9. History
• Human Chromosomes; 1882 in Tumor cells by
Walther Flemming (mitosis discoverer)
Emery & Rimon’s principles and practice of Medical
genetics (2007), Elsevier
10. History
• Chromosome: introduced by von Waldeyer (1888)
(colored bodies)
• ≥ 50 years later , 2n= 46
Emery & Rimon’s principles and practice of Medical
genetics (2007), Elsevier
11. History
• 1912: Hans von Winiwater; Spermatogonia (47)
& Oogonia (48) (XX/XO system)
• 1922: Painter: 2n= 48 or 46 (XX/XY system)
• 1956: Tjio & Levan (Hypotonic Sol) 2n= 46 in human
embryonic cells
Clinical Cytogenetic was born
Von Winiwarter H 1912, Arch Biologie
Painter TS 1922 Anat Res
Painter TS 1923 J Exp Zoology
Tjio JH & Levan A 1956 Hereditas
12. History
•
•
•
•
•
1956: Clinical cytogenetics
1959: +21 (France), 45,XO (UK)
1960: Ph (t(9;22)) in CML
1960s end: Banding techniques Chr. Identification
1977: ISCN
Gilgenkrantz S et al 2003 The history of Cytogenetics. Annales de Genetique
Garcia-Sagredo JM 2008 Biochim Biophys Acta
13. ISCN : An International System for Human Cytogenetic
Nomenclature
14.
15.
16. Human Chromosomes:
Nomenclature & Classification
• Until 1970s: by size & centromer position
(Group Analysis, A,B,C,D,E,F,G, Sex chromosomes)
18. Definitions
• Cytogenetics
– Visual study of chromosomes at microscopic level
• Karyotype
– Chromosome complement
– also applied to picture of chromosomes
• Idiogram
– Stylised form of karyotype
19.
20.
21. Chromosomes
• Classified according to position of centromere
• Central centromere - metacentric
• Sub-terminal centromere - acrocentric
– have satellites which contain multiple copies of genes for
ribosomal RNA on short arm
• Intermediate centromere - submetacentric
22. chromosome identification
bands numbered from 1, starting near the centromere
short arm on the top, long arm on the bottom
centromere location key in identification
metacentric – in center; arms about equal in length
submetacentric – arms unequal
acrocentric – centromere near one end
telocentric – centromere ‘at one end’
acrocentric – satellites on short arm
37. Genetic Counseling
•
•
•
•
Medical base
Medical genetic knowledge
Communication process
Deals with the human problems associated with:
- occurrence
- risk of occurrence of a genetic disorder in
a family
- risk of recurrence
•pedigree
Medical Genetics for the Modern Clinician,
2006, Lippincott Williams & Wilkins
43. Chromosome staining
• Q-banding – Quinacrine stain
• G-banding – Giemsa stain
• C-banding – heterochromatin regions which remain
condensed (regions near centromere are heterochromatin)
• R-banding – reverse banding
• FISH – fluorescence in situ hybridization
probes for specific genes or locations
probes tagged with fluorescent molecules
• Spectral karyotyping
probes specific for each chromosome, different colors
44.
45.
46.
47. special procedures
C banding – staining of heterochromatin (condensed DNA)
region near centromere
High-resolution banding – staining of less condensed
chromosome regions
non-staining regions on several chromosomes – fragile
sites (fragile X – mental retardation)
62. Numerical Chromosomal
Abnormalities-I
•Euploidy or polyploidy: multiple N
haploid – 1N or 23 chromosomes
diploid – 2N or 46 chromosomes
triploid – 3N or 69 chromosomes
tetraploid – 4N or 92 chromosomes (~5% spontaneous abortions)
63. Chromosome
abnormalities
triploid – 3N
due to ‘dispermy’
found in 15-18% of
spontaneous abortions
enlarged head
fusion of fingers &
toes
malformations of
mouth,
eyes &genitals
68. Aneuploidy of autosomes
• Trisomy 21 – Down syndrome (47, XY, +21)
1 in 900 live births
leading cause of mental retardation and heart defects
phenotype
distinctive skin fold near eye – epicanthic fold
spots in iris – Brushfield spots
wide skull, flatter than normal at the back
tongue often furrowed and protruding
congenital heart defects in ~40% of cases
physical growth, behavior & mental development
prone to respiratory infections
leukemia (higher rate than normal)
Maternal age is a factor
Medical Genetics for the Modern Clinician, 2006,
Lippincott Williams & Wilkins
71. Aneuploidy of autosomes
• Trisomy 13 – Patau syndrome (47, XX, +13)
1 in 5,000 live births
condition lethal
phenotype
facial malformations
eye defects
extra fingers or toes
malformations of brain & nervous system
congenital heart defects
parental age is a factor
Medical Genetics for the Modern Clinician, 2006,
Lippincott Williams & Wilkins
74. Aneuploidy of autosomes
• Trisomy 18 – Edward syndrome (47, XX, +18)
1 in 3,000 live births
80% of live births are female
phenotype
