CC Genetic Testing Flashcards

Explain what cystic fibrosis is Explain how the Amplification refractory mutation system (ARMS) works Explain how oligonucleotide ligation assay works Describe how to diagnose genetic disorders such as Cystic fibrosis via ARMS/OLA (28 cards)

1
Q

What is Cystic Fibrosis?

A

A genetically inherited disease which involves the build up of thick, sticky mucous

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2
Q

Which body system(s) being affected by CF?

A
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3
Q

What causes cystic fibrosis?

A
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4
Q

Which gene is affected?

A
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5
Q

How many variants have been reported?

A
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6
Q

Which variant is the most common one for cystic fibrosis?

A
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7
Q

Why can cystic fibrosis cause mild to severe damage to the body system?

A
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8
Q

How to diagnose cystic fibrosis?

A
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9
Q

Which method is used to genetically screen for cystic fibrosis?

A

Amplification Refractory Mutation System (ARMS)

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10
Q

What is ARMS? What is it based on?

A

Can detect single oligonucleotide changes. Based on allele-specific oligonucleotide primer design to discriminate between normal and mutant alleles.

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11
Q

What primers do you need for ARMS?

A

One gene-specific
One mutant-specific

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12
Q

Does ARMS require a known mutation?

A

Yes

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13
Q

Why do we need 2 primers?

A

Allele-specific primer (mutant specific) will only base pair with the mutant form and not the normal form or vice versa.

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14
Q

What type of DNA polymerase is required for ARMS?

A

It must lack proofreading activity e.g. TaqI polymerase

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15
Q

During ARMS data analysis, what does the green and blue labels indicate?

A

Green label - Normal Sequence
Blue label - Mutant Sequence

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16
Q

What does a single green peak indicate?

A

Homozygote wild type

17
Q

What does a single blue peak indicate?

A

Homozygote Mutant

18
Q

What does a green AND blue peak indicate?

19
Q

What does multiplex PCR simultaneously test for?

A

Several known CF mutations

20
Q

What does each region of the gene produce? How can they be analysed?

A

Distinct size fragment.
Capillary Gel Electrophoresis (electropherogram)

21
Q

What is Oligonucleotide Ligation Assay used for?

A

To identify point mutation

22
Q

What does the OLA rely on?

23
Q

What does OLA consist of?

A

DNA/ RNA template for hybridization
Fluorescently labelled DNA probe (common probe, mutant-specific)
Allele-specific oligonucleotide (ASO, usually 15–21 nucleotides base in length)
Mobility modifier (for multiplex detection)
Ligase

24
Q

How does OLA detect the mutation?

A

Capillary Gel Electrophoresis

25
What does multiplex OLA use as an inert mobility modifier?
ASO
26
What is an advantage of OLA?
Affordable Sensitive
27
Using OLA for CF diagnosis, what will you see?
28 distinct potential CF mutations (peaks) are examined simultaneously. There are two allele-specific oligonucleotides for each potential mutation site.
28
What is CF Phe508del heterozygote?
A mutant marker gene output.