Cytogenetics Lecture 1
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Diagnostic Investigations in Individuals with Mental Retardation: a Systematic Literature Review of Their Usefulness
European Journal of Human Genetics (2005) 13, 6–25 & 2005 Nature Publishing Group All rights reserved 1018-4813/05 $30.00 www.nature.com/ejhg REVIEW Diagnostic investigations in individuals with mental retardation: a systematic literature review of their usefulness Clara DM van Karnebeek1,2, Maaike CE Jansweijer2, Arnold GE Leenders1, Martin Offringa1 and Raoul CM Hennekam*,1,2 1Department of Paediatrics/Emma Children’s Hospital, Academic Medical Center, Amsterdam, The Netherlands; 2Department of Clinical Genetics, Academic Medical Center, Amsterdam, The Netherlands There are no guidelines available for diagnostic studies in patients with mental retardation (MR) established in an evidence-based manner. Here we report such study, based on information from original studies on the results with respect to detected significant anomalies (yield) of six major diagnostic investigations, and evaluate whether the yield differs depending on setting, MR severity, and gender. Results for cytogenetic studies showed the mean yield of chromosome aberrations in classical cytogenetics to be 9.5% (variation: 5.4% in school populations to 13.3% in institute populations; 4.1% in borderline- mild MR to 13.3% in moderate-profound MR; more frequent structural anomalies in females). The median yield of subtelomeric studies was 4.4% (also showing female predominance). For fragile X screening, yields were 5.4% (cytogenetic studies) and 2.0% (molecular studies) (higher yield in moderate-profound MR; checklist use useful). In metabolic investigations, the mean yield of all studies was 1.0% (results depending on neonatal screening programmes; in individual populations higher yield for specific metabolic disorders). Studies on neurological examination all showed a high yield (mean 42.9%; irrespective of setting, degree of MR, and gender). -
Cytogenetics, Chromosomal Genetics
Cytogenetics Chromosomal Genetics Sophie Dahoun Service de Génétique Médicale, HUG Geneva, Switzerland [email protected] Training Course in Sexual and Reproductive Health Research Geneva 2011 Cytogenetics is the branch of genetics that correlates the structure, number, and behaviour of chromosomes with heredity and diseases Conventional cytogenetics Molecular cytogenetics Molecular Biology I. Karyotype Definition Chromosomal Banding Resolution limits Nomenclature The metaphasic chromosome telomeres p arm q arm G-banded Human Karyotype Tjio & Levan 1956 Karyotype: The characterization of the chromosomal complement of an individual's cell, including number, form, and size of the chromosomes. A photomicrograph of chromosomes arranged according to a standard classification. A chromosome banding pattern is comprised of alternating light and dark stripes, or bands, that appear along its length after being stained with a dye. A unique banding pattern is used to identify each chromosome Chromosome banding techniques and staining Giemsa has become the most commonly used stain in cytogenetic analysis. Most G-banding techniques require pretreating the chromosomes with a proteolytic enzyme such as trypsin. G- banding preferentially stains the regions of DNA that are rich in adenine and thymine. R-banding involves pretreating cells with a hot salt solution that denatures DNA that is rich in adenine and thymine. The chromosomes are then stained with Giemsa. C-banding stains areas of heterochromatin, which are tightly packed and contain -
GENETICS and GENOMICS Ed
GENETICS AND GENOMICS Ed. Csaba Szalai, PhD GENETICS AND GENOMICS Editor: Csaba Szalai, PhD, university professor Authors: Chapter 1: Valéria László Chapter 2, 3, 4, 6, 7: Sára Tóth Chapter 5: Erna Pap Chapter 8, 9, 10, 11, 12, 13, 14: Csaba Szalai Chapter 15: András Falus and Ferenc Oberfrank Keywords: Mitosis, meiosis, mutations, cytogenetics, epigenetics, Mendelian inheritance, genetics of sex, developmental genetics, stem cell biology, oncogenetics, immunogenetics, human genomics, genomics of complex diseases, genomic methods, population genetics, evolution genetics, pharmacogenomics, nutrigenetics, gene environmental interaction, systems biology, bioethics. Summary The book contains the substance of the lectures and partly of the practices of the subject of ‘Genetics and Genomics’ held in Semmelweis University for medical, pharmacological and dental students. The book does not contain basic genetics and molecular biology, but rather topics from human genetics mainly from medical point of views. Some of the 15 chapters deal with medical genetics, but the chapters also introduce to the basic knowledge of cell division, cytogenetics, epigenetics, developmental genetics, stem cell biology, oncogenetics, immunogenetics, population genetics, evolution genetics, nutrigenetics, and to a relative new subject, the human genomics and its applications for the study of the genomic background of complex diseases, pharmacogenomics and for the investigation of the genome environmental interactions. As genomics belongs to sytems biology, a chapter introduces to basic terms of systems biology, and concentrating on diseases, some examples of the application and utilization of this scientific field are also be shown. The modern human genetics can also be associated with several ethical, social and legal issues. The last chapter of this book deals with these issues. -
Pedigrees and Karyotypes Pedigree
Pedigrees and Karyotypes Pedigree A pedigree shows the relationships within a family and it helps to chart how one gene can be passed on from generation to generation. Pedigrees are tools used by genetic researchers or counselors to identify a genetic condition running through a family, they aid in making a diagnosis, and aid in determining who in the family is at risk for genetic conditions. On a pedigree: A circle represents a female A square represents a male A horizontal line connecting a male and female represents a marriage A vertical line and a bracket connect the parents to their children A circle/square that is shaded means the person HAS the trait. A circle/square that is not shaded means the person does not have the trait. Children are placed from oldest to youngest. A key is given to explain what the trait is. Marriage Male-DAD Female-MOM Has the trait Male-Son Female-daughter Female-daughter Male- Son Oldest to youngest Steps: ff Ff •Identify all people who have the trait. •For the purpose of this class all traits will be given to you. In other instances, you would have to determine whether or not the trait is autosomal dominant, autosomal recessive, or sex- linked. •In this example, all those who have the trait are homozygous recessive. •Can you correctly identify all genotypes of this family? ff ff Ff Ff •F- Normal •f- cystic fibrosis Key: affected male affected female unaffected male unaffected female Pp Pp PKU P- Unaffected p- phenylketonuria PP or Pp pp Pp pp pp Pp Pp Key: affected male affected female unaffected male unaffected female H-huntington’s hh Hh disease h-Unaffected Hh hh Hh hh Hh hh hh Key: affected male affected female unaffected male unaffected female Sex-Linked Inheritance Colorblindness Cy cc cy Cc Cc cy cy Key: affected male affected female unaffected male unaffected female Karyotypes To analyze chromosomes, cell biologists photograph cells in mitosis, when the chromosomes are fully condensed and easy to see (usually in metaphase). -
Epigenetics in Clinical Practice: the Examples of Azacitidine and Decitabine in Myelodysplasia and Acute Myeloid Leukemia
Leukemia (2013) 27, 1803–1812 & 2013 Macmillan Publishers Limited All rights reserved 0887-6924/13 www.nature.com/leu SPOTLIGHT REVIEW Epigenetics in clinical practice: the examples of azacitidine and decitabine in myelodysplasia and acute myeloid leukemia EH Estey Randomized trials have clearly demonstrated that the hypomethylating agents azacitidine and decitabine are more effective than ‘best supportive care’(BSC) in reducing transfusion frequency in ‘low-risk’ myelodysplasia (MDS) and in prolonging survival compared with BSC or low-dose ara-C in ‘high-risk’ MDS or acute myeloid leukemia (AML) with 21–30% blasts. They also appear equivalent to conventional induction chemotherapy in AML with 420% blasts and as conditioning regimens before allogeneic transplant (hematopoietic cell transplant, HCT) in MDS. Although azacitidine or decitabine are thus the standard to which newer therapies should be compared, here we discuss whether the improvement they afford in overall survival is sufficient to warrant a designation as a standard in treating individual patients. We also discuss pre- and post-treatment covariates, including assays of methylation to predict response, different schedules of administration, combinations with other active agents and use in settings other than active disease, in particular post HCT. We note that rational development of this class of drugs awaits delineation of how much of their undoubted effect in fact results from hypomethylation and reactivation of gene expression. Leukemia (2013) 27, 1803–1812; doi:10.1038/leu.2013.173 -
