In the 1860s, a French physician named J.J. Garin
studied a family with eight siblings who had an unknown genetic disorder that
caused bizarre behaviors and physical appearance, including facial tumors and
mental retardation. In 1871 he wrote about this family in a medical journal
article titled "Inherited Idiocy."
Garin hypothesized that what was causing the disorder
was something passed from parents to children, but he didn't know how or why it
worked. His work was largely forgotten until scientists started noticing
similarities between this disorder and one called alkaptonuria
(al-kap-TONE-ree-uh). People with alkaptonuria can have arthritis, heart
disease, darkening of the skin, and eye problems – including the whites of
their eyes turning brown. Scientists figured out that this same family might
have a disorder that causes both alkaptonuria and mental retardation.
Today, we know that the cause is a genetic mutation –
a change in DNA – passed from parents to children. We also know something else
about this family: they all have another disorder called Ehlers-Danlos syndrome
(EDS). EDS causes the tissue holding joints together to be weak and stretchy,
so people with EDS can easily dislocate their joints. Although it's not clear
why mutations like those seen in alkaptonuria and EDS exist, scientists know
how these changes affect cells and even entire organisms: by changing proteins
. A normal protein may lose some of its function, make a different kind of
protein, stop working altogether, or do something we call "gain of
function."
GARIN'S FAMILY AND THEIR ABILITIES
In Garin's family, some members have a mutation that
changes the amino acid arginine to "stop" in position 71. This is a
nonsense mutation because it makes a premature stop signal, which causes the
ribosome to break down the chain early and skip over 70 amino acids. Without
this chain, there are 79 fewer proteins attached to collagen fibrils in
connective tissue. There are at least four kinds of collagen fibrils in
connective tissue: type I (red), type II (yellow), type III (green), and type
IV (blue).
Type I collagen is found several places, including
skin and the lining of organs. People with EDS have weak connective tissue and
can easily dislocate their joints because type I collagen is part of ligaments
and tendons. But people with alkaptonuria don't seem to be bothered by this
disorder. That's because those 79 missing proteins are the ones that attach
types III and IV collagens to type I.
So although both disorders seem to affect different
kinds of collagen, it's likely that they're doing so in a similar way: by
affecting the same protein machinery – called a "collagen cross-linking
complex" – which links together certain collagens at their source. The
different effects on collagen result from where the mutation lies and what it
changes.
Scientists also know how the change in arginine
affects the RNA transcript – a string of molecules copied from DNA – that tells
ribosomes to make a certain protein. This kind of change is called a missense
mutation , because instead of telling ribosomes to start making a protein at a
particular spot, it tells them to start earlier or later . And this can have
different effects depending on where the mutation lies on the RNA transcript:
if it's near the beginning, it can slow down production of proteins near those
79 missing ones; if it's near the end, it could speed up production of other
proteins.
In Alkaptonuria, some mutations are associated with an
increased risk of getting cancer. But whether this is true for EDS isn't known
yet.
HOW GENETIC MUTATIONS WORK
The genes that make up our body's blueprint, found
inside cells, carry information about who we are and how we work (our
phenotype). Our genes consist of strands of molecules called nucleotides,
paired together like rungs on a ladder. All nucleotides contain four different
molecules: A (adenine), C (cytosine), G (guanine) and T (thymine). These
nucleotide pairs spell out the genetic code, which tells our cells how to make proteins.
This process involves another kind of molecule called RNA,
which helps transfer the information in DNA and uses it to assemble amino acids
into proteins. It does this by matching up the bases in RNA with those in DNA,
where each base can only pair up with its opposite: A with T, and C with G. In
fact, there are three billion paired letters in our entire genetic code! Most
mutations affect genes or parts of genes that control for one or more
characteristics.
Genetic mutations are hereditary, which means they get
passed down from parents to their children. Although some genetic disorders can
be caused by environmental factors, others are inherited. Changing one
nucleotide pair in the whole 3 billion-nucleotide code is enough to cause a
disorder, even if it's just once in your entire life! If this happens during
the creation of egg or sperm cells (meiosis), the mutation will show up in all
the cells of that person's body and stay with them for their entire lives. But
most changes happen during cell division, so only some of our cells have
them... sometimes many years before any symptoms appear.
There are two kinds of inheritable genetic mutations:
germline mutations affect genes that develop into sperm or eggs, so all of the
children that person has (even if they never fulfil their genetic potential)
will be affected. If these changes happen during meiosis, it's called a
chromosomal mutation. Somatic mutations affect cells other than sperm and egg
cells, like liver or heart cells. Only parts of our bodies that correspond to
those mutated cells will show symptoms.
POPULATIONS WITH A HIGHER RISK OF GENETIC DISORDERS
Some ethnic groups have more risk factors for certain
diseases; some regions also show higher frequencies of genetic disorders. For
example, cystic fibrosis is way more common in people descended from northern
European countries with cooler climates - not because it gets colder there, but
because populations are more isolated, which makes it easier for certain
genetic diseases to become common.
Epidermolysis Bullosa has a higher frequency in people
from Japan, Greece and the United Kingdom. There may be less diversity in some
populations, making them more vulnerable to inheritable changes. But this is
true for everyone... especially since we're mixing our genes all the time! Any
population changes affecting carriers of genetic disorders could also expose
their children to an increased risk.
GENETIC MUTATION AND COMMON GENETIC DISORDERS
A BASE PAIRING: A (adenine) pairs with T (thymine); C
(cytosine) pairs with G (guanine)
A genetic mutation is a permanent change in the
sequence of nucleotides in a gene. They can be divided into two main types:
base mutations and frame-shift mutations. Base mutations are changes to one
type of nucleotide, while frame-shift mutations affect other kinds of
nucleotide pairs. Frame-shift mutations can lead to an entirely different
protein being made - causing genetic diseases like Tay Sachs disease, which
destroys nerve cells and causes mental retardation. Lifestyle factors like
radiation or viruses can also cause some kinds of cancer by inducing these
kinds of genetic changes.
Nucleotides are molecules that form together into
strands, paired off just like rungs on a ladder. The important thing is that
always pair up with their opposite: A (adenine) pairs with T (thymine); C
(cytosine) pairs with G (guanine). So if the nucleotide pair that usually makes
up an ACGT sequence has just one of its members replaced by another AC, or GT,
the gene gets disrupted.
A mutation is hereditary when it happens in someone's
DNA before they are even born! Most mutations are caused by errors - mistakes!
- During copying of cells. Every time a cell divides to create two new ones,
this kind of error can happen. Sometimes it's because there's damage in the DNA
strand being copied… so instead of an ACGT sequence being copied perfectly, one
of its bases might get up. Other times there are DNA copying errors when genes
are underexpressed (when there is less of the gene than it usually expects, so
less copies of its product get made), or overexpressed (too many copies).
What changes in DNA can make a difference in proteins ?
-a base substitution: for example an A changing into
another kind of nucleotide. This would change the sequence to ATG instead of
ACGG -frameshift mutation: when nucleotides are skipped or doubled up (like
adding more rungs to the ladder): an extra C is added into the middle of
an ACGT sequence, so it becomes CACGT instead -exon deletion: mutating part of
a codon, so it doesn't code for amino acids anymore. The mutated exon (or part
of it) gets removed along with its corresponding intron (the nucleotide
sequence that used to separate them before, but is no longer needed once the
mutated sequence is gone).
GENE TO DEVELOP A MUTATION
Different types of damage to DNA can cause different
types of mutations - like radiation or carcinogens. But most genetic disorders
are caused by random changes in the genetic material before someone's born!
Most of these errors happen when sperm and egg cells are developing; some also
get affected during meiosis, when sex cells divide. X-rays, exposure to
chemicals or infectious diseases also have a chance of causing some mutations.
TYPES OF GENETIC MUTATIONS
There are several types of genetic mutations that
affect the coding sequence. Base substitution can change one base into another
or delete one completely, while frameshift mutation changes what amino acids
get coded for by deleting, adding or doubling up bases within a codon (for
instance this could either leave out an entire codon , or cause too many to be
read). When there's an exon deletion, part of a codon is mutated so it can't
code anymore - and whatever that amino acid was now gets left out of the final
protein product. There are also splice mutations: these affect how the DNA
strand gets cut around exons during transcription, changing the resulting mRNA
sequence.
Much less commonly, there are mutations that affect
regulatory sequences rather than coding regions. These changes can impact gene
expression levels - for instance by making it more or less likely that the cell
will transcribe a particular part of an organism's DNA.
