DR MAHTAB
MBBS,DCH,DNB
GMSH 16 CHD
Contents
 Introduction
 Classification of Genetic Disorder
 Autosomal Anomalies
 Structural Chromosomal Anomalies
 Sex Chromosome Anomalies
 Structural Chromosomal Anomalies
Definition & prevalence Chromosomal Anomalies = Missing, extra, or
irregular portion of chromosomal DNA.
 Most foetus with some chromosomal abnormality
do not survive.
 Affects approximately 1 out of 200 of new-borns.
 Karyotype = Full set of chromosomes from an
individual. (Chromosomal Anomalies can be
detected via Karyotype Testing.)
 Abnormalities depends on type of chromosome
affected due to non-disjunction chromosomes.
basics
 HUMAN CHROMOSOME 46 XX/XY
Important definitions in Genetics
 Aneuploidy = Addition or loss of one (rarely two) chromosome.
 Trisomy = 3 copies of a chromosome, (2n+1)
 Tetrasomy = 4 copies of a chromosome, (2n+2)etc
 Monosomy= 1 member of a chromosome pair missing, (2n-1) that is
only single copy of a chromosome is present.
 Euploidy = Normal condition, where the genotype consists of complete
two sets of chromosomes (23+23 or 2n).
 Genotype = Genetic make up of cell.
 Karyotype = Number and appearance of chromosome in a nucleus.
 Non disjunction = Incorrect separation of chromosomes or sister
chromatids during meiosis.
 Phenotype = Characteristics of an Organism
 Polyploidy = Entire extra set of chromosomes present, [can be
triploidy(3n= 69 chromosomes),tetraploidy(4n=92 chromosomes) etc.]
 GENOTYPE
Genetic make up of a particular individual
Eg- 46XX/46XY/45XO
 PHENOTYPE
Physical expression of that particular genotype
Eg-Male/Female
basics
 Chromosome anomalies usually occur when there is an
error in cell division following meiosis or mitosis.
 There are many types of chromosome anomalies.
 They can be organized into two basic groups,
numerical and structural anomalies.
Numerical
 This is called aneuploidy (an abnormal number of
chromosomes), and occurs when an individual is
missing either a chromosome from a pair (monosomy)
or has more than two chromosomes of a pair
(trisomy, tetrasomy, etc.).
 Eg of numerical chromosomal anomalies are
 Down syndrome, edward syndrome, patau syndrome
Classification of Genetic
Disorder
Single gene
disorders
Chromosoma
l Disorder
Autosomal
Numeric Structural
Sex
Chromosome
Numeric Structural
Multifactorial
Disorder
Acquired
Somatic
Genetic Disease
Single chromosome disorder
 Can happen in a chromosome itself, the
other is not required.
Deletion
(Genetic material
missing) may be
terminal or
interstitial.termina
l more common
Duplication
(Genetic material
present twice)
Inversion
(Genetic material is
“flipped”)
Two Chromosome Disorders Need 2 chromosomes to occur these processes.
Insertion
(Genetic material is added from
another chromosome)
Translocation
(Material is swapped(exchanged)
with another chromosome)
Common deletion
 4P- WOLF HIRSCHHORN SYNDROME. THE MAIN
FEATURE ARE A TYPICAL GREEK HELMET FACIES
 9P- MAIN FEATURE ARE CRANIFACIAL
DYSMORPHOLOGY WITH TRIGOCEPHALY
,SLANTED PALPEBRAL FEATURE
,EXOPTHALMUS,SECONDARY TO SUPRA ORBITAL
HYPOPLASIA
 JACOBSON SYNDROME DELETION FROM
CHROMOSOME 11
 Deletion in the 4p arm
 Distinctive facial features -
prominent forehead, wideset eyes,
and broad beaked nose, collectively
described as "Greek warrior
helmet" features
 Brain and muscles - profound
mental retardation, small head,
seizures (50% of individuals), low
muscle tone, poor muscle
development
 Bones - very short stature, facial
deformities, malformations of
hands and feet, chest, and spine
 Heart defects
 Urinary and genitals -
malformations or
underdevelopment of organs
Jacobsen Syndrome loss of genetic material
fromchromosome 11.
 Most affected
individuals have
delayed development of
motor skills and speech,
cognitive impairment
and learning
difficulties, distinctive
facial features, and a
bleeding disorder
Cri-Du-Chat Syndrome
(chromosome 5p deletion syndrome)
 Name is based on the infant’s cry. (high-pitched and
sounds like a cat.)
 Incidence =1 in 216,000 birth
 Normal 46 chromosomes but, missing a piece of
chromosome number 5.
