Compre Molbio
Compre Molbio
Compre Molbio
Types:
TYPES/STRUCTURES OF RNA
HISTORICAL HIGHLIGHT
5. Other RNAs
RNA viruses
- Late 1900s, increasing varieties of - RNA-dependent RNA polymerases
Hepatitis C virus, Zika virus, &
RNA species have been described
Dengue Virus: to replicate their
- Functions: RNA genomes
RNA synthesis & processing Also found in plants & lower
Influence numerous cellular eukaryotes: associated with gene
processes: silencing
1. plasmid replication PolyA polymerase
2. bacteriophage - Template-independen t RNA
polymerase
development
- Adds adenine nucleotides to the 3'
3. chromosome structure and end of mRNA
development - Result: polyA tail, important for
mRNA stability & translation into
RNA POLYMERASES protein
- Catalyze the RNA synthesis
Prokaryotes
REGULATION OF TRANSCRIPTION
Gene Expression
Post-Transcriptional Regulation
Attenuation
- Another mechanism of control in
bacteria
- Formation of stems & loops in the
RNA transcript by intrastrand
[MIDTERM] MOLECULAR BIOLOGY AND DIAGNOSTICS
LEC TOPIC 1: DNA AND RNA ISOLATION
ISOLATION OF DNA
B.Viruses
Viral DNA
Held within free viruses or integrated into the
host genome along with host DNA
Cell-free specimens (plasma) will be used for viral
detection
May require concentration of viroids by
centrifugation or other methods
D.Plasma
Exosomes
Small vesicles (30-100 nm in diameter), which B. Inorganic Isolation Methods
form by invagination & budding from the inside of Does not include organic extraction step
cellular endosome vesicles & are secreted by Sometimes called “salting out”, makes use of low-
living cells pH & high-salt conditions to selectively precipitate
Contain nucleic acid & can be collected by proteins, leaving the DNA in solution
centrifugation
Diagnostic & prognostic analyses purposes (liquid
biopsy)
Solid-phase collection of nucleic acid
E.Tissue Samples
Fresh tissue
Dissociated by mincing the tissue
Frozen tissue
Dissociated by grinding and homogenizing the
tissue
Paraffin-embedded specimens
o Dewaxed with xylene or other agents
o Rehydrated before nucleic acid isolation b. Mouthwash method
Some tests (somatic mutation analyses) Samples from saline rinses need to
o Microscopic examination of adjacent be processed/ frozen immediately
stained serial section after collection
Alcohol-containing moutwash must
be used
TOTAL RNA
VI. RAPID EXTRACTION METHODS
rRNA
PCR o most abundant (80% - 90%) RNA in all
Rapid lysis methods & DNA extraction/ storage cells
cards mRNA
Chelex o Next most abundant RNA fraction (2.5%
o Cation-chelating resin that can be used for to 5%)
simple extraction of DNA from minimal tRNA & snRNA
samples o also present
o 10% Chelex resin beads is mixed with the
specimen & the cells are lysed by boiling
1. Organic Isolation
2. Solid-phase Isolation
I. ELECTROPHORESIS
II. SPECTROPHOTOMETRY
1. UV Spectrometry
Standard nucleic acid quantitation III. FLUOROMETRY
Nucleic acid sample is placed into quartz (FLUOROSCENT SPECTROSCOPY)
cuvette, which is then placed inside the
UV spectrometer Measurement of emitted fluorescent light
UV light passed through the sample at a Measures fluorescence related to DNA
specified path length, & the absorbance of concentration in association with DNA-specific
the sample at specific wavelengths is fluorescent dyes
measured Early methods: 3,5-diaminobenzoic acid 2HCI
Does not require additional (DABA), combined with alpha-methylene
reagents/incubation time aldehydes (deoxyribose) to yield a fluorescent
product
Modern methods: DNA-specific dye Hoechst
33258, combined with adenine-thymine base
pairs in the minor groove of the DNA double helix
IV. MICROFLUIDICS
Biochemical methods
Used to directly analyze the change in protein
structure of function.
Other uses:
o Metabolic defects where several genes are
involved in the disease phenotype.
o Detection of the actual protein/ amino acid
alterations.