small at birth, grow slowly
mentally retarded
clenched fists; 2nd & 5th fingers overlap 3rd & 4th
malformed feet; heart malformations common
parental age is a factor
Medical Genetics for the Modern Clinician, 2006,
Lippincott Williams & Wilkins
77. Aneuploidy of Sex chromosomes
Abnormalities more tolerated
• Extra X/Y
Y: few genes, mostly sex determination
X: excess X is inactivated
• Monosomy X, Turners
–
–
–
–
Majority die during development
Only small proportion survive at birth
Short and infertile
1 in 2500 live birth
78. Sex chromosome abnormalities
• Turner Syndrome
45,XO
(female)
47, XXX
(female)
47,XXY
(male)
• Extra “Y” chromosome 47,XYY
(male)
1/2500
• Trisomy X
1/1000
• Klinefelter Syndrome
1/500
1/1000
Medical Genetics for the Modern Clinician, 2006,
Lippincott Williams & Wilkins
81. Dfinitions
• Rearrangements:
– Deletion: a segment is lost
– Duplication: a segment is doubled
– Inversion: a segment within the chromosome is
reversed
– Translocation: a segment is moved to a different
chromosome
• The origin of these rearrangements can be:
– Breakage and rejoining
– Crossing-over between repetitive DNA
83. Balanced Rearrangements
Change the chromosomal gene order but do not
remove or duplicate any of the DNA of the
chromosomes
• There are two classes of balanced
rearrangements:
1. Inversion: is a rearrangement in which an internal
segment of a chromosome has been broken twice,
flipped 180 degrees, and rejoined
2. Reciprocal translocation: is a rearrangement in
which two chromosomes are each broken once,
creating acentric fragments, which then trade places
85. 1. Paracentric: if the centromere is outside the
inverted segment
2. Pericentric: if the centromere is within the
inverted segment
Ordinarily, no genetic material is gained or lost in
an inversion
Thus an individual, whether homozygous or
heterozygous for the inversion, generally shows no
phenotypic effect.
While no genetic material is lost, if breakpoints
occur within genes, can cause mutations.
91. This causes no problem, unless crossing over
occurs within the inverted region
92. Crossing-over in paracentric inversion:
(inversion does not include the centromere)
Results:
1 normal chromosome
2 deletion chromosomes
(inviable)
1 inversion chromosome
(all genes present; viable)
93. Crossing-over in pericentric inversion:
(inversion includes the centromere)
Results:
1 normal chromosome
2 deletion/duplication
chromosomes
(inviable)
1 inversion chromosome
(all genes present; viable)
94. Since the only viable offspring are those
that result from gametes which did not
have crossovers within the inverted region,
it appears that crossing over in the
inversion has been suppressed
So this is referred to as
crossover suppression
95. Keep in mind that crossing over actually
does occur in this region
We just can’t observe the result in the
progeny
The genetic result is very tight linkage of
genes in an inverted segment
96. This may be important in the evolution of
some, or many, organisms
Why?
97. A species may evolve a particular set of
alleles at several genes on one
chromosome which make individuals
possessing them very well adapted.
We call this set a coadapted gene complex
98. Problem is, every generation meiosis and
crossing over threaten to “break up” these
coadapted gene complexes
99. However, if the coadapted gene complex is
within an inversion, no recombination will
occur and the alleles will travel along
together generation after generation
101. Usually, the term is used for exchanges of
segments between nonhomologous
chromosomes
These are interchromosomal
translocations
102. It is also possible to have
intrachromosomal translocations,
in which the segment stays within the
same chromosome
103. We will limit our attention to
interchromosomal translocations
Within these, there are 2 types: reciprocal
(or balanced) and nonreciprocal
104. As with inversions, translocations usually involve no
net gain or loss of genetic material
105. Because of this, there are usually no
phenotypic consequences for being
heterozygous.
Like other chromosomal rearrangements,
if breakpoints occur within genes, can
result in mutation of that gene.
The most frequent and important type of
translocation is the reciprocal
translocation.
106. Homozygotes have normal meioses.
Homologues can pair properly, and crossing
over poses no problems.
107. But meiosis is a problem in heterozygotes.
Homologues assume a characteristic crossshape (cruciform) arrangement at
metaphase
Disjunction can occur in 3 ways, 2 of which
produce abnormal gametes
108.
