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Basic types of genetic diseases Marie Černá Lecture No 423-Heredity Haploid and Diploid Cells Germ-line and Somatic mutations Genetics counseling Pedigree Genetics counseling Pedigree symbols Genetics counseling Pedigree Classification of genetic disorders Single-gene disorders Chromosome disorders Multifactorial disorders Classification of genetic disorders Somatic cell mutations - cancer familial predisposition is passed through germ-line cell Mitochondrial mutations Frequency of congenital genetic diseases (%) Single gene: AD AR X-linked Total single gene Chromosomal Multifactorial: 0.14 0.17 0.05 0.36 0.60 congenital others Total multifactorial Unclassified genetic 2.30 2.40 4.70 0.12 Total genetic 5.78 __________________________________________ Thompson 1991 Multifactorial disorders environmental factors allele polymorphism - predisposition - protection Chromosome disorders chromosome mutations genome mutations cytogenetics Single-gene disorders with classical Mendelian inheritance with non-Mendelian inheritance - imprinting errors - dynamic mutations - uniparental disomy molecular genetics Characters qualitative Characters quantitative distribution is discontinuous (phenotypic categories) distribution is continuous (Gaussian distribution) monogenic heredity polygenic heredity additive effect of genes – application of threshold analysis of heritability in offspring of particular parents by assignment of ratios analysis of heritability at the level of population by statistic methods minor effect of environment major effect of environment Expressivity The extent to which a genetic defect is expressed: - quantitative (hemophilia) - qualitative (Marfan syndrome) If there is variable expressivity, the trait may vary in expression from mild to severe but is never completely unexpressed in individuals who have the corresponding genotype. Penetrance The fraction of individuals with clinical signs of the disease from the group of all carriers of genotype, which causes this disease. Human genetics – Medical genetics • • • • • • • Genetics counseling – pedigree analyses Clinical genetics – morphology analyses Cytogenetics – chromosome analyses Molecular genetics – DNA analyses Biochemical genetics – protein analyses Developmental genetics – ontogenesis Population genetics – gene pool studies