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Biochem and medical genetics

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Types of mutation   Range from single base pair changes to alterations in whole chromosomes or chromosome sets Spontaneous - due to chemical properties of the nucleic acids or problems during replication Induced - due to radiation or chemicals  
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Deamination   In the presence of water cytosine will lose an amine group to form uracil. 5-methyl cytosine will form thymine This leads to a substitution, which is not repaired leads to the wrong base pairing on replication, so will be propagated  
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De-purination   In the presence of water purine bases can be lost to leave a sugar phosphate with no base The base pair is lost in replication as there is nothing to base pair a new strand with Leads to a deletion of that base pair  
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Mistakes during replication   Replication errors can occur where the wrong base is added, changing the base paring on one of the grand-daughter strands This can be recognised by repair machinery and fixed, but this is difficult in repeat regions  
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Extension of repeat regions   In tandem repeat sections the replication machinery can slip, inserting additional repeats. This is often inherited, with everyone having different repeats This can lead to disease if it occurs in the exons  
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Thymine Dimers   Exposure to UV can cause dimerization of thymine. two thymine are covalently linked, affecting structure of the DNA, such as introducing kinks, which affects replication E.g. Melanoma. Mutation is repair enzymes affect susceptibility to melanoma  
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Repair mechanisms   Nucleotide damage - nucleotide excision by XP proteins Single strand breaks - PARP, XRCC1 Recombination repair of double strand breaks - BRCA1/2 (homologous), DNAPKcs, XRCC$ (non-homologous) Mismatch repair - MSH2, MLH1  
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If mutations affect repair genes   If repair is compromised by mutations in genes encoding repair complexes this can elevate susceptibility to cancer Nucleotide exision repair - XP genes leads to Xeroderma Pigmentosa and Cockayne Syndrome Double strand breaks - breast cancer  
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Mis-sense mutation   A mutation that alters a codon so that it is recognised by a different t-RNA and consequently a different amino-acid is introduced into the polypeptide chain This changes the protein properties, function and interactions  
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Non-sense mutation   Characterises a change that introduces a premature stop codon in the mRNA This results in a shortened protein that might be non-functional or displays and altered function/regulation E.g. if kinases loose their regulatory area they become uncontrollable  
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Classes of mutation   Substitution - synonymous (silent), non-synonymous (missense, nonsense or splicing) Deletion - multiple of 3, frame shift or large deletion Insertion - multiple of 3 , frame shift or large insertion  
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Consequences of mutation on protein production   Gain of function - novel or excess protein Loss of function - reduces or eliminates protein Dominant negative mutation - produces abnormal protein that interferes with normal protein  
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Single nucleotide polymorphisms   One in 300 nucleotides in the human genome is polymorphic. Usually no significant phenotype so not selected for or against Needs to be present in >1% of the population Tend to be associated with disease as they are inherited with other mutations  
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Phenotype   Observable characteristics Due to genotype and environment  
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Genotype   Description of the genetic composition  
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Chromosomal abnormalities - Aneuploidy   Changes in the number of chromosomes Due to non-disjunction Monosomy - loss of a chromosome Trisomy - gain of a chromosome Most common is chromosome 21 - Down syndrome  
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Chromosome abnormalities - Breakage   Double strand break - can be fused incorrectly Parts of chromosomes can be exchanged e.g. change in regulation of genes by moving them on the chromosome (Philadelphia myeloid leukaemia) or loss of sections of chromosome if exchanged areas are different  
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Recombination   Homologous chromosomes line up in pairs in meiosis Reciprocal exchanges between chromatids - frequency depends on distance between loci A normal pathway in meiosis and not a cause of disease  
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Two genomes in eukaryotes   Nuclear genome - linear chromosomes inherited from both maternal and paternal side Mitochondrial genome - circular chromosomes inherited from only the maternal side  
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Different sequence classed in nuclear and mitochondrial genome   Nuclear genome has a very small proportion of coding genes Mitochondrial genome had mostly coding genes and is much smaller  
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The mitochondrial genome   Circular and encodes 37 genes, 24 of which encode non-coding RNAs and only 13 encode polypeptides The genes are tightly clustered and do not contain introns Vast majority of mitochondrial proteome is in nucleus  
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Different forms of satellite DNA   Describes larger repeats of sequences originating form polymerase slipping in DNA replication Satellite DNA - 170 nucleotide repeats in centromeres, telomeres Mini-satellites - repeat units 10-50 nucleotides Micro-satellite - repeat units up to 4 bases  
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Microsatellites and disease   Hyper-expansion of repeats in genes can lead to disease Microsatellite expansions play a role in neurological diseases including Huntington's and Friedrich Ataxia  
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DNA transposons   Cutting sequence and pasting somewhere else DNA moves by a cut and paste mechanism The DNA encodes proteins which move them around  
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DNA retrotransposons   RNA intermediates reverse transcribed into DNA Lines - Long interspersed elements encoding exo-nuclease and reverse transcriptase Sines - short nuclear elements made of Alu repeats. Depend on line gene product to move  
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Alu elements   Alu element location is biased towards gene-rich regions and are located in intergenic, intronic or exonic regions Can act as cis-elements and affect gene regulation at the transcriptional, pre-mRNA processing and post-transcriptional level  
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Protein encoding genes   Only around 1% of the genome Chromosome 18 has 270 protein encoding genes Orientation of genes is on either strand Some chromosomes have low gene density (e.g. 13) with a large distance between genes whilst others have a high gene density (e.g. 19)  
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Robertsonian Mutations   Parts of chromosomes are exchanged with non-homologous chromosomes  
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