Phenotype Manifestations of Polysomy X at Males
PHENOTYPE MANIFESTATIONS OF POLYSOMY X AT MALES Amra Ćatović* &Centre for Human Genetics, Faculty of Medicine, University of Sarajevo, Čekaluša , Sarajevo, Bosnia and Herzegovina * Corresponding author Abstract Klinefelter Syndrome is the most frequent form of male hypogonadism. It is an endocrine disorder based on sex chromosome aneuploidy. Infertility and gynaecomastia are the two most common symptoms that lead to diagnosis. Diagnosis of Klinefelter syndrome is made by karyotyping. Over years period (-) patients have been sent to “Center for Human Genetics” of Faculty of Medicine in Sarajevo from diff erent medical centres within Federation of Bosnia and Herzegovina with diagnosis suspecta Klinefelter syndrome, azoo- spermia, sterilitas primaria and hypogonadism for cytogenetic evaluation. Normal karyotype was found in (,) subjects, and karyotype was changed in (,) subjects. Polysomy X was found in (,) examinees. Polysomy X was expressed at the age of sexual maturity in the majority of the cases. Our results suggest that indication for chromosomal evaluation needs to be established at a very young age. KEY WORDS: polysomy X, hypogonadism, infertility Introduction Structural changes in gonosomes (X and Y) cause different distribution of genes, which may be exhibited in various phenotypes. Numerical aberrations of gonosomes have specific pattern of phenotype characteristics, which can be classified as clini- cal syndrome. Incidence of gonosome aberrations in males is / male newborn (). Klinefelter syndrome is the most common chromosomal disorder associated with male hypogonadism. According to different authors incidence is / male newborns (), /- (), and even / (). Very high incidence indicates that the zygotes with Klinefelter syndrome are more vital than those with other chromosomal aberrations. BOSNIAN JOURNAL OF BASIC MEDICAL SCIENCES 2008; 8 (3): 287-290 AMRA ĆATOVIĆ: PHENOTYPE MANIFESTATIONS OF POLYSOMY X AT MALES In , Klinefelter et al. -
Biol 1020: Chromosomal Genetics
Ch. 15: Chromosomal Abnormalities Abnormalities in Chromosomal Number Abnormalities in Chromosomal Structure: Rearrangements Fragile Sites . • Define: – nondisjunction – polyploidy – aneupoidy – trisomy – monosomy . Abnormalities in chromosomal number How does it happen? . Abnormalities in chromosomal number nondisjunction - mistake in cell division where chromosomes do not separate properly in anaphase usually in meiosis, although in mitosis occasionally in meiosis, can occur in anaphase I or II . Abnormalities in chromosomal number polyploidy – complete extra sets (3n, etc.) – fatal in humans, most animals aneuploidy – missing one copy or have an extra copy of a single chromosome three copies of a chromosome in your somatic cells: trisomy one copy of a chromosome in your somatic cells: monosomy most trisomies and monosomies are lethal well before birth in humans; exceptions will be covered . Abnormalities in chromosomal number generally, in humans autosomal aneuploids tend to be spontaneously aborted over 1/5 of human pregnancies are lost spontaneously after implantation (probably closer to 1/3) chromosomal abnormalities are the leading known cause of pregnancy loss data indicate that minimum 10-15% of conceptions have a chromosomal abnormality at least 95% of these conceptions spontaneously abort (often without being noticed) . • Define: – nondisjunction – polyploidy – aneupoidy – trisomy – monosomy . • Describe each of the aneuploidies that can be found in an appreciable number of human adults (chromosomal abnormality, common name of the syndrome if it has one, phenotypes) . aneuploidy in human sex chromosomes X_ female (Turner syndrome) short stature; sterile (immature sex organs); often reduced mental abilities about 1 in 2500 human female births XXY male (Klinefelter syndrome) often not detected until puberty, when female body characteristics develop sterile; sometimes reduced mental abilities; testosterone shots can be used as a partial treatment; about 1 in 500 human male births . -