Include:
1. Enzyme Immunoassays
2. Immunohistochemistry To minimize nonspecific binding: blocking
3. High-performance liquid chromatography solution with serum protein (albumin),
(HPLC) detergent (Tween 20), and unlabeled
4. Gas chromatography antibodies.
5. Mass spectrometry Positive and negative controls: included
with samples to ensure the adequacy and
1 Enzyme Immunoassays specifity of staining.
Detects the presence of metabolites in the blood,
urine, or other biological fluids. Imaging/ microscopic observation of antibody
Involve the use of specific antibodies or other requires a signal from the antibody:
ligands to detect the presence of the target a. Fluorescent signal: fluorescent molecules
molecules. (fluorescein, Cy5, phycoerythrin)
Widely used EIA: enzyme-linked b. Colorimetric signal: substrate solution is
immunosorbent assay (ELISA) added, oxidized by the enzymes
(horseradish peroxidase/ alkaline
phosphatase)
o Most frequently used: red/ brown IHC
staining
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
2 phases:
o Mobile phase (solvent)
o Stationary phase (solid support)
Ultra-HPLC (UHPLC): increase resolution and
lower separation time while using less solvent;
faster flow rates (5mL/ min).
4 Gas chromatography
Mobile phase: inert gas
Stationary phase: high-boiling point liquid that
absorbed to an inert solid support in the column
Detector: flame ionization detector 2 ionization methos for large biomolecules
Used for detection of drugs and poisons and their (proteins):
metabolites in biological samples. a. Electrospray ionization (ESI)
May be coupled with MS to detect biomarkers o
disease.
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
E Array Technology
High-density oligonucleotide arrays: test DNA is
fragmented by treatment with DNase before
binding to the complementary probes on the
array.
High-resolution melt-curve analysis (HR-MCA)
Hybridization formats:
High specifity
a. Standard tiling – base substitution is always
Uses fluorescent resonance energy transfer in the 12th position from the 3’ end of the
(FRET) probes
probe.
Raise in b. Redundant tiling – same mutation id placed
temperature, at different positions in the probe.
probes After hybridization: fluorescent signal is read on a
dissociate at
scanner with appropriate software and mutations
specific Tm are identifies as indicated by which probes are
donor no
bound.
longer close
Bead array technology: uses sets of solor0-
to the
coded polystyrene beads in suspension as the
acceptor
solid matrix.
fluorescence
Combination of bead color and test label =
drops
presence/ absence of a mutation/ polymorphism
Indication of
mutation: 2 Sequence (polymerization)- Based Methods
Tm lower than that of
A Sequence-Specific (Primer) PCR (SSP-
the probe and its
perfect complement, PCR)
or sequence Detect point mutations and other SNPs
difference between
probe reference Primer 3’ end falls on the nucleotide to be analyzed
sequence and the o Must match the template perfectly to be
test sequence. extended by Taq polymerase.
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
4 Other Methods
Combination of methods to increased
sensitivity and detection (RFLP with modified
primers).
Array-based methods and massive parallel
sequencing methods provide specific multiplex
detection and sensitivity required for clinical
applications.
Method selected will depend on the available
instrumentation, genetic target, and the
nature of mutation.
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
D PROTEIN LEVEL 4. If there is insertion of Gly (G), Ala (A), and Thr
Numbering begins with the initial amino acid (T):
(Met) in the protein sequence, designated +1 Amino acid interval, “ins”, inserted amino acids
Single-letter code/3- letter denotations of amino
acids
Stop codons are designated as X
REMEMBER!!!
Prefixes used to distinguish between mutation
nomenclature
o g. = genomic DNA
o c. = coding (complementary/ copy)
o m. = mitochondrial DNA
o r. = RNA
o p. = protein sequences
RNA sequences are written in lowercase letter
o Coding DNA: c.89T>C
o RNA sequence: r.89u>c
GENE NAMES
Set by the Human Genome Organization
(HUGO) gene nomenclature committee
Gene names should be capitalized and set in
italics with no hyphens
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 2 – GENE MUTATIONS
MOLECULAR BIOLOGY I PROF EARN IAN CARO, RMT I MARCH 20, 2023
Thus, the report will contain the official gene name and
the appropriately named change in the DNA sequence, if
present.
MATEO, JENDY ROMAE EHILLA I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
DNA SEQUENCE
Refers to the order of the nucleotides in the
DNA molecule.
