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G
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CYTOGENETIC DISORDERS Performed on nucleated cells e.g.
Blood -WBCs, BM, semen, vaginal epithelial cells tooth G
Exact multiple 3n, 4n, 5n (2n is normal) pulp, hair root, m/s, skin, mucous membrane E
D/to abnormal number of chromosomes
Euploid
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Uses RFLP or repeat sequence DNA to establish pattern of
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DNA for individual.
Not in Non- Occurs when a T
exact disjunction homologous pair of I
multiple chromosome fails to CYTOGENETIC TECHNIQUES C
disjoin at 1st meiotic
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div Karyotyping
(2n-1), (2n +1)
Sample of cells are fixed and stained in metaphase to
Anaphase One homologous
create light and dark bands and the picture of chromosome
Aneuploid
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Ring chromosome
D/to abnormal structure of chromosomes
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Pericentric Interphase FISH
Isochromosome 1 arm of chr is lost & other is °° Fluorescence in situ hybridization is performed very
duplicated i.e. 2 short arm or 2 long rapidly (<24 hrs). Can be done in non-dividing cells.
arm
°° Used to detect subtle microdeletions, complex
Translocation Reciprocal Mutual transfer of translocations, telomere alterations and specific
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a segment of chr
rearrangements (DNA sequences on chromosomes).
to another non
-homologous chr. °° Used for species identification, genetic counseling.
Balanced, non- °° Most useful apparatus to detect BCR-ABL fusion gene
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High-yield Points
Micro array
44 Incidence of chromosomal anomalies is 0.4% in live births. A DNA microarray (a/k/a DNA chip or biochip) is a
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44 All autosomal monosomies are fatal while sex chromosomal collection of microscopic DNA spots (snapshot) attached
monosomies & trisomies are compatible with life.
to a solid surface. Used to measure the expression levels of
44 Trisomies are m/c numeric abnormalities while deletions are
large numbers of genes simultaneously. Rapid & accurate
m/c structural abnormalities.
44 Most trisomies occur d/to meiotic non-disjunction whereas
generation of gene expression.
trisomy 7 occur d/to mitotic non-dysjunction. Comparitive genomic hybridization (cGH array)
44 Common trisomies are → 21 (commonest), 18 and 13. CGH or CMA compares the content of DNA in normal
& tumour cell. Detects only unbalanced chromosomal
CHROMOSOMAL ANALYSIS changes. Balanced translocations or inversions are not
detected.
DNA Fingerprinting Single stranded conformation polymorphism (SSCP)
Can detect point mutation.
Given by Alec Jaffrey in 1984.
[Remember that Fingerprinting/dactylography, which is a Other techniques:
different entity, was given by Francis Galton] MAPH : Multiplex Amplification & Probe Hybridization.
Was a serendipity. MLPA:Multiplex Ligation Dependent Probe Amplifican.
MALDI : Matrix Assisted Laser Desorption & Ionization 213
Analyze short tandem repeat sequences.
FRAP : Fluorescence Recovery After Photobleaching
G (FRAP) is used for structure of membranes (like Fluid High-yield Points
E mosaic model in the past).Movement of protein from 44 Prenatal d/g of neural tube defects is not possible by Chorionic
N nucleus to cytoplasm is seen. villous sampling.
E Linkage analysis of the genes is done by → Chromosomal 44 Muscle dystrophy cannot be diagnosed by CVS or amniocentesis.
T walking. Muscle biopsy is diagnostic.
I 44 Prenatal d/g of hemophillia is based on linkage analysis. Genetic
C N Important negative points: Cytogenetic techniques linkage analysis c/b performed by RFLP
S FISH is NOT used to introduce genome into bacteria or 44 Microsatellite sequence is short sequence (2-5) repeat DNA.
into target cell.
MALDI is NOT used to diagnose subtelomeric
rearrangements of genes. MENDELIAN INHERITANCE
Dideoxyribonucleotides are NOT required in PCR.
