INTERNATIONAL UNIVERSITY FOR SCIENCE & TECHNOLOGY GENETICS lecture course Office N. IUST: 6116 E-mail: a.rahmo@gmail.com Website: http://groups.google.com/group/genet ics-dentistry-iust?hl=ar Dr. A. Rahmo PhD. Biochemistry and Molecular biology USC GENETICS COURSE LECTURES 1- INTRODUCTION 2- MONOGENIC INHERITANCE (ONE GENE) 3- MONOGENIC INHERITANCE (TWO GENES) 4- PEDIGREE ANALYSIS 5- BEYOND CLASSICAL (MENDELIAN) GENETICS 6- EXAM 7-POLYGENIC INHERITANCE 8- CYTOGENETICS 9- MOLECULAR GENETICS OF PROCARYOTES 10- MOLECULAR GENETICS OF EUCARYOTES 11- ONCOGENETICS 12- EXAM 13- TESTING & TREATMENT OF GENETIC DISEASES 14- POPULATION GENETICS 15- REVIEW MONOGENIC TRAITS Classical (Mendelian) Genetics Inheritance of one gene Genetic Information • Gene – basic unit of genetic information. Genes determine the inherited characters. • Genome – the collection of genetic information. • Chromosomes – storage units of genes. • DNA - is a nucleic acid that contains the genetic instructions specifying the biological development of all cellular forms of life ٤ Chromosome Logical Structure • Locus – location of a gene/marker on the chromosome. • Allele – one variant form of a gene/marker at a particular locus. Different versions of the same gene are called alleles. Locus1 Possible Alleles: A1,A2 Locus2 Possible Alleles: B1,B2,B3 ٥ Human Genome Most human cells contain 46 chromosomes: • 2 sex chromosomes (X,Y): XY – in males. XX – in females. • 22 pairs of chromosomes named autosomes. ٦ Normal Male Normal Female Autosomes and Sex Chromosomes • Chromosomes that determine gender are called sex chromosomes; all other chromosomes are called autosomes. • Autosomes are homologous pairs. • Sex chromosomes can be homologous or non-homologous pairs . Sex determination in humans • Human females have two X chromosomes, and all their gametes contain one X chromosome. • Human males have one X and one Y chromosome; half their gametes contain an X chromosome, and the other half contain a Y chromosome. • The chromosome carried by the sperm determines sex in humans. • Genetic anomalies such as XY females and XX males can occur because of chromosomal mutations. Genotypes Phenotypes • At each locus (except for sex chromosomes) there are 2 genes. These constitute the individual’s genotype at the locus. PP = homozygous dominant (Capital letter) Pp = heterozygous pp = homozygous recessive (small letter) • The expression of a genotype is termed a phenotype. For example, hair color, weight, or the presence or absence of a disease (outward appearance of an individual). ١٠ Mendel’s 1st Law Two members of a gene pair segregate from each other into the gametes, so half the gametes carry one member of the pair and the other half carry the other member of the pair. Y/y y/y all y ½ y/y Gamete production ½y ½ Y/y ½Y ١١ Gamete production Principle of Segregation Two alleles for a gene segregate during gamete formation and are rejoined at random, one from each parent, during fertilization. SEGREGATION GAMETES 1n fertilization 2n In the diagram above, the dominant allele is represented by _Ţ__and the recessive allele is represented by _ţ_ . We can look at which genes may be passed onto offspring. We do this using a PUNNETTE SQUARES FATHER 25% 25% 25% 25% MOTHER Each square represents a possible offspring. Each PUNNETTE square is worth 25%. This is because there are 4 squares, and 4 times 25 is 100. We use this to describe the chances of offspring being a carrier, diseased or normal. One Locus Inheritance Female A|A Male Heterozygote: two different alleles heterozygote ١٤ 1 A|a 2 a|a 3 A| a 4 5 6 a|a a | a Homozygote: two identical alleles homozygote gene: information for a trait passed from parent to offspring. alleles: alternate forms of a gene. homozygous: having 2 of the same allele. heterozygous: having 2 different alleles. Individuals carry two alleles of each gene. 15 Genotype Mutations in single genes (often causing loss of function) Male Variants in genes causing alteration of function Chromosomal imbalance causes alteration in gene dosage PHENOTYPE APPARENT Dominant Heterozygotes with one copy of the altered gene are affected Recessive Homozygotes with two copies of the altered gene are affected X-linked recessive Males with one copy of the altered gene on the X-chromosome are affected Male Dominant vs. Recessive A dominant allele is expressed even if it is paired with a recessive allele. A recessive allele is only visible when paired with another recessive allele. ١٨ Monogenic / Polygenic traits Some human traits are controlled by a single gene Pedigree analysis: used to track inheritance patterns in families. 