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H
2-Deoxyribose
5 principal bases
PURINE PYRIMIDIEN
H
2-Deoxyribose
Phosphodiester Bonds
Nucleotide subunits are
linked together by
phosphodiester bonds
Native DNA is a double
helix of complementary
antiparallel chains held
together by:
Intermediate molecule
DNA Replication
1) Semiconservative model:
Daughter DNA molecules contain one parental
strand and one newly-replicated strand
DNA Replication
Requirements
Enzyme: DNA Polymerase
DNA Template
3’ OH (primer of DNA or RNA)
Deoxynucleoside triphosphates: dATP, dGTP,
dCTP, dTTP
Synthesis is 5’ to 3’
Replication as a Process
Double-stranded DNA
unwinds.
The junction of the
unwound molecules is a
replication fork.
A new strand is formed by
pairing complementary
bases with the old strand.
Two molecules are made.
Each has one new and one
old DNA strand.
5’
3’-OH attack
incoming nucleotide
3’
Problem:
Q: If DNA can only be synthesized in a 5’ to 3’
direction, and both strands are simultaneously
replicated, how can this occur? 5’
3’
? growing
3’ 5’
5’ 3’ fork
5’
A: Discontinuous DNA Replication 3’
The Solution
The Solution
DNA replication is semidiscontinuous
Continuous synthesis
Discontinuous synthesis
Features of DNA Replication
DNA replication is semiconservative
Each strand of template DNA is being copied.
DNA replication is bidirectional
Bidirectional replication involves two replication forks,
which move in opposite directions
DNA replication is semidiscontinuous
The leading strand copies continuously
The lagging strand copies in segments (Okazaki
fragments) which must be joined
Cell Division
Mitosis two
identical daughter
cells
Cell Division
Meiosis four cell,
half # chromosomes
Sperm and ovum are
the products of
meiosis.
Crossing Over
Crossing over occurs during meiosis
between two non-sister chromatids
Example
e E
♀ x ♂
b B
e E e = esotropic eye
E = straight eye
♀
b = brown eye
b B B = blue eye
Example
e E
E b B
e
♀ Normal meiosis
b B
e E
B b
Cross over
Taking An Ophthalmic Family History
Complete history
Pregnancy and birth
Past medical history
Medication use
Detail family history
Pattern of Inheritance
Autosomal Dominant Disorders
Autosomal Recessive Disorders
X-linked Disorders
Non-Mendelian Inheritance
Mitochondrial Disorders
Polygenic Disorders
Chromosomal Abnormalities
Autosomal Dominant Disorders
Manifested when only one copy of the gene is
abnormal.
Passed directly from parents to children of both
sexes.
The risk of having affected offspring is 50%.
Doesn’t mean it is “safe” after having one or two
affected children.
If neither parents is affected, the risk of each
future affected child is not greater than the
population risk.
Coloboma and neurofibromatosis have variable
expressivity.
Retinoblastoma
Autosomal Dominant Disorders
II
III
IV
Autosomal Recessive Disorders
Two copies of an abnormal gene are required.
Once parents have a child with a recessive
disorder, the risk of having another affected
child is 25%.
Recessive disorder, on average, more severe
than dominant ones.
Increases dramatically with
Consanguinity
Inbreeding
Geographically isolated population
Autosomal Recessive Disorders
II
III
IV
X-linked Disorders
Only males are affected.
All carrier females have affected father.
X-linked dominant disorders are very
rare.
Females are severely affected.
Females cannot survive, die in utero.
Examples:
Incontinentiapigmenti (IP)
Aicardi’s Syndrome.
X-linked Disorders
II
III
X-linked Disorders
II
Non-Medelian Inheritance
Mitochondrial Disorder
Mitochondria are organelles within human cell.
Residing in the cytoplasm.
Inherited from mother only.
Disorders run in families through the maternal
lineage.
Affected women or women carriers never have
affected fathers.
Examples:
Leber’s hereditary optic neuropathy
Chronic progressive external ophthalmoplegia
Non-Medelian Inheritance
Polygenic Disorder
Not perfect fit with any of the known modes of
inheritance.
May be due to an environmental component.
Example: refractive error.
Also may be considered a multifactoral disorder.
Non-Medelian Inheritance
II
III
IV
Chromosome Abnormalities
Trisomy (2n + 1)
Klinefelter Syndrome
24,XX + 23,Y 47,XXY
1 in 1000 males
Hypogonadism (small reproductive organ)
Gynaecomastia (enlargement of male breast)
Infertile
Monosomy (2n – 1)
Turner Syndrome
Complete or partial monosomy (45,X)
1 in 10 000 female
Chromosome Abnormalities
Autosomal Trisomy
Down Syndrome (trisomy 21)
Edward Syndrome (trisomy 18)
Patau Syndrome (trisomy 13)
Structural abnormality
Translocation
Inversion
Deletion
Insertion
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