Aneuploidy of Chromosome 8 and C-MYC Amplification in Individuals from Northern Brazil with Gastric Adenocarcinoma
ANTICANCER RESEARCH 25: 4069-4074 (2005) Aneuploidy of Chromosome 8 and C-MYC Amplification in Individuals from Northern Brazil with Gastric Adenocarcinoma DANIELLE QUEIROZ CALCAGNO1, MARIANA FERREIRA LEAL1,2, SYLVIA SATOMI TAKENO2, PAULO PIMENTEL ASSUMPÇÃO4, SAMIA DEMACHKI3, MARÍLIA DE ARRUDA CARDOSO SMITH2 and ROMMEL RODRÍGUEZ BURBANO1,2 1Human Cytogenetics and Toxicological Genetics Laboratory, Department of Biology, Center of Biological Sciences, Federal University of Pará, Belém, PA; 2Discipline of Genetics, Department of Morphology, Federal University of São Paulo, São Paulo, SP; 3Department of Pathology and 4Surgery Service, João de Barros Barreto University Hospital, Federal University of Pará, Belém, PA, Brazil Abstract. Background: Gastric cancer is the third most second most important cause of death in the world (2). In frequent type of neoplasia. In northern Brazil, the State of Pará northern Brazil, the State of Pará presents a high incidence has a high incidence of this type of neoplasia. Limited data are of this type of neoplasia, and its capital, Belém, was ranked available so far on the genetic events involved in this disease. eleventh in number of gastric cancers per inhabitant among Materials and Methods: Dual-color fluorescence in situ all cities in the world with cancer records (2). Food factors hybridization (FISH) for the C-MYC gene and chromosome 8 may be related to the high incidence of this neoplasia in centromere was performed in 11 gastric adenocarcinomas. Pará, especially the high consumption of salt-conserved Results: All cases showed aneuploidy of chromosome 8 and food, the limited use of refrigerators and the low C-MYC amplification, in both the diffuse and the intestinal consumption of fresh fruit and vegetables (3). -
Dr. Fern Tsien, Dept. of Genetics, LSUHSC, NO, LA Down Syndrome
COMMON TYPES OF CHROMOSOME ABNORMALITIES Dr. Fern Tsien, Dept. of Genetics, LSUHSC, NO, LA A. Trisomy: instead of having the normal two copies of each chromosome, an individual has three of a particular chromosome. Which chromosome is trisomic determines the type and severity of the disorder. Down syndrome or Trisomy 21, is the most common trisomy, occurring in 1 per 800 births (about 3,400) a year in the United States. It is one of the most common genetic birth defects. According to the National Down Syndrome Society, there are more than 400,000 individuals with Down syndrome in the United States. Patients with Down syndrome have three copies of their 21 chromosomes instead of the normal two. The major clinical features of Down syndrome patients include low muscle tone, small stature, an upward slant to the eyes, a single deep crease across the center of the palm, mental retardation, and physical abnormalities, including heart and intestinal defects, and increased risk of leukemia. Every person with Down syndrome is a unique individual and may possess these characteristics to different degrees. Down syndrome patients Karyotype of a male patient with trisomy 21 What are the causes of Down syndrome? • 95% of all Down syndrome patients have a trisomy due to nondisjunction before fertilization • 1-2% have a mosaic karyotype due to nondisjunction after fertilization • 3-4% are due to a translocation 1. Nondisjunction refers to the failure of chromosomes to separate during cell division in the formation of the egg, sperm, or the fetus, causing an abnormal number of chromosomes. As a result, the baby may have an extra chromosome (trisomy). -
Cytogenetic Mapping and Contribution to the Knowledge of Animal Genomes
