Chromosome Aberrations in Humans

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    ChromosomeAberrations In

    Humans

    -Archana Ramesh

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    What are chromosomal aberrations?

    A chromosome

    anomaly, abnormality or aberration is a

    missing, extra, or irregular portion

    of chromosomal DNA.

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    The various chromosomal aberrations

    in humans

    Chromosomal anomalies affect humans in the

    form of a number of disorders.

    Major disorders are:

    1. Cri-du-chat Syndrome

    2. Myelocytic Leukemia

    3. Philadelphia Chromosome

    4. Downs Syndrome

    5. Chromosome 3 duplication-deletion syndrome

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    Cri-du-Chat Syndrome

    Also known as chromosome 5p deletionsyndrome, 5p minus syndrome orLejeunessyndrome.

    Discovered by Jerome Lejeune and his colleagues.

    Name of the syndrome came from a plaintive catlikemewing cry from small infants because of problems inthe larynx and nervous system.

    Other characteristics include a small head, a saddlenose, broad face, widely shaped eyes with epicanthicfolds, unique facial features and mental retardation.

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    IQs range from 20-40.

    Chromosomal deficiency is in the short arm of

    chromosome 5.

    Patients suffering from this syndrome die early

    and dont transmit, unless the deficiency gets

    involved in reciprocal translocation.

    5 translocates to 15, and carrier is a healthy

    parent. If deficient member is carried, then

    children exhibit it.

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    Chronic Myelocytic Leukemia

    Cancer of the blood producing cells of the bone marrowthat result in increasing wbcs.

    Associated with the Philadelphia Chromosome, whichwas observed consistently in bone marrow preparations

    of patients who had CML. A part of the long chromosome 22 translocated to

    another chromosome, usually chromosome 9, leaving adeficiency behind.

    Symptoms include enlarged spleen causing pain on theleft side, malaise, joint and/or hip pain, low-grade fever,increased susceptibility to infections, anemia,and thrombocytopenia with easy bruising

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    CML is now largely treatedwith targeted drugscalled tyrosine kinase

    inhibitors (TKIs), such asGleevec/Glivec (imatinib),Sprycel (dasatinib), Tasigna(nilotinib), Iclusig (ponatinib),or Bosulif (bosutinib) whichhave led to dramatically

    improved long term survivalrates (95.2%) since theintroduction of Gleevec in2001. These drugs haverevolutionized treatment ofthis disease and allow most

    patients to have a good qualityof life when compared to theformer chemotherapy drugs.

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    Philadelphia chromosome

    Philadelphia

    chromosome or Philadelp

    hia translocation is a

    specific chromosomal abnormality that is associated

    with chronic myelogenous

    leukemia (CML). It is the

    result of a

    reciprocal translocation be

    tween chromosome 9 and

    22.

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    Malignancy

    Chromosomal abnormalities are increasing beingassociated with malignancies.

    New staining methods are promoting more precisecomparisons of chromosomal arms and differentlystained sister chromatids.

    Banded chromosome causes conditions like:

    1. Burkitts Lymphoma

    2. Tumor Retinoblastoma: Deletion of chromosome 13q.3. Wilms tumor

    4. Bloom Syndrome

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    Burkitts Lymphoma

    Caused by translocation

    of Chromosome 14.

    Cancer of the Lymphatic

    system.

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    Wilms Tumor

    Deletion in band 11p13.

    Wilms

    tumor or nephroblasto

    ma is cancer ofthe kidneys that

    typically occurs

    in children, rarely

    in adults.

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    Bloom Syndrome

    also known as BloomTorreMachacek

    syndrome.

    disorder characterizedby short stature andpredisposition to thedevelopment of cancer

    Sister chromatidexchanges happenindicating instability.

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    Downs Syndrome

    Down syndrome disorders are based on having

    too many copies of the genes located on

    chromosome 21. In general, this leads to an over

    expression of the genes. It is typically associated with physical

    growth delays, a particular set of facial

    characteristics and a severe degree of intellectualdisability. The average full-scale IQ of young

    adults with Down syndrome is around 50.

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    Downs Syndrome

    The extra chromosome 21 material that causes Downsyndrome may be due to a Robertsonian translocation in thekaryotype of one of the parents. In this case, the long arm ofchromosome 21 is attached to another chromosome,often chromosome 14 .A person with such a translocation isphenotypically normal. During reproduction,normal disjunctions leading to gametes have a significantchance of creating a gamete with an extra chromosome 21,producing a child with Down syndrome. TranslocationDown syndrome is often referred to asfamilial Down

    syndrome. It is the cause of 23% of observed cases ofDown syndrome.It does not show the maternal age effect,and is just as likely to have come from fathers as mothers.

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    Chromosome 3 duplication-deletion

    syndrome

    This syndrome includes stillbirths, neonatal

    deaths, and spontaneous abortions.

    The children who survived this condition suffer

    from facial malformation which includes:distorted head shape, thick, low eyebrows, low

    hairline, long eyelashes, persistent lanugo,

    distended veins on scalp, hypertelorism, a veryshort nose, protruding maxilla, etc.

    Each infant has difficulty sucking and swallowing.

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    Why translocation is not the bad guy?

    It is not the translocation of the chromosome

    that produces abnormalities, but rather the

    imbalance of genetic material reflected in

    chromosome deficiencies and duplicationsthat are produced by segregation of

    translocation chromosome.

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    BIBLIOGRAPHY

    PRINCIPLES OF GENETICS

    http://en.wikipedia.org/wik

    http://www.ashg.org/

    http://en.wikipedia.org/wikhttp://www.ashg.org/http://www.ashg.org/http://en.wikipedia.org/wik