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Medical GeneticsMedical Genetics
Department of Medical Genetics
Peking University
Tao Zhang
2
Genetics in Medicine 7th ed., 2007
3
IntroductionIntroduction
3. Nature, Nurture or Both
Gene expression is the process by which inheritable information from a  g
 is made into  p  or  R .
Gene expression is the process by which inheritable
information from a gene is made into protein or RNA.
What the relationship among genes, phenotype and
environment?
In plain language gene expression is how a gene works. Gene
expression functions in the environment of the living organism. If
the environmental factors are not correct then the characteristic
produced by the gene may not be expressed. The way an organism
physically looks is called its phenotype. The phenotype is determined by genes
but is influenced by toe organisms’ environment.
An allele is an alternative form of a gene (one
member of a pair) that is located at a specific
position on a specific chromosome.
7
Heredity and Variation—Heredity and Variation—
all living organismsall living organisms
hereditaryhereditary
factorfactor Theory ofTheory of GeneGene
 Genetics is a diverse subject concerned with
variation and heredity in all living organisms.
 Human genetics is the science of variation and
heredity in human beings.
9
10
MEDICAL GENETICSMEDICAL GENETICS
Medical Genetics is the application
of genetics to medical practice.
Diseases —
Inheritance
Clinical Genetics
Diagnosis
Prevention
Counseling Treatment
1865, Mendel G1865, Mendel G
 Law of SegregationLaw of Segregation
 Law of Independent AssortmentLaw of Independent Assortment
A Brief History of GeneticsA Brief History of Genetics
12
1865, Mendel G1865, Mendel G
Experiments in Plant HybridizationExperiments in Plant Hybridization
1. Law of Dominance:
- In a cross of parents that are pure for
contrasting traits, only one form of the
trait will appear in the next generation.
 