Applications of DNA sequencing in medical
laboratory:
o Detection of mutation
o Typing microorganisms
o Identifying human haplotypes
o Designating polymorphism
o Treatment strategies
SEQUENCING METHODS
1. Direct sequencing: manual and automated
2. Pyrosequencing
3. Bisulfite DNA sequencing
4. RNA sequencing
5. Next-generation sequencing
I DIRECT SEQUENCING
Direct determination of the order, or sequence of
nucleotides in a DNA polymer. Addition of a strong reducing agent (10% piperidine) =
Most specific and direct method for identifying ssDNA would break at specific nucleotides
genetic lesions (mutations)/ polymorphisms.
Types: After reactions: fragments will be separated by size
1. Manual sequencing (chemical (Maxam- on a denaturing polyacrylamide gel (6-20%)
Gilbert & Sangers sequencing) o Sequence = bands
2. Automated fluorescent sequencing (dye o Lane in which the band appeared = ID of
primer & dye terminator sequencing) the nucleotide
o Sequence is read from the bottom (5’ end)
Manual Sequencing: to the top (3’ end) of the gel
Chemical (Maxam-Gilbert) Sequencing Run times:
Allan M. Maxam & Walter Gilbert o Short fragments (up to 50 bp) = 1-2 hours
Requires a ds/ss version of the DNA region to be o Long fragments (>150 bp) = 7-8 hours
sequenced with 1 end radioactively labeled (32P)
Sequencing proceeds in 4 separate reactions Manual Sequencing:
Template: labeled fragment Dideoxy Chain Termination (Sanger) Sequencing
Frederick Sanger
Uses dideoxynucleotides (ddNTPs) to determine
the order/sequence of nucleotides in a nucleic acid
Primer complementary to DNA to be sequenced
Product detection of sequencing:
o Primer is attached at 5’ end to a 32P-
/fluorescent dye-labeled nucleotide
o Incorporate 32p/35S-labeled dNTPs in the
nucleotide sequencing reaction mix
(internal labeling)
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
II PYROSEQUENCING
Determines a DNA sequence without having to
make a sequencing ladder.
Relies on the generation of light (luminescence)
when nucleotides are added to a growing DNA
strand.
No gels, fluorescent dyes, ddNTPs
Automated Electrophoresis Reaction mix components:
4 sets of sequencing products in each reaction are 1. ssDNA template
loaded onto a single gel lane/ capillary. 2. Sequencing prime
Fluorescent dye colors distinguish which nucleotide 3. Sulfurylase
is at the end of each fragment. 4. Luciferase
Fluorescent detection equipment yields results as 5. Substrates: adenosine-5’-phosphosulfate
electropherogram. (APS) and luciferin
Base calling: process of bases ID in a sequence by 6. 1 of the 4 dNTPs is added to predetermined
sequencing software. order of the reaction
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
IV RNA SEQUENCING
Early approaches: used RNase to cut end-labeled
RNA at specific nucleotides
Other approaches:
o Based on amino acid sequence
o Based on sequencing of its complementary
DNA
Direct RNA sequencing
o Based on single-molecule sequencing
technology and virtual terminator nucleotides
mRNA is captured by immobilized polydT
oligomers (through their polyA tails).
o RNA without polyA tails: initial treatment with
polyA polymerase
o 4 reversible dye-labeled nucleotides are
sequentially added.
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
Targeted Libraries
3. Sequencing by ligation
The regions to be sequenced are enriched by: o Uses a pool of labeled oligonucleotides DNA
1. Probe hybridization ligase to identify the template sequence
o Probes: biotinylated oligonucleotides through the known probe sequences.
complementary to specific gene regions.
2. Amplification with region-specific primers
(amplicon-based targeted libraries)
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
Data Analysis
Optical signals are translated to a nucleotide
sequence (base calling), which is measured by
the Phred score, acceptable = 2-3 (100-1000-fold
certainty of a correct call).
Each sequence is compared to a reference
sequence (“normal”) through read alignment.
Variant ID based on camparison with the reference
sequence (SNVs, indels, rearrangement
sequences, CNVs).
Sequence variations from the reference are
arranged in a variant call file (VCF).
BIOINFORMATICS
Involves using computer technology (in silico) to
collect, store, analyze, and disseminate biological
data and information (computational biology).
BIOINFORMATICS TERMINOLOGY
Annotations: performed for critical variants ID TERM DEFINITION
Confidence in the variant call is determined by Identity The extent to which two sequences are
sequence quality and coverage = at least 500x the same.
