Medical Genetics 01 introduction to medical Genetics Medical
- Slides: 72
Medical Genetics 01 医学遗传学绪论 introduction to medical Genetics
Medical Genetics • Arrangement • Introduction • Medical Genetics • Genetic disease
Medical Genetics Arrangement Teacher: Liu Wen Ph. D associate prof (liuwen@shmu. edu. cn) Liu Xiaoyu Ph. D assistant Prof (liubio@163. com) Alexander Endler Ph. D
Medical Genetics • 1. 5 credits • Lecture: 2 classes/week (9 weeks) • Lab: 4 classes/week (4 weeks)
Medical Genetics Lectures Week Date 10 11. 11 Thu 3 -4 Medical Genetics & Genetic disease 11 11. 18 Thu 3 -4 Single Gene Disorder 12 11. 25 Thu 3 -4 Polygene Disorder 13 12. 2 Thu 3 -4 Chromosomal Disease 14 12. 9 Thu 3 -4 15 12. 16 Thu 3 -4 16 12. 23 Thu 3 -4 17 12. 30 Thu 3 -4 18 1. 7 Thu 3 -4 Classroom: 1402 Day Course Content Teacher Liu Wen Alexander Endler Mitochondrial Disease Liu Wen Genetics and Cancer Liu Wen Birth defect Students presentation Exam
Medical Genetics Lab training Week Date Day Course Content Teacher 11 11. 19 Fri 5 -8 Preparation of chromosome samples Liu Xiaoyu 12 11. 26 Fri 5 -8 G banding & samples of chromosome diseases Liu Xiaoyu 14 12. 10 Fri 5 -8 Extraction of Genomic DNA Liu Xiaoyu 15 12. 17 Fri 5 -8 Detection of gene mutation by PCR Liu Xiaoyu Lab: 13 -214
Medical Genetics • Text book • Reference Thompson & Thompson Genetics in Medicine, 7 th Principles of Medical Genetics (Williams & Wikins)
Medical Genetics Exam: Exam 40% Presentation 30% Lab report 20% Homework 10%
Medical Genetics Introduction 46, XY karyotype
Medical Genetics Androgen insensitivity syndrome, AIS • Mechanism Caused by mutations of the gene encoding the androgen receptor. • symptoms A person with complete androgen insensitivity syndrome (CAIS) has a female external appearance, and suppressed menstruation.
Medical Genetics androgen insensitivity syndrome, AIS (雄激素不敏感综合征) XR 46, XY karyotype retained testis
Medical Genetics Introduction • Mechanism 47, XXY (extra chromosome ) Klinefelter sydrome mania ? ?
Medical Genetics Introduction-Disease and Genetics A. Disease caused by (or related to) environmental stress. Bird Flu SARS H 1 N 1 Flu
Medical Genetics Introduction-Disease and Genetics Down syndrome Many of the common physical features Low IQ B. Disease caused by (or related to) genetic factors.
Medical Genetics
Medical Genetics Introduction-Disease and Genetics Duchenne muscular dystrophy caused by a gene mutation
Medical Genetics
Medical Genetics Introduction-Disease and Genetics connate rachitis Conjoined Twins C. diseases caused by the combined action of gene and environment.
Medical Genetics Genetic Disorders : disorders caused wholly or partly by genetic factors.
Medical Genetics What is Medical Genetics? human genetics
Medical Genetics What is Medical Genetics? human genetics: The science of variation and heredity in human beings.
Medical Genetics dominate widow peak Evaginable thumb dominate recessive Hair line of the forehead dominate recessive Tongue rolling Free/attached ear lobe
Homework ☆ Pedigree: Medical Genetics Nov 25 th
Medical Genetics Symbols
Medical Genetics What is Medical Genetics? Medical Genetics : Medical genetics deals with human genetic variation of medical significance. Major recognized areas of specialization are the study of chromosomes, and the structure and function of individual genes.
Medical Genetics What is Medical Genetics? Medical Genetics son’s disease Wil Mechanism of Genetic Disease
Medical Genetics What is Medical Genetics? Clinical Genetics the application to diagnosis and patient care
Medical Genetics What is Medical Genetics? diagnosis albinism Sickle cell anemia
Medical Genetics What is Medical Genetics? Imagining Diagnosis
Medical Genetics harelip
Medical Genetics What is Medical Genetics? Molecular Diagnosis incision enzyme Gel electrophoresis
Medical Genetics What is Medical Genetics? Prevention phenylphruvic acid prenatal diagnosis PKU/PAH (Phenylalanine hydroxylase)
Medical Genetics What is Medical Genetics? Therapy Consult
Medical Genetics Genetic disease A. What is genetic disorder? A genetic disorder is a disease that is caused by an abnormality in an individual’s DNA. Abnormalities can range from a small mutation in a single gene to the addition or subtraction of an entire chromosome or set of chromosomes.
