Genetics and molecular biology

Bioinformatics · Universitat Politècnica de Catalunya

Alexandre Perera-Lluna

Challenges in Bioinformatics

Challenges in Bioinformatics

Some challenges in Bio-informatics

  • Bioinfo is a truly multidisciplinary science.

  • Different researchers are trained with different backgrounds.

  • They all speak different languages.

  • They all have different goals.

  • They need to understand a baseline of the research goals of the different areas.

Early cell theory

  • In 1665, Robert Hooke described the compartments he saw in cork as “cells”.
  • In 1838–1839, Matthias Schleiden and Theodor Schwann developed the idea that plants and animals consist of cells.
  • Shared cellular structures provide a basis for comparing organisms.

Gregor Mendel

  • Gregor Mendel (1822–1884) was an Augustinian friar working in Brno, then in the Austrian Empire and now in Czechia.
  • His pea-plant experiments examined how selected traits pass between generations.
  • He presented the results in 1865 and published them in 1866.

Genetic Material

Inheritance before the gene

  • Mendel studied observable traits and inferred discrete inherited factors.
  • His chosen traits supported clear segregation patterns under controlled crosses.
  • Many biological traits depend on several genes and environmental influences.

Mendel’s paper

Genetic Material

The language of genetics

  • 1866: Mendel’s paper on plant hybridisation was published.
  • 1905: William Bateson used the term genetics in a letter.
  • 1909: Wilhelm Johannsen introduced the term gene.

These terms preceded the identification of DNA as the principal hereditary material.

DNA as hereditary material

  • Avery, MacLeod, and McCarty identified DNA as the transforming principle in 1944.
  • Hershey and Chase provided further evidence using bacteriophages in 1952.
  • Watson and Crick proposed the DNA double helix in 1953, informed by key experimental work including that of Franklin, Gosling, Wilkins, and colleagues.
  • Chromosomes package long DNA molecules with associated proteins.

Familial hypercholesterolemia (FH)

…1972

  • M. S. Brown & J. L. Goldstein. Studied FH

  • They applied the concept of Inborn error of metabolism.

  • Postulated the existence of a genetic disease affecting the repression of the cholesterol synthesis.

  • Patients with FH showed large indexes of cholesterol in blood -> early cardiovascular troubles.

from Genetics of Cardiovascular Disease, Circulation, 102:20 (2000)

Cholesterol regulation in FH (1/2)

HMG-CoA reductase catalyses a rate-limiting step in cholesterol synthesis. HMG-CoA itself is a metabolite, not the enzyme.

Brown and Goldstein’s studies connected LDL uptake to regulation of cholesterol synthesis. Severe receptor defects disrupt this feedback.

Familial hypercholesterolemia (FH)

Cholesterol regulation in FH (2/2)

Familial hypercholesterolemia (FH)

The LDL receptor hypothesis

  • Brown and Goldstein linked defective LDL-receptor function to impaired cellular LDL uptake.
  • Their work explained how LDL uptake participates in feedback control of cholesterol synthesis.
  • Pathogenic variants can affect receptor production, transport, binding, internalisation, or recycling.

A genetic defect need not imply complete absence of the receptor.

Familial hypercholesterolemia

  • FH causes elevated LDL cholesterol and increases the risk of premature atherosclerotic cardiovascular disease.
  • Brown and Goldstein received the 1985 Nobel Prize for discoveries concerning cholesterol metabolism.
  • Modern studies place heterozygous FH prevalence around 1 in 250–310, with variation by population and diagnostic criteria.
  • Individual risk depends on genotype, exposure over time, treatment, and other risk factors.

Familial hypercholesterolemia (FH)

Genetic mechanisms and annotation

  • FH is a classic example of a disorder that can result from a pathogenic variant in a single gene.
  • Different genes can produce an FH phenotype, including LDLR, APOB, and PCSK9.
  • Connecting a variant to a phenotype requires evidence about the sequence, gene, molecular mechanism, and clinical context.
  • Recording these connections is a central purpose of biological annotation.

Evolution of publications in 25 years

Evolution of publications in 25 years

Chromosome 1 annotation: 1988 and 2000

Chromosome 1 annotation: 1988 and 2000

Evolution on (cardiovascular) annotations on Genome

Evolution on (cardiovascular) annotations on Genome

Evolution on (cardiovascular) annotations on Genome

Evolution on (cardiovascular) annotations on Genome

Human Genome Project?