 Cat like cry of affected children ie meowing kitten
 These babies are usually small at birth , have
respiratory problem
 Microcephaly, micrognathia, low set ear
 Wide set eye and downward slant of the eyes
Cri-Du-Chat Syndrome
(chromosome 5p deletion syndrome)
 Cry is high pitched and similar to that of a meowing kitten.
 Moon-shaped face
 Malformed larynx
 Difficulty swallowing and sucking (Feeding Problem).
 Low birth weight and poor growth.
 Severe cognitive, speech, and motor delays, mental
retardation
 Behavioural problems such as hyperactivity, aggression,
and repetitive movements.
 Excessive drooling(ptyalism)
Karyotype showing Cri-Du-Chat
syndrome
 Known disorders in humans include
 Wolf-Hirschhorn syndrome, which is caused by partial
deletion of the short arm of chromosome 4; and
 Jacobsen syndrome, also called the terminal 11q
deletion disorder.
Sex Chromosome Anomalies (Numeric)
Monosomy
Turner’s
syndrome
(45,X0)
Trisomies
Klinefelter's
syndrome
(47,XXY)
Jacob’s
syndrome
(47,XYY)
Triple x
syndrome
(47,XXX)
Sex Chromosome Anomalies
(Structural)
Y-Linked
Disease
Very Rare
X-Linked
Disease
X-Linked
Dominant
X-Linked
Recessive
Fragile X syndrome
 Also known as Martin-Bell syndrome; Marker X
syndrome.
 Some consider this syndrome as X-linked dorminant,
some consider this as X-linked recessive which some
claims this to be not under X-linked dorminant or
recessive.
 Genetic condition involving changes in the long arm of
the X chromosome.
 Characterized by mental retardation.
 Fragile area on X chromosome tends to repeat bits of the
genetic code .it is repetition of CGG gene in long arm of
x chromosome. (*More repeats, the more likely there is
to be a problem i.e intellilectual disabilities.)
 Male and female can both be affected.
 Male have only one X chromosome, single fragile X more
likely to affect them more severely.
Fragile x syndrome
Main feature in male
 Mental retardation
 Autistic behaviour
 Large testicles (macro-orchidism)
 Large size face and ear
 Tendency to avoid eye contact
 Hyperactive behaviour
 Large forehead and/or ears with a prominent jaw
 Hyper extensible finger joint
Female having varying degree of intellilectual and
learning disabilities
Fragile X syndrome Karyotype
Fragile X Syndrome
Turner Syndrome Sex chromosomal monosomy(45, XO)
 99% of foetuses with Turner syndrome result in
spontaneous termination during the first
trimester.
 Incidence = 1 in 5000 live birth
TURNER SYNDROME (Physical
impairments)
 Short stature
 Skeletal disorders (osteoporosis which may lead to
scoliosis)
 Webbed neck(due to cystic hygroma)
 Broad shoulders
 Broad chest (shield chest), widely spaced nipples
 No/Poor breast development
 Narrow hips (High waist-to-hip ratio: hips are not much
bigger than waist)
 Lymphedema of hands and feet
 Shortened metacarpal IV
 Cubitus valgus
 Normal intelligence
TURNER SYNDROME (Clinical
Features)
 Underdeveloped ovaries(streak gonads, hence this
syndrome also called ovarian dysgenesis)
 Sterile, lack expected secondary sex characteristics
 Amenorrhoea(No menstruation)
 Cardiovascular problems in 40 % (Bicuspid aortic
valve,Coarctation of the aorta,aortic stenosis)
 Renal anomalies 60% eg Horse shoe kidney
 Thyroid problems (hypothyroidism specifically
Hashimoto's thyroiditis).
Klinefelter’s syndrome
 XXY Males
 Disorder occurring due to nondisjunction of
the X chromosome during Meiosis.
 Extra X chromosome is nondisjunction during
meiosis II of the germ cell in the female.
 Occur when sister chromatids on the X sex
chromosome fail to separate.
 XX ovum produced and when fertilized with a Y-
sperm it yields XXY offspring.
Also occurs X and Y sex chromosomes fail to
separate, producing a sperm with an X and Y
chromosome & fertilize with normal X ovum
produces XXY offspring.
 Incidence = 1 in 580 live male births.
Klinefelter’s syndrome variations
 48, XXYY (male) syndrome
 Incidence = 1 in 18,000–40,000 births
 48,XXXY
 Incidence = Extremely rare
Klinefelter’s syndrome Clinical
features Childhood
 Weaker muscles and reduced strength.
