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GENETIC DISORDERS
Mamta Parihar
M.Sc. Nursing
G.C.O.N Jodhpur
Batch- 2013
INTRODUCTION
DEFINITION
Genetic disorder is a genetic
problem caused by one or more
abnormalities in the genome,
especially a condition that is
present from birth.
TERMINOLOGIES:-
•CHROMOSOME:-
A chromosome is a strand
of DNA that is encoded with genes.
•GENOME:- A Genome is all the DNA
in an organism, including its gene.
Genes carry information for making
all the proteins required by the
organisms.
•GENE:-
Gene is a part of cell that
controls or influences the
appearance, growth, etc. Of a
living thing. A gene is a specified
sequence of nucleotides in DNA or
RNA that is located usually on a
chromosome.
TYPES OF GENETIC
DISORDERS:
• SINGLE GENE DISORDERS
• MULTIPLE GENE DISORDERS
•CHROMOSOMAL DISORDERS
•MITOCHONDRIAL DISORDERS
SINGLE GENE
DISORDERS
PATTERN OF INHERITANCE
•AUTOSOMAL DOMINANT
INHERITANCE (AD)-
Huntington Disease
Glaucoma
Diabetes Insipidus
AUTOSOMAL RECESSIVE
INHERITANCE (AR)-
Cystic Fibrosis,
Galactosemia,
Phenylketonuria,
Sickle Cell Anaemia,
Spina Bifida,
Thalassemia,
Night Blindness
X LINKED DOMINENT INHERITANCE-
Diabetes etc.
•X-LINKED RECESSIVE INHERITANCE
(XR)-
colour blindness, haemophilia –A,
hemochromatosis etc.
Cystic Fibrosis (AR)
CAUSING FACTORS
Mutation In The Gene Cystic
Fibrosis Transmembrane
Conductance Regulator (CFTR)
Protein
SIGNS AND SYMPTOMS
•Frequent lung infection
•Enlarged heart
•Gallstones
•Sinus problems
•Nose polyps
•Malabsorption
•Heart burn
•Intussusception
•Constipation
•Diabetes
•Infertility
Huntington’s
Disease (AD)
CAUSING FACTORS
•Abnormal Dominant Gene
SIGNS AND SYMPTOMS
•Jerks and spasms of the face,
arms and trunk
•Clumsiness
•Mood swings(aggressive antisocial
behaviour)
•Poor memory (recent memory)
•Later....
•Dementia
•Difficulty in speaking and swallowing
•Urinary incontinence
• Anxiety and depression
Inborn Error Of Metabolism
(phenylketonuria And
Galactosemia) (AR)
CAUSING FACTORS
•Mutation in gene that codes for
any enzyme (PAH) as a result
body not able to break proteins
and amino acids and they can
accumulate in body.
SIGNS AND SYMPTOMS
•Seizure, lethargy, vomiting
•Delay development
•Behavioural problems
•Hypopigmentation (excessive fair hair
and skin)
•Musty order of baby’s sweat and urine
•Severe learning disabilities later in life
•Unexplained illness
•Failure to thrive in a newborn
•Drowsiness
•Floppiness
Sickle Cell Disease (AR)
CAUSING FACTORS
Mutation in haemoglobin
beta gene found on
chromosome 11
SIGNS AND SYMPTOMS
Tiredness &
Weakness
Shortness Of Breath
Dizziness
Severe Combined
Immunodeficiency
CAUSING FACTORS
•Mutation In SCIDXI Gene Located On
The X Chromosome
SIGNS AND SYMPTOMS
•Baby getting continuous infection
•Ear and Sinus infection
•Chronic cough
•Rashes on skin
•Finally pneumonia,
•Meningitis
Haemophilia (XR)
CAUSING FACTORS
•Absence Of Clotting Factor Viii
SIGNS AND SYMPTOMS
•Primarily bruises and
hematomas
•Continuous bleeding
Red Green Blindness (XR)
CAUSING FACTORS
• Mutation in the X Chromosome
•Brain or retinal damage caused
by Shaken Baby Syndrome
SIGNS AND SYMPTOMS
•Red, orange, green and
yellow colour
•appears same
•Whole colour spectrum is
affected by
•colour blindness
MULTIPLE GENE
DISORDERS
Diabetes Mellitus
CAUSING FACTORS
•In type 1 diabetes gene HLA-DR3 0r
HLA-DR4
•TYPE2 Diabetes TCF7L2 affect insulin
secretion and glucose production
SIGNS AND SYMPTOMS
•Polyuria
•Polydipsia
•Polyphagia
Asthma
CAUSING FACTOR
•An over active gene ’ORMDL3’ is
responsible for disrupting the
synthesis of lipid molecule
SIGNS AND SYMPTOMS
•Coughing
•Shortness Of Breath
•Chest Tightness
•Wheezing
Autoimmune Disease
CAUSING FACTOR
•Cause is not known but 1 theory is
that some microorganisms or drug
may trigger changes that confuse to
immune system
SIGNS AND SYMPTOMS
•Fatigue
•Fever
•Malaise( General ill Feeling)
•Joint Pain
•Rash
Cleft Palate AND CLEFT LIP
•CAUSING FACTORS
Transmembrane Protein 1 And
GAD1 etc.
SIGNS AND SYMPTOMS
CLEFT PALATE
•The tissue that makes
up the roof of the
mouth does not join
correctly
•Babies may have both
front or back parts are
open or only one part
open
CLEFT LIP
•It is due to the failure of
fusion
Neural Tube Defect
CAUSING FACTORS
•Two mutations of the FOLATE
DEPENDENT ENZYME(5,10
METHYLENETETRAHYDROFOLATE
REDUCTASE(MTHFR), MTHFR C677T
AND MTHFR A1298C
SIGNS AND SYMPTOMS
•Anencephaly - initial
anencephaly and
after that
anencephaly because
of mechanical and
vascular disruption.
•Spina bifida - It is
set of
malformation to
the spinal cord
caused by failure
of closure of neural
tube and lack of
fusion of the
vertebral arches,
soft tissues and
skin that cover the
back.
•Encephalocele – It
is the protrusion of
brain through the
defect of skull
usually in the
occipital area.
CHROMOSOMAL
DISORDERS
Down Syndrome
CAUSING FACTORS
•3 Copies of Chromosome 21
(Trisomy 21)
SIGNS AND SYMPTOMS
•Round face with full cheeks
•Long, thick and protruding
tongue
•Flattening of the back of
the head
•Short, broad hand
•Floppy limbs
•Excess skin on the back of
the neck.
•Eyes that stand up at the
outer corner with fold of
skin covering the inner
corner of the eye.
Turner Syndrome
CAUSING FACTOR
•Only one x chromosome (total 45
chromosome) mostly occur in
female
SIGNS AND SYMPTOMS
Mitochondrial
Disorders
Mitochondrial Disease
CAUSING FACTOR
•Mutation in gene of mitochondrial
DNA or nuclear DNA
SIGNS AND SYMPTOMS
• Symptoms according to which cells are affected
• Loss of motor control
• Muscle weakness and pain
• Gastro intestinal disorder and swallowing difficulties
• Poor growth
• Cardiac disease
• Liver disease
• Diabetes
• Respiratory complications
• Seizures
• Visual/hearing problems
• Lactic acidosis
• Developmental delays
• Susceptibility to infections
The end
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