(recommended). Alignment Lining up two or more sequences to
Chromosomal and sequence location of the search for the maximal regions of
variants is identified along with the type of variant identity in order to assess the extent of
(subject to filtering). biological relatedness or homology.
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
Local Alignment of some portion of two Matches/ hits = diagram, showing alignments and
alignment sequences. color code
Multiple Alignment of three or more sequences
sequence arranged with gaps so that common
alignment residues are aligned together.
Optimal The alignment of two sequences with
alignment the best degree of identity.
Specific sequence changes (usually
Conservation protein sequence) that maintain the
properties of the original sequence.
Similarity The relatedness of sequences, the
percent identity or conservation.
Algorithm A fixed set of commands in a computer
program.
Domain A discreet portion of a protein or DNA
sequence.
Motif A highly conserved short region in International Union of Pure and Applied
protein domains. Chemistry and the International Union of
A space introduced in alignment to Biochemistry and Molecular Biology (IUB)
Gap compensate for insertions or deletions Assigned a universal nomenclature for mixed,
in one of the sequences being degenerate, or wobble bases.
compared.
Homology Similarity attributed to descent from a
common ancestor.
Orthology Homology in different species due to a
common ancestral gene.
Paralogy Homology within the same species
resulting from gene duplication.
The sequence presented for
Query comparison with all other sequences in
a selected database.
Description of functional structures,
Annotation such as introns or exons in DNA or
secondary structure or functional
regions to protein sequences.
The point of meeting between a
Interface computer and an external entity, such
as an operator, a peripheral device, or a
communications medium.
The genetic sequence database
GenBank sponsored by the National Institutes of
Health.
Search service sponsored by the
PubMed National Library of Medicine that
provides access to literature citations in
Medline and related databases.
Protein database sponsored by the
SwissProt Medical Research Council (United
Kingdom).
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
PREFI LEC TOPIC 3 – DNA SEQUENCING
MOLECULAR BIOLOGY I PROF EARL IAN CARO, RMT I MARCH 27, 2023
JACOB, K. A. and MATEO, J. R. I BMLS-2A I SY. 2022-2023 I DAVAO DOCTORS COLLEGE, Inc.
TOPIC 1: DNA POLYMORPHISMS AND
HUMAN IDENTIFICATION
1. POLYMORPHISMS
- Variations of DNA sequences (ranging
from a single base pair to thousands of
base pairs) that are shared by 1%-2%
or more of a given population
TYPES STRUCTURE DETECTION
METHODS
Single Single-nucleotide Sequencing,
nucleotide differences (1- other
polymorphism bp), may occur in
(SNPs) gene-coding
regions or in
intergenic
sequences
Long Highly repeated Sequencing
interspersed sequences (6-
nucleotide 8kbp in length),
elements containing RNA
(LINES) polymerase
promoters &
open reading
frames
Short Highly repeated Sequencing
interspersed sequences
nucleotide approximately 0.3
elements kbp in length,
(SINES) including Alu
elements
Short tandem Head-to-tail PCR
repeats (STRS) repeats of DNA
sequences with
<10-bp repeat
units
Variable-number Head-to-tail Southern Blot,
tandem repeats repeats in DNA PCR
(VNTRS) with 10-50-bp
repeat units
Restriction A sequence Southern Blot
fragment length variation that
polymorphisms results in
RFLPS) creating,
destroying, or
moving a
restriction site
STR NOMENCLATURE
SNP DATABASES
- Collections of DNA sequence variants
used as a reference for screening
genomic sequencing data
- Detection of variant: sequencing, may
already be described or associated with
a disease phenotype as noted in the
databases -
- Include short deletions, insertions, &
duplications involving more than 1
nucleotides
- dbSNP, dbVar, ClinVar, & others
OTHER ID METHODS
A. MITOCHONDRIAL DNA
POLYMORPHISMS
- Contribute to individual differences in
function & susceptibility to various
diseases such as Parkinson disease,
Alzheimer disease, bipolar disorder, &
cancer
B. PROTEIN BASED ID
- Amino acid variations
C. EPIGENETIC PROFILES
- Epigenetic alterations (DNA
methylation)
CHROMOSOMAL ABNORMALITIES
2. Partial/incomplete dominance
- Offspring phenotype is variably
intermediate (combine) between the
