GNETCS PPT 7
GNETCS PPT 7
GENETIC
INTERACTIONS
RALPH JOYCE CABUG, MD
Objectives of the Lesson:
On completion of the module, the learner should be able to:
1. internalize the importance genetic interactions;
2. know the different processes involved in mutations, epistasis,
polygenic inheritance, pleiotropism, environmental interaction and
extra nuclear inheritance.
3. differentiate mutations, epistasis, polygenic inheritance,
pleiotropism, environmental interaction and extra nuclear inheritance.
●
GENE INTERACTIONS
● Trait can be influenced by more than one gene
● Bateson and Punnett
● Breeding experiments with chickens.
● Different comb shapes
● Wyandottes have “rose” combs,
● Brahmas have “pea” combs
● Leghorns have “single” combs.
● Crosses between Wyandottes and Brahmas
○ “walnut.”
● Comb type is determined by two independently
assorting genes, R and P, each with two
alleles
GENE INTERACTIONS
● Wyandottes
○ Rose combs
○ RR pp
● Brahmas
○ Pea combs)
○ rr PP.
● F1 hybrids
○ Rr Pp with walnut combs.
6
Learning Outcomes:
1. Describe the process Epistasis
completely.
2. Define the terms such as homozygous
gene, recessive allele, dominant allele, gene
locus, phenotype.
EPISTASIS
Greek word meaning “stand upon,” referring to the
ability of a mutation at one locus to override a
mutation at another in a double mutant
Expression of one gene pair masks or modifies the
effect of another gene pair.
Epistatic- Overriding mutation
Hypostatic-Overridden mutation
Antagonistic-masking.
Complementary/cooperative
EPISTASIS
Example:
Homozygous recessive allele
formation.
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EPISTASIS
3. When we assume that complete dominance exists within a
gene pair, such that AA and Aa or BB and Bb are equivalent
in their genetic effects
Designations A– or B– for both combinations
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EPISTASIS
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EPISTASIS
5. In each example, the F2 generation produced from these
heterozygous parents is our main focus of analysis.
● Two genes are involved
● F2 genotypes fall into four categories: 9/16 A–B–, 3/16 A–bb,
3/16 aaB–, and 1/16 aabb.
● All genotypes in each category are equivalent in their effect on
the phenotype.
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Recessive epistasis
Homozygosity for a recessive allele of one gene hides the effect of
a second gene.
1. Homozygous for the epistatic recessive allele of the first gene,
Phenotype is independent of the alleles present at the
second (hypostatic) gene.
2. Recessive epistasis reciprocal between the two genes that
determine the trait.
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Recessive epistasis
Homozygosity for a recessive allele of one gene hides the effect of
a second gene.
1. Homozygous for the epistatic recessive allele of the first gene,
Phenotype is independent of the alleles present at the
second (hypostatic) gene.
2. Recessive epistasis reciprocal between the two genes that
determine the trait.
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Recessive epistasis
Yellow Labrador retrievers
Black, chocolate brown, or yellow
2 independently assorting coat color genes
Dominant E allele of the first gene is present
B allele of the second gene-black
Recessive bb homozygote-chocolate.
Double dose of the recessive allele (ee)
Hides the effect of any combination of
the black or chocolate alleles to yield
yellow.
Epistatic to any allelic combination at
the second, hypostatic gene, B.
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Recessive epistasis
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● Coat color- 2 pigments synthesized from common
precursor eumelanin and pheomelanin.
● At least copy of the E allele
○ Protein E-make only eumelanin (dark) and
no pheomelanin (light).
● B allele
○ Required for eumelanin synthesis
● b allele
○ Less efficient protein.
● Chocolate E– bb dogs
○ Less eumelanin
● Black dogs
○ At least one B allele (E– B–).
○ More eumelanin
● Yellow dogs
○ Absence of the E protein (in ee dogs)
○ only pheomelanin
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RECESSIVE EPISTASIS
Bombay phenotype in humans
2 parents who appear to have
blood type O
Should have genotype ii
Produce child with blood type
A (genotype IAi) or blood type
B (genotype IBi).
