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Diseases and Disease Databases
http://biochem158.stanford.edu/
Doug Brutlag
Departments of Biochemistry & Medicine
Stanford University School of Medicine
Doug Brutlag 2011
Huntington Disease
• Autosomal Dominant
– On the tip of the short arm of chromosome 4
– One bad gene causes disease (dominant)
– Brain degeneration over 10-15 years until death
Doug Brutlag 2011
Huntington Disease
• Autosomal Dominant
– On the tip of the short arm of chromosome 4
– One bad gene causes disease (dominant)
– Brain degeneration over 10-15 years until death
• Neurodegenerative disease
– Loss of movement control
– Loss of cognitive skills (dementia) and hallucinations
– Depression, hostility, aggression and loss of inhibitions
Doug Brutlag 2011
Huntington Disease
• Autosomal Dominant
– On the tip of the short arm of chromosome 4
– One bad gene causes disease (dominant)
– Brain degeneration over 10-15 years until death
• Neurodegenerative disease
– Loss of movement control
– Loss of cognitive skills (dementia) and hallucinations
– Depression, hostility, aggression and loss of inhibitions
• Dyskinesias
– Chorea: uncontrollable tics and involuntary movements of
extremities, hyperkinesias
– Dystonia uncontrollable muscle contractions
– Dysphagia (difficulty in swallowing) and uncontrollable
oral buccal dyskinesia
– Bradykinesia, slow uncertain movements
Doug Brutlag 2011
The Inheritance
• You are 20 years old.
• Your father abandoned you and your mother when you only
2 years old.
• Your father died this year and left you an inheritance.
• He died from an autosomal dominant disease known as
Huntington’s Chorea or Huntington’s Disease.
• You have a 50% chance of inheriting this invariably fatal
neurodegenerative disease.
• But there is a genetic test for this disease that can tell you
not only if you have the disease, and if you do, when you will
die from it.
• Would you take the genetic test or not?
• Why?
Doug Brutlag 2011
Genetic Penetrance
Doug Brutlag 2011
NCBI: National Center for Biotechnology Information
http://www.ncbi.nlm.nih.gov/
Doug Brutlag 2011
Genes and
Diseasehttp://www.ncbi.nlm.nih.gov/books/NBK2218
3/
Doug Brutlag 2011
Genes and Disease
http://www.ncbi.nlm.nih.gov/books/NBK22183/
Doug Brutlag 2011
Huntington Disease
http://www.ncbi.nlm.nih.gov/books/NBK22226/
Doug Brutlag 2011
Huntington Disease Genome View
http://www.ncbi.nlm.nih.gov/projects/mapview/map_search.cgi?taxid=9606&query=Huntington+AND+gene%5Bobj_type%5D&qchr=
Doug Brutlag 2011
Huntington Disease Gene
http://www.ncbi.nlm.nih.gov/gene/3064
Doug Brutlag 2011
Huntington Disease Gene
http://www.ncbi.nlm.nih.gov/gene/3064
Doug Brutlag 2011
MapViewer for Huntington
Doug Brutlag 2011
Huntingtin Protein
http://www.ncbi.nlm.nih.gov/protein/NP_002102.4
Doug Brutlag 2011
Huntingtin Protein
http://www.ncbi.nlm.nih.gov/protein/NP_002102.4
Doug Brutlag 2011
Huntington Disease Biosystem
http://www.ncbi.nlm.nih.gov/gene/3064
Doug Brutlag 2011
Huntington Disease Gene Review
http://www.ncbi.nlm.nih.gov/books/NBK1305/
Doug Brutlag 2011
GeneTests & GeneReviews for Huntingtons