In: Advances in Genetics Research. Volume 4 ( in press ) ISBN 978-1-61728-764-0 Editor: Kevin V. Urbano, pp. © 2010 Nova Science Publishers, Inc. Chapter 1 Cytogenetic Mapping and Contribution to the Knowledge of Animal Genomes Cesar Martins, Diogo Cavalcanti Cabral-de-Mello, Guilherme Targino Valente, Juliana Mazzuchelli and Sarah Gomes de Oliveira UNESP – Univ Estadual Paulista, Departamento de Morfologia, Instituto de Biociências, Botucatu, SP, Brazil. Abstract Decades before the recent advances in molecular biology and the knowledge of the complete nucleotide sequence of several genomes, cytogenetic analysis provided the first information concerning the genome organization. Since the beginning of cytogenetics, great effort has been applied for understanding the chromosome evolution in a wide range of taxonomic groups. The exploration of molecular biology techniques in the cytogenetic area represents a powerful tool for advancement in the construction of physical chromosome maps of the genomes. The most important contribution of cytogenetics is related to the physical anchorage of genetic linkage maps in the chromosomes through the hybridization of DNA markers onto chromosomes. Several technologies, such as polymerase chain reaction (PCR), enzymatic restriction, flow sorting, chromosome microdissection and BAC library construction, associated with distinct labeling methods and fluorescent detection systems have allowed for the generation of a range of useful DNA probes applied in chromosome physical mapping. Concerning the probes used for molecular cytogenetics, the repetitive DNA is amongst the most explored nucleotide sequences. The recent development of bacterial artificial chromosomes (BACs) as vectors for carrying large genome fragments has allowed for the utilization of BACs as probes for the purpose of chromosome mapping. -
Cytogenetics, Chromosomal Genetics
Cytogenetics Chromosomal Genetics Sophie Dahoun Service de Génétique Médicale, HUG Geneva, Switzerland [email protected] Training Course in Sexual and Reproductive Health Research Geneva 2010 Cytogenetics is the branch of genetics that correlates the structure, number, and behaviour of chromosomes with heredity and diseases Conventional cytogenetics Molecular cytogenetics Molecular Biology I. Karyotype Definition Chromosomal Banding Resolution limits Nomenclature The metaphasic chromosome telomeres p arm q arm G-banded Human Karyotype Tjio & Levan 1956 Karyotype: The characterization of the chromosomal complement of an individual's cell, including number, form, and size of the chromosomes. A photomicrograph of chromosomes arranged according to a standard classification. A chromosome banding pattern is comprised of alternating light and dark stripes, or bands, that appear along its length after being stained with a dye. A unique banding pattern is used to identify each chromosome Chromosome banding techniques and staining Giemsa has become the most commonly used stain in cytogenetic analysis. Most G-banding techniques require pretreating the chromosomes with a proteolytic enzyme such as trypsin. G- banding preferentially stains the regions of DNA that are rich in adenine and thymine. R-banding involves pretreating cells with a hot salt solution that denatures DNA that is rich in adenine and thymine. The chromosomes are then stained with Giemsa. C-banding stains areas of heterochromatin, which are tightly packed and contain -
Physical Assessment of the Newborn: Part 3
Physical Assessment of the Newborn: Part 3 ® Evaluate facial symmetry and features Glabella Nasal bridge Inner canthus Outer canthus Nasal alae (or Nare) Columella Philtrum Vermillion border of lip © K. Karlsen 2013 © K. Karlsen 2013 Forceps Marks Assess for symmetry when crying . Asymmetry cranial nerve injury Extent of injury . Eye involvement ophthalmology evaluation © David A. ClarkMD © David A. ClarkMD © K. Karlsen 2013 © K. Karlsen 2013 The S.T.A.B.L.E® Program © 2013. Handout may be reproduced for educational purposes. 1 Physical Assessment of the Newborn: Part 3 Bruising Moebius Syndrome Congenital facial paralysis 7th cranial nerve (facial) commonly Face presentation involved delivery . Affects facial expression, sense of taste, salivary and lacrimal gland innervation Other cranial nerves may also be © David A. ClarkMD involved © David A. ClarkMD . 5th (trigeminal – muscles of mastication) . 6th (eye movement) . 8th (balance, movement, hearing) © K. Karlsen 2013 © K. Karlsen 2013 Position, Size, Distance Outer canthal distance Position, Size, Distance Outer canthal distance Normal eye spacing Normal eye spacing inner canthal distance = inner canthal distance = palpebral fissure length Inner canthal distance palpebral fissure length Inner canthal distance Interpupillary distance (midpoints of pupils) distance of eyes from each other Interpupillary distance Palpebral fissure length (size of eye) Palpebral fissure length (size of eye) © K. Karlsen 2013 © K. Karlsen 2013 Position, Size, Distance Outer canthal distance