Extremely rare trait, called the
Bombay phenotype
RECESSIVE EPISTASIS
Bombay phenotype in humans
Arises from homozygosity for a mutant
recessive allele (hh) of a second gene that
masks the effects of any ABO alleles that
might be present.
Type A
Make enzyme that adds
polysaccharide A onto a sugar
polymer known as substance H;
Type B
Altered form of the enzyme that adds
polysaccharide B onto the sugar
polymer H;
Type O
Make neither A-adding nor B-adding
enzyme and thus have an exposed
substance H
RECESSIVE EPISTASIS
Bombay phenotype
in humans
All people of A, B, or O phenotype
At least one dominant wild-type
H allele for the second gene
Produce some substance H.
Rare Bombay-phenotype
Genotype hh for the second
gene
Do not make substance H at all.
Individuals appear to be type O.
hh genotype epistatic to any
combination of IA, IB, and i alleles
(except for ii.).
RECESSIVE EPISTASIS
White sweet pea flowers
William Bateson
Cross between 2 lines of
pure-breeding white-flowered sweet
peas
All of the F1 progeny were Purple
Self-pollination- 9 purple: 7
white in the F2 generation.
2 genes work in tandem to
produce purple sweet pea
flowers, and a dominant allele of
each gene must be present to
produce that color.
RECESSIVE EPISTASIS
White sweet pea flowers
2 enzymes needed to catalyze sequential
biochemical reactions to change a
colorless precursor into a purple pigment,
A_B_ genotypic class
Produces active forms of both
required enzymes
Other three genotypic classes (A– bb, aa
B–, and aa bb)
Do not specify functional forms of one
or the other requisite enzyme
No color/white
RECESSIVE EPISTASIS
White sweet pea flowers
9:7 ratio vs 9:3:3:1 ratio.
Phenotypic signature of
reciprocal recessive epistasis
aa is epistatic to B, and bb is
epistatic to A.
aa or bb-flowers will be white
pathway
Mutant phenotype of the upstream
Example: Ascus
EPISTASIS
Example: Ascus
Consider the cross:
END
37
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39
Lesson 2
POLYGENIC
INHERITANCE
RALPH JOYCE CABUG, MD
LEARNING OUTCOMES
1. Determine the effects of Polygenic inheritance.
2. Differentiate Polygenic inheritance from Mendelian
inheritance patterns.
3. Explain the environmental effects on human
phenotypes and phenotypes of other
organisms.
Polygenic inheritance
● Describes the inheritance of traits that are determined by more than one gene.
● Polygenes
● Produce specific traits when they are expressed together.
● Differs from Mendelian inheritance patterns
● Many possible phenotypes (physical characteristics) that are determined by
interactions among several alleles.
● Examples:
○ Skin color, eye color, hair color, body shape, height, and weight.
Polygenic inheritance
● Height, eye color, and hair color
○ Slightly different forms
○ Controlled by many genes
○ Example:
■ 2 major eye color genes
■ At least 14 other genes that play roles in determining a person’s
exact eye color.
Polygenic inheritance
● Incomplete penetrance
○ Individuals with a certain genotype may or
may not develop a phenotype associated with
the genotype.
○ Ex: Same disease- causing genotype for a
hereditary disorder, some might never actually
develop the disorder.
Incomplete penetrance
Incomplete penetrance
● Complete penetrance
○ All six squares are dark green.
● Incomplete penetrance
○ Three of the squares are dark green, and three of the
squares are white.
● Squares-represent individuals of the same genotype for the
gene of interest.
Variable expressivity vs incomplete
penetrance
Same genotype - different phenotypes.
Example:
Genetic disorder
Same disease genotype-stronger or weaker forms or no disorder at all.
Expressivity
Refers to the degree or intensity with which a particular genotype is expressed in
a phenotype.
