Human Genetics, Your Family, and Global Health 3 credits Instructor: Spring 2012 Dr. Sarah Certel Skaggs 393 (406)-243-6479 sarah.certel@mso.umt.edu Lectures: TTH Textbooks: Human Genetics: Concepts and Applications by Lewis, 9th Edition. Web Page: Course Description: This course will address two fundamental biological and societal questions; how do genes direct and/or influence our health, and how do cultural, climate, ethical, and political issues affect the treatment of genetic diseases? In covering the first unit, the material will give students a practical knowledge of the principles of human genetics, which will serve as a foundation to understand inherited diseases, the application of family information, and diagnostic methodologies. The course will cover the basics of heredity; what is a gene, what is a chromosome, what is genetic material. We will move on to understanding the patterns of inheritance of genes, including those associated with genetic diseases such as cancer and Alzheimer’s disease, and the sequence and content of the human genome. We will also address how genes function and how individual gene variation affects health risks and the interpretation of genetic tests. A key goal is to empower students to make informed choices about their behavior and treatment with respect to genetic diagnoses they may receive about themselves or family members. In the second unit, students will learn how the physical, cultural, and political environment impacts the treatment of genetic disease. Topics will include how contact with pesticides in agriculture-focused states such as Iowa or Nebraska or contact with disease-carrying mosquitoes in South-East Asia maychangethe risk of developing disease in populations with existing genetic predisposition. In addition, the course will cover how the direct and indirect effects of global climate may change the risk of developing different diseases such as cancer in specific populations. We will address the ethical issues surrounding the cost of genetic testing – who should pay for such information and does society benefit from the treatment or the prevention of genetic disease, for example. Students will learn how cultural and religious issues affect the logistical implementation of treatment. For example, how do different cultures treat depression, which has a strong genetic component, how much does the different treatments cost, and is one more effective than another? Finally, we will discuss how governmental policies affect the treatment of genetic disease. Course goals.This course will: Provide sufficient background to understand the biology of genes and genetic issues as they relate to family inheritance, genetic test results, and various disease conditions such as cancer. Give students a solid foundation in genetic terminology and concept. This knowledge may be applicable to current health situations in students’ lives or can be built upon to understand future health challenges and participate knowledgeably in political discussions. Enable students to acquire a basic knowledge of the complex ethical dilemmas surrounding the availability and interpretation of genetic testing. Place promoteunderstanding of the cultural and economic considerations that influence the availability of genetic testing and the treatment of diseases with genetic components. Learning outcomes. Students will: Be able to understand a pedigree and describe the method of inheritance. Describe the contribution genes make to the development of a specific gene. Be able to give three examples of cultural or religious considerations when implementing health care procedures. Be able to describe one area that the United Nations or a large governmental body could provide leadership to regulating the availability of genetic testing and the potential curing of genetic disease to all global citizens. Course Format and Grading: This course will 1) utilize a lecture format to teach core concepts, 2) genetic interactives and case study examples to demonstrate and apply the core concepts, and 3) animations and videos to complement the lecture and textbook content. The first segment of each class period will be given in a lecture format while the second segment will be a discussion of the topic covered with an emphasis on personal experiences and practical implementations. Exams will include multiple choice questions and essays. Exams will cover at least these three components: Exam I: Students will interpret the method of inheritance of a family pedigree and describe the basic methods of inheritance. Exam II: Students will be given a major disease and required to describe contributing genetic components, areas of risk worldwide, and environmental, diet, or pharmaceutical interventions that are available. Exam III: Personal essay on the global economic and ethical implications of genetic testing, atrisk assessments and potential curing of genetic-based diseases. Lecture and Discussion Schedule: Instructor Week 1 1 Certel 2 Certel Week 2 Ch. Topic The nature of heredity Cells 1 2 Certel Certel Meiosis and Development DNA Structure and Replication Week 3 1 2 Certel Certel Gene Action: From DNA to Protein Gene Expression and Epigenetics Week 4 1 2 Certel Certel Gene Mutation/Chromosomes Transmission of Genes Week 5 1 2 Certel Certel Understanding Crosses and Pedigrees Effects of Multiple Genes Exam I Week 6 2 Woodahl (BMED) Gene Variation and Drug Response Week 7 1 2 Certel Putnam (BMED) Genetic Testing I Risk Factors Week 8 1 2 Wetzel (BIOL) Lodmell (BIOL) Pesticides and Risk Factors HIV infection and Risk Factors Week 9 1 2 Certel Genetics Counselor (CMC) Genes and Cancer Genetic Testing Exam II Week 10 2 Sommers-Flanagan( COUN) Cultural Considerations in Treating Depression Week 11 1 Greymorning (ANTH) 2 Putnam (BMED) Native American Health Care Cultural Considerations Ethical Issues and Public Health Week 12 1 2 Prescott Student led Discussion Genetic Risks and Insurance Health Care/Review Exam III