Ch

ươ Đ T BI N NHI M SĂC TH

ng 4 Ễ

N i dung chính

ộ ấ ế

ng NST ộ

ạ ủ

1. Đ t bi n c u trúc NST – L p đo n ặ ạ – M t đo n ạ ấ – Đ o đo n ạ ả – Chuy n đo n ạ ể 1. Đ t bi n s l ố ượ ế – Đa b i hoá ộ – L ch b i hoáBB t ho t c a NST X ấ

ng l ch b i (aneuploidy)

ệ ượ

Hi n t • Nguyên nhân và c chơ

ộ ế

Hi n t

ng l ch b i

ng

ệ ượ

ộ ở

i ườ

Th d h p ể ị ợ chuy n đo n ạ ể

Giao tử

Cân b ng Không cân b ng

Gtbt

Bth

ng

D h p ị ợ CĐ (45)

Monosomic 21 (45)

Trisomic 21 (46)

ườ (46) >1/3

>1/3

<1/3

(ch t) 0ế

Th Barr và b t ho t X

Structural

• Translocations, inversions, insertions, deletions,

rings

– normal, – balanced – abnormal

• What happens at meiosis? • Formation of gametes that are:

• Associated with increased miscarriages • Most chromosome abnormalities incompatible

with life

Robertsonian translocation

Pericentric inversion • If cross over occurs within the

inverted segment

– Normal gametes – Balanced gametes

• inverted

– Unbalanced gametes

• Duplication of proximal end

& Deletion of distal end

• Deletion of proximal end & Duplication of distal end

Paracentric inversion

• If cross over occurs within the

inverted segment

– Normal gametes – Balanced gametes

(inverted)

– Acentric – dicentric

Insertion

• If carrying balanced deletion/insertion OK

• But 50% gametes will

be abnormal

• Could carry the

A derA derB B

deletion, insertion or both

Deletions

• Deletions are rare, as are monosomies

– due to translocation or inversion in parent

• Can be de novo or inherited

• Would not reproduce

Deletions

• Interstitial • Williams, 7q11.2,

– microdeletion (FISH)

• Terminal • Cri du chat, 5p15 • Wolf-Hirschhorn,

4p36

• Retinoblastoma,

13q14

• Prader-Willi,

15q11.2

• Angelman, 15q11.2 • DiGeorge, 22q11.2

Cri du Chat

– 5p15

• Terminal deletion

• Cries like cat

• Mental retardation

Ring chromosomes

• Often unstable in mitosis

• Often only find ring in proportion of cells

• Other cells usually monosomic as lack ring

Diagnosis of chromosome abnormalities

– take blood and look at lymphocytes

• Child born

– Chorionic villus sampling (CVS) – Amniocentesis (AF) – Fetal Blood Sampling (FBS)

• Unborn child • Prenatal Diagnosis

Screening

• Both in first and second trimester • Serum

• Ultrasound

• Indicates which should go forward for

invasive procedure

CVS

Prenatal Diagnosis Amniocentesis

• Most common method used • Usually perform around 16 weeks • 10-20 ml amniotic fluid • Culture for 8-14 days • Do G banding • Can do a quick diagnosis on uncultured

amniocytes using FISH or QF-PCR – Only examine a few chromosomes

• 0.5-1% miscarriage rate

Amniocentesis

Ambiguous results Amniocentesis

• Usually establish 2-3 cultures • 1 abnormal cell in 1 culture = artefact – level 1 mosaicism or pseudo mosaicism

• 2 or more abnormal cells in 1 culture = could be

artefact or real – level 2 mosaicism, 20% chance real mosaicism • 2 or more abnormal cells in 2 or more cultures =

true mosaicism – level 3 mosaicism

– To resolve need to repeat amniocentesis or do FBS

Molecular Cytogenetics

• FISH

– Use DNA probes for specific chromosomes – Can paint metaphase – Useful for quick result and identifying small areas – Eg deletions, ESACs

• QF-PCR

– Quantitative fluorescent PCR – Use polymorphic sites to define number of copies

present

– Useful for quick result in prenatal diagnosis

Quantitative Fluorescent PCR

Trisomy detection in prenatal samples

Hypervariable region on chromosome 21 amplified by F-PCR

Ratio:

1 : 1 : 1

Ratio:

1 : 2

Quick result from Amniocentesis

• FISH

– Use probes for 13,21 and X, Y, 18 on two different

slides

– takes 24 hours

• QF-PCR

– Use polymorphic markers for chromosomes 13, 18,

21

– Results in 24 hours – Becoming more common

– Can only detect abnormalities for these chromosomes – Usually go on and do full karyotype - ???

The future

• Fetal cells in the maternal circulation • Free fetal DNA in maternal plasma

• If diagnostic – no need for CVS or

amniocentesis to detect chromosome abnormality

NG 4

BÀI T P CH Ậ

ƯƠ

ượ ạ ồ

Ở ờ

ệ ấ ấ ồ

ấ ồ ượ i ả ạ

• Bài 1: M t ru i gi m cái thân đen mun ồ ấ c cho lai ee (e = ebony) đ ng h p đ ồ v i m t con đ c hoang d i đ ng h p ợ ự ộ ớ (e+e+) đã đ đ i con có c chi u tia X. ế ượ xu t hi n m t ru i cái thân mun. Khi cho ộ ru i gi m này lai v i ru i gi m F1 thu ớ c ½ thân mun: ½ hoang d i. Hãy gi đ thích k t qu này. ế ả

• Bài 2: Gi ủ

ả ử ằ ệ ồ

ề ố ượ ố ủ ờ

ế

ng gây ườ ế ạ

tr ng thái đ ng h p). s r ng F1 c a phép lai bài ở ở t p 8 ta phát hi n đ c hai con ru i gi m ượ ậ ấ đ c và cái đ u có thân đen mun. Có th ể ề ự ng đ i c a đ i con nói gì v s l ng t ươ n u cho hai con ru i gi m F1 đó lai v i ớ ấ ồ t các m t đo n th nhau? (Cho bi ấ ch t ợ ế ở ạ ồ

ộ ị ợ

ộ ớ ờ

ạ ấ ệ

ng trong k t qu này và b n có ả ườ ạ

ợ ề ể ể ị ợ ợ ọ

• Bài 3: Cho m t cây d h p ABCDE/abcde lai v i m t cây abcde/abcde, và đ i con xu t hi n sáu d ng sau: ABCDE; abcde; Abcde; aBCDE; ABCDe; abcdE. Có đi u ề gì b t th ế ấ i thích đi u đó ra sao? (G i ý: s th gi ự ể ả thi u v ng c a hai ho c nhi u ki u hình ặ ắ ế c kỳ v ng g i ra m t th d h p đ o đ ộ ượ đo n có liên quan đ n các gene liên k t). ế ạ ả ế