19 Mendelian traits • Some human diseases segregate in families following Mendel’s principles • Characteristics of classical Mendelian traits; -Single gene -Clear pattern of inheritance -Complete penetrance •OMIM: Online Mendelian Inheritance in Man •> 12,000 Mendelian traits known in humans a comprehensive, authoritative, and timely compendium of human genes and genetic phenotypes. contain information on all known mendelian disorders . OMIM focuses on the relationship between phenotype and genotype http://www.ncbi.nlm.nih.gov/sites/entrez?db=omim 5 basic Mendelian pedigree patterns o Autosomal dominant o Autosomal recessive o X-linked recessive o X-linked dominant o Y-linked Autosomal dominant disorders (neurofibromatosis, tuberous sclerosis, polycystic kidney disease, familiar polyposis coli, hereditary spherocytosis, Marfan syndrome, osteogenesis imperfecta, achondroplasia, familiar hypercholesterolemia) Autosomal recessive disorders (cystic fibrosis, phenylketonuria, homocystinuria, hemochromatosis, sickle cell anemia, thalassemias, alkaptonuria, neurogenic muscular atrophies) X-linked disorders (glucose-6-phosphate dehydrogenase deficiency) Autosomal Inheritance of Single-Gene Mutations • Several thousand human genetic disorders are inherited as recessive characters, most of which are caused by recessive mutations of genes on autosomes . • For genetic disorders caused by a recessive allele (a), only homozygous (aa) individuals get the disease. • Heterozygous individuals (Aa) are called “carriers” because they have one copy of the disease-causing allele but do not get the disease. • If two carriers of a recessive genetic disorder (Aa) mate, there is a 25 percent chance that their offspring will get the disease. • If a genetic disorder is dominant (A), then AA and Aa individuals are symptomatic for the disease. Punnett Square Punnett squares can be used to predict and compare the genetic variations that will result from a cross. Autosomal recessive • • The disease appears in male and female children of unaffected parents. e.g., cystic fibrosis ٢٤ Autosomal recessive inheritance (AR) • Recessive character: both alleles needed to cause the phenotype (homozygous) – Affects both sexes equally – A child of unaffected carrier parents has 25% risk of disease – Few affected, usually only in one generation (skips generations) – Increased probability of parental consanguinity Carrier female Symbols explanation: Affected male Normal male Normal female Autosomal dominant • Affected males and females appear in each generation of the pedigree. • Affected mothers and fathers transmit the phenotype to both sons and daughters. • Both sexes transmit the trait with equal frequency. • e.g., Huntington disease. ٢٦ Autosomal dominant inheritance (AD) • Dominant character: only one allele needed to cause the phenotype (heterozygous) – Successive generations are affected. – Affected have at least one affected parent, unless incomplete penetrance. – Transmission stops after a generation in which no one is affected – A child of an affected and an unaffected has 50% risk of disease Codominant inheritance • Two different versions (alleles) of a gene can be expressed, and each version makes a slightly different protein • Both alleles influence the genetic trait or determine the characteristics of the genetic condition. • E.g. ABO locus ٢٨ Sex-Linked Inheritance of Single-Gene Mutations • Genes located on the X or Y chromosome are called “sex-linked.” • Genes on the X chromosome are called “X-linked.” • Males inherit one X chromosome from their mothers; therefore, genes on sex chromosomes have different patterns of inheritance than genes on autosomes (see Figure 13.8). • Males are more likely than females to have recessive X-linked genetic disorders, because they need to inherit only one copy of the disease-causing allele to be affected. X-linked recessive • Many more males than females show the disorder. • All the daughters of an affected male are “carriers”. • None of the sons of an affected male show the disorder or are carriers. • e.g., hemophilia ٣٠ X-linked recessive X-linked recessive inheritance (XR) – Affects almost exclusively men – Affected men born