http://www.ncbi.nlm.nih.gov/sites/GeneTests/
Doug Brutlag 2011
GeneTests for Huntington
Diseasehttp://www.ncbi.nlm.nih.gov/sites/GeneTests/
Doug Brutlag 2011
GeneTests & GeneReviews
http://www.ncbi.nlm.nih.gov/sites/GeneTests/
Doug Brutlag 2011
OMIM for Huntington Disease
http://www.ncbi.nlm.nih.gov/sites/GeneTests/
Doug Brutlag 2011
OMIM Home Page
http://www.ncbi.nlm.nih.gov/omim
Doug Brutlag 2011
OMIM Home Page
http://omim.org/
Doug Brutlag 2011
OMIM Coverage
http://www.ncbi.nlm.nih.gov/Omim/mimstats.html
September 29, 2011
>
>
67% Genes
33% Phenotypes
Doug Brutlag 2011
Huntington Disease Search in OMIM
http://www.ncbi.nlm.nih.gov/omim
Doug Brutlag 2011
Huntington Disease Entry in OMIM
http://www.ncbi.nlm.nih.gov/omim/143100
Doug Brutlag 2011
Human Gene Mutation Database
http://www.hgmd.cf.ac.uk/ac/
Doug Brutlag 2011
Human Gene Mutation Database
http://www.hgmd.cf.ac.uk/ac/
Doug Brutlag 2011
Huntington Disease Entry in OMIM
http://www.ncbi.nlm.nih.gov/omim/143100
Doug Brutlag 2011
Entrez Gene for Huntington
http://www.ncbi.nlm.nih.gov/sites/entrez?itool=omim_Detailed&DbFrom=omim&Cmd=Link&LinkN
ame=omim_gene&IdsFromResult=143100
Doug Brutlag 2011
Genetics Home Reference
http://ghr.nlm.nih.gov/
Doug Brutlag 2011
Genetics Home Reference for Huntington Disease
http://ghr.nlm.nih.gov/condition/huntington-disease
Doug Brutlag 2011
Predictive Testing for Huntington’s:
Adverse Psychological Events
Doug Brutlag 2011
Huntington Disease can Arise from
Unequal Crossing Over During Meiosis
•
Crossing over between maternal and paternal chromosomes
Maternal
Paternal
Offspring
Offspring
•
Unequal crossing over between maternal and paternal chromosomes
Maternal
Paternal
Offspring
Offspring
Doug Brutlag 2011
Age of Onset and Repeat Length
Doug Brutlag 2011
SNP Viewer for Huntington
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?locusId=3064
Doug Brutlag 2011
HGMD for Huntington
http://www.hgmd.cf.ac.uk/ac/gene.php?gene=HD
Doug Brutlag 2011
Human Genome Nomenclature For Huntington
http://www.genenames.org/data/hgnc_data.php?hgnc_id=4851
Doug Brutlag 2011
Cystic Fibrosis
Doug Brutlag 2011
Cystic Fibrosis
• Autosomal (chromosome 7q31.2)
recessive.
• Inhibits many bodily secretions
–
–
–
–
–
–
Pancreatic digestive enzymes
Sweat glands
Lung mucosa in alveoli and bronchi
Infertility in males (>97%)
Cirrhosis of the liver
Hepatic steatosis
• Caused by mutations in the CFTR gene
that encodes a chloride ion channel that
pumps Chloride ion and water out of cells.
Doug Brutlag 2011
Cystic Fibrosis Transmembrane
Conductance Regulator
Doug Brutlag 2011
Mutations Causing Cystic Fibrosis
Doug Brutlag 2011
Colorblindness in OMIM
Doug Brutlag 2011
Colorblindness in OMIM
http://omim.org/entry/303800
Doug Brutlag 2011
Opsin1 Gene in OMIM
http://omim.org/entry/300821
Doug Brutlag 2011
Opsin1MW Gene Entry
http://www.ncbi.nlm.nih.gov/gene/2652
Doug Brutlag 2011
Portrait of a Glitch
•
•
•
•
•
Revere La Noue, MFA, Stanford, 2005
What is this film about?
What classes of glitches are mentioned?
What do these glitches cause?
Why did I show this film?
Doug Brutlag 2011
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