GENETIC DISORDERS I R. HUGO MARTÍNEZ LOZANO, MD. Aug-03-2009.
LEARNING OBJECTIVES: K & U
A) ABOUT MUTATIONS: DEFINITIONS, TYPES, CATEGORIES, ETC. B) ABOUT MENDELIAN DIS.: CHARACTERISTICS--- OF TRANSMISSION --- MOLECULAR BASIS --- CLINICAL RESULTS THE MOST COMMON AD, AR AND X-L DISEASES
C) DIS. ASSOC. W/STRUCTURAL PROTEINS DEFECTS D) DIS. ASSOC. W/RECEPTOR PROT DEFECTS Ref: pp. 145-158 & lecture’s information
GENETIC DISORDERS I
II) MUTATIONS: - DEFINITION - GERM CELLS AFFECTION... - SOMATIC CELLS AFFECTION... - CATEGORIES: GENOME (vgr.Trisomies) CHROMOSOME (vgr. Cri-duchat) GENE (vgr. Mendelian)
Von-Recklinghausen disease
MENINGIOMA
GENETIC DISORDERS I
TYPES OF GENE MUTATIONS: - POINT - ABNORMAL CHAIN TERMINATION - DELETIONS - INSERTIONS - TRINUCLEOTIDE REPEAT
(Point)
GENETIC DISORDERS I
GENETIC DISORDER
TYPE OF MUTATION
MENDELIAN DISEASES---------GENE CHROMOSOMAL DIS.-----------GENOME/CHROM. MULTIFACTORIAL --------------GENE (MULTIPLE)
GENETIC DISORDERS I
MENDELIAN DISORDERS: - > 5000 DISEASES - 80-85%: FAMILIAL - 15-20%: DE NOVO - CODOMINANCE - PLEIOTROPISM (S cells) - GENETIC HETEROGENEITY
GENETIC DISORDERS I
MENDELIAN DIS.: TRANSMISSION PATTERNS. AUTOSOMAL DOMINANT: - NEW VS INHERITED MUTATIONS - REDUCED PENETRANCE - VARIABLE EXPRESSIVITY - AGE OF ONSET: MAY BE DELAYED. - BIOCH. BASES: - ENZYMES - R – Metabolic - Growth factors - STRUCTURAL PROTEIN
GENETIC DISORDERS I
MENDELIAN DIS.: TRANSMISSION PATTERNS AUTOSOMAL RECESIVE: - THE RARE FORMS---ENDOGAMY - LESS VARIABLE - MORE EVIDENT IN CHILDHOOD - BIOCH. BASE---ENZYMES
GENETICAL DISORDERS I
MENDELIAN DIS.: TRANSMISSION PATTERNS X-LINKED:
GENETIC DISORDERS I
DIS. ASSOCIATED WITH DEFECTS IN STRUCTURAL PROTEINS: - MARFAN SYNDROME. - EHLERS-DANLOS SYNDROME
FIBRILLIN-1
GENETIC DISORDERS I
DIS. ASSOCIATED WITH DEFECTS IN RECEPTOR PROTEIN: FAMILIAL HYPERCHOLESTEROLEMIA.
LIPEMIC SERUM
XANTHELASMA PALPEBRARUM
IDEM
AORTIC ATHEROMAS
ATHEROMA
TENDON XANTHOMA