- Offspring that are hybrid for a trait will
have only the dominant trait in the phenotype.
2. Law of Segregations:
- During the formation of gametes (eggs or sperm), the two alleles (hereditary
units) responsible for a trait separate from each other. 
- Alleles for a trait are then "recombined" at fertilization, producing the genotype
for the traits of the offspring.
3. Law of Independent Assortment:
- Alleles for different traits are distributed to sex cells (& offspring) independently
of one another.
Image: Gregor Mendel, Mendel's Principles of
Heredity: A Defense by Bateson, WilliamFrom the Virtual Cell Biology Classroom on ScienceProfOnline.com
1902, Garrod AE1902, Garrod AE
Inborn errors of metabolismInborn errors of metabolism::
alkaptonuria(AR)alkaptonuria(AR)
1908, Hardy GH & Weinberg W1908, Hardy GH & Weinberg W
Law of Genetic EquilibriumLaw of Genetic Equilibrium
1909, Nilsson-Ehle H1909, Nilsson-Ehle H
Multifactorial inheritanceMultifactorial inheritance
15
Law of Linkage and Crossing OverLaw of Linkage and Crossing Over
Theory of Gene (1926)Theory of Gene (1926)
1933
16
1944, Avery OT, et al1944, Avery OT, et al
DNA is the genetic materialDNA is the genetic material
17
1953, Watson JD & Crick FHC1953, Watson JD & Crick FHC
21962
18
DNA double helix structureDNA double helix structure
X-ray diffraction photograph of the
DNA crystal taken by scientist
Rosalind Franklin.
http://www.expeditions.udel.edu/extre
me08/genomics/history.php
http://en.wikipedia.org/wiki/DNA
19
1949,Pauling L
Sickle cell disease; molecular diseaseSickle cell disease; molecular disease
20
1952, Hsu TC1952, Hsu TC 徐道觉
hypotonic shockhypotonic shock
21
1956, Tjio JH1956, Tjio JH 蒋有兴 ; A.Levan
2N = 462N = 46
22
 1979, Kan YW1979, Kan YW 简悦威
Sickle cell diseaseSickle cell disease,Thalassemia
Gene diagnosis (RFLP)Gene diagnosis (RFLP)
23
1993
24
1991, Anderson WF1991, Anderson WF
Gene therapyGene therapy
25
Human Genome ProjectHuman Genome Project
19901990 ~~ 2004.102004.10
26
Laboratory in China for 1% SequencingLaboratory in China for 1% Sequencing
27
2002.10 ~ 2005.10
Laboratory in China for 10%Laboratory in China for 10%
SequencingSequencing
28
29
30
functional genomics (功能基因 学)组
comparative genomics (比 基因 学)较 组
environmental genomics ( 境基因 学)环 组
Proteomics (蛋白 学)质组
model-organism genomics( 模式生物基因 学)组
………
31
Gene NetworksGene Networks (基因网络)(基因网络)
32
Waterland RA, Jirtle RA. Transposable elements: targets for earlyWaterland RA, Jirtle RA. Transposable elements: targets for early
nutritional effects on epigenetic gene regulation . Mol. Cell. Biol. , 2003,nutritional effects on epigenetic gene regulation . Mol. Cell. Biol. , 2003,
23:5293-530023:5293-5300
EpigeneticsEpigenetics
33
EPIGENETICSEPIGENETICS
Regulation of gene expression
without changes in DNA sequences
 Epigenetic inheritance (表观遗
)传
 Epigenetics (表 学)观遗传
34
Genetic
structure
Environmental
conditions
35
Any disease is the result of the combined
action of genes and environment
Nature and Nurture
36
GENETIC DISORDERSGENETIC DISORDERS
The diseases are caused by
genetic factor.
genes or chromosomes
37
CLASSIFICATION OF GENETICCLASSIFICATION OF GENETIC
DISEASESDISEASES
 Single-gene disorders( 基因病单 )
 Polygenic disorders (多基因病)
 Chromosomal disorders (染色体病)
 Genetic diseases of mitochondria (Mt) ( 粒线
体 病遗传 )
 Somatic cell Genetic disorders (体 胞细 遗传
病)
38
SINGLE-GENE DISORDERSSINGLE-GENE DISORDERS
Single-gene (or monogenic) disorders
result from the mutation of gene.
39
PKUPKU (AR)(AR)
苯丙氨酸羟化酶( PAH )基因突变
基因定位于 12q24.1 , 85kb, 13 外
显子
40
Huntington choreaHuntington chorea (AD)(AD)
41
DMDDMD(XR)(XR)
假肥大型肌营养不良
Xp21.2-p21.3, 75 exon,
2300kb
OMIMOMIM Statistics for September 9, 2009Statistics for September 9, 2009
 Autosomal 18419Autosomal 18419
 X-linked 1113X-linked 1113
 Y-linked 59Y-linked 59
 Mitochondrial 63
19654
http://www.ncbi.nlm.nih.gov/entrez/Omim/mimstats.htmlhttp://www.ncbi.nlm.nih.gov/entrez/Omim/mimstats.html
43
OMIMOMIM
44
POLYGENICPOLYGENIC
DISORDERSDISORDERS
Genetic background
Environmental factors
 Congenital defects
 Common diseases.
45
Schizophrenia 精
神分裂症
46
cleft lip ± cleft palate
47
CHROMOSOMAL DISORDERSCHROMOSOMAL DISORDERS
Diseases caused by chromosomal
abnormalities
growth retardation
mental retardation
somatic abnormalities
48
49
 Mutation of Mt genes
 Maternal heredity
50
Leber hereditary opticLeber hereditary optic
neuropathyLeberneuropathyLeber 遗传性视神经病变遗传性视神经病变
51
SOMATIC CELL GENETICSOMATIC CELL GENETIC
DISORDERSDISORDERS
Result from the altered genetic
materials in somatic cells.
Tumor & congenital malformationTumor & congenital malformation
52RB 基因: 13q14.1, 27 exon
Use library resources to define the following words and
write their definitions using your own words.
 allele:
 genes:
 dominant :
 recessive:
 homozygous:
 heterozygous:
 genotype:
 phenotype:
 Mendelian Inheritance:
53

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1 medical genetics

Editor's Notes

  1. 视盘充血,盘周有毛细血管扩张及神经纤维肿胀,视网膜动静脉不同程度迂曲扩张
  2. Optional: For this task, pre-arrange with a school librarian or media specialist to provide students with the computers with the web sites, “Talking Glossary of Genetic Terms” (http://www.genome.gov/10002096) and/or “DNA from the Beginning’s Classical Genetics” (http://www.dnaftb.org/dnaftb/), in addition to other reference materials student pairs can used to complete the task. Hand out the Basic Genetic Terms worksheet and provide reference materials for students to use in completing the worksheet. Have student pairs take turns in sharing their definitions and examples of the terms. (See the Basic Genetic Terms for Teachers for sample definitions and examples.)