XR
Manifests only in males. E.g. hemophilia which manifests
4.6 GENETIC BASIS OF DISEASES only in boys
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All females are carrier (do not manifest the disease)
Son of female carrier, 50% are affected
PRENATAL DIAGNOSIS
Daughter of female carrier, 50% are carrier
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Around 50% of abortions, 50% of congenital anomalies,
50% of mental retardation, 50% of deafness, 50% of XD
blindness and 15% of cancers have genetic basis. No male to male transmission
Sample of cells obtained by amniocentesis or CVS is used Only females affected
for prenatal diagnosis. Pregnant women of 35 or + are
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candidate for prenatal diagnosis as risk of aneuploidy is AD
higher in woman of age 35 or more. Vertical inheritance
Enzyme replacement possible for Gaucher's d/s.
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of 21q to another acrocentric chromosome t (13,21). In 1% Each child has 50% chance of having d/s.
cases patients are mosaic. If both parents have d/s (heterozygous) --- Chances of
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Prenatal Diagnosis for Genetic Disorders having an unaffected baby are 25%
If both parents are homozygous --- all the children will be
Several single gene disorders are diagnosed prenatally by
affected [ 0% children will be unaffected]
DNA analysis
AD disorders: AR
°° Huntington's ds
Horizontal inheritance. Transmitted in many siblings.
°° Myotonic dystrophy 25% chance of affecting a child
°° Neurofibromatosis 50% are carrier
AR disorders:
Complete penetrance is seen.
°° Sickle cell anemia The d/s is expressed only in homozygotes.
°° Cystic fibrosis The parents of an affected child are asymptomatic.
°° Thalassemia α & β Each child born to heterzygous parent has 25% risk of
°° Tay-sachs d/s being affected.
°° PKU (Phenylketonuria) Children of an affected parent will themself not be affected,
X-linked disorders: unless the other parent is a heterozygous or is obviously also
°° Hemophilia A&B affected.
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°° Duchenne type m/s dystrophy
Approach Inheritance Pattern through Pedigree If there is no sex bias → look for affected parents
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Condition AD AR XR Mit E
% of 50% if 1 0 % if 1 0 % of 0 % if N
offspring heterozygous carrier parent sons if dad is Parents affected Parents not affected
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affected parent & 1 & 1 parent father is affected
unaffected homozygous affected
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All generations have In 2nd generation 50% I
parent; unaffected;
50% of 100% if
affected individuals & in 3rd generan 25% C
75% if both 25% if both sons if mom is (parents and all generations individuals affected S
heterozygous heterozygous mom is a affected are automatically dominant)
affected carrier parents carrier;
parents
100%of
The disorder is AD The disorder is AR
100% if 1 50% if 1 sons if
homozygous homozygous mom is
affected affected parent affected
parent &1 Some Examples of Inheritance
heterozygous
/e
carrier
parent
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Inheritance Vertical Horizontal Criss cross
pattern
Male & Yes Yes No (Males Yes
female affected
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offsprings oftenly)
affected at
the
same rate Fig.: AD inheritance
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from
unaffected
parents?
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To Summarize
First of all in a generation look for..if only one sex is
affected... Fig.: AR inheritance
Condition a: only males affected
(Mama - Bhanja effect) only males with maternal uncles
affected → The disorder is X LINKED RECESSIVE.
E.g. hemophilia which manifests only in boys.
Condition b: only females affected
(Baap - beti ka pyar) affected males transmit only
to their daughters → The disorder is X LINKED
DOMINANT.
(Becoz males do not survive).
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Fig.: X-linked recessive inheritance
X-Linked Recessive X-Linked Dominant
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•• Agammaglobulinemia •• Alport syndrome
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(Bruton's) •• blood group Xg
N •• Adult PCKD – colour •• Fabry's Ds
E blindness •• Familial hypophosphatemia
T •• Color blindness (VDRR, Vitamin D resistant
I •• CGD (Chronic rickets)
granulomatous d/s) •• Type 3 VDDR, HPDR
C
•• Duchenne's and Becker's •• G-6-P D def. (incompletely
S MD dominant expression)
Fig.: Mitochondrial inheritance •• DI •• Incontinentia Pigmenti
•• G-6-P D def. (incompletely
dominant expression)
High-yield Points •• Hemophilia A &B
•• Ocular albinism
44 In some AD disorders(e.g. Osteogenesis imperfecta) •• Ornithine transcarbamylase
phenotypically normal parents have >1 affected child. This is deficiency
exception to normal mendelian inheritance. This is d/to germline •• Retinitis pigmentosa
•• Fragile X syndrome
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or gonadal mosaicism.