from carrier mother, with 50% risk of disease – No male to male transmission X-linked dominant • Affected males pass the disorder to all daughters but to none of their sons. • Affected heterozygous females married to unaffected males pass the condition to half their sons and daughters • e.g. fragile X syndrome ٣٣ X-linked dominant inheritance (XD) --Much more severe effects in males – High rates of miscarriage due to early lethality in males – More females than males – All daughters of affected males are affected, but no sons – A child of an affected female has 50% risk of disease Some single gene disorders The Scientific Process: Tracing the Inheritance of a Disease Gene • The inheritance pattern of congenital generalized hypertrichosis (CGH) is illustrated with a pedigree diagram. • CGH is an Xlinked dominant genetic disorder. EXAMPLES For Self testing: Hemophilia Blood clotting impaired Recessive allele, h carried on X cms X-linked recessive trait More common in males Albinism • Lack of pigment – Skin – Hair – Eyes Autosomal recessive a A Amino Acids Enzyme AA = Normal pigmentation Aa = Normal pigmentation aa = Albino (a) DISFUNCTIONAL ENZYME because of a mutation Melanin Pigment Phenylketonuria (PKU) Disease • Phenylalanine excess • Mental retardation if untreated • Autosomal recessive Molly’s Story p P Phenylalanine Enzyme PP = Normal Pp = Normal pp = PKU (p) DISFUNCTIONAL ENZYME because of a mutation Tyrosine A man & woman are both carriers (heterozygous) for albinism. What is the chance their children will inherit albinism? AA = Normal pigmentation Aa = Normal pigmentation (carrier) Man = Aa Woman = Aa aa = Albino A A EGGS SPERMS a a PUNNET squares A a A AA Aa a Aa aa Genotypes AA Aa 1 AA, 2Aa, 1aa Phenotypes Aa aa 3 Normal 1 Albino Probability 25% for albinism A man & woman are both carriers (heterozygous) for PKU disease. What is the chance their children will inherit PKU disease? PP = Normal Pp = Normal (carrier) P pp = PKU disease P p p PP Pp Pp pp Genotypes PP Pp 1 PP, 2Pp, 1pp Phenotypes 3 Normal Pp pp 1 PKU disease Probability 25% for PKU disease A man with sickle cell anemia marries a woman who is a carrier. What is the chance their children will inherit sickle cell anemia? SS = Normal Ss = Normal (carrier) S ss = Sickle Cell s s s Ss ss Ss ss Genotypes Ss ss 2 Ss, 2ss Phenotypes Ss ss 2 Normal (carriers) 2 Sickle cell Probability 50% for Sickle cell A man with heterozygous dwarfism marries a woman who has normal height. What is the chance their children will inherit dwarfism? Dwarfism is dominant. DD = Dwarf Dd = Dwarf dd = Normal d D d d Dd Dd dd dd Genotypes Dd Dd 2 Dd, 2dd Phenotypes dd dd 2 Normal 2 Dwarfs Probability 50% for Dwarfism X-linked Recessive Traits • Alleles are on the X chromosome • Inheritance pattern different in males and females XH XH = Normal Female XH Xh = Normal Female (Carrier) Xh Xh = Hemophilic Female XHy = Normal Male Xhy = Hemophiliac Male A man with hemophilia marries a normal woman who is not a carrier. What is the chance their children will inherit hemophilia? Hemophilia is Xlinked recessive. Xh XH = Normal Female XH Xh = Normal Female (Carrier) Xh Xh = Hemophilic Female XHy = Normal Male Xhy = XH Hemophiliac Male XH Xh XH Xh XH Xh y XHy XHy XH XH Genotypes Xh XH Xh XH Xh 2 XH Xh, 2XHy Phenotypes 2 Carrier Females y XHy XHy 2 Normal Males Probability O% for Hemophilia A normal man marries a normal woman who is a carrier for hemophilia. What is the chance their children will inherit hemophilia? Xh XH = Normal Female XH Xh = Normal Female (Carrier) Xh Xh = Hemophilic Female XHy = Normal Male Xhy = XH Hemophiliac Male Xh XH XH XH XH Xh y XHy Xhy Xh XH Genotypes XH XH XH XH Xh XH XH , XH Xh, XHy, Xhy Phenotypes 2 Normal Females y XHy Xhy 1 Normal Males 1 Male Hemophiliac Probability 50% for Male Hemophilic 0% for Female Hemophilic MORE DETAILLES on Genetic Diseases • Cystic fibrosis – disease affecting the mucus lining of the lungs, leading to breathing problems and other difficulties • Huntington disease - or Huntington's chorea is an inherited disorder characterized by abnormal body movements called chorea, and loss of memory. There also is evidence that doctors as far back as the Middle Ages knew of this devastating disease. The incidence is 5 to 8 per 100,000. It takes its name from the New York physician George Huntington who first described it precisely in 1872. • Hemophilia-illness that impair the