It gets more complicated because some genes have
multiple effects on their organisms' development! One example is the HOX genes,
which control limb development in humans and mice. Based on where along this
strand of DNA, different proteins are made at different times, these genes can
affect limbs' size, shape and position... even though they're all found on one
long molecule. This means you can't tell if a difference between two people
with the same mutation actually came from the same gene! You'd have to know
what kind of mutation it is, and how it affects the outcomes.
WHEN ARE GENETIC MUTATIONS HARMFUL?
Most genetic mutations have no effect at all, while
some can be beneficial. If a change makes an organism's body work better or
differently, that might give them a reproductive advantage over others - so
their descendants would be more likely to pass on their genes with that change
in them. Other times random DNA changes don't affect the resulting protein
product... though they might alter gene expression. This can cause problems if
there's no backup copy of this gene either: one faulty version means the whole
thing gets shut down! In other cases both copies of a sequence get changed -
these are called copy number variations. This means a person's cells only have
a small fraction of the usual amount of the protein, which can lead to
neurological disorders.
WHAT ARE THE IMPLICATIONS FOR MEDICINE?
Knowing about different kinds of mutations helps us
figure out what caused them, and whether or not they'll impact an organism's
health. We can look for places where DNA is unusually short, missing, extra or
rearranged - all these often mean there was a mutation! Some other tests
involve sequencing other molecules in someone's body: RNA, proteins, etc. These
kinds of analyses help doctors figure out if that patient has one kind of
mutation or many - and how those changes affect their development and potential
to pass on disease-causing genes.
GENETIC MUTATIONS AND DISEASE
Every type of genetic mutation has its own
implications for medicine. Some cause inherited diseases, like cystic fibrosis
or sickle cell anemia. Others are acquired - these can be caused by immune
system problems, certain medications, environmental toxins... even viruses!
Sometimes mutations happen randomly without any known cause. This is why it's
so important to understand how different types of disease-causing DNA changes
can affect people's bodies. That way we know when someone falls into genetic
risk groups that might put them at higher risk for certain conditions.
GOOD GENETIC MUTATIONS
Yes! Some mutations help us produce proteins with
traits that are beneficial in the environment they evolved in. For example, in
some places where malaria is common, people have mutations that make their red
blood cells more resistant to the parasite. But this only gives an advantage
when they're exposed to malaria - in other regions these changes would be a
disadvantage!
GENETIC MUTATIONS CAUSE CANCER
Some mutations are caused by things like UV or
chemical damage that can mutate DNA over time. This usually isn't enough to
cause cancer though - the body has ways of repairing itself most of the time!
There are several different kinds of genetic mutations that can give someone a
much higher risk for developing certain types of cancer. We already know how
most cancers work... so being able to see what kind of mutation causes certain
ones helps us figure out how they happen, and how to fight them.
OTHER TYPES OF MUTATIONS
There are other kinds of genetic mutations that can
affect what proteins a person makes. For example, if part of the DNA gets taken
out or copied too many times, then the resulting gene won't produce enough
protein for its job. If there's no backup copy, that failure will cause
problems like growths called tumors. There are other types of changes that
don't directly involve either DNA strand at all - sometimes one molecule is
replaced with another, which might be similar but not identical! Lastly there
are changes where parts of two different genes get switched between chromosomes
(or entire sets get moved around) - these can be caused by certain viruses, and
cause a variety of problems.
WHAT CAUSES GENETIC MUTATIONS?
Every kind of DNA change is caused by different
things! For example, somatic mutations happen during a person's life - they're
not inherited from their parents. Most are the result of environmental factors
that damage DNA over time. There are also factors like spontaneous copying
errors or other mistakes made when cells divide into two new ones (this happens
every time someone's skin makes new cells). Finally there are mutations that
can be passed on to other generations. These changes get copied when reproductive
cells (eggs, sperm) form... which means these kinds will stay in all future
generations too! This is how genetic diseases get passed down through families.
DIAGNOSE GENETIC MUTATION
Doctors already keep track of what kind of mutations
someone has by looking at their DNA. Sometimes it can be hard to figure out
exactly what causes a certain type of genetic change, so beyond that they also
look at the person's symptoms. This means it's possible to have one mutation or
many - and doctors might not be able remember all the details! Many diseases
are caused by more than just one gene, which is part of why there can be so
much conflicting information about what someone has. So it's important that
patients share as much information as they can with their doctor.
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