Download Free Medical Genetic Testing PowerPoint Presentation

Genetic Testing PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Genetics, which is titled "Genetic Testing", to know about genetic disease and testing.

Tags : Genetics, Genetic Testing, genetic disease

Published on : Jul 12, 2021 | Views : 1261 | Downloads : 3

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Genetic Testing Family Secrets Copyright © 2009, University of Rochester
Slide 2-

Genetic disease and testing The patient’s journey… Types of genetic tests Techniques used in genetic testing Implications of genetic testing The future…
Slide 3-

Inherited disease
Slide 4-

Inherited disease x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23 x23
Slide 5-

Genetic disease
Slide 6-

ppt slide no 6 content not found
Slide 7-

?
Slide 8-

Predictive testing Tells a person if she carries a mutation that will cause, or put her at higher risk for, a disease later in life. Newborn screening Detects common disorders in newborns, where immediate treatment can prevent dangerous symptoms Carrier testing Tells a person whether or not he carries a mutation that could be passed on to his offspring. One can be a carrier, but not be at risk for a disease (as in recessive genes) ? ? ? ? Genetic Testing
Slide 9-

Predictive testing Tells a person if she carries a mutation that will cause, or put her at higher risk for, a disease later in life. Newborn screening Detects common disorders in newborns, where immediate treatment can prevent dangerous symptoms Carrier testing Tells a person whether or not he carries a mutation that could be passed on to his offspring. One can be a carrier, but not be at risk for a disease (as in recessive genes) ? ? ? ? Genetic Testing
Slide 10-

? Physician Genetic Counselor Test family members with disease symptoms? Test patient?
Slide 11-

? Treatment Prevention Reproduction Physician Genetic Counselor
Slide 12-

Genetic Testing: Molecular Techniques
Slide 13-

DNA RNA Protein Function
Slide 14-

DNA RNA Protein Function Genetic testing
Slide 15-

DNA Protein Protein Function Levels of Genetic Testing normal mutated Analysis of whole chromosomes – for large changes; extra chromosome, very large deletions or insertions atcgatcgatcg atcgaAcgatcg Analysis of sequence – for small changes; mutations in the sequence, small deletions or insertions Analysis of protein shape – for any change that may affect the folding of the protein Analysis of protein function – if the functional protein is supposed to make something, then some tests can detect the presence or absence of the product X X
Slide 16-

DNA Protein Protein Function normal mutated Analysis of whole chromosomes – for large changes; extra chromosome, very large deletions or insertions atcgatcgatcg atcgaAcgatcg Analysis of sequence – for small changes; mutations in the sequence, small deletions or insertions Analysis of protein shape – for any change that may affect the folding of the protein Analysis of protein function – if the functional protein is supposed to make something, then some tests can detect the presence or absence of the product X X Levels of Genetic Testing
Slide 17-

ppt slide no 17 content not found
Slide 18-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Normal Examples of Mutations in the DNA Sequence…
Slide 19-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgataatcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Single base pair mutation (Sickle cell anemia)
Slide 20-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Deletion Examples of Mutations in the DNA Sequence… (Cystic fibrosis)
Slide 21-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Deletion (Duchenne muscular dystrophy)
Slide 22-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaaaaaaaaaaaaaaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Insertion (Huntington’s disease)
Slide 23-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatggtcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatggggatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacatttttttttaaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Multiple mutations (Diabetes, susceptibility to breast cancer)
Slide 24-

aaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcaaaggtttttttttttcagctagctggggggggggggatcgggtgtgtcgatgtgtgagcaaaatattagcaaccccccccccattactgatgtcattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatggtcaaaggtttttttttttcagctagcttacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaatctgatgatcgatcgacataaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatcgatctagatggggatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatatcgatctatcggatctatctactagagctactacgatcagggactactacgagcatcgactacgaggcttctagaggctatattctaggctactacgatcgatctacgtagctacgagatcgtgtgtggggggggacacagcgatctaatataaacacagcgatctaatataaatctgatgatcgatcgacatttttttttaaaaaaaaaaaaaaacgtgagctagtgatgggtgatgtcagtgtagtcgtagtcgtacgatcagggatatcgatctatcggatctatctactagagctactacgatcagggatatcgatctatcggatctatctactagagctactacgatcaggatctaggctatattcggatgatctatctactagagctgatctatctactagagctgtcgtagtcgtgtgataaaaaaccatctaggctatattcggatatc Multiple mutations (Diabetes, susceptibility to breast cancer)
Slide 25-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Dot blot Microarray Gel electrophoresis PCR
Slide 26-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Dot blot Microarray Gel electrophoresis PCR
Slide 27-