44 In AD disorders some individual inherit the mutant gene but •• Fabry's, Hunter's d/s
phenotypically normal. This is d/to incomplete penetrance. 50%
penetrance means 50% individual who carry the gene express
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Polygenic (multifocal) Inheritance is seen in
the trait.
44 If trait is seen in all individuals carrying the mutant gene but DM
expressed differently among individuals, it is called variable Essential hypertension
expressivity. Seen in neurofibromatosis type I. Cleft lip/palate
Autism
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MENDELIAN DISORDERS [Single gene Cancers
disorders]
AD AR High-yield Points
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•• Achondroplasia Most IEMs (inborn errors of 44 Autosomal Codominance (codominant Inheritance) is seen in →
•• Acute intermittent porphyria metabolism) HLA, Blood group Ag.
•• Adult PCKD •• Albinism 44 Remember most of the inborn errors of metabolism are AR
•• BRCA1/2 breast cancer •• Alkaptonuria disorders except → Hunter's, Fabry's ds, G6PD def. (XR),
•• MODY ( Maturity onset •• Agammaglobulinemia (swiss
Bruton's agammaglobulinemia, ocular albinism (XR), familial
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Single mutation causing → two opposite effects (E.g. In
p53 gain mutation → No tumour formation (beneficial (Turner)
effect) & growth retardation (harmful effect). Chromosomal mosaicism from non-disjunction results in
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Turner's syndrome.
In somatic mosaicism d/to mutations (non-disjunction
EXCEPTION TO SIMPLE MENDELIAN
occurs in mitosis) E.g. in Gsa results in the McCune-
INHERITANCE
Albright syndrome.
Germline/ gonadal mosaicism >1 cell line derived from a
S,
Mitochondrial inheritance
single zygote. Phenotypically normal , can transmit the d/s
All mitochondria are contributed by the ovum during
to offsprings through mutant gonads. E.g. Osteogenesis
zygotic formation – it is transmitted by maternal non-
imperfecta, tuberus sclerosis.
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mendelian inheritance”.
Inherited mitochondrial disorders are transmitted in a Genomic Imprinting (GI)
matri-linear fashion. All children from an affected mother
Selective inactivation of a genes on either paternal
(Mutations in mtDNA) will inherit the d/s. Since only
daughters pass on the mitochondria, mothers who only chromosome or on maternal chromosome (autosome). It
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have sons end the transmission of that mitochondrial type. leads to preferential expression of functional allele of one
of the parent. 70- 80% of Prader Willi and Angelman's
Mitochondrial DNA (mt DNA) are d/to genomic imprinting and only 20% are d/to
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Human mitochondrial DNA (mt DNA) is a circular double unilateral parental disomy (UPD).
stranded DNA molecule containing 16,569 base pairs. [Mnemonic to remember : PaPa -G and Uni-MaP means
mt DNA accounts for 1% of cellular DNA. in Prader Willi Genomic imprinting (deletion) of Paternal
Encodes for 2 rRNA (16s & 12s), 22 mt tRNA, 13 protein chromosome is common, while UPD of Maternal
subunits of ETC. chromosome is seen in Prader Willi]
Transmitted by non-mendelian inheritance. Other examples of genomic imprinting are ---H.mole,
It contains no (or very few) introns or untranslated ovarian teratoma, Russell Silver syndrome, Beckwith
sequence. Wiedemann syndrome (d/to expression of imprinted gene
Has high mutation rate.
IGF-II)
Do not recombine like nuclear chromosomes.