homozygous & heterozygous
parentals
- Example: gene affecting hair texture
3. Codominance
- Simultaneously demonstrate the
CHROMOSOMAL ABNORMALITIES phenotype of both parents
Chromosomal mutations - Example: ABO blood group
- abnormalities in structure
(FINAL:LEC 2) :):
PATTERNS OF INHERITANCE IN 3. Sex-Linked Transmission
SINGLE GENE DISEASES - Mostly X-linked
A. X-linked recessive transmission:
- A.K.A. transmission patterns/mode of
- Common
inheritance
- Always expressed in males
- The manner in which a genetic trait,
o inherit the trait from
disorder, or risk of disorder is passed
heterozygote/homozygote mother
from one generation to the next
- Females are carriers and can only be
- Determined by examination of family
expressed if the causative allele is
histories
present in 2 copies
- Pedigree: diagram of family
o inherit the trait from affected father
phenotype/genotype
and affected heterozygote mother
- 3 main patterns: autosomal dominant,
- Ichthyosis, colorblindness, hemophilia
autosomal recessive, sex-linked (X-
linked)
(FINAL:LEC 2) :):
03. Molecular Basis of Single-Gene FACTOR V LEIDEN
Diseases
- Cause: Single point mutation in the
Detection: Molecular methods, coagulation factor V gene F5 (1q23) at
morphological studies, clinical chemistry exon 10 (GA at nucleotide 1691,
R506Q)
Final Diagnosis: physiological,
- Genotype: heterozygous form (4%-
morphological and laboratory results
8% of the general population) &
SINGLE-GENE DISORDERS homozygous (0.06%-0.25%)
- Thrombophilia: inherited blood
clotting disorder
- Treatment for blood clot/deep venous
thrombosis: anticoagulants
- Molecular methods: PCR-RFLP,
SSP-PCR
- Other methods: Invader technology,
clot- based methods, family history
PROTHROMBIN
- Precursor to thrombin in the
coagulation cascade
- Autosomal-dominant increased risk
of thrombosis: mutation in the 3'
untranslated region of the gene that
codes for prothrombin or coagulation
factor II, F2 (11p11-q12)x
- Laboratory tests: F2 & F5 mutations
- Molecular methods: multiplex PCR-
RFLP
- Phenotypic methods: thrombin time,
prothrombin time, platelet count, CBC
LYSOSOMAL STORAGE DISEASE
- Automated systems: measure
- Cause: incompletely digested changes in light transmittance during
macromolecules due to loss of clot formation generating a curve
enzymatic degradation (acid - Other: sequencing of factors XI & XIII
hydrolases)
- Defects in proteins required for normal
lysosomal function METHYLENETETRAHYDROFOLATE
→ physical abnormalities REDUCTASE
- Screening: gene product testing
- Molecular testing: genes that code - Hyperhomocysteinemia: autosomal
for the enzymes & their subunits recessive disorder caused by
- Detection of mutation: direct deficiency of the 5,10-
sequencing methylenetetrahydrofolate reductase
(MTHFR) gene product
o Increased homocysteine levels →
predisposition to venous & arterial
thrombosis
(FINAL:LEC 2) :):
- Genetic polymorphisms: 677C>T metabolize & detoxify compounds
(p.A222V) & 1298A>C (p.E429A) → (drugs)
deficiencies in folate metabolism - Polymorphisms affect the metabolism
- Detection: standard/multiplex PCR of hormones, caffeine,
with RFLP (HinfI & MboII) or chemotherapeutic drugs,
sequencing, multiplex qPCR, HR-MCA antidepressants, & oral contraceptives:
o Tests are used to predict the
response to drugs
HEMOCHROMATOSIS
- Detection of polymorphisms: allele-
- Autosomal recessive condition, specific PCR
overabsorption of iron from food → - Screening tests: microarray, bead
pancreas, liver, & skin damage; heart array, sequencing
disease; diabetes
- Diagnosis: measurement of blood iron 04. Single-Gene Disorders with Non-
levels, transferrin saturation, liver Classical Patterns Of Inheritance
biopsy
CONDITIONS THAT DO NOT FOLLOW
- Molecular cause: dysfunction of the
MENDELIAN RULES OF INHERITANCE:
hemochromatosis type I HFE or HLA-
H gene product (C282Y, H63D, S65C) a. Mitochondrial gene mutations
- Indications for mutation testing: b. Genomic imprinting
clinical symptoms & increased serum c. Gonadal mosaicism
ferritin & transferrin-iron saturation d. Nucleotide-repeat expansion
- C282Y mutation detection: PCR- disorders
RFLP e. Multifactorial inheritance
CYSTIC FIBROSIS
A. MITOCHONDRIAL (mt) GENE
- Life-threatening autosomal recessive MUTATIONS
disorder that causes severe lung - Maternally inherited
damage & nutritional deficiencies - mtDNA
- Affects cells that produces mucus, o Circular, 16,569 bp, with 37 genes,