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics Down syndrome albinism
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics 3 Pedigree of Genetic Disease
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics x hemophilia (Blood clotting,to bleed)
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics • Family number of DMD
Medical Genetics Genetic disease B. Characteristics of genetic disorders 1. congenital 2. mode of inheritance 3. population distribution 4. familial 5. infectious
Medical Genetics Genetic disease human prion diseases genetic and infectious Neuron : Vacuolar degeneration
Medical Genetics • Creutzfeldt-Jakob disease tribe
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics Genetic disease Single-gene disorders result when a mutation causes the protein product of a single gene to be altered or missing.
Medical Genetics表 一些常染色体显性遗传病举例 疾病中文名称 疾病英文名称 OMIM 染色体定位 家族性高胆固醇血症 familial hypercholesterolemia 143890 19 p 13. 2 �� 性出血性毛� 血管�� hemorrhagic telangiectasia 187300 9 q 34. 1 �� 性球形�� 胞症 elliptocytosis 130500 1 p 36. 2 -p 34 急性� 歇性� 淋症 porphyria, acute intermittent 176000 11 q 23. 3 �� 性成骨� 育不全症 osteogenesis imperfecta, type I 166200 17 q 21. 31 -q 22 成年多囊� 病 polycystic kidney disease, adult 173900 16 p 13. 3 -p 13. 12 -珠蛋白生成障碍性� 血 alpha-thalassemias 141800 16 pter-p 13. 3 短指(趾)症A 1型 brachydactyly, type A 1 112500 2 q 35 -q 36 特� 性肥大性主� 脉瓣下狭窄 supravalvular aortic stenosis 185500 7 q 11. 2 �� 性巨血小板病,� 炎和耳 � Fechtner syndrome 153640 22 q 11. 2 Noonan� 合征 Noonan syndrome 1 163950 12 q 24. 1 神��� 瘤 neurofibromatosis, type I 162200 17 q 11. 2 �� 性� 硬化 tuberous sclerosis 191100 16 p 13. 3,9 q 34 多� 性家族性�� 息肉症 adenomatous polyposis of the colon 175100 5 q 21 -q 22 Peutz-Jeghers� 合征 Peutz-Jeghers syndrome 175200 19 p 13. 3 Von Willebrand病 Von Willebrand disease 193400 12 p 13. 3
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics In chromosome disorders, entire chromosomes, or large segments of them, are missing, duplicated, or otherwise altered.
Medical Genetics
Medical Genetics Patau syndrome Trisomy 13 -- the presence of an extra (third) chromosome 13 in all of the cells.
Medical Genetics Symptoms • Physical characteristics • Organ defects • Mental retardation
Medical Genetics physical characteristics small eyes cleft lip, cleft palate low-set ears
Medical Genetics physical characteristics rocker foot
Medical Genetics Organ defects • heart defects • spinal defects
Medical Genetics • abnormal genitalia • gastrointestinal hernias • polycystic kidney disease
Medical Genetics mental retardation • Incomplete brain development • Low IQ
Medical Genetics Ø 99%do not survive gestation and are spontaneously aborted Ø 82 -85% do not survive past 1 month of age, 85% do not survive past 1 year of age
Medical Genetics Diagnosis &Treatment • Diagnosis: chromosome analysis • NO TREATMENT
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics Multiple genes are missing as a result of this deletion, and each may contribute to the symptoms of the disorder. One of the deleted genes known to be involved is TERT (telomerase reverse transcriptase). This gene is important during cell division because it helps to keep the tips of chromosomes (telomeres) in tact.
Medical Genetics Genetic disease Multifactorial disorders result from mutations in multiple genes, often coupled with environmental causes.
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics Genetic disease Somatic cell genetic diseases: result from the altered genetic materials in somatic cells.
Medical Genetics
Medical Genetics Genetic disease C. Classification of Genetic Disorders 1. single-gene disorders 2. chromosome disorders 3. multifactorial disorders 4. somatic cell genetic disorders 5. mitochondrial disorders
Medical Genetics Genetic disease Mitochondrial genetic diseases: Due to the mutation of mitochondrial DNA.
Medical Genetics 一些mt. DNA突变相关的疾病 突� 相关基因 表型 mt-3243 t. RNALeu(UUR) MELAS、PEO、NIDDM/耳� mt-3256 t. RNALeu(UUR) PEO mt-3271 t. RNALeu(UUR) MELAS mt-3303 t. RNALeu(UUR) 心肌病 mt-3260 t. RNALeu(UUR) 心肌病/肌病 mt-4269 t. RNAIle 心肌病 mt-5730 t. RNAAsn 肌病(PEO) mt-8344 t. RNALys MERRF mt-8356 t. RNALys MERRF/MELAS mt-15990 t. RNAPro 肌病 mt-8993 A 6 NARP/LEIGH mt-11778 ND 4 LHON mt-4160 ND 1 LHON mt-3460 ND 1 LHON mt-7444 COX 1 LHON mt-14484 ND 6 LHON mt-15257 Cyt 6 LHON
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