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Page 1: Medical Genetics

Medical Genetics

Human Anatomy and Physiology II

Oklahoma City Community College

Dennis Anderson

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Mitosis

• Produces daughter cells with 46 chromosomes• Used in growth and repair

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Mitosis

• DNA is duplicated• Doubled

chromosomes form from duplicated DNA

• Each cms has 2 identical chromatids

Chromatid

Chromatid

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Chromosomes line up in a single row.

Mitosis Metaphase

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Chromosomes separate

Each chromatid becomes a single chromosome

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Meiosis

• Reduce the chromosome number to half that of body cells

• Produce gametes– Egg– Sperm

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Chromosomes line up in a double row.

Meiosis Metaphase

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Chromosomes separate

Each each daughter cell gets doubled chromosomes

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Doubled Chromosomes Separate in Second Meiotic Division

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Mitosis Metaphase

Meiosis Metaphase

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Cms 1 Cms 1

Cms 2 Cms 2

Double Filed Chromosomes

• Daughter cells receive ONE of each cms pair

• Daughter cells receive ONE allele for most traits

• New combinations of alleles possible

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Gene

• A unit of heredity that controls the development of one trait

• Made of DNA

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Allele

• Member of a paired gene– One allele comes from each parent

• Represented by a single letter

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Dwarfism = D

Normal height = d

DD = Dwarfism

Dd = Dwarfism

dd = Normal height

Examples of Alleles

Dwarf Band

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Dominant & Recessive Alleles

• Dominant alleles are expressed

• Recessive alleles are not expressed in the presence of a dominant allele– Recessive alleles are only expressed if both

recessive alleles are present

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Homozygous

• Both alleles alike

• AA or aa

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Heterozygous

• Alleles are different

• Aa

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Genotype

• Genetic make up

• Represented by alleles

• DD & Dd are genotypes for dwarfism

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Phenotype

• A trait

• Genotype determines the phenotype

• Dwarfism is a phenotype

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Codominant

• Two different alleles are both dominant

• A = allele for type A blood

• B = allele for type B blood

• AB = results in type AB blood

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Karyotype

• Picture of chromosomes from an individual

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Homologous Chromosomes

• Chromosomes of the same pair

• Karyotypes are usually arranged with homologous chromosomes paired together

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Mutation

• Change in a gene or chromosome

• Causes an abnormal trait

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MutagenAgent that causes mutations

Cigarette smoke

Pesticides

X-rays

Ulatraviolet light

Nuclear radiation

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Homologous chromosomes line up in a double file in metaphase I of meiosis

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Homologous Pairs Separate

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Four Gametes With Single Chromosomes

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Fertilization

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Nondisjunction

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Trisomy

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Sex Chromosomes

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Sex Chromosomes

• Male have Xy– Male gametes have either X or y

• Females have XX– Female gametes have X

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AutosomesChromosomes 1-22

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X-Linked Traits

• Alleles are on the X chromosome

• Females have two alleles

• Males have one allele– Only one X chromosome

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Normal Male

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Normal Female

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Trisomy 21Down Syndrome

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Down Syndrome

• Large tongue• Flat face• Slanted eyes• Single crease across

palm• Mental retardation

– Some are not

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Maternal Age & Down Syndrome

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Trisomy 18Edward Syndrome

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Edward Syndrome

• Heart defects• Displaced liver• Low-set ears• Abnormal hands• Severe retardation• 98% abort• Lifespan < 1 year

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Trisomy 13Patau Syndrome

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Patau Syndrome• Cleft lip and palate• Extra fingers & toes

– polydactylism

• Defects– Heart– Brain– Kidneys

• Most abort• Live span < 1 month

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Klinefelter Syndrome

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Klinefelter Syndrome

• Breast development• Small testes• Sterile• Low intelligence

– Not retarded

Klinefelter Website

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Turner Syndrome

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Turner Syndrome

• Short• Not go through

pruberty• Produce little estrogen• Sterile• Extra skin on neck

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Fetal Testing

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Sickle Cell Anemia

• RBCs sickle shaped

• Anemia

• Pain

• Stroke

• Leg ulcers

• Jaundice

• Gall stones

• Spleen, kidneys & lungs

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Sickle Cell Anemia

• Recessive allele, s codes for hemoglobin S – Long rod-like molecules– Stretches RBC into sickle shape