 Puberty (features become more prominent due to hypogonadism (less amount
of testosterone produced): so generally dianosed at puberty.
 Phenoypically male
 Rounded body type
 Broader hips
 Little body hair is present
 Gynecomastia (increased breast tissue)
 Microorchidism (i.e. small testicles)
 Azospermia leading to infertility
 Micropenis
 Tall stature
 IQ is normal ,those having higher x chromosome counts
show impaired cognition each addition x chromosome
reduces iq 10-15 points.
Karyotype OF klinefelter’s
syndrome
Individuals with Klinefelter
syndrome
UNIPARENTAL DISOMY
INTRODUCTION
Generally in sexual reproduction, the organism bear diploid number of chromosomes i.e they
contain two set of homologous chromosomes. Out of these two sets of chromosomes one
inherited from the mother and other from father.
In some cases zygote is diploid , but both chromosomes are exceptionally inherited from only
one parent(from only mother or father) is called uniparental disomy (UPD).
Fig:1 showing the normal zygote and uniparental
disomic zygote
When the both chromosomes inherited from only mother called maternal UPD. Mat UPD has
been observed on 2,7,14,15, X chromosome. It is meiotic in origin.
When the both chromosomes inherited from only father called paternal UPD. Pat UPD has
been observed on 6,11,15,20, X and XY chromosome. It is mitotic in origin.
The most common mechanisms leading to UPD include chromosomal non disjunction in the first
or second meiotic division, but sometime errors in mitosis and somatic recombination may also
lead to UPD.
UPD may lead to disorders because maternal and paternal genomes are not equivalent on all
chromosome.
UPD syndromes
• Prader-Willi syndrome (PWS)
• Angelman syndromes (AS)
• Beckwith-Wiedemann syndrome(BWS)
Prader-willi syndrome
 Growth retardation,mental
retardation,hypotonia,obesity,hyperphagia
 Growth asymmetry
 Hypo/hyperglycemia
 Feeding deficulties
ANGELMAN SYNDROME (AS)
Angelman syndrome (AS) is a neuro genetic disorder. It is caused by the loss of normal maternal
chromosome 15q11-13.
Symptoms
severe mental retardation
• development delay
• Severe speech impairment , , absent speech
• Problems with movement and balance (ataxia).,epilepsy
• Behavior uniqueness any combination frequent laughter/ smiling apparent happy demeanor,
easily excitable personality, sleep disturbance.
• Unusually fair skin with light coloured hair.
Angelman syndrome affects an estimated 1 in 12,000 to 20,000 peoples.
THANKS

dr Mahtab

  • 1.
  • 2.
    Contents  Introduction  Classificationof Genetic Disorder  Autosomal Anomalies  Structural Chromosomal Anomalies  Sex Chromosome Anomalies  Structural Chromosomal Anomalies
  • 3.
    Definition & prevalenceChromosomal Anomalies = Missing, extra, or irregular portion of chromosomal DNA.  Most foetus with some chromosomal abnormality do not survive.  Affects approximately 1 out of 200 of new-borns.  Karyotype = Full set of chromosomes from an individual. (Chromosomal Anomalies can be detected via Karyotype Testing.)  Abnormalities depends on type of chromosome affected due to non-disjunction chromosomes.
  • 4.
  • 5.
    Important definitions inGenetics  Aneuploidy = Addition or loss of one (rarely two) chromosome.  Trisomy = 3 copies of a chromosome, (2n+1)  Tetrasomy = 4 copies of a chromosome, (2n+2)etc  Monosomy= 1 member of a chromosome pair missing, (2n-1) that is only single copy of a chromosome is present.  Euploidy = Normal condition, where the genotype consists of complete two sets of chromosomes (23+23 or 2n).  Genotype = Genetic make up of cell.  Karyotype = Number and appearance of chromosome in a nucleus.  Non disjunction = Incorrect separation of chromosomes or sister chromatids during meiosis.  Phenotype = Characteristics of an Organism  Polyploidy = Entire extra set of chromosomes present, [can be triploidy(3n= 69 chromosomes),tetraploidy(4n=92 chromosomes) etc.]
  • 6.
     GENOTYPE Genetic makeup of a particular individual Eg- 46XX/46XY/45XO  PHENOTYPE Physical expression of that particular genotype Eg-Male/Female basics
  • 7.
     Chromosome anomaliesusually occur when there is an error in cell division following meiosis or mitosis.  There are many types of chromosome anomalies.  They can be organized into two basic groups, numerical and structural anomalies.
  • 8.