D/s transmitted by mt DNA (mitochondrial diseases) Uniparental Disomy (UPD)
°° Leber’s hereditary optic atrophy When both the copies of chromosomes comes from single
°° Kearns Sayre syndrome parent and this is k/as “Uniparental disomy”
°° MELAS (Mitochondrial encephalopathy with lactic Maternal UPD occurs in Prader Willi syndrome.
acidosis & stroke like features)
Paternal UPD occurs in Angelman's syndrome. 217
Features Prader Willi Angelman's Methods of transfer of genetic material in
G bacteria: Transfer methods are classified on the basis of
E Chromosome micro deletion at micro deletion at
agencies which transmit genetic material in bacteria:-
N involved 15q 11-13 15q 11-13
E Mostly d/to Paternal genomic Maternal genomic Methods Definition Agency which
T imprinting (70%) imprinting (80%) of transmits
I Less common UPD (25%) of UPD (2-3%) transfer genetic
C cause 2 maternal of 2 paternal informan
S chromosomes chromosomes Trans- Transfer of a genetic Bacteriophage
Cl/f ↓ Fetal activity (Happy puppets) duction material i.e. a portion (virus)
neonatal hypotonia, Normal at birth, of chromosomal DNA
obesity, mental retardation, (episome or plasmid) from 1
mental retardation, seizures, ataxia, bacterium to another using
small hand/feet, hypotonia bacteriophage
Hypogonadism Trans- Transfer of a portion of Free DNA
formation chromosomal DNA from 1
Atavism bacterium to another using
/e
When a child resembles its grandparents it is k/as atavism. Free DNA.
Best example of atavism is caudal appendages as coccygeal Studied in pneumococci
(Griffith) & H. influenzae
projection.
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Lysogeny Phage DNA becomes Prophage DNA
X-inactivation (Barr bodies) integrated with bacterial
chromosome. Role in
Inactive X-chromosome is seen as Barr body /sex
conferring toxigenicity in
chromatin in buccal mucosa & epidermis and as Drum diphtheria
stick in neutrophils. Barr body is found in interphase of
S,
Conjugan Donor/male bacterium Sex pili
cell cycle
contacts with another
Number of bar bodies = no. of X – 1 (e.g. in Turner's it is recipient.
0, in Klinefelter's it is 1 & in super female XXX it is 2) First demonstrated in E. coli
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breaks + nonrandom rearrangements are seen. factor’ or ‘Fertility (F) factor’. F factor is actually an
episome.
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Operons and polycistronic mRNAs are common in bacteria Cloning vectors & their capacity:-
but differ in eukaryotes.
Genes in Lac operon: Vector DNA insert Remark
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Lac Z : codes for b galactosidase size
Lac Y : codes for permease •• Plasmid 0.01- 10 kb Smallest, m/c used
Lac A : codes for thiogalactoside transacetylase
•• Lambda phages 10-20 kb Confer antibiotic
Regulatory portion in Lac operon: resistance
Positive regulator : CAP protein & cAMP
S,
•• Cosmid 35-50 kb -
Negative regulator : Repressor protein
Promotor (P) region : Where RNA pol binds •• BAC 50- 250 -
Operator(O) region : Where repressor protein binds. •• YAC 500 - 3000 Largest
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Restriction Endonuclease
RFLP analyze single base changes (e.g. Sickle cell anemia)
Key enzyme used in recombinant DNA technology.
or deletions or insertion of DNA into a restriction fragment
Makes 2 incision through sugar phosphate backbone
(e.g. thalassemia).
(phosphodiester bond) of each strand of dsDNA called as
recognition sequence/ restriction site.
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Used to detect:- Clinical uses:
G 1. Prenatal diagnosis 1. Detection of infectious diseases
E 2. Trace chromosome from parents to offsprings 2. Detection of variation & mutation in genes
N 3. Linkage of polymorphism with gene mutation (Prenatal & postnatal d/g).