Variable
Retinoblastoma (one or both eyes affected)
Unvarying
Pea color (all yy peas are green).
Variable expressivity vs incomplete
penetrance
Variable expressivity
Phenotype may be stronger or weaker in different people with the
same genotype.
Ex: Disease-causing genotype
Some-severe form
Others-milder form.
Variable expressivity vs incomplete penetrance
Variable expressivity vs incomplete
penetrance
Narrow Expressivity vs Variable expressivity
What causes variable expressivity
and incomplete penetrance?
● Other genes and environmental effects
● Ex: Disease-causing alleles of one
gene may be suppressed by alleles of
another gene elsewhere in the genome
● Overall health may influence the
strength of a disease phenotype.
Modifier genes
● Major genes have a large influence
● Modifier genes have a more subtle, secondary effect.
○ Alter the phenotypes produced by the alleles of other
genes.
○ No formal distinction
○ Continuum
● Genetic background.
○ Set of unknown modifier genes that influence the
action of known genes
Modifier genes
Example:
● Length of a mouse’s tail.
○ Mutant T allele
■ Shortening of the normally long wild-type tail.
■ Not all mice carrying the T mutation have the same
length tail.
● One inbred line-75% as long as normal tails
● Another inbred line-50% normal length
● Third line-10% as long as wild-type tails.
Environmental effects
Phenotypes vary because they are affected by the
environment.
Weight
Greater role
Hair color
purple!
Environmental effects
Phenylketonuria (PKU)
Homozygous for disease alleles of the PKU
gene
Lack activity of an enzyme that breaks
down the amino acid phenylalanine.
Phenylalanine rapidly builds up to toxic
levels in their bodies.
Environmental effects
Phenylketonuria (PKU)
Not treated-Stop brain from developing normally
Intellectual disability, seizures, and mood disorders.
Diet low in phenylalanine.
Few, or even no, symptoms
Newborn Screening
Environmental effects
Examples
Temperature
Unique coat color pattern of Siamese cats
Homozygous for one of the multiple alleles
of a gene that encodes an enzyme
catalyzing the production of the dark
pigment melanin.
Temperature sensitive.
Not function at the cat’s normal core
body temperature.
Active
Lower temperatures in extremities
Production of melanin
Survivability.
Experimentally bred fruit fly (Drosophila melanogaster)
Few hours-die.
Conditional lethal
Environmental effects
Genetically normal individuals
Phenocopy
Change in phenotype due to exposure
to chemicals or other environmental
agents that produce phenotypic
consequences similar to mutant alleles
Not heritable
Ex:
Early 1960s
Ingestion of sedative thalidomide by pregnant women produced a
phenocopy of a rare dominant trait called phocomelia.
Disrupt limb development
Mimicked effect of phocomelia-causing mutation.
Environmental effects
Cardiovascular disease and lung cancer
People may inherit a propensity to heart disease
choose to smoke.
Environmental effects
Mendel’s inbred populations
Alleles of all but one of thesegenes were invariant
Discontinuous trait (or discrete trait).
Clear cut phenotypes that result from alternative alleles
Height
Range of values
Thank you!
Do you have any questions?
Credits.
Genetics Genes to Genome by Hartwell
Principles of Genetics by Snustad
MODULE 7
LESSON 3
PLEIOTROPISM
RALPH JOYCE CABUG, MD
2
Learning Outcomes:
1. Explain the phenomenon of pleiotropy.
2. Identify examples of conditions
manifesting pleiotropy
3
Pleiotropy
Mutation-genetic alteration that causes a change in
phenotype or expression of that gene.
Genetic changes and phenotype changes
Pleiotropy
Gene controlling multiple traits.
One gene control multiple phenotypic traits in the
organism.
Many different forms
Cause inherited diseases and disorders.
Mutation-> Affects all of the phenotype traits that the
gene was controlling.
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Pleiotropy
Antagonistic pleiotropy
Some of the traits that are expressed
Pleiotropy
Marfan syndrome
Autosomal dominant
mutation
Connective tissue protein
fibrillin.
