Behavioral genetics discussion

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Cognitivedisabilities.pptx

Genetic basis for cognitive disabilities

Dr. Katie Dabrowski, PT, DPT

The extent to which genes are involved

The causes of cognitive disability vary with the severity of the condition

Moderate-to-severe intellectual disability (defined as IQ < 50) is much more likely to be due to a single pathological cause when compared to mild cases (IQ 50-70), which is usually thought to be multifactorial

Chromosomal and genetic disorders account for 30-40% of moderate-to-severe disabilities

There are a lot of ways to classify intellectual disability.

I. Mendelian disorders

Mendelian disorders = rare and usually inherited, typically caused by mutation in a single gene

Almost all Mendelian intellectual disabilities are x-linked

Fragile X syndrome is the most common x-linked cognitive disability (1 in 5000 males, 1 in 8000 females)

Fragile X Syndrome

Results in:

Intellectual disability

Most well-known cause of autism

67% of boys with FXS have AD/ASD

Behavioral abnormalities

Anxiety, ADHD, atypical sociality

Fragile X Syndrome

Associated with an expansion of a trinucleotide repeat (CGG) in the 5’- noncoding region of a gene that encodes an RNA binding protein called FMR1 – it is repeated >200 times in cases of FXS, and typical is just 1—40!

In the normal brain, FMR1 protein is found in nearly all neurons and is likely important for translation and mRNA export

It plays a role in the maturation and pruning of dendritic spines during brain development – so in the case of FXS, TOO MANY synapses occur and that’s not a good thing

We need to have normal pruning of synapses to fine-tune our connections

Rett’s Syndrome

Progressive neurological disorder that affects females almost exclusively

Mutations found in methyl-CpG-binding protein 2 (MeCP2) gene, which is located on the X chromosome

The development and severity of Rett’s syndrome depends on the location and type of mutation on the MeCP2 gene

Rett’s Syndrome

MeCP2 gene makes the MeCP2 protein that is necessary for the development of the brain and normal nervous system function

Rett’s syndrome results in not enough MeCP2 being produced, which disrupts the normal function of neurons and other cells in the brain

Less than 1% of cases are inherited

Rett’s Syndrome

Symptoms:

Abnormal respiratory patterns

Absent speech development

Loss of developmental milestones

Global developmental delay

High-pitched cry

Bradykinesia

Difficulty walking, dystonia, seizure, apraxia

Skeletal muscle atrophy

Alpha-thalassemia X-linked mental retardation syndrome (ATRX)

Mutations in ATRX result in severe MR, facial dysmorphism, urogenital abnormalities, and alpha-thalassemia (a blood disorder that reduces the production of hemoglobin), speech delay, hypotonia

Occurs almost exclusively in males

ATRX gene codes for a protein that plays an essential role in development and is suggested to regulate the expression of HBA1 and HBA2 genes, which are necessary for normal hemoglobin production

Reduced HBA1 and HBA2 genes cause alpha thalassemia

II. Chromosomal aberrations

Down’s syndrome (trisomy 21)

Edward’s syndrome (trisomy 18)

Down’s syndrome (Trisomy 21)

An extra copy of chromosome 21 results in an error of cell division, causing Down’s syndrome, the most frequent form of intellectual disability

Clinical features: dysmorphic features, seizures, psychomotor slowing, and congenital malformations

There are at least 16 genes on chromosome 21 that are linked to mitochondrial energy generation and reactive oxygen metabolism

Several studies have linked mitochondrial dysfunction with Down’s syndrome and Alzheimer’s disease

Edward’s syndrome (Trisomy 18)

Very high mortality rate

Slow growth before birth and low birth weight, heart defects, organ abnormalities

Small, abnormally shaped head, small jaw and mouth, clenched fist with overlapping fingers

III. Segmental aneusomy syndromes

ID genetic conditions due to small chromosomal deletions or duplications

William’s Beuren syndrome

Prader-Willi Syndrome

Angelman Syndrome

Williams-Beuren Syndrome

Neurodevelopmental disorder characterized by congenital heart disease, infantile hypercalcemia, dysmorphic facial features, and cognitive disability

Due to haploinsufficiency of genes in region 7q11, which encompasses the elastin gene, resulting in cardiovascular disease (elastin arteriopathy)

Prader-Willi Syndrome

Abnormalities of a small region in 15ql l-q13

If both copies of the abnormality of chromosome 15 derive from the mother, then the result is PWS

MR may be mild with a characteristic facial appearance and hyperphagia and resulting obesity, hypotonia, delayed development

Temper outbursts, stubbornness, compulsive behaviors, sleep abnormalities

Underdeveloped genitals, delayed or incomplete puberty, infertility

Prader-Willi Syndrome

When a segment of the paternal chromosome 15 is deleted, this results in the loss of function of several genes on chromosome 15

These genes are important for the production of snoRNAs, which help regulate other types of RNA molecules

In some people with PWS, the loss of gene OCA2 is associated with unusually fair skin and light-colored hair.

Angelman Syndrome

Also arises from a small abnormality on chromosome 15, like PWS

If both copies of the abnormality of chromosome 15 derive from the father, then the result is AS

Severe retardation (very few affected individuals can talk), ataxia, seizures, abnormal EEG, microcephaly, facial dysmorphism, hyperactivity, paroxysmal laughter