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#Genetics

Identifying Chromosomal Disorders

evan Feb. 26, 2024

Edwards syndrome

  • Trisomy 18
  • Small head, small jaw
  • Clenched fists

Di George syndrome

  • Part of chromosome 22 is deleted
  • Developmental difficulties
  • Thymic aplasia - lack of T cells
  • Features - CATCH-22 mnemonic 
    • C – Congenital heart disease
    • A – Abnormal facies (characteristic facial appearance)
    • T – Thymus gland incompletely developed
    • C – Cleft palate
    • H – Hypoparathyroidism and resulting Hypocalcaemia
    • 22nd chromosome affected

Patau syndrome

  • Trisomy 13
  • Cleft lip/palate
  • Cerebral defects
  • Trigger thumbs
  • Polydactyl

Down's syndrome

  • Trisomy 21
  • Flattened appearance to face
  • Small ears, short neck

Turner syndrome

  • 45, X
  • therefore female only
  • Normal life expectancy
  • Behavioural, socal and some specific learning disabilities

Klinefelter syndrome

  • 47, XXY
  • Males born with extra X
  • Learning difficulties
  • More feminine "phenotype"

Mosaic trisomy 8

  • Trisomy 8 
  • Some cells have 3 copies of C8 others have the 2
  • Full trisomy is fatal

Prader-Willi syndrome

  • Deletion of paternal chromosome 15

OR

  • Two maternal copies of chromosome 15
  • Restriction of growth etc - what the maternal body would want when pregnant

Angelman Syndrome

  • Deletion of maternal chromosome 15

OR

  • Two paternal copies of chromosome 15

Beckwith-Wiedemann Syndrome

  • Foetal overgrowth 
  • Hypermethylation of H19 on maternal chromosome → reduced expression of maternal H19 → reduced inhibition of maternal IGF2 ⇒ overgrowth/organomegaly

Russell-Silver syndrome

  • Growth inhibition
  • Hypomethylation of paternal H19 → increased expression of paternal H19 → increased inhibition of paternal IGF2 ⇒ not enough growth

Tay-Sachs disease

  • Mutation in HEXA - chromosome 15 → needed for sphingolipid breakdown
  • Infantile onset hearing loss + seizures
  • Life expectancy of ~4 years 

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