Multiple effects
Lens dislocation,
increased risk of aortic
aneurysm, and
lengthened long bones in
limbs.
Abraham Lincoln
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Pleiotropy
● Porphyria variegata.
○ Autosomal dominant disorder
○ Afflicted individuals cannot adequately
metabolize the porphyrin component of
hemoglobin
○ Accumulation-hematuria
○ Abdominal pain, muscular weakness,
fever, a racing pulse, insomnia,
headaches, vision problems (that can
lead to blindness), delirium, and
ultimately convulsions.
○ George III, King of England during the
American Revolution
7
Table of Contents.
Albinism
Mutation of the TYR gene,
also termed tyrosinase.
Most common form of
albinism.
Alters production of
melanin
Absence of color in an
organism's eyes, hair, and
skin
Rapid-eye movement,
light sensitivity, and
strabismus.
Pleiotropy
Oculocutaneous albinism
● Dental manifestations:
● Severe halitosis,1 gingivitis, gingival bleeding, ulcerations of oral mucosa
(such as Sutton’s recurrent aphthous ulcers on the tongue and hard
palate),1 and chronic periodontal diseases.
● Extreme dry lips1 and angular cheilitis.
● Microstomia and limited opening
● Highly susceptible to sun exposure and skin damage.
○ Skin erythema, blistering and cutaneous cancers, such as melanoma. 1
○ Head and neck oral cancer examination,
Pleiotropy
Oculocutaneous albinism
Oculocutaneous albinism
● Hermansky-Pudlak
○ Genetic platelet deficiency found primarily in Puerto Rican
albinism populations
○ Bleeding time test
○ Bruising, frequent nose bleeds, and report excessive
bleeding after surgery or tissue trauma after dental work.
○ Referral to a hematologist for hematologic and genetic
testing may be prudent.2,4,5
Pleiotropy
Autism and schizophrenia
Pleiotropy in genes has been linked between certain psychiatric disorders
Deletion in the 22q11.2 region of chromosome 22 has been associated with schizophrenia
and autism.
Different clinical manifestations-Depends on the stage of life at which the individual
develops the disorder.
Childhood manifestation:
Autism
Schizophrenia or other psychotic disorders
Adolescent and later expression of the gene deletion
Pleiotropy
Autism and schizophrenia
No increased risk found for adult schizophrenia in patients who experienced autism in
childhood.
2013 study
Genetically linked five psychiatric disorders, including schizophrenia and autism.
Single nucleotide polymorphism of two genes involved in calcium channel signaling
with neurons.
CACNA1C-influence cognition.
Autism
Schizophrenia and bipolar disorder.
Clustering within patients themselves or families.
Heritability of schizophrenia is 70% to 90%,
Pleiotropy
Phenylketonuria (PKU)
Mental retardation and reduced hair and skin
pigmentation
Large number of mutations in the single gene on
chromosome 12 that codes forthe enzyme
phenylalanine hydroxylase, which converts the
amino acid phenylalanine to tyrosine.
Unconverted phenylalanine builds up
Toxic to the developing nervous system of newborn
and infant children.
Classic PKU-most dangerous; common in infants
Pleiotropy
Phenylketonuria (PKU)
Fair hair and skin.
US: 1 in 10,000 births.
Newborn screening
Mutation in the PAH gene
Manage one's diet.
Foods with high levels of protein must be avoided.
Special PKU formula
Oral health implications
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Pleiotropy
Mini-muscle" allele
Gene recently discovered in laboratory house mice,
termed "mini-muscle“
Mutation-> 50% reduction in hindlimb muscle mass
as its primary effect
Smaller hindlimb muscle mass
Lower heart rates during physical activity
Higher endurance.
Exhibit larger kidneys and livers.
Higher per-gram aerobic capacity.
Mendelian recessive behavior.