Human Genome Project

Human Genome Project?

Human Genome Project

Craig Venter unveils “synthetic life”

A synthetic genome was transplanted into an existing recipient cell; the entire cell was not built from scratch.

TED · 18:18 · TED, 2010 · English subtitles from the published caption track.

Where are we now?

Where are we now?

Evolution in genotypic technologies

Evolution in genotypic technologies

Kahvejian, A., Quackenbush, J., & Thompson, J. F. (2008). What would you do if you could sequence everything?. Nature biotechnology, 26(10), 1125-1133.

Evolution in genotypic technologies

Evolution in genotypic technologies

Evolution in genotypic technologies

Evolution in genotypic technologies

Evolution in genotypic technologies

Evolution in genotypic technologies

DNA, RNA, and proteins

DNA

Stores hereditary information in a nucleotide sequence.

RNA

Participates in information transfer, regulation, catalysis, and cellular structure.

Proteins

Perform catalytic, structural, transport, and signalling functions. Protein sequences use 20 standard amino acids, with specialised exceptions.

DNA nucleotides

A DNA nucleotide contains a nitrogenous base, deoxyribose sugar, and phosphate.

Base class DNA bases
Purines Adenine (A), guanine (G)
Pyrimidines Cytosine (C), thymine (T)

RNA contains uracil (U) in place of thymine. A haploid human nuclear genome contains roughly 3 billion base pairs.

DNA structure

DNA structure

DNA structure

DNA structure

The resulting chain has a 5’ end (free phosphate group) and a 3’ end (free hydroxyl group).
The base sequence is defined as the order of the nucleotides along the chain from the 5’ to the 3’ end.

DNA structure

DNA structure

DNA replication

  • Complementary strands pair through hydrogen bonds; base stacking also stabilises the double helix.
  • The sugar–phosphate backbones lie on the outside of the helix.
  • Polymerases synthesise DNA in the 5′ to 3′ direction using a template strand.
  • Proofreading and repair improve fidelity. Error rates depend on the organism and on which stage of replication or repair is measured.
  • Complementary DNA and RNA sequences can hybridise.

DNA double helix means DNA replication

DNA double helix means DNA replication

DNA (1/15)

DNA

DNA (2/15)

DNA

DNA (3/15)

DNA

DNA (4/15)

DNA

DNA (5/15)

DNA

DNA (6/15)

DNA

DNA (7/15)

DNA

DNA (8/15)

DNA

DNA (9/15)

DNA

DNA (10/15)

DNA

DNA (11/15)

DNA

DNA (12/15)

DNA

DNA (13/15)

DNA

DNA (14/15)

DNA

DNA (15/15)

DNA

RNA structure and function

  • RNA contains ribose and normally uses uracil in place of thymine.
  • Many cellular RNAs are single strands that fold through internal base pairing.
  • Double-stranded RNA also exists.
  • Folded RNA can have structural, regulatory, or catalytic functions.

RNA secondary structure

Ribose has a 2′ hydroxyl group; deoxyribose has hydrogen at that position.

RNA can form stable double helices, usually with A-form geometry. The 2′ hydroxyl affects geometry and chemical stability; it does not prevent double-stranded regions.

RNA Secondary structure

RNA Secondary structure

RNA Secondary structure

Example of three dimensional structure of RNA (Tetrahymena ribozyme)

Gene expression

  • Transcription: a DNA sequence serves as a template for RNA synthesis.
  • Translation: ribosomes decode an mRNA sequence to synthesise a polypeptide.
  • Many RNAs function without being translated.

Reverse transcription transfers information from RNA to DNA. It does not imply sequence-information transfer from protein back to nucleic acid.

The central dogma

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

Translation

  • The basic process of protein production is addition of one amino acid at a time to the end of a protein.

  • This operation is performed by a ribosome.

  • The ribosome molecules translate a RNA code to a specific sequence of amino acids.

  • tRNAs are small noncoding RNA chains (74-93 nucleotides) that transport amino acids to the ribosome.

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

The Central Dogma

Open Reading Frames

  • Any piece of dsDNA can be read in six possible ways, or reading frames.

  • For each of the two strands, either of which can be read in the 5’ to the 3’ direction.

