I. The Emerging Role of Genetics and Genomics in Medicine
A. Genetics is____________________________________________________________
B. Genes are_____________________________________________________________
C. Genes are part of structures called _________________________________________
D. A gene’s nucleotide sequence tells a cell____________________________________
________________________________________________________________________
E. A genome is___________________________________________________________
F. Somatic cells have______________________________________________________
G. Diploid means_________________________________________________________
H. Sex cells have_________________________________________________________
I. Haploid means_________________________________________________________
J. Genomics is____________________________________________________________
K. Proteonomics focuses on_________________________________________________
________________________________________________________________________
L. Environmental factors that affect how genes are expressed are___________________
________________________________________________________________________
II. Modes of Inheritance
A. Introduction
1. The probability that a certain trait will occur in the offspring of two individuals
can be determined by________________________________________________
__________________________________________________________________
B. Chromosomes and Genes Come in Pairs
1. Karyotypes are___________________________________________________
__________________________________________________________________
2. Autosomes are___________________________________________________
3. Sex chromosomes are______________________________________________
__________________________________________________________________
4. Most chromosomes contain____________________________________ genes.
5. Alleles are_______________________________________________________
6. Homozygous alleles are____________________________________________
7. Heterozygous alleles are____________________________________________
8. Genotype is_____________________________________________________
9. Phenotype is_____________________________________________________
10. A wild type allele is______________________________________________
11. A mutant allele is________________________________________________
C. Dominant and Recessive Inheritance
1. A dominant allele is_______________________________________________
2. A recessive allele is________________________________________________
__________________________________________________________________
3. An autosomal gene is located________________________________________
4. An X-linked gene is located_________________________________________
5. A Y-linked gene is located__________________________________________
6. Mode of inheritance refers to________________________________________
__________________________________________________________________
7. An autosomal condition is equally likely to affect________________________
8. X-linked characteristics affect_______________________________________
9. Recessive conditions can skip a generation because______________________
__________________________________________________________________
10. Dominant conditions do not skip generations because___________________
__________________________________________________________________
11. The disease_____________________________ is an example of an autosomal
recessive disorder.
12. If both parents are heterozygotes for the trait that causes cystic fibrosis, there
is a_________________ chance that their offspring will be homozygous dominant,
a______________________________ chance their offspring will be heterozygous,
and a___________________ chance their offspring will be homozygous recessive.