109.
110. Down Syndrome can arise from a
Robertsonian fusion between chromosome
14 and 21.
Most of chromosome 21 is translocated to
chromosome 14 - can result in Familial
Down syndrome.
111.
112.
113. Segregation of a Robertsonian Translocation
C
B
A
Gamtes always get either A or B;
50% get C.
114. Translocations can sometimes be harmful.
Even though there is no gain or loss of
genetic material, the change in location of
a segment may alter the regulation of a
gene in the segment.
115. This is especially apparent if the gene is
involved in the regulation of cell division.
Lack of proper regulation of such a gene
can result in cancer.
In which case, the gene becomes known as
an oncogene
116. A good example is the translocation
between chromosomes 9 and 22, creating
the “Philadelphia chromosome”
This causes about 90% of the cases of
chronic myelogenous leukemia
118. Burkitt’s lymphoma is another example of
a cancer which is usually (90%) caused by a
translocation (8 and 14)
119.
120. These are examples of the phenomenon
called position effect
The phenotype seen depends not just on
the allele of a particular gene, but also the
position of the gene in a particular
chromosome
121. Unbalanced rearrangements
They change the gene dosage of a part of the
affected chromosome
• Classes of unbalanced rearrangements:
1. All whole chromosome aneuploidies
2. Deletions
3. Duplications
•
The duplicated segment can end up at a different
position on the same chromosome, or even on a
different chromosome
4. Amplifications
123. Deletions involve the loss of a chromosome
segment
Because these mutations are due to the
loss of genetic material, they cannot revert
to wild type
124.
125. The effects of the deletion depend on
which genes are deleted
And on what alleles of these genes reside
on the homologous chromosome
126. Any genes in the deleted region are now
present in a hemizygous condition on the
homologue
127. If these alleles are recessive, their
phenotypes will now be expressed
This phenomenon is called
pseudodominance
129. Several human disorders are due to
deletions.
All of these are small deletions - large
deletions apparently cannot be tolerated
Also, the deletions have their effects in
heterozygotes; homozygotes are probably
lethal
131. Due to a deletion
of part of the
short arm of
chromosome 5
1/50,000 births
Crying babies sound like
cats; mental disability
Death by about 4 years
139. As the number of duplicate copies of a
segment increases, the likelihood of unequal
crossing over also increases
Thus, once the process has started there is a
tendency over evolutionary time for the
number of copies to increase
140. Duplication in this way by unequal crossing
over is thought to be an important process
in the evolution of genes
141. If a gene is crucial to the organism, it is not
free to change much
It certainly cannot take on a new function,
since its original one is still needed
142. But, if a new copy of the gene is produced
by unequal crossing over, the extra copy
can evolve over time
Eventually perhaps producing a protein
with very different functions
143. This kind of process can result in “families”
of related genes, making similar proteins
Good examples of this are the globin
genes, which produce the alpha and beta
globin chains which comprise hemoglobin
144.
145. ESAC
•
•
•
•
•
•
Extra Structurally Abnormal Chromosome
Abnormal chromosome in addition to 46
Small and difficult to identify
Sometimes called marker chromosomes
Difficult to work out effect on person
May be benign or cause serious mental handicap
155. Karyotyping
• Staining methods to identify chromosomes
•
•
•
•
G banding
Q banding
R banding
C banding
- Giemsa
- Quinacrine
- Reverse
- Centromeric (heterochromatin)
• Ag-NOR stain
- Nucleolar Organizing Regions (active)
156. G banding
• Most common method used
• Chromosomes treated with trypsin
– denatures protein
• Giemsa stain
–
–
–
–
each chromosome characteristic light and dark bands
400 bands per haploid genome
Each band corresponds to 5-10 megabases
High resolution (800 bands ; prometaphase chromosome)
– use methotrexate and colchicine
• Dark bands are gene poor
157. G banding
•
•
•
•
•
•
Metaphase spreads
Count chromosomes in 10-15 metaphases
If mosaicism suspected, count 30
Detailed analysis of 3-5 metaphases
Used to photograph and cut out
Now computer programmes
158. Q banding
• Used especially for Y chromosome
abnormalities or mosaicism
• Similar pattern to G banding
– But can detect polymorphisms
• Needs fluorescent microscope
159. R banding
• Used to identify the
X chromosome abnormalities
• Heat chromosomes before
staining with Giemsa
• Light and dark bands
are reversed
160. C banding
•
•
Used to identify centromeres / heterochromatin
Heterochromatic regions
–
–
•
contain repetitive sequences
highly condensed chromatin fibres
Treat with chromosomes with
1. Acid
2. Alkali
3. Then G band
