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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