Gel Electrophoresis Separates DNA fragments on the basis of size Large fragments take longer than small fragments to migrate through an agarose gel
Slide 28-

ppt slide no 28 content not found
Slide 29-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Southern blot Dot blot Microarray Gel electrophoresis PCR
Slide 30-

PCR (Polymerase Chain Reaction) aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta
Slide 31-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Melting 94°C
Slide 32-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Annealing 58°C cgggcat aactagg
Slide 33-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Elongation 72°C cgggcat aactagg aatcgaatgtgcccgtacgattcgatgcga gctaagctacgctttgatcctcgggatagcta
Slide 34-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Melting 94°C cgggcat aactagg aatcgaatgtgcccgtacgattcgatgcga gctaagctacgctttgatcctcgggatagcta
Slide 35-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Annealing 58°C cgggcat aactagg aatcgaatgtgcccgtacgattcgatgcga gctaagctacgctttgatcctcgggatagcta cgggcat cgggcat aactagg aactagg
Slide 36-

PCR aatcgaatgtgcccgtacgattcgatgcgaaactaggagccctatcgat ttagcttacacgggcatgctaagctacgctttgatcctcgggatagcta Elongation 72°C cgggcat aactagg aatcgaatgtgcccgtacgattcgatgcga gctaagctacgctttgatcctcgggatagcta cgggcat cgggcat aactagg aactagg gcccgtacgattcgatgcga gctaagctacgctttgatcctcgggatagcta aatcgaatgtgcccgtacgattcgatgcga gctaagctacgctttgatcc
Slide 37-

PCR Makes a lot of copies of a specific portion of DNA
Slide 38-

PCR test for deletion
Slide 39-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Southern blot Dot blot Microarray PCR Gel electrophoresis
Slide 40-

Sequencing aaaaaaaatgatgatgatgatgatgatgatgatgatgatgatg “Known gene sequence:” ******************************************* Patient DNA sequence How do we find out if the patient’s sequence is different?
Slide 41-

Sequencing ******************************************* tttttttt actactactac* tttttttt tttttttt tttttttt ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* actactactactag* actactactactacgactact* actactactacta*
Slide 42-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta*
Slide 43-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta*
Slide 44-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta*
Slide 45-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta*
Slide 46-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta* a
Slide 47-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta* a c
Slide 48-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta* t a c
Slide 49-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta* t a c a
Slide 50-

Sequencing ******************************************* tttttttt a* ******************************************* ******************************************* ******************************************* ******************************************* tttttttt actac* tttttttt act* tttttttt ac* tttttttt acta* t a c a c…
Slide 51-

Sequencing actactactactagtactactactactactactac ******************************************* aaaaaaaatgatgatgatgatgatgatgatgatgatgatgatg “Known gene sequence:”
Slide 52-

Sequencing actactactactagtactactactactactactac aaaaaaaatgatgatgatgatcatgatgatgatgatgatgatg aaaaaaaatgatgatgatgatgatgatgatgatgatgatgatg “Known gene sequence:” Mutation
Slide 53-

Issues with Sequencing Informative Time consuming Expensive
Slide 54-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Southern blot Dot blot Microarray PCR Gel electrophoresis
Slide 55-

RFLP Analysis RFLP (Restriction Fragment Length Polymorphism) analysis relies on the use of restriction enzymes These enzymes recognize specific DNA sequences (usually palindromes) and cut them…
Slide 56-

RFLP Analysis Restriction Fragment Length Polymorphism means that there are polymorphisms (differences) between people in the number of restriction sites (and therefore the length of the cut fragments). This person has 4 fragments after restriction digest. This person has a mutation that eliminates one of the sites that the restriction enzyme cuts at. Therefore, this person has 3 bands, one of them being much larger than the rest. If this mutation was associated with a disease, a restriction digest would show that a carrier of the mutation had 3 fragments instead of 4
Slide 57-

RFLP Analysis
Slide 58-

RFLP Analysis Genomic DNA is very long and contains a lot of restriction enzyme cut sites PCR makes many copies of a small region of DNA, better for RFLP analysis
Slide 59-

RFLP Analysis
Slide 60-

RFLP Analysis
Slide 61-

RFLP Analysis
Slide 62-

Issues with RFLP analysis Can not detect all mutations – the mutation has to coincide with a restriction enzyme cut site
Slide 63-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Dot blot Microarray PCR Gel electrophoresis
Slide 64-