sweat, saliva, & digestive juices → 1000-nt control region
secretions become thick & sticky
- Cause: loss of function of the CFTR
gene (3-bp deletion F508del & 1,900
other mutations such as G542X,
- Mutations affect energy production →
G551D, N1301K, R117H, W1282X,
muscles & nervous system
1717- 1G>A)
- Heteroplasmy: mutated mt & normal
- Molecular tests for mutation
mt in the same cell
detection: RFLP, PCR-RFLP, HA,
- Molecular methods:
temporal-gradient gel electrophoresis,
o Large deletions: Southern blot
SSCP, SSP-PCR, cleavase, bead
o Point mutations: PCR-RFLP
array technology, & direct sequencing
(FINAL:LEC 2) :):
C. GONADAL MOSAICISM
- Generation of new mutations in
germline cells → giving rise to
eggs/sperm carrying the mutation
which then becomes a heritable
phenotype
- Expected when phenotypically normal
Genes that control mitochondrial
parents have more than 1 affected
functions are found in nuclear genome
child
- Example: osteogenesis imperfecta
D. NUCLEOTIDE-REPEAT EXPANSION
DISORDER
- Nucleotide repeats, such as STRS
(1-10 bp repeating units) can expand
in length during DNA replication &
meiosis
- Triplet-repeat mutations: expansions
of STR w/3-bp repeating units in the
gene sequence
o Fragile X syndrome
B. GENOMIC IMPRINTING o Huntington disease
- Only 1 copy of a gene in an individual o Idiopathic congenital central
(either from mother or father) is hypoventilation syndrome
expressed, while the other copy is (CCHS)
suppressed
o Example: mules (male donkey x a. Fragile X Syndrome
female horse) & hinnies (male - CGG expansion (up to >2,000
horse x female donkey) repeats) in the noncoding region 5' to
- Cause: transcriptionally silencing the FMR-1 gene
through histone/DNA modification - Symptoms (increase in severity
- Genetic disorders: 1 or other allele of with each generation): learning
a gene is lost (uniparental disomy) disorders & mental retardation
- Examples (IQ~20), long face, large ears,
o Prader-Willi syndrome = paternal macroorchidism
del(15)(q11q13) - Detection:
o Angelman syndrome = same o Karyotyping
region, maternal o PCR
- Cytogenetic methods: o Southern blot
o Translocations & some deletions: o Capillary electrophoresis
standard karyotyping
o Microdeletions: HR-karyotyping b. Huntington Disease
o FISH with labeled probes - CAG expansion (9-37 repeats to 38-
- Molecular methods: 86 repeats) in the huntingtin structural
o PCR-RFLP/STR analysis gene (4p16.3)
o Methylation-specific PCR - Symptoms: impaired judgment,
o Southern blot using methylation- slurred speech, difficulty in swallowing,
specific restriction enzymes chorea, personality changes,
o Assays developed for CNV depression, mood swings, unsteady
detection: FISH, array-based CGH, gait, intoxicated appearance
NGS
(FINAL:LEC 2) :):
- Detection: - Prognostic & diagnostic value of
o Standard PCR methods gene mutation analysis:
o Capillary electrophoresis o Annotation of demographics
(ethnicity/gender, lifestyles)
c. Idiophatic Congenital Central
Hypoventilation Syndrome (CCHS)
- Gene mutations in PHOX2b gene in
chromosome 4: insertion of multiple
alanine residues
- Inadequate breathing while asleep,
hypoventilation while awake
- Occurs in association with an intestinal
disorder (Hirschsprung disease) &
symptoms of ANS
dysregulation/dysfunction
- Detection:
❖PCR w/32P-labeled primer &
polyacrylamide gel electrophoresis
❖Standard PCR & agarose gel
electrophoresis
OTHER EXAMPLES OF REPEAT
EXPANSION DISEASE Limitations of Molecular Testing
- Phenotypic methods: treatment is
directed to the phenotype
- Genes with variable expressivity
o Gene mutation may not predict the
severity of the phenotype
- Clotting time & transferrin saturation
o Better guides for anticoagulant
treatment
- Molecular testing
o May discover genetic lesions in the
absence of symptoms
o Offer only a diagnosis, not a cure
E. MULTIFACTORIAL INHERITANCE
- Disorders (& normal conditions)
controlled by multiple genetic &
environmental factors
(nutritional/chemical exposures)
- Phenotypes: conditioned by the no. of
controlling genes inherited
- Detection:
o HR-array methods
o NGS
- Interpretation:
o Databases (ClinVar & dbSNP)
(FINAL:LEC 2) :):
MOLECULAR ONCOLOGY
OSICO-2E
ONCOLOGY
Study of tumors/neoplasm
Growth of tissue that exceeds and is not
coordinated with normal tissue
CANCER
1. Solid tumors — an abnormal mass
of tissue that usually does not What causes cancer?