• Homozygous recessive, ss have sickle cell anemia

• Heterozygous, Ss are carriers

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Hemophilia

Blood clotting impaired

Recessive allele, h

carried on X cms

X-linked recessive trait

More common in males

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Albinism

• Lack of pigment– Skin

– Hair

– Eyes

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Amino Acids Melanin PigmentEnzyme

A a

AA = Normal pigmentation

Aa = Normal pigmentation

aa = Albino

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PKU Disease

• Phenylalanine excess• Mental retardation if

untreated

Molly’s Story

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Phenylalanine TyrosineEnzyme

P p

PP = Normal

Pp = Normal

pp = PKU

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A man & woman are both carriers (heterozygous) for albinism. What is the chance their children will inherit albinism?

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AA = Normal pigmentation

Aa = Normal pigmentation (carrier)

aa = Abino

Man = Aa Woman = Aa

A

a a

A

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A

a

a

A AA

Aa

Aa

aa

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AA

Aa

Aa

aa

Genotypes1 AA, 2Aa, 1aa

Phenotypes

3 Normal

1 Albino

Probability

25% for albinism

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A man & woman are both carriers (heterozygous) for PKU disease. What is the chance their children will inherit PKU disease?

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p

p

P PP

Pp

Pp

pp

P

PP = Normal

Pp = Normal (carrier)

pp = PKU disease

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PP

Pp

Pp

pp

Genotypes1 PP, 2Pp, 1pp

Phenotypes

3 Normal

1 PKU disease

Probability

25% for PKU disease

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A man with sickle cell anemia marries a woman who is a carrier. What is the chance their children will inherit sickle cell anemia?

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s

s

s Ss

Ss

ss

ss

S

SS = Normal

Ss = Normal (carrier)

ss = Sickle Cell

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Ss

Ss

ss

ss

Genotypes2 Ss, 2ss

Phenotypes

2 Normal (carriers)

2 Sickle cell

Probability

50% for Sickle cell

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A man with heterozygous dwarfism marries a woman who has normal height. What is the chance their children will inherit dwarfism? Dwarfism is dominant.

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d

d

D Dd

dd

Dd

dd

d

DD = Dwarf

Dd = Dwarf

dd = Normal

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Dd

dd

Dd

dd

Genotypes2 Dd, 2dd

Phenotypes

2 Normal

2 Dwarfs

Probability

50% for Dwarfism

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X-linked Recessive Traits

• Alleles are on the X chromosome

• Inheritance pattern different in males and females

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XH XH = Normal Female

XH Xh = Normal Female (Carrier)

Xh Xh = Hemophilic Female

XHy = Normal Male

Xhy = Hemophiliac Male

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A man with hemophilia marries a normal woman who is not a carrier. What is the chance their children will inherit hemophilia? Hemophilia is X-linked recessive.

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y

XH

Xh XH Xh

XH

Xh XH = Normal Female

XH Xh = Normal Female (Carrier)

Xh Xh = Hemophilic Female

XHy = Normal Male

Xhy = Hemophiliac Male

XH Xh

XHy XHy

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Genotypes

2 XH Xh, 2XHy

Phenotypes

2 Carrier Females

2 Normal Males

Probability

O% for Hemophilia

y

XH

Xh XH Xh

XH

XH Xh

XHy XHy

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A normal man marries a normal woman who is a carrier for hemophilia. What is the chance their children will inherit hemophilia?

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y

Xh

XH

XH

Xh XH = Normal Female

XH Xh = Normal Female (Carrier)

Xh Xh = Hemophilic Female

XHy = Normal Male

Xhy = Hemophiliac Male

XH XH XH Xh

XHy Xhy

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Genotypes

XH XH , XH Xh, XHy, XhyPhenotypes

2 Normal Females

1 Normal Males

1 Male Hemophiliac

Probability50% for Male Hemophilic

0% for Female Hemophilic

y

Xh

XH XH XH

XH

XH Xh

XHy Xhy

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The End


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