Probes DNA bases pair with complementary bases
Slide 65-

Probes Probe A probe is an a short fragment of DNA that is complementary to part of a longer DNA sequence. DNA strands can be separated with high heat. As the temperature is lowered, smaller fragments that have complementary sequences (probes) will base pair faster than the long original strands of DNA
Slide 66-

Probes The ability of a probe to bind depends on: *Its complementarity to the DNA strand it’s binding to… -Single base pair differences can affect binding depending on… *The stringency of the binding conditions -Temperature -Buffer conditions Low stringency High stringency
Slide 67-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Dot blot Microarray PCR Gel electrophoresis
Slide 68-

Dot Blot (A Southern blot without the gel…) A patient’s DNA (genomic DNA or PCR products) is denatured and spotted to a membrane…
Slide 69-

Dot Blot Membrane is washed in a solution that contains radioactively labeled probe Probe binds to complementary sequence
Slide 70-

Dot Blot Membrane is washed in a solution that contains radioactively labeled probe Excess probe is washed off – only probe bound to DNA on the membrane remains Probe binds to complementary sequence
Slide 71-

Dot Blot The membrane is exposed to autoradiography film.. Therefore, wherever there is radioactive probe, the film will be exposed…
Slide 72-

Dot Blot The membrane is exposed to autoradiography film.. Therefore, wherever there is radioactive probe, the film will be exposed… And a black dot will be developed where the probe was…
Slide 73-

Dot blot to diagnose cystic fibrosis (CF) Normal Normal probe Mutant probe CF patient (homozygous mutant) CF carrier (heterozygous mutant) DNA from a patient is spotted out twice, one will be used with a probe complementary to the normal sequence, the other will be used with a probe that is complementary to a mutated sequence. Since a heterozygote has one copy of the normal gene and one copy of the abnormal gene, both probes can bind, but only half as much binds, making the dot lighter.
Slide 74-

Issues with dot blots Can be used to test patient for multiple mutations Single base pair mutations may be hard to detect with dot blots
Slide 75-

How do we “look” at the DNA sequence? Sequencing RFLP analysis Probes Dot blot Microarray PCR Gel electrophoresis
Slide 76-

Microarray (High throughput dot blots. Allows for testing of many different mutations…) Microarrays start with a “chip” on which is spotted many different probes for different mutations. Each dot represents a different probe. If this were a dot blot, it would be called a “reverse dot blot” because the PROBE is spotted, rather than the DNA.
Slide 77-

Microarray (High throughput dot blots. Allows for testing of many different mutations…) The chip is treated much like a southern or a dot blot, except it is washed with a patient’s DNA (fragmented with restriction enzymes, denatured and labeled with a flourescent dye), and it automated.
Slide 78-

Microarray Binds to a probe for a CF mutation Binds to a probe for a colon-cancer susceptibility mutation Binds to a probe for a breast-cancer susceptibility mutation If a patient’s DNA binds to spotted probes, a computer detects this by the measuring the intensity of the flourescence emanating from that spot. A homozygote for a CF mutation will have a more intense spot than a heterozygote for the same mutation
Slide 79-

Issues with Microarrays Expensive
Slide 80-

Available Predictive Tests Cystic Fibrosis Tay Sachs Disease Lou Gherig’s Disease (ALS) Huntington’s Disease Catastrophically high cholesterol Rare Cancers Inherited susceptibilty to cancer Breast Cancer Colon Cancer Thyroid Cancer
Slide 81-

Benefits of Genetic Testing If Negative Relief Fewer health check-ups and tests that go with being in a family that tends to have a higher risk of a particular genetic diseases If Positive Able to make informed decisions May be possible to reduce the risk of coming down with severe symptoms
Slide 82-

Limitations of Genetic Testing Mutations may not always lead to disease Existing tests only look for the most common mutations, some disease causing mutations will not be detected by conventional tests Small chance of errors in testing procedure Testing is not always matched by treatment
Slide 83-

Limitations of Genetic Testing Mutations may not always lead to disease Existing tests only look for the most common mutations, some disease causing mutations will not be detected by conventional tests Small chance of errors in testing procedure Testing is not always matched by treatment
Slide 84-

Should I get tested? What will I do if it’s positive? What will we do if he’s positive? Testing is not always matched by treatment: Confidentiality Health Insurance Employers Family
Slide 85-

Where do we go now? Try to resolve ethical, legal and social issues Experts in science, ethics, law. Policy makers Develop new, cheap, simple, effective and accurate tests Testing for all Advance research in disease treatment Gene therapy Drug treatment