contain cysts or liquid areas
Cancer is caused by nonlethal mutations in
• Carcinoma - tumor of epithelial
DNA affecting 2 types of genes that control
tissue origin
the cell division cycle and cell survival:
• Sarcoma - tumor of bone, cartilage,
muscle, blood vessels, or fat ONCOGENES
• Teratocarcinoma — multiple cell
• Promote cell division
types
• Include cell membrane receptors,
2. Hematological malignancies — • that are bound by growth factors.
abnormal cells in the blood grow out • hormones. and other extracellular
of control • signals
• Leukemia — large nos. of WBCs • Support cell survival by inhibiting
populate the bone marrow & • apoptosis
peripheral blood • >100 in the human genome
• Lymphoma — neoplasm of TUMOR-SUPPRESSOR GENES
lymphocytes that forms discrete
tissue masses • Factors that control transcription-
• Plasma cell neoplasms — abnormal translation of genes required for cell
plasma cells or cells form tumors in /division
the bones/soft tissues of the body
MOLECULAR ONCOLOGY
OSICO-2E
• FISH: direct detection of increased ras, N-ras (Ip13); & Harvey rat sarcoma
copy nos. of the gene in DNA viral oncogene homolog, H-ras (11p15)
• Chromogenic in situ hybridization
• Small GTP-binding proteins that
(CISH): standard bright-field
receive signals from the cell surface
microscope, genome & chromosome
proteins & activate the initial steps of
mutation detection
the mitogen-activated protein kinase
• Silver-enhanced in situ hybridization
(MAPK) pathway cascade
(SISH)
• Gain-of-function mutations in ras
2. Epidermal growth factor receptor, proto oncogenes → cancers
• Mutations in these genes are the
EFGR (7p12)
most common oncogene mutations in
• Normal activity: cell signaling human cancers (codons 12. 13. 22. &
pathways that control cell division 61 in exons 2 & 3 of the KRAS
and survival gene)
• Overexpressed in solid tumors Detection methods of mutation:
Detection methods:
• Direct sequencing,
• IHC Pyrosequencing
• qPCR: to assess gene copy no.
through increased gene expression
• SSP-PCR. SSCP. direct sequencing.
NGS: mutations
• Southern blot
3. Molecular analysis of T-cell receptor • PCR or qPCR with gel
gene clonality electrophoresis or qPCR probe
• Southern blot b) t(11;14) (q13;q32)
Probes complementary to the V, J, & D CCNDI gene on chromosome 11 is attached
to the long arm of chromosome 14
Normal: absence of rearrangements
Mantle cell lymphoma, chronic lymphocytic
leukemia, B-prolymphocytic leukemia,
MOLECULAR ONCOLOGY
OSICO-2E
Detection methods:
• PCR with agarose/capillary gel
electrophoresis: internal tandem
duplications (ITDs)
• PCR-RFLP using EcoRV restriction
enzyme or RT-PCR with FRET
probes: D835 (aspartic acid)
mutations
d) Janus kinase 2 (JAK2). 9p24
• Dominant mutation causing a valine-
to phenylalanine substitution of the
Jak2 protein (617th position)
• Polycythemia vera, essential
thrombocythemia, idiopathic
myelofibrosis
Detection methods:
• multiplex SSP-PCR
• Direct sequencing
• NIRCA