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MEDICAL GENETICS
 Application of genetics to
medical practice.
 Includes
 Studies of inheritance of diseases
in families
 Mapping of disease genes to
specific locations on chromosomes.
 Analysis of the molecular
mechanisms through which genes
cause disease.
 Diagnosis and treatment of genetic
diseases.
AS A RESULT...
 Diagnosis based on DNA is available for
inherited conditions.
 Gene therapy: Insertion of normal genes
into patients in order to correct genetic
disease.
 Genetic counselling: Information
regarding risks, prognosis and treatments
is communicated to patients and their
WHY IS IT IMPORTANT TO US...??
 Genetic diseases make up a large
percentage of the total disease burden..
 Genetics provides a basis for
understanding the fundamental biological
makeup of the organism hence leads to a
better understanding of the disease
process.
 Can lead to prevention of the disorder
A BRIEF HISTORY
 Hebrews and Greeks
 Gregor Mendel: Father of genetics
 CHARLES DARWIN: Theory of Evolution
FRANCIS GALTON
 Archibald Garrod (1902) described
alkaptonuria as the first inborn error of
metabolism.
 Johannsen (1909) coined the term gene to
denote the basic unit of heredity.
 H. J. Muller demonstrated the genetic
consequences of ionizing radiation in the fruit
fly.
OSWALD AVERY
 In 1944
 Showed that genes are composed of DNA
JAMES WATSON & FRANCIS CRICK
 1953
NUCLEUS
 Chromatin gives the nucleus a granular
appearance. Observable in nuclei of non
dividing cells.
 Just before a cell undergoes division,
chromatin condenses to form discrete,
dark staining bodies called
chromosomes.
 Chromosomes contain genes.
 Genes are composed of DNA
 Somatic cells
 Autosomes
 Sex chromosomes
 Gametes
COMPOSITION AND STRUCTURE OF DNA
 DNA molecule has 3 basic components
1. The pentose sugar deoxyribose
2. A phosphate group
3. 4 nitrogenous bases
Each DNA subunit consisting of one
deoxyribose, one phosphate group and
one base is called a NUCLEOTIDE
DNA COILING
 2 meter long DNA in a tiny
nucleus is coiled several times.
 First, DNA is wound around a
histone protein core to form a
nucleosome.
 About 140-150 DNA bases are
wound around each histone
core.
 20-60 bases form a spacer
element before the next
nucleosome complex.
 Nucleosomes in turn form a
helical solenoid.
 Each turn of the solenoid
contains about 6 nucleosomes.
 The solenoid is organized into
chromatin loops.
 Each of these loops contain
100 kilobases of DNA.
HISTONE PROTEIN
NAMING THE LOCATION OF A GENE ON
CHROMOSOME
DNA REPLICATION
 Nuclear Genes (∼30,000)
 Unique single copy
 Multigene families
 Classic gene families
 Gene superfamilies
 Extragenic DNA (unique/low copy number or moderate/highly
repetitive)
 Tandem repeat
 Satellite
 Minisatellite
 Telomeric
 Hypervariable
 Microsatellite
 Interspersed
 Short interspersed nuclear elements
 Long interspersed nuclear elements
 Mitochondrial (16.6 kb, 37 genes)
 Two rRNA genes
 22 tRNA genes
TYPES OF DNA SEQUENCE
NUCLEAR GENES
 Distribution of these genes vary between
chromosomal regions.
 Eg: Heterochromatic and centromeric
(p.32) regions are mostly non coding.
 Chromosomes 19 and 32 are gene rich
whereas 4 and 18 are relatively gene poor.
UNIQUE SINGLE COPY GENES
 Most human genes are unique single-
copy genes coding for polypeptides that
are involved in or carry out a variety of
cellular functions.
 These include enzymes, hormones,
receptors, and structural and regulatory
proteins.
MULTIGENES FAMILIES
 Many genes have similar functions, having
arisen through gene duplication events with
subsequent evolutionary divergence making up
what are known as multigene families.
 2 types
 Classic gene families that show a high degree of
sequence homology
 Gene superfamilies that have limited sequence
homology but are functionally related, having similar
structural domains.
EXTRAGENIC DNA
 Junk DNA
 Repetitive DNA sequences that are
predominantly transcriptionally inactive.
 Tandemly repated DNA sequences
 Satellite DNA
 Mini satellite DNA
 Telomeric DNA
 Hypervariable DNA
 Microsatellite DNA
MITOCHONDRIAL DNA
 Circular dsDNA
 Codes for 37 genes
 2 types of RNA
 22 tRNA
 13 protein subunits
 Cytochrome b and
cytochrome oxidase
used for oxidative
phosphorylation
 Maternal inheritance
PSEUDOGENES
 Closely resemble known structural genes
but are not functionally expressed.
 Thought to have arisen in two main ways:
 By genes undergoing duplication events that are
rendered silent through the acquisition of
mutations in coding or regulatory elements
 As the result of the insertion of complementary
DNA sequences, produced by the action of the
enzyme reverse transcriptase on a naturally
occurring messenger RNA transcript, that lack
the promoter sequences necessary for
expression.
FROM GENES
TO
PROTEINS
TRANSCRIPTION
 Process by which an RNA sequence is
forms from a DNA template.
 Type of RNA produced is mRNA.
 To initiate- RNA polymerase II binds to a
promoter site on the DNA.
 A promoter is a nucleotide sequence that
lies just upstream of a gene.
 The RNA polymerase then pulls a portion
of the DNA strands apart from each other
exposing unattached DNA bases.
 One of the 2 DNA strands provide the
template for the sequence of mRNA
nucleotides.
 RNA molecule can be synthesised only in
the 5’ to 3’ direction.
 Antisense strand: Template DNA strand
 Sense strand: DNA strand that does not
serve as the template.
 In the process of
transcription, RNA
polymerase II binds to
a promoter site near
the 5' end of a gene on
the antisense strand
and, through
complementary base
pairing, helps to
produce an mRNA
strand from the
antisense DNA strand.
SOON AFTER RNA SYNTHESIS BEGINS
 5' end of the growing RNA molecule is capped by the
addition of a chemically modified guanine nucleotide.
 Helps to prevent the RNA molecule from being
degraded during synthesis, and later it helps to
indicate the starting position for translation of the
mRNA molecule into protein.
 Transcription continues until a group of bases called
a termination sequence is reached.
 Near this point, a series of 100 to 200 adenine bases
are added to the 3' end of the RNA molecule.
 This structure, known as the poly-A tail, may be
involved in stabilizing the mRNA molecule so that it is
not degraded when it reaches the cytoplasm.
 This final mRNA molecule is termed the primary
transcript
TRANSCRIPTION AND REGULATION OF GENE
EXPRESSION
 RNA polymerase cannot locate the
promoter region on its own.
 It is also incapable of producing
significant quantities of mRNA by itself.
 Transcription factors are required for the
transcription of DNA to mRNA.
 General transcription factors are used by all
genes, and specific transcription factors
help to initiate the transcription of genes in
specific cell types at specific points in time.
 Transcription is also regulated by enhancer
and silencer sequences, which may be
located thousands of bases away from the
transcribed gene
DNA BINDING MOTIFS...
 Configurations in the transcription-factor
protein that allow it to fit snugly and
stably into a unique portion of the DNA
double helix
EUCHROMATIN & HETEROCHROMATIN
 Gene activity can also be related to patterns of
chromatin coiling or condensation.
 Euchromatin: Decondensed, or open, chromatin
regions.
 Typically characterized by histone acetylation, the
attachment of acetyl groups to lysine residues in the
histones.
 Acetylation of histones reduces their binding to DNA,
helping to decondense the chromatin so that it is
more accessible to transcription factors.
 Euchromatin is thus transcriptionally active.
 Heterochromatin: Usually less acetylated, more
condensed, and transcriptionally inactive.
GENE SPLICING
THE GENETIC CODE
 Process in which mRNA provides a
template for the synthesis of a
polypeptide.
TYPES OF RNA
 mRNA
 tRNA
 rRNA
 Cloverleaf structure
 30 cytoplasmic tRNA.
 80 nucleotides
 Acceptor stem (7bp)
 D(dihydrouridine) loop
(4bp)
 Anticodon loop (5bp)
 Variable loop
 T arm (5bp)
 Helps to bind mRNA
and tRNA to the
ribosome.
 40s and 60s
TRANSLATION
 The ribosome first binds to an initiation
site on the mRNA sequence
 AUG  Methionine
 This AA is usually removed from the
polypeptide before the completion of
polypeptide sequence.
 The ribosome then binds the tRNA to its
surface so that base pairing can occur
can occur between tRNA and mRNA.
 The AAs are covalently bond by reacting
with ATP to the specific tRNA molecule by
the activity of aminoacyl tRNA
synthetase.
 The ribosome with its associated rRNAs
move along the mRNA, the AA linking up
with formation of peptide bonds through
the action of peptidyl transferase to form
a polypeptide chain.
 Before a newly synthesised polypeptide
can begin its existence as a functional
protein, it often undergoes further
processing.
OSTEOGENESIS
IMPERFCTA:
AN INHERITED
COLLAGEN
DISORDER
PROTEINS
REFRENCES
 Medical Genetics (By: Jorde et al)
 Emery’s Elements of Medical Genetics (By: Turnpenny et
al)
 http://www.nature.com/scitable/topicpage/discovery-of-
dna-structure-and-function-watson-397
 http://www.ncbi.nlm.nih.gov/Class/MLACourse/Modules/M
olBioReview/central_dogma.html
 http://www.nature.com/scitable/topicpage/translation-dna-
to-mrna-to-protein-393
 http://www.nature.com/scitable/definition/genetic-code-13
 Molecular Biology of Periodontium (By: KV Arun)
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Basics of Genetics

  • 1.
  • 2.
  • 3. MEDICAL GENETICS  Application of genetics to medical practice.  Includes  Studies of inheritance of diseases in families  Mapping of disease genes to specific locations on chromosomes.  Analysis of the molecular mechanisms through which genes cause disease.  Diagnosis and treatment of genetic diseases.
  • 4. AS A RESULT...  Diagnosis based on DNA is available for inherited conditions.  Gene therapy: Insertion of normal genes into patients in order to correct genetic disease.  Genetic counselling: Information regarding risks, prognosis and treatments is communicated to patients and their
  • 5. WHY IS IT IMPORTANT TO US...??  Genetic diseases make up a large percentage of the total disease burden..  Genetics provides a basis for understanding the fundamental biological makeup of the organism hence leads to a better understanding of the disease process.  Can lead to prevention of the disorder
  • 6. A BRIEF HISTORY  Hebrews and Greeks  Gregor Mendel: Father of genetics
  • 7.
  • 8.  CHARLES DARWIN: Theory of Evolution
  • 10.  Archibald Garrod (1902) described alkaptonuria as the first inborn error of metabolism.  Johannsen (1909) coined the term gene to denote the basic unit of heredity.  H. J. Muller demonstrated the genetic consequences of ionizing radiation in the fruit fly.
  • 11. OSWALD AVERY  In 1944  Showed that genes are composed of DNA
  • 12. JAMES WATSON & FRANCIS CRICK  1953
  • 13.
  • 14.
  • 15. NUCLEUS  Chromatin gives the nucleus a granular appearance. Observable in nuclei of non dividing cells.  Just before a cell undergoes division, chromatin condenses to form discrete, dark staining bodies called chromosomes.  Chromosomes contain genes.  Genes are composed of DNA
  • 16.  Somatic cells  Autosomes  Sex chromosomes  Gametes
  • 17. COMPOSITION AND STRUCTURE OF DNA  DNA molecule has 3 basic components 1. The pentose sugar deoxyribose 2. A phosphate group 3. 4 nitrogenous bases Each DNA subunit consisting of one deoxyribose, one phosphate group and one base is called a NUCLEOTIDE
  • 18.
  • 19.
  • 20. DNA COILING  2 meter long DNA in a tiny nucleus is coiled several times.  First, DNA is wound around a histone protein core to form a nucleosome.  About 140-150 DNA bases are wound around each histone core.  20-60 bases form a spacer element before the next nucleosome complex.  Nucleosomes in turn form a helical solenoid.  Each turn of the solenoid contains about 6 nucleosomes.  The solenoid is organized into chromatin loops.  Each of these loops contain 100 kilobases of DNA.
  • 22. NAMING THE LOCATION OF A GENE ON CHROMOSOME
  • 23.
  • 24.
  • 26.
  • 27.  Nuclear Genes (∼30,000)  Unique single copy  Multigene families  Classic gene families  Gene superfamilies  Extragenic DNA (unique/low copy number or moderate/highly repetitive)  Tandem repeat  Satellite  Minisatellite  Telomeric  Hypervariable  Microsatellite  Interspersed  Short interspersed nuclear elements  Long interspersed nuclear elements  Mitochondrial (16.6 kb, 37 genes)  Two rRNA genes  22 tRNA genes TYPES OF DNA SEQUENCE
  • 28. NUCLEAR GENES  Distribution of these genes vary between chromosomal regions.  Eg: Heterochromatic and centromeric (p.32) regions are mostly non coding.  Chromosomes 19 and 32 are gene rich whereas 4 and 18 are relatively gene poor.
  • 29. UNIQUE SINGLE COPY GENES  Most human genes are unique single- copy genes coding for polypeptides that are involved in or carry out a variety of cellular functions.  These include enzymes, hormones, receptors, and structural and regulatory proteins.
  • 30. MULTIGENES FAMILIES  Many genes have similar functions, having arisen through gene duplication events with subsequent evolutionary divergence making up what are known as multigene families.  2 types  Classic gene families that show a high degree of sequence homology  Gene superfamilies that have limited sequence homology but are functionally related, having similar structural domains.
  • 31. EXTRAGENIC DNA  Junk DNA  Repetitive DNA sequences that are predominantly transcriptionally inactive.  Tandemly repated DNA sequences  Satellite DNA  Mini satellite DNA  Telomeric DNA  Hypervariable DNA  Microsatellite DNA
  • 32. MITOCHONDRIAL DNA  Circular dsDNA  Codes for 37 genes  2 types of RNA  22 tRNA  13 protein subunits  Cytochrome b and cytochrome oxidase used for oxidative phosphorylation  Maternal inheritance
  • 33. PSEUDOGENES  Closely resemble known structural genes but are not functionally expressed.  Thought to have arisen in two main ways:  By genes undergoing duplication events that are rendered silent through the acquisition of mutations in coding or regulatory elements  As the result of the insertion of complementary DNA sequences, produced by the action of the enzyme reverse transcriptase on a naturally occurring messenger RNA transcript, that lack the promoter sequences necessary for expression.
  • 35.
  • 36. TRANSCRIPTION  Process by which an RNA sequence is forms from a DNA template.  Type of RNA produced is mRNA.  To initiate- RNA polymerase II binds to a promoter site on the DNA.  A promoter is a nucleotide sequence that lies just upstream of a gene.  The RNA polymerase then pulls a portion of the DNA strands apart from each other exposing unattached DNA bases.
  • 37.  One of the 2 DNA strands provide the template for the sequence of mRNA nucleotides.  RNA molecule can be synthesised only in the 5’ to 3’ direction.  Antisense strand: Template DNA strand  Sense strand: DNA strand that does not serve as the template.
  • 38.  In the process of transcription, RNA polymerase II binds to a promoter site near the 5' end of a gene on the antisense strand and, through complementary base pairing, helps to produce an mRNA strand from the antisense DNA strand.
  • 39.
  • 40. SOON AFTER RNA SYNTHESIS BEGINS  5' end of the growing RNA molecule is capped by the addition of a chemically modified guanine nucleotide.  Helps to prevent the RNA molecule from being degraded during synthesis, and later it helps to indicate the starting position for translation of the mRNA molecule into protein.  Transcription continues until a group of bases called a termination sequence is reached.  Near this point, a series of 100 to 200 adenine bases are added to the 3' end of the RNA molecule.  This structure, known as the poly-A tail, may be involved in stabilizing the mRNA molecule so that it is not degraded when it reaches the cytoplasm.  This final mRNA molecule is termed the primary transcript
  • 41. TRANSCRIPTION AND REGULATION OF GENE EXPRESSION  RNA polymerase cannot locate the promoter region on its own.  It is also incapable of producing significant quantities of mRNA by itself.
  • 42.  Transcription factors are required for the transcription of DNA to mRNA.  General transcription factors are used by all genes, and specific transcription factors help to initiate the transcription of genes in specific cell types at specific points in time.  Transcription is also regulated by enhancer and silencer sequences, which may be located thousands of bases away from the transcribed gene
  • 43.
  • 44.
  • 45. DNA BINDING MOTIFS...  Configurations in the transcription-factor protein that allow it to fit snugly and stably into a unique portion of the DNA double helix
  • 46.
  • 47. EUCHROMATIN & HETEROCHROMATIN  Gene activity can also be related to patterns of chromatin coiling or condensation.  Euchromatin: Decondensed, or open, chromatin regions.  Typically characterized by histone acetylation, the attachment of acetyl groups to lysine residues in the histones.  Acetylation of histones reduces their binding to DNA, helping to decondense the chromatin so that it is more accessible to transcription factors.  Euchromatin is thus transcriptionally active.  Heterochromatin: Usually less acetylated, more condensed, and transcriptionally inactive.
  • 48.
  • 50.
  • 52.  Process in which mRNA provides a template for the synthesis of a polypeptide.
  • 53. TYPES OF RNA  mRNA  tRNA  rRNA
  • 54.  Cloverleaf structure  30 cytoplasmic tRNA.  80 nucleotides  Acceptor stem (7bp)  D(dihydrouridine) loop (4bp)  Anticodon loop (5bp)  Variable loop  T arm (5bp)
  • 55.  Helps to bind mRNA and tRNA to the ribosome.  40s and 60s
  • 56. TRANSLATION  The ribosome first binds to an initiation site on the mRNA sequence  AUG  Methionine  This AA is usually removed from the polypeptide before the completion of polypeptide sequence.  The ribosome then binds the tRNA to its surface so that base pairing can occur can occur between tRNA and mRNA.
  • 57.  The AAs are covalently bond by reacting with ATP to the specific tRNA molecule by the activity of aminoacyl tRNA synthetase.  The ribosome with its associated rRNAs move along the mRNA, the AA linking up with formation of peptide bonds through the action of peptidyl transferase to form a polypeptide chain.
  • 58.
  • 59.
  • 60.  Before a newly synthesised polypeptide can begin its existence as a functional protein, it often undergoes further processing.
  • 61.
  • 62.
  • 65. REFRENCES  Medical Genetics (By: Jorde et al)  Emery’s Elements of Medical Genetics (By: Turnpenny et al)  http://www.nature.com/scitable/topicpage/discovery-of- dna-structure-and-function-watson-397  http://www.ncbi.nlm.nih.gov/Class/MLACourse/Modules/M olBioReview/central_dogma.html  http://www.nature.com/scitable/topicpage/translation-dna- to-mrna-to-protein-393  http://www.nature.com/scitable/definition/genetic-code-13  Molecular Biology of Periodontium (By: KV Arun)