  • Three possible starting points 1^{st},2^{nd},3^{rd} nuclotides.

Open Reading Frames

Open Reading Frames

Open Reading Frames

Open reading frames

  • A reading frame defines how a sequence is divided into codons.
  • An open reading frame has no internal in-frame stop codon between its start and end under the selected genetic code.
  • Under the standard code, UAA, UAG, and UGA are stop codons.
  • A long ORF is evidence for a possible coding region, but it does not prove expression or protein function.
  • Short ORFs can also encode proteins.

Open Reading Frames

Open Reading Frames

Overlapping genes

Overlapping genes

V. Veeramachenenu Mammalian overlapping genes: the comparative perspective. Genome Res. 14:280-286,2004

DNA (1/6)

DNA

DNA (2/6)

DNA

DNA (3/6)

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DNA (4/6)

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DNA (5/6)

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DNA (6/6)

DNA

Prokaryote vs. Eukaryote

Prokaryote

  • pro-karyon (before kernel).

  • The prokaryote are a group of organisms that lack a cell nucleus , or any other membrane-bound organelles.

Prokaryote vs. Eukaryote

Eukaryote

  • eu-karyon (good kernel).

  • A eukaryote is an organism whose cells contain complex structures enclosed within membranes.

Prokaryote vs. Eukaryote

Prokaryote vs. Eukaryote

Prokaryote

  • Genes in bacteria are normally close together.

  • May be organized as operons.

  • Or may be individually transcribed.

  • The mRNA product of the transcription is ready for immediate translation.

Eukaryote

  • Has transcription factor binding sites upstream of the promoter

  • Promoter regions may be extensive, and introns may also be long.

  • First and last exons contains regions that will not be translated (5’ UTR, 3’ UTR).

  • The immediate product of transcription is a pre-mRNA that is modified at the 5’ and 3’ ends.

  • The poly-A tail is added to the end of the message after transcription has occurred.

  • Splicing removes the introns to produce mature mRNA species that are ready for translation

  • Alternative splicing may or may not occur.

Prokaryote vs. Eukaryote

Prokaryote vs. Eukaryote

Coding sequence and ORF

  • A coding sequence (CDS) specifies the nucleotide sequence translated into a polypeptide.
  • For an intron-containing eukaryotic gene, the CDS is assembled from the coding portions of its exons.
  • Untranslated regions belong to the transcript but not to the CDS.
  • An ORF is a sequence property. A CDS is an annotation supported by biological evidence or prediction.

DNA packaging: nanometres to metres

NHGRI illustration connecting a DNA double helix, DNA wrapped around histones in nucleosomes, chromatin, and a condensed replicated chromosome.

Structure Approximate scale
DNA double helix 2 nm wide
Nucleosome core 11 nm across
DNA around one core 147 bp, ~1.7 turns
Human cell nucleus 6 µm across*

1 µm = 1,000 nm

About 2 metres of DNA fit inside one nucleus. A typical diploid cell before DNA replication contains ~6 billion bp; 6 × 10⁹ bp × 0.34 nm/bp ≈ 2 m.

Figure: NIH / NHGRI. *Nuclear size varies by cell type. Schematic, not a fixed folding ladder: chromatin organisation is heterogeneous. The X-shaped example is a replicated chromosome with two sister chromatids.

The human genome: chromosome ideogram

Vector ideogram of Homo sapiens chromosomes 1 to 22, X and Y, showing their relative lengths, centromeres and cytogenetic bands.
Chromosome complement DNA amount Sequence / extended DNA
23 chromosomes per typical gamete ~3 billion bp per haploid set Chr 1: 249 Mb ≈ 8.5 cm
46 in a typical diploid cell ~6 billion bp before replication Chr 21: 46.7 Mb ≈ 1.6 cm

24 types are shown (1–22, X, Y), not the chromosomes of one cell. Bands are cytogenetic landmarks, not individual genes. 1 Mb = 1 million bp.

Figure: Ryan L. Collins, Human Idiogram Library, CC BY 4.0, unchanged. Relative lengths/bands are schematic. Numerical lengths: NCBI / GRC, GRCh38.

DNA at molecular scale

Watch how the view moves from the nucleus to DNA and its molecular machinery.

WEHImovies · 7:19 · No narration; original English labels. