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5. Common and rare alleles Fig. 1: Destiny of gene mutations (alleles) in populations. How common and rare alleles originate Mutation means 1. the process by which a gene undergoes a structural change, 2. a modified gene resulting from mutation Mutations: -gene mutations -„point“ mutation – only one nucleotide → qualitative change -in regulatory sequences → quantitative change -compound mutations -chromosomal mutations -numerical -structural 1 Fig.2 A fresh allele (point mutation) is subject to changes in its relative frequency according to the circumstances (its adaptive value in the environment). A polymorphism may be totally neutral, slightly different or (rarely) very different. Rare alleles may produce serious diseases easily 4000 Mendelean conditions, 1/3 of proteins polymorphic, virtually any locus polymorphic regarding DNA 2 6. Genic variability of the hemoglobin molecule 6.1 Gene determination and biochemistry Fig. 3 Hemoglobin molecule 3 Fig. 4 Genetic detemination of human hemoglobins Fig. 5 Disposition of Hb genes along chromosomes 6.2 Point mutations of Hb molecule Several hundreds, the majority of them rare Fig. 6 5 Different Hb genes resulted from gene duplications. α1 and α2 → the same polypeptide Neutral Deleterious: doubtless when heterozygotes are diseased, problematic when heterozygotes are not manifestly ill (recessive mutations) Hereditary methemoglobinemias Fig. 7 7 Several alleles – point mutations in the vicinity of heme group. Fe3+ bound to the inappropriate AA → methemoglobin reductase unable to reduce it (Mutations of methemoglobin reductase → the same „distant“ phenotype) Unstable hemoglobins Mutation → conformation change → instability of the molecule → chronic hemolytic anemia. RBC: Heinz bodies, stiffness → ↓life span Changed affinity to oxygen Enhanced affinity → shift of the dissociation curve to the left → ↓delivering of oxygen to tissues → erythrocytosis Lowered affinity → mild anemia Small stereochemical changes in a molecule → drastic changes in function Fig. 8 Some point mutations in the Hb β-chain Hb polymorphisms Sickle cell anemia (HbS) β-chain, position 6, Glu → Val SCA = homozygosity for HbS - ↓life span, virtually no descendants Sickle cell trait heterozygosity for HbS - sickle RBC in hypoxic conditions ↓ Oxygen affinity → ↓ Hb oxigenation → gelling of Hb → sickling of RBC and lowered deformability → obturation of capillaries → local ischemia etc (Fig. 9 Other polymorphisms: HbC, HbE, HbD, HbK, HbO, HbJ Tongariki – mild problems 8 Adaptive significance of Hb polymorphisms Dozens of % in (sub)tropical regions, about 5% in the border localities Strong directed selection against HbS → its maintaining cannot be caused by drift Plasmodium falciparum → stabilizing selection and balanced polymorphism (↑resistence in small children, blocking of penetration through placenta → ↑fertility of heterozygotic women) Other polymorphisms – only probability of enhanced resistance 9 6.3 Other types of Hb mutations Compound mutations: Hb Harlem Deletions and additions Constant Spring Hb: mutation in a stop codon → additional 31 AA in the α-chain The same effect as gene deletion Le Pore Hb: mixed chains β/δ and β/γ. Cause: unequal crossing over in meiosis 6.4 Thalassemias Fig 10 Mutations determining the extent to which the polypeptide chains are formed β-thalassemia ← interference with β-chain production. Thalassemia major = Cooley´s anemia: Homozygosity for alleles of β-chain gene → grossly abnormal RBC, unused α-chains precipitate → RBC destruction Thalassemia minor: Heterozygotes, many pathological alleles → heterogeneity of the disease (between homozygotes and norm) 10 6.5 A survey of adaptive (health) significance of Hb mutations Etiology of β-thalassemias: - intron mutations - new splicing sequencies GT, AT → shortening of the transcript - cancelling of splicing sequencies or destruction of the polyadenylation sequence → prolongation of the transcript - mutation of a stop codon → chain elongation - mutation of a starting codon or destruction of a promoter → complete deletion of the β-gene α-thalassemia ← interference with α-chain production Etiology: α-chain gene deletion, 1 – 4 Majority of point mutations are rare, from neutral to grossly pathologic In non-malaric regions: a single „normal“ Hb - HbA1 (possibly HbA2 with δ-chains). These alleles are fixed and optimal (neutral) In malaric regions: a whole array of polymorphisms (balanced polymorphisms) maintained by stabilizing selection Nearly neutral polymorphisms – a common situation in many genes. Disadvantageous polymorphic alleles must be compensated for, typically by heterozygote advantage 6.6 Glucose-6-phosphate dehydrogenase G6PD polymorphisms Izoenzymes: in most cases no known functional explanation of the existence of variants Pentose shunt pathway → NADPH → reduced glutathione → protection of Hb against oxidation Fig.7 Deficiency of the G6PD → hemolytic crises after ingestion of Vicia fava (bean), anti-malarials, sulphonamides etc. Fig.11 7 B + “normal” G6PD polymorphismus A - acute hemolytic Anemia (AHA) Favism Drugs 1 Activity 0.16 T 2 Africa 0.20 2 mutat. A + asymptom. Activity 0.84 Africa 0.25 B – (mediter.) AHA, favism Act. 0.00 – 0.07 T Mediter. 0.15 – 0.20 Kurdistan Jews 0.55 11 Gd(A+) – 20% in Africa → slightly reduced activity Gd(A-) – 20% in Africa → 8-20% activity → drug sensitivity Mediterranean (Gd(B-)) – 15 to 20% in Greece, Sardinia, Middle East, India → activity less than 7% of norm In all forms the enzyme is unstable (e.g., T1/2 = 13 days instead of 62 days) 1 2 6.7. Common and rare diseases Rare diseases - one major gene and allele - Mendelean heredity - severe, in childhood - rare - environmental influences weak Common diseases - several genes, only slightly deleterious alleles - only enhanced disposition in families - chronic, in adults and elderly - common (mostly „civilization“ diseases) - environmental conditions decisive Fig. 12 Genetic architecture of essential hypertension 12