E 4. Direct detection of mutation causing d/s. 3. To detect allelic polymorphism
T 4. DNA fingerprinting
I
C High-yield Points
S 44 Vector used to increase the yield of protein produced in High-yield Points
recombinant protein synthesis → Inducible promoter region. 44 DNA sequencing is a process of determining the exact order of
44 IPTG is a compound added to cells to activate a promoter gene. 3 billion bases.
44 Chromosomal walking involves repeated cloning of overlapping 44 Gene mapping is localization of specific genes to distinct
DNA segments of 100-200 kb. chromosomes.
44 In patient with DNA mismatch repair deficiency mutations accu 44 Blue white screening is used for detection of successful ligation
mulate in microsatellite repeats, k/as microsatellite instability. & identify desired DNA into plasmid vector.
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DNA AMPLIFICATION TECHNIQUES
4.9 GENE THERAPY
Also called as NAAT (Nucleic acid amplification
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techniques). For Genetic Diseases
Commonly used techniques are:-
ADA- SCID
1. PCR & Real time -PCR (RTPCR)
2. NASBA (Nucleic acid sequence based amplification) Chronic Granulomatus Disorder (CGD)
3. Ligase chain reaction Hemophilia
S,
4. Gap LCR Under trial for congenital blindness, lysosomal storage
disease and muscular dystrophy.
PCR (Polymerase Chain Reaction)
For Acquired Diseases
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°° Mg
++
in a cell.
E
B (q) AB (qp) BB (q )2
T
Transcriptome is total mRNA produced by a cell.
I
Punnett square for Hardy–Weinberg : The sum of the Proteome is sum total of all proteins synthesized by a cell.
C
entries is p2 + 2pq + q2 = 1, as the genotype frequencies Chromosome: a grouping of coiled strands of DNA,
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for an infinite population size) must sum to one. containing many genes.
DNA (deoxyribonucleic acid): a molecule found in cells of
organisms that encodes genetic information.
4.11 OTHER IMPORTANT POINTS Gene: a biological unit that codes for distinct traits or
characteristics.
Single nucleotide polymorphism (SNP) transgenomic Wave Genome: the complete set of genes in a cell.
Denaturing High Performance Liquid Chromatography Genotype: the genetic constitution of an organism.
(Wave /DHPLC) is an approach that can detect single base Metabolome: Complete set of LMW (Low molecular
/e
pair differences b/w otherwise identical 750 bp fragments weight compounds in a cell at a given time.
of DNA.
Imp Disciplines
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BLAST (Basic Local Alignment Search Tool ) is used to
compare short sequences of proteins & nucleic acids. Specialty/ Definition/Study of
Discipline
Oligomisnorm gene used in primer → Error based PCR
Genomics deals with the discovery and noting of all
Luciferases are oxidative enzymes used in bioluminescence the sequences in the entire genome of a
in genetic engineering.
S,
particular organism.
CASPases are 'cysteinnyl aspartate specific proteases'.
Epigenomics Alteration of chromatin & histone proteins &
DNA estimation can be done by → Spectrophotometer. methylation of DNA sequences.
cDNA is preferred for the preparation of gene library.
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44 Entrez Gene & Hap Map are used to identify single nucleotide Genomics deals with the discovery and noting of all
polymorphism that may contribute to pathological conditions the sequences in the entire genome of a
44 CDART, MMDB, and VAST are used to analyze the domain particular organism.
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structure & 3-d structure of proteins Metabolomics Aims at determining a sample’s profile of
LMW compounds at a specified time under
specific environmental conditions.
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Exam Oriented Prototype IBQs (Including PGMEE 2016-17 IBQs)
G
1. Karyotype of a cytogenetic analysis is shown below. 3. Analyze the following pedigree and give the mode of
E Diagnosis is:- inheritance:
N
E
T
I
C
S
a. Autosomal recessive
b. Autosomal dominant
/e
c. Mitochondrial inheritance
a. Downs syndrome d. X linked dominant
b. Turner syndrome
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c. Edward syndrome 4. The structure of RNA molecule has been shown here,
d. Klinefelter syndrome it represents:-
Ans.
1. b
2. d
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3. c
4. b
a. Achondroplasia
b. Wilson’s disease
c. Hemophilia.
d. MELAS
a. mRNA
b. tRNA
c. rRNA
d. None of the above
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