Single nucleotide polymorphism (SNP)
Intron of the myosin heavy polypeptide 4 gene
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Pleiotropy
Frizzle feather trait
Feathers all curl outward and upward
rather than lying flat against the body.
Deletion in the genomic region coding for
α-Keratin.
Increased metabolism, higher food
consumption, accelerated heart rate, and
delayed sexual maturity
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Pleiotropy
Domesticated chicken
Rapid selection
Unrelated phenotypes having high
correlations, suggesting pleiotropic, or
at least close linkage, effects
Comb mass and physiological
structures related to reproductive
abilities.
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Pleiotropy
Domesticated chicken
Both males and females with larger combs
have higher bone density and strength
Females deposit more calcium into
eggshells.
HAO1 and BMP2
affect medullary bone
Located at the same locus as the
gene affecting comb mass.
Higher levels-more eggs and display
less egg incubation behavior.
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Thank you!
Credits.
https://decisionsindentistry.com/article/o
ral-health-implications-of-a-patient-with-
albinism-and-bilateral-maxillary-
paramolars/#:~:text=and%20educational%
20pamphlets.-
,ORAL%20MANIFESTATIONS,1%20and%20ch
ronic%20periodontal%20diseases.
Principles of genetics by Snustad
Genetics from genes to genome by
Hartwell
MODULE 7
Lesson 4
GENETIC INTERACTION
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Learning Outcomes:
1. Define gene interaction.
2. Predict the outcome of crosses involving epistasis,
complementation, gene modifiers, and gene redundancy.
3. Describe examples that explain the molecular mechanisms
of epistasis, complementation, gene modifier effects, and
gene redundancy.
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Epistasis
Early 1900s:
William Bateson and Reginald Punnett
Study crosses involving the sweet pea, Lathyrus odoratus.
Wild sweet pea has purple flowers.
True breeding mutant varieties with white flowers.
Cross true-breeding purple-flowered plant to a true-breeding white-flowered
plant
F1 generation had all purple-flowered plants
F2 generation (produced by self-fertilization of the F1 generation)
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Epistasis
Bateson and Punnett
2 different varieties of white-flowered plants.
F1 generation plants had purple flowers
F2 generation: 9 purple to 7 white.
2 different genes were involved, with the
following relationship:
C (one purple-color-producing) allele is
dominant to c (white).
P (another purple-color-producing) allele is
dominant to p (white).
cc masks the P producing white color
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Epistasis
When the alleles of one gene mask the phenotypic effects of the
alleles of another gene
Describe epistasis relative to a particular phenotype.
Wild-type phenotype as their reference phenotype
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Epistasis
Sweet peas:
Purple flowers are wild type.
Homozygosity for the white allele of one gene masks the
expression of the purple-producing allele of another gene.
cc genotype is epistatic to a purple phenotype
pp genotype is also epistatic to a purple phenotype.
cc is epistatic to PP or Pp
pp is epistatic to CC or Cc.
Recessive epistasis.
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Epistasis
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Epistasis
Complementation
Production of offspring with a wild-type
phenotype from parents that both display the
same or similar recessive phenotype.
Purple-flowered F1 offspring obtained from
two white-flowered parents.
Offspring must have one wild-type allele of
both genes to display the wild-type
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phenotype.
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Why is complementation an important experimental
observation?
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A Gene Interaction Can Result in a Gene Modifier Effect
in a 9:3:4 ratio.
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Gene Redundancy
Studying model organisms such as Escherichia coli (a bacterium),
Saccharomyces cerevisiae (baker’s yeast), Arabidopsis thaliana (a model
plant), Drosophila melanogaster (fruit fly), Caenorhabditis elegans (a
nematode worm), and Mus musculus (the laboratory mouse).
Isolation of mutant alleles that alter the phenotypes of these organisms->
New kinds of gene interactions.
Intentionally producing loss-of-function alleles in a gene of interest.
Common approach for investigating gene function
Create an organism that is homozygous for a loss-of-function allele
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Gene knockout.
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Gene Redundancy
Gene knockouts
How the gene affects the structure and function of cells or the phenotypes
of organisms.
Example:
Knocked out gene in a mouse-> unable to hear
Role of the functional gene is to promote the formation of ear
structures that are vital for hearing.
Studying many gene knockouts
Discovered that many knockouts have no obvious effect on phenotype
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Gene Redundancy
Gene knockouts
Maketwo or more gene knockouts in the same organism.
Some produce a phenotypic change even though the single knockouts have no effect
Gene redundancy
Only one dominant allele of either of two genes is necessary to produce
phenotype
Phenomenon in which in which one gene can compensate for the loss of function
of another gene.
Due to different underlying causes.
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Gene Redundancy
Gene knockouts
Paralogs
Not identical copies due to the
accumulation of random changes
during evolution
1 gene missing-> Paralog may be
able to carry out the missing
function.
Example:
Genes A and B could be
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Gene Redundancy
Gene knockouts
Gene redundancy
Proteins involved in a common cellular function.
1 protein missing due to a gene knockout
Function of another protein may be increased-
>Compensate for the missing protein-> Overcome
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the defect.
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Gene Redundancy
George Shull
One of the first studies that illustrated the
phenomenon of gene redundancy.
Shepherd’s purse-weed; member of the mustard
family.
Shape of the seed capsule- commonly triangular
Strains producing smaller ovate capsules
Loss- of-function alleles in two different
genes (ttvv).
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Gene Redundancy
George Shull
Crossed a true-breeding plant with triangular
capsules to a plant having ovate capsules
F1 generation all had triangular capsules.
F2 generation: 15:1 ratio of plants having
triangular capsules to ovate capsules.
Gene redundancy
At least one functional copy of either
gene (T or V) is sufficient to produce
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Gene Redundancy
Maize
F2 phenotypic ratio signifying
redundant gene action is 15:1.
Proteins (A and B)
Encoded by the dominant
alleles
Parallel, redundant pathways
that recruit precursor cells to
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Gene Redundancy
Maize
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03
Identify the main factors that
determine an organism’s traits
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Environmental Effects
Range of conditions, rather than
simply observing phenotypes under
two different conditions.
Norm of reaction
Refers to the effects of
environmental variation on a
phenotype.
Phenotypic range seen in
individuals with a particular
genotype.
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Norm of Reaction
alcohol
during pregnancy
Small head circumference
of moral responsibility
‘fetal alcohol spectrum disorder’
Physical Agents
Two specific physical agents can have
teratogenic effects:
Ionizing radiation and prolonged
hyperthermia
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Environmental Agents (Teratogens)
Physical Agents
1. Ionizing Radiation
Heavy doses in excess of those used in routine diagnostic
radiography
Microcephaly and ocular defects
2 to 5 weeks post-conception.
Mutagenic and carcinogenic effects
Radiography should be avoided during pregnancy if
possible.
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Environmental Agents (Teratogens)
Physical Agents
2. Prolonged Hyperthermia
Early pregnancy
HLA
CD14
Chronic Periodontitis in
Relation to Genetics
o In contrast to aggressive periodontitis,
chronic periodontitis does not typically
follow a simple pattern of familial
transmission or distribution.
o The twin study is most popular method
that supports the genetic aspects of
chronic periodontitis.
Corey et al. (1993)
revealed that approximately half of the variance in
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• Vitamin D receptor
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Evidence for the Role of Genetic
Variants in Periodontitis
Familial Aggregation:
German studies of familial nature in the early 20th century have shown
aggregation of chronic forms of periodontitis in families. This
strongly suggested genetic predisposition.
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Twin study
oMichalowicz et al. (1991) studied dizygous twins reared
together and apart and monozygous twins reared together
and apart.
oMean probing depth and attachment level varied less for
monozygous twins than dizygous twins.
oTwin groups had similar oral hygiene and smoking history.
oConcluded genetics plays a role in susceptibility to
periodontal disease.
