22q11
Non-allelic homologous recombination (NAHR) during meiosis.
Recombination between similar DNA sequences at different locations, leading to unequal crossover → deletion in one chromosome and duplication in the other.
46,XX,del(22)(q11q11)
or
46,XY,del(22)(q11q11)
Learning & behavioural problems
Characteristic facial features
Congenital heart defects
46,XX,dup(22)(q11q11)
or
46,XY,dup(22)(q11q11)
Ocular coloboma
Heart defects
Other developmental features
Phenotypes of duplications are generally milder than deletions.
A disorder caused by deletion or duplication of multiple adjacent genes, producing a complex phenotype.
Because multiple genes are lost or gained simultaneously.
Deletion of Xp21 removing:
DMD → muscular dystrophy
CYBB → chronic granulomatous disease
: Because loss of adjacent genes produces multiple independent disorders in the same patient.
The region contains 30+ genes, making phenotype-gene mapping complex.
CECR2 (OMIM entry highlights CECR2).
Non-disjunction in mitosis
Non-disjunction in meiosis I
Non-disjunction in meiosis II
Improper repair of two or more DNA breaks
Non-allelic homologous recombination (NAHR)
Single-gene disorder → mutation in one gene
Contiguous gene syndrome → deletion/duplication of multiple adjacent genes
Different genes may be included/excluded in the deletion.
Extra gene dosage is often less disruptive than complete loss of gene function.
Splicing (introns removed, exons ligated), export from nucleus, and translation in cytoplasm.
Introns are cut out of pre-mRNA and exons are ligated together to form mature mRNA.
Splicing factors mark the boundaries during mRNA synthesis.
A large RNA-protein complex that cuts introns at splice sites and joins exons together.
The splice donor site.
The splice acceptor site.
GU at the start of the intron.
A conserved AG preceded by a polypyrimidine tract.
Relative to the A of the ATG start codon.
It indicates nucleotides into the intron.
It indicates nucleotides upstream into the exon.
Splice sites are highly conserved; mutation can prevent proper intron removal and disrupt mRNA.
The position of the intron relative to the codon reading frame.
An intron located between codons.
An intron located after the first nucleotide of a codon.
An intron located after the second nucleotide of a codon.
They determine whether exon deletion preserves the reading frame.
Frameshift alters the reading frame and often creates a premature stop codon.
A quality-control mechanism that degrades mRNAs containing premature stop codons.
Nonsense mutations and frameshift mutations that create premature stop codons.
They may retain active domains but lose regulatory domains, causing abnormal function.
During the pioneer round of translation as mRNA exits the nucleus.
Protein complexes deposited at exon-exon junctions after splicing.
They are displaced by the ribosome as it moves along the mRNA.
If a stop codon occurs before the final EJC, remaining EJCs signal abnormal termination and trigger degradation.
The 5′ cap and/or poly(A) tail are removed and the mRNA is degraded by nucleases.
