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DNA
The blueprint for directing activities
Chromosomes
Assembled strands of DNA within the nucleus
How many autosomes
44 or 22 pairs
Female Chromosomes
XX
Male Chromosomes
XY
Karyotype
the complete chromosomal composition
Where are chromosomes extracted from
nucleus
Karyotypes detect
abnormalities
Genes
correspond with a particular trait & occupy a particular site on a chromosome
How many copies of each gene?
2- one from each parent
Alleles
Alternate forms of a gene
Homozygus
Alleles are the same (BB or bb)
Heterozygous
Different alleles (Bb)
Dominant alleles
When only one allele is needed to express a trait (Bb is brown)
Recessive alleles
When 2 alleles are needed to express a trait (ex: red hair)
Autosomal Dominant Diseases
Transmitted through dominant alleles Offspring have 50% chance of being affected
Examples of Autosomal dominate diseases
Polydactyly Achondroplasia Marfan Syndrome Familial hypercholsetolemia
Polydactyly
Additional finger or toe
Achondroplasia
Abnormal cartilage formation & long bones
Marfan Syndrome
Cartilage grows longer b/c fibrillin is missing (ex: Lincoln)
Familial hypercholesterolemia
high cholesterol running in a family
Autosomal Recessive Diseases
Disease manifests when individual is homozygous for defective alleles Heterozygous parents are carriers Child has 25% of infection Usually in close intermarriages
Examples of Autosomal Recessive
PKU Sickle Cell Animia Falactosemia Tay-Sachs Albinism
PKU-Phenylketonuria
missing Phenylanine Derivatives build up and affect brain development Synthetic diet reduces risk
Sickle cell anemia
Blacks most at risk Deformed RBC Increases resistance to malaria Heterozygus just gets mild anemia
Malaria kills how many a year?
2 Million
How many blacks are carriers for sickle cell anemia?
1 in 12
Sex-Linked Inheritance
Defective gene on X chromosome Expressed in males Heterozygous female is carier
Males transmit defective sex-linked alleles to
Daughers
More likely to inherit x-linked diseases
males
Carrier females for sex-linked
50% passing it to offspring
Affected Males with sex-linked
Only pass to his daughters
Colorblindess
inability to distinguish colors, specifically btwn red & green
Colorblindess occurs
1 in 10 men
Hemophilia
Inactivation of an intrinsic clotting factor that causes bleeding for longer period of time than normal
Abnormal chromosome diseases
1. Altered # or structure 2. Failure of chromosome to separate during cell division 3. Complete loss of autosome
Down Syndrome
Trisomy of small chromosome
Incidence of Downs
1 out of 800
Incidence of Downs live births
1 of 100
Risks of Downs
Advancing maternal age 1 in 50 if mom >40
Downs complication
Sleep apnea, obesity, GI blockage, thyroid problems, early menopause, seizures, hearing loss, premature aging, skeletal problems, poor vision
% of DS die in utero
70-75% 15%- before 1 35%- before 50 50%-beyond 50
Examples of Abnormal Chromosome Disorders
Cri Du Chat Turners Klinefelters Hermaphrodites
Pedigree
complete detailed family history
amniocentesis
small amount of amniotic fluid is withdrawn after 14th week to see genome
Amniocentisis can detect
~200 genetic diseases
Gene therapy
identification, manipulation, & transference of genetic segments into a host to replace defective genes and preform desired genetic activities
gene therapy aka
genetic engineering
What % of newborns have recognizable at birth
2-3%
What % of miscarriages have malformation
25-50%
Category A
No risk to fetus demonstrated in human studies
Category B
No evidence of risk to fetus. Animals-risk, Humans-no risk OR no adequate human studies
Category C
Risk cannot be ruled out. No human studies. Animal studies either not available or possible risk
Category D
Risk to fetus, but drug is necessary, & + outweighs -
Category X
contridicated in pregnancy, severe risk to fetus outweighs benefit to patient

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