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Segregation analysis
• Marazita et al. (1994) studied >100 families,
segregating aggressive forms of periodontitis, and
found support for autosomal dominant transmission.
Concluded autosomal dominant inheritance with ~70%
penetrance occurred in Blacks and non-Blacks.
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Linkage analysis
1. Boughman et al. (1986) gene for Dentinogenesis imperfecta-III had been
previously localized to chromosome 4. They showed close linkage of gene
for Aggressive periodontitis( AgP) to this DGI-III gene.
2. Hart et al. (1993) evaluated support for linkage of AgP near chromosome
4 in different population of families. Results showed that in these
populations no linkage existed.
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Genetic Syndromes Associated
With Periodontitis
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PAPILLON-LEFEVRE SYNDROME
o Autosomal recessive disorder
o Characterized by Cutaneous
and Oral manifestations.
o Skin lesions consist of
keratotic lesions of palmar
and planter surfaces.
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oOral lesions are characterized by Aggressive periodontitis leading
to severe destruction of alveolar bone, which leads to mobility,
pathological migration and loss of teeth.
oGene responsible: Cathepsin C, Lysosomal protease.
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EHLER DANLOS SYNDROME
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oHyperelasticity of joints along
with defect in collagen causing
more periodontal destruction.
oEDS can be associated with
Ligneous periodontitis (gen.
membranous gingival enlargement
due to accumulation of fibrin
deposits associated with severe
bone loss).
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Mucosal areas acquire a coarse appearance due to the accumulation of fibrin in the
absence of complete or partial plasminogen. For this reason, the term “ligneous”, which
means “woody” in Latin, is used.
● The term “ligneous periodontitis” was first defined by Gunhan et al. as a periodontal
disease characterized by membranous gingival overgrowth and severe bone loss due to
the accumulation of amyloid-like material.
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FIBRIN DEPOSITION IN
WOUND SITE
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CLINICAL FEATURES
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oGingival tissue appear fragile and bleed after tooth
brushing, gingival hyperplasia and fibrous nodules also
noted.
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oHypermobility of temporomandibular joint
often results in dislocation of jaw.
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CHEDIAK HIGACHI SYNDROME
oPeriodontal breakdown
occurs due to defective
leukocyte function.
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CHEDIAK HIGACHI SYNDROME
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LEUKOCYTE ADHESION DEFICIENCY (LAD)
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oClinical features usually present in infancy
consist of recurrent, indolent bacterial
infections of the skin, mouth, & the
respiratory tract.
oSevere gingivitis with an early loss of primary
teeth, followed by the early loss of secondary
teeth, is seen.
oSevere form of periodontitis is seen that
does not require specific periodontal
pathogens because of entrapment of
neutrophils within the blood vessel.
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Downs Syndrome
o Trisomy of chromosome 21
o Periodontal disease in Down
syndrome is characterized by
formation of deep pockets
associated with plaque
accumulation and moderate
gingivitis.
o This is due to;
− a reduced resistance to
infections
48
Hypophosphatasia
49
Hypophosphatasia
50
Gene Therapy
o Use of purified preparations of a gene or a fraction of
a gene, to treat diseases.
o There are four approaches:
51
Gene therapy in Periodontics
52
Clinical Utility of Genetics in
Periodontics
• Role of host gene in the etiology and pathogenesis of
the periodontal disease is just begun to be
understood.
• Association between polymorphisms in IL-1 genes and
severity of periodontitis has been described as a
major breakthrough in clinical practice.
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53
o The clinical test for such a genetic risk has been proposed as a
component of the risk assessment profile for chronic periodontitis
that can be used to provide a rationale for explaining individual patient
susceptibility, providing early preventive or therapeutic intervention,
and allowing superior prognostic capabilities.
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REFERENCES
https://www.slideshare.net/slideshow/genetics-and-
periodontal-diseases/258620902#43
https://www.slideshare.net/slideshow/ligneous-periodontitispptx-periodontics/267231251