    Numerical  This iscalled aneuploidy (an abnormal number of chromosomes), and occurs when an individual is missing either a chromosome from a pair (monosomy) or has more than two chromosomes of a pair (trisomy, tetrasomy, etc.).  Eg of numerical chromosomal anomalies are  Down syndrome, edward syndrome, patau syndrome
  • 9.
    Classification of Genetic Disorder Singlegene disorders Chromosoma l Disorder Autosomal Numeric Structural Sex Chromosome Numeric Structural Multifactorial Disorder Acquired Somatic Genetic Disease
  • 15.
    Single chromosome disorder Can happen in a chromosome itself, the other is not required. Deletion (Genetic material missing) may be terminal or interstitial.termina l more common Duplication (Genetic material present twice) Inversion (Genetic material is “flipped”)
  • 16.
    Two Chromosome DisordersNeed 2 chromosomes to occur these processes. Insertion (Genetic material is added from another chromosome) Translocation (Material is swapped(exchanged) with another chromosome)
  • 17.
    Common deletion  4P-WOLF HIRSCHHORN SYNDROME. THE MAIN FEATURE ARE A TYPICAL GREEK HELMET FACIES  9P- MAIN FEATURE ARE CRANIFACIAL DYSMORPHOLOGY WITH TRIGOCEPHALY ,SLANTED PALPEBRAL FEATURE ,EXOPTHALMUS,SECONDARY TO SUPRA ORBITAL HYPOPLASIA  JACOBSON SYNDROME DELETION FROM CHROMOSOME 11
  • 18.
     Deletion inthe 4p arm  Distinctive facial features - prominent forehead, wideset eyes, and broad beaked nose, collectively described as "Greek warrior helmet" features  Brain and muscles - profound mental retardation, small head, seizures (50% of individuals), low muscle tone, poor muscle development  Bones - very short stature, facial deformities, malformations of hands and feet, chest, and spine  Heart defects  Urinary and genitals - malformations or underdevelopment of organs
  • 20.
    Jacobsen Syndrome lossof genetic material fromchromosome 11.  Most affected individuals have delayed development of motor skills and speech, cognitive impairment and learning difficulties, distinctive facial features, and a bleeding disorder
  • 21.
    Cri-Du-Chat Syndrome (chromosome 5pdeletion syndrome)  Name is based on the infant’s cry. (high-pitched and sounds like a cat.)  Incidence =1 in 216,000 birth  Normal 46 chromosomes but, missing a piece of chromosome number 5.  Cat like cry of affected children ie meowing kitten  These babies are usually small at birth , have respiratory problem  Microcephaly, micrognathia, low set ear  Wide set eye and downward slant of the eyes
  • 22.
    Cri-Du-Chat Syndrome (chromosome 5pdeletion syndrome)  Cry is high pitched and similar to that of a meowing kitten.  Moon-shaped face  Malformed larynx  Difficulty swallowing and sucking (Feeding Problem).  Low birth weight and poor growth.  Severe cognitive, speech, and motor delays, mental retardation  Behavioural problems such as hyperactivity, aggression, and repetitive movements.  Excessive drooling(ptyalism)
  • 23.
  • 24.
     Known disordersin humans include  Wolf-Hirschhorn syndrome, which is caused by partial deletion of the short arm of chromosome 4; and  Jacobsen syndrome, also called the terminal 11q deletion disorder.
  • 25.
    Sex Chromosome Anomalies(Numeric) Monosomy Turner’s syndrome (45,X0) Trisomies Klinefelter's syndrome (47,XXY) Jacob’s syndrome (47,XYY) Triple x syndrome (47,XXX)
  • 26.
    Sex Chromosome Anomalies (Structural) Y-Linked Disease VeryRare X-Linked Disease X-Linked Dominant X-Linked Recessive
  • 27.
    Fragile X syndrome Also known as Martin-Bell syndrome; Marker X syndrome.  Some consider this syndrome as X-linked dorminant, some consider this as X-linked recessive which some claims this to be not under X-linked dorminant or recessive.  Genetic condition involving changes in the long arm of the X chromosome.  Characterized by mental retardation.  Fragile area on X chromosome tends to repeat bits of the genetic code .it is repetition of CGG gene in long arm of x chromosome. (*More repeats, the more likely there is to be a problem i.e intellilectual disabilities.)  Male and female can both be affected.  Male have only one X chromosome, single fragile X more likely to affect them more severely.
  • 28.
    Fragile x syndrome Mainfeature in male  Mental retardation  Autistic behaviour  Large testicles (macro-orchidism)  Large size face and ear  Tendency to avoid eye contact  Hyperactive behaviour  Large forehead and/or ears with a prominent jaw  Hyper extensible finger joint Female having varying degree of intellilectual and learning disabilities
  • 29.