body's ability to control bleeding. • Fragile X syndrome - is a genetic condition that causes a range of developmental problems including learning disabilities and mental retardation. Usually males are more severely affected by this disorder than females. In addition to learning difficulties, affected males tend to be restless, fidgety, and inattentive. Affected males also have characteristic physical features that become more apparent with age. X-Linked Recessive COLOUR BLINDNESS • Red-green colour blind is the most common • Blue-Yellow is also possible • Altered genes affect receptors for these colours in the eye • Who is more likely to be affected by this?? Males or Females?? Why???? HEMOPHILIA A or B • Absence of Clotting factor VIII (A) or IX (B) • Cant stop bleeding • Absence of genes coding for clotting factors on the X chromosome X-Linked DOMINANT Hypophosphatemic Rickets Impairs kidneys ability to reabsorb PHOSPATE HYPO= LOW PHOSPHATE Emic = Blood LOW BLOOD PHOSPHATE levels Phosphate is needed for bone growth Phosphate deficiency disrupts bone growth Bones Bend and disfigure RICKETS From the word Wrick that means TWIST For curiosity: BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in structural proteins Marfan syndrome A disorder of the connective tissues of the body, manifested principally by changes in the skeleton, eyes, and cardiovascular system. Ehlers-Danlos syndromes A clinically and genetically heterogeneous group of disorders that result from some defect in collagen synthesis or structure (other disorders resulting from mutations affecting collagen synthesis include osteogenesis imperfecta, Alport syndrome, epidermolysis bullosa) BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in receptor proteins Familiar hypercholesterolemia A disease that is the consequence of a mutation in the gene encoding the receptor for low-density lipoprotein (LDL), which is involved in the transport and metabolism cholesterol. More than 150 mutations, including insertions, deletions, and missense and nonsense mutations, involving the LDL receptor gene have been identified. These can be classified into five groups: Class I mutations uncommon, they lead to a complete failure of synthesis of the receptor protein. Class II mutations - common, they encode receptor proteins that accumulate in the endoplasmic reticulum because they cannot be transported to the Golgi complex. Class III mutations - affect the LDL-binding domain of the receptor. Class IV mutations - encode proteins that are synthesized and transported to the cell surface efficiently, they bind LDH normally, but the bound LDL is not internalized. Class V mutations - encode proteins that are expressed on the cell surface, can bind LDL, and can be internalized, however, the acid-dependent dissociation of the receptor and the bound LDL fails to occur. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in enzymes Lysosomal storage diseases: Lysosomes contain different types of hydrolytic enzymes, which can cleave various substrates in the acid milieu and can be secreted. With an inherited deficiency of a functional lysosomal enzyme, catabolism of its substrate remains incomplete, leading to the accumulation of the partially degraded insoluble metabolite within the lysosomes. These organells become large and numerous giving rise to the lysosomal storage disorders. These disorders result exclusively from mutations that lead to reduced synthesis of lysosomal emzymes There are also other defects: Synthesis of a catalytically inactive proteins that cross-react immunologically with normal enzymes, so the enzyme level appear to be normal.,.defects in post-translational processing of enzymes (example is a failure of mannose-6-phosphate receptor), lack of an enzyme activator or protector protein, lack of a substrate activator protein, lack of transport protein. The lysosomal storage disorders can be divided into (1) glycogenoses, (2) sphingolipidoses (lipidoses), (3) mucopolysaccharidoses, and (4) mucolipidoses. Examples follow: BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in enzymes Tay-Sachs disease – GM2 gangliosidosis, hexosaminidase α-subunit deficiency,GM2 ganglioside accumulates in heart, liver, spleen etc., destruction of neurons, proliferation of microglia and accumulation of lipids in phagocytes within the brain. Niemann-Pick disease – types A and B, two related disorders with lysosomal accumulation of sphingomyelin, deficiency of sphingomyelinase, 80% of all cases repreents type A – the severe infantile form with neurologic involvement, visceral accumulation of sphingomyelin and early death within the first 3 years of life. Gaucher disease – a cluster of autosomal recessive disorders resulting from mutations in the gene encoding glucocerebrosidase, the most common lysosomal storage disorder, accumulation of glucocerebrosides, types I-III, the glucocere¨brosides accumulate within phygocytes (Gaucher cells) throughout the body – spleen, liver, bone marrow, lymph nodes, tonsils thymus etc. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in enzymes Mucopolysaccharidoses (MPS) – the deficiencies of lysosomal enzymes involved in the degradation of mucoplysaccharides (glycosaminoglycans), several clinical variants classified from MPS I (Hurler syndrome) to MPS VII, each resulting from the deficiency of one specific enzyme, all the MPS except one are autosomal recessive disorders, the exception (Hynter syndrome) is an X-linked recessive disorder, involvement of multiple organs including liver, spleen, heart, blood vessels, joint stiffness, mental retardation. Glycogen storage diseases – resulting from a hereditary deficiency of one of the enzymes involved in the synthesis or sequential degradation of glycogen, 3 forms: hepatic, myopathic, miscellaneous (deficiency of α-glucosidase and lack of branching enzymes, type II – Pompe disease and type IV, death early in life. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in enzymes Alkaptonuria (Ochronosis) – an autosomal recessive disorder in which the lack of homogentisic oxidase blocks the metabolism of phenylalanine-tyrosine at the level of homogentisic acid, homogentisic acid accumulates in the body, it selectively binds to collagen in connective tissues, tendons, and cartilage, these tissues have a blue-black pigmentation (ochronosis) most evident in the ears, nose, and cheeks, the deposits of the pigment in the articular cartilages cause the cartilage to lose its normal structure and function resulting in osteoarthritis. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in proteins that regulate cell growth Neurofibromatosis: types 1 and 2 – two autosomal dominant disorders, neurofibromatosis type 1 previously called von Recklinghausen disease, neurofibromatosis type 2 previously called acoustic neurofibromatosis. Although there is some overlap in clinical features, these two entities are genetically distinct. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in proteins that regulate cell growth Neurofibromatosis-1: The neurofibromatosis 1 gene (NF-1) has been mapped to chromosome 17q11.2. It encodes a protein called neurofibromin, which downregulates the function of the p21ras oncoprotein. NF-1 therefore belongs to the family of tumor-suppressor genes. Three major features of disorder – multiple neural tumors (neurofibromas) dispersed anywhere on or in the body, numerous pigmented skin lesions, and pigmented iris hamartomas, also called Lisch nodules. A wide range of associated abnormalities has been reported in these patients – skeletal lesions like erosive defects, scoliosis, intraosseous cystic lesions, subperiosteal bone cysts, pseudoarthrosis of the tibia. Patients have also a twofold to fourfold greater risk of developing other tumors (Wilm´s tumor, rhabdomyosarkoma, meningioma, optic glioma, pheochromocytoma, chronic myeloid leukemia). There is also tendency for reduced intelligence. Whem neurofibromas arise within gastrointestinal tract, intestinal obstruction or bleeding may occur. A frequency about 1 in 3000. BIOCHEMICAL BASIS OF GENETIC DISORDERS Disorders associated with defects in proteins that regulate cell growth Neurofibromatosis-2: an autosomal dominant disorder in which patients develop a range of tumors – bilateral acoustic schwannomas, multiple meningiomas, gliomas, ependymomas of the spinal cord, and/or nonneoplastic lesions – nodular ingrowth of Schwann´s cells into the spinal cors, meningiomatosis, glial hamartia. Pigmented (café au lait) spots like NF-1 are present, but Lisch nodules are not found. The NF-2 gene, located on chromosome 22q12, is also a tumor-suppressor gene, the product of this gene called merlin shows structural similarity to a series of cytoskeletal proteins, but is function remains uncertain. An frequency about 1 in 45,000.