13. A Punnet square is_______________________________________________
__________________________________________________________________
14. A pedigree is___________________________________________________
__________________________________________________________________
15. An example of an autosomal dominant disorder is______________________
__________________________________________________________________
D. Different Dominance Relationships
1. Incomplete dominance is___________________________________________
__________________________________________________________________
2. An example of a trait inherited through incomplete dominance is___________
__________________________________________________________________
3. Codominant means________________________________________________
__________________________________________________________________
4. The genotypes of individuals with the following blood types are:
type A
type B
type AB
type O
III. Gene Expression
A. Introduction
1. The same allele combination can produce different phenotypes because______
__________________________________________________________________
2. A major goal of genomics is_________________________________________
__________________________________________________________________
B. Penetrance and Expressivity
1. Completely penetrant means________________________________________
__________________________________________________________________
2. Incompletely penetrant means_______________________________________
__________________________________________________________________
3. A phenotype is variably expressive if__________________________________
__________________________________________________________________
C. Pleiotropy
1. Pleiotropy is_____________________________________________________
__________________________________________________________________
2. An example of a disease that exhibits pleiotropy is_______________________
D. Genetic Heterogeneity
1. Genetic heterogeneity is____________________________________________
__________________________________________________________________
2. An example of a condition that exhibits genetic heterogeneity is____________
__________________________________________________________________
IV. Complex Traits
A. Polygenic means_______________________________________________________
B. Variations in height are due to____________________________________________
________________________________________________________________________
C. Variations in skin color are due to__________________________________________
________________________________________________________________________
D. Variations in eye color are due to__________________________________________
________________________________________________________________________
E. Multifactorial traits are__________________________________________________
F. Examples of complex traits are____________________________________________
V. Matters of Sex
A. Introduction
1. A human female is termed homogametic because________________________
__________________________________________________________________
2. A human male is termed heterogametic because_________________________
__________________________________________________________________
B. Sex Determination
1. A male is conceived when__________________________________________
__________________________________________________________________
2. A female is conceived when________________________________________
__________________________________________________________________
3. The gene responsible for being male is_________________________________
C. Sex Chromosomes and Their Genes
1. The X chromosome has_______________________________________ genes.
2. The Y chromosome has_______________________________________ genes.
3. The three groups of Y-linked genes are________________________________
__________________________________________________________________
__________________________________________________________________
4. Y-linked genes are transmitted from father to___________________________
5. Any gene on the X chromosome of a male is expressed in his phenotype because
__________________________________________________________________
6. An allele on an X chromosome of a female may or may not be expressed because
__________________________________________________________________
__________________________________________________________________
7. The male is said to be hemizygous for X-linked traits because______________
__________________________________________________________________
8. Examples of X-linked recessive traits are______________________________
__________________________________________________________________
9. If a mother is heterozygous for a particular X-linked gene, her son has a______
________________________________ chance of inheriting either allele from her.
10. X-linked genes are passed on from__________________________________
11. A daughter can inherit an X-linked disorder only if______________________
__________________________________________________________________
D. Gender Effects and Phenotypes
1. A sex-linked trait is_______________________________________________
__________________________________________________________________
2. Sex-influenced inheritance is________________________________________
__________________________________________________________________
3. A heterozygous male is bald and a heterozygous female is not bald because___
__________________________________________________________________
4. Genomic imprinting is_____________________________________________
__________________________________________________________________
VII. Chromosome Disorders
A. Polyploidy
1. Polyploidy is_____________________________________________________
__________________________________________________________________
2. Polyploidy results from____________________________________________
__________________________________________________________________
3. The fate of a polyploid human is_____________________________________
B. Aneuploidy
1. Aneuploid means_________________________________________________
2. Euploid means___________________________________________________
3. Anueploidy results from____________________________________________
4. Nondisjunction is_________________________________________________
__________________________________________________________________
5. Autosomal aneuploidy often results in_________________________________
__________________________________________________________________
5. Trisomy is_______________________________________________________
6. Monosomy is____________________________________________________
7. Translocation is___________________________________________________
__________________________________________________________________
8. Trisomy 21 is known as____________________________________________
9. Other common autosomal trisomies are________________________________
10. Turner syndrome results from______________________________________
11. Klinefelter syndrome results from___________________________________
12. Jacobs syndrome results from______________________________________
C. Prenatal Tests
1. An ultrasound can detect___________________________________________
__________________________________________________________________
__________________________________________________________________
2. Maternal serum markers can detect___________________________________
__________________________________________________________________
3. Amniocentesis is__________________________________________________
_______________________________________________________________and
it can detect________________________________________________________
4. Chorionic villus sampling is_________________________________________
_______________________________________________________________and
it can detect________________________________________________________
5. Fetal cell sorting is_____________________________________________ and
it can detect________________________________________________________
VIII. Gene Therapy
A. Introduction
1. Functions of gene therapy are_______________________________________
__________________________________________________________________
2. Gene therapy operates at___________________________________________
B. Two Approaches to Gene Therapy
1. Two types of gene therapy are_______________________________________
__________________________________________________________________
2. Heritable gene therapy is___________________________________________
__________________________________________________________________
3. Heritable gene therapy is most commonly performed in___________________
4. Nonheritable gene therapy is________________________________________
__________________________________________________________________
5. A nonheritable gene therapy for cystic fibrosis is________________________
__________________________________________________________________
C. Gene Therapy Targets
1. Introduction
a. Some methods used to introduce therapeutic genes into cells include the
use of_______________________________________________________
____________________________________________________________
b. The challenge in nonheritable gene therapy is_____________________
____________________________________________________________
2. Bone Marrow
a. Bone marrow tissue includes__________________________________
b. Many gene therapy targets might be reached by bone marrow because
____________________________________________________________
____________________________________________________________
3. Skin
a. In the laboratory, skin cells grow_______________________________
b. Skin grafts can be used to____________________________________
____________________________________________________________
4. Muscle
a. The reasons muscle tissue is a good target for gene therapy are_______
____________________________________________________________
____________________________________________________________
b. A challenge with muscle is____________________________________
____________________________________________________________
5. Endothelium
a. Endothelium is_____________________________________________
b. Endothelium can be altered to_________________________________
____________________________________________________________
6. Liver
a. The liver controls___________________________________________
____________________________________________________________
b. Liver cells that are genetically altered can relieve__________________
____________________________________________________________
7. Lungs
a. An aerosol can directly reach respiratory tube lining cells___________
____________________________________________________________
____________________________________________________________
b. A form of gene therapy used to treat emphysema is________________
____________________________________________________________
8. Nerve Tissue
a. Gene therapy of neurons is not feasible because___________________
____________________________________________________________
b. Routes of nerve cell gene therapy could include___________________
____________________________________________________________
D. Genomics and a New View of Anatomy and Physiology
1. Today, human genetics and genomics have shifted focus_____________________
as well as conditions molded by interactions among __________________________
_________________________________________________________________.
2. Physiology is not only being dissected at _______________________________,
but at the level of ___________________________________________________
_________________________________________________________________.
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