  • 30.
  • 34.
    Turner Syndrome Sexchromosomal monosomy(45, XO)  99% of foetuses with Turner syndrome result in spontaneous termination during the first trimester.  Incidence = 1 in 5000 live birth
  • 35.
    TURNER SYNDROME (Physical impairments) Short stature  Skeletal disorders (osteoporosis which may lead to scoliosis)  Webbed neck(due to cystic hygroma)  Broad shoulders  Broad chest (shield chest), widely spaced nipples  No/Poor breast development  Narrow hips (High waist-to-hip ratio: hips are not much bigger than waist)  Lymphedema of hands and feet  Shortened metacarpal IV  Cubitus valgus  Normal intelligence
  • 36.
    TURNER SYNDROME (Clinical Features) Underdeveloped ovaries(streak gonads, hence this syndrome also called ovarian dysgenesis)  Sterile, lack expected secondary sex characteristics  Amenorrhoea(No menstruation)  Cardiovascular problems in 40 % (Bicuspid aortic valve,Coarctation of the aorta,aortic stenosis)  Renal anomalies 60% eg Horse shoe kidney  Thyroid problems (hypothyroidism specifically Hashimoto's thyroiditis).
  • 39.
    Klinefelter’s syndrome  XXYMales  Disorder occurring due to nondisjunction of the X chromosome during Meiosis.  Extra X chromosome is nondisjunction during meiosis II of the germ cell in the female.  Occur when sister chromatids on the X sex chromosome fail to separate.  XX ovum produced and when fertilized with a Y- sperm it yields XXY offspring. Also occurs X and Y sex chromosomes fail to separate, producing a sperm with an X and Y chromosome & fertilize with normal X ovum produces XXY offspring.  Incidence = 1 in 580 live male births.
  • 40.
    Klinefelter’s syndrome variations 48, XXYY (male) syndrome  Incidence = 1 in 18,000–40,000 births  48,XXXY  Incidence = Extremely rare
  • 41.
    Klinefelter’s syndrome Clinical featuresChildhood  Weaker muscles and reduced strength.  Puberty (features become more prominent due to hypogonadism (less amount of testosterone produced): so generally dianosed at puberty.  Phenoypically male  Rounded body type  Broader hips  Little body hair is present  Gynecomastia (increased breast tissue)  Microorchidism (i.e. small testicles)  Azospermia leading to infertility  Micropenis  Tall stature  IQ is normal ,those having higher x chromosome counts show impaired cognition each addition x chromosome reduces iq 10-15 points.
  • 42.
  • 43.
  • 44.
  • 45.
    INTRODUCTION Generally in sexualreproduction, the organism bear diploid number of chromosomes i.e they contain two set of homologous chromosomes. Out of these two sets of chromosomes one inherited from the mother and other from father. In some cases zygote is diploid , but both chromosomes are exceptionally inherited from only one parent(from only mother or father) is called uniparental disomy (UPD). Fig:1 showing the normal zygote and uniparental disomic zygote
  • 46.
    When the bothchromosomes inherited from only mother called maternal UPD. Mat UPD has been observed on 2,7,14,15, X chromosome. It is meiotic in origin. When the both chromosomes inherited from only father called paternal UPD. Pat UPD has been observed on 6,11,15,20, X and XY chromosome. It is mitotic in origin. The most common mechanisms leading to UPD include chromosomal non disjunction in the first or second meiotic division, but sometime errors in mitosis and somatic recombination may also lead to UPD. UPD may lead to disorders because maternal and paternal genomes are not equivalent on all chromosome. UPD syndromes • Prader-Willi syndrome (PWS) • Angelman syndromes (AS) • Beckwith-Wiedemann syndrome(BWS)
  • 49.
    Prader-willi syndrome  Growthretardation,mental retardation,hypotonia,obesity,hyperphagia  Growth asymmetry  Hypo/hyperglycemia  Feeding deficulties
  • 50.
    ANGELMAN SYNDROME (AS) Angelmansyndrome (AS) is a neuro genetic disorder. It is caused by the loss of normal maternal chromosome 15q11-13. Symptoms severe mental retardation • development delay • Severe speech impairment , , absent speech • Problems with movement and balance (ataxia).,epilepsy • Behavior uniqueness any combination frequent laughter/ smiling apparent happy demeanor, easily excitable personality, sleep disturbance. • Unusually fair skin with light coloured hair. Angelman syndrome affects an estimated 1 in 12,000 to 20,000 peoples.
  • 52.