1 in 17 Colon & rectum 1 in 19 Urinary bladder‡ 1 in 28 Uterine corpus 1 in 40 Non-Hodgkin lymphoma 1 in 47 Non-Hodgkin lymphoma 1 in 55 Melanoma 1 in 49 Ovary 1 in 69 Kidney 1 in 61 Melanoma 1 in 73 Leukemia 1 in 67 Pancreas 1 in 79 Oral Cavity 1 in 72 Urinary bladder‡ 1 in 87 Stomach 1 in 89 Uterine cervix 1 in 138 Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.1.1 Statistical Research and Applications Branch, NCI, 2006. http://srab.cancer.gov/devcan What’s up with nondisjunction? February 17, 2009 Sean M. Burgess Associate Professor Molecular and Cellular Biology University of California, Davis Mitosis/Meiosis Dynamic changes in chromosome structure accompany meiosis 4C Homolog Pairing & Recombination 2N MII 4 X 1N MI 2 X 2C Nondisjunction can occur at meiosis I or meiosis II 1n +1 gamete will form a trisomic zygote upon fertilization Normal meiosis 2n --> meiosis --> 1n gametes 1n + 1n --> 2n zygote Nondisjunction forms 1n+1 gamete 2n --> meiosis with nondisjunction --> 1n +1 gamete (1n +1) + 1n --> 2n +1 zygote (trisomy) Effects of nondisjunction on human health •Trisomy is the major cause of birth defects and mental retardation •Up to 30% of all pregnancies are aborted spontaneously (miscarriage) due to abnormal numbers of chromosomes (aneuploidy) Increased risk of nondisjunction resulting in trisomy 21 with advanced maternal age Young women who smoke are at risk of having children with Down syndrome Younger mothers (<35 years) who smoke and have meiotic II error are at an increased risk of having children with Down syndrome. The combined use of cigarettes and oral contraceptives increased the risk even further. Not all chromosomal-based birth defects are due to nondisjunction •Deletion: A small section is missing. •Translocation: A section of a chromosome is attached to another chromosome. •Inversion: A section of chromosome is snipped out and reinserted upside down. •Duplication: A section of a chromosome is duplicated, so there is extra genetic material. Radiation can induce chromosome breaks Repair of breaks can lead to chromosome rearrangements or deletions before or during meiosis Can occur in both females and males Karyotype preparation and analysis If any birth defects are noticed in a newborn baby, a karyotype is prepared and analyzed to look for chromosome abnormalities 1. Cells (from blood, amniotic fluid, etc) are grown in vitro (in a cell culture dish) to increase their number 2. Cell division is then arrested in metaphase with colchicine (prevents mitotic spindle fibers from forming) 3. Cells are centrifuged and lysed to release chromosomes 4. Chromosomes are stained, photographed, and grouped by size and banding patterns Images of chromosomes in spreads are organized into a karyotype A geneticist then looks for extra chromosomes, deletions or insertions Cri du chat chromosome 5 deletion •Most cases (80-85%) are due to sporadic de novo deletion of 5p (15.3->15.2). •The deleted chromosome 5 is paternal in origin in about 80% of cases. Cri du chat symptoms Babies with cri-du-chat are usually small at birth, and may have respiratory problems. Often, the larynx doesn't develop correctly, which causes the signature cat-like cry. People who have cri-du-chat have very distinctive features. They may have a small head (microcephaly), an unusually round face, a small chin, widely set eyes, folds of skin over their eyes, and a small bridge of the nose. Several problems occur inside the body, as well. A small number of children have heart defects, muscular or skeletal problems, hearing or sight problems, or poor muscle tone. Is there a cure? Although there is no real treatment for cri-du-chat syndrome, children with the disorder can go through therapy to improve their language skills, motor skills, and to help them develop as normally as possible. Life expectancy? As they grow, people with cri-du-chat usually have difficulty walking and talking correctly. They may have behavior problems (such as hyperactivity or aggression), and severe mental retardation. Most people with this disorder do not survive to adulthood. Cri du chat syndrome is very rare Cri du chat affects about 1 in 20,000 babies Although very rare, Cri-du-chat is one of the most common syndromes caused by a chromosomal deletion. The mutation arises during meiosis. Other cells (somatic) in the mother or father are not affected. The probability of having a second child with Cri du chat is still 1 in 20,000. People with Cri du chat can reproduce and have a 50% chance of having a child with the sydrome. Family support groups Families use community or online support groups to better understand the disorder http://www.fivepminus.org/ Other resources: • http://ghr.nlm.nih.gov/condition=criduchatsyndrome • • http://en.wikipedia.org/wiki/Cri_du_chat http://learn.genetics.utah.edu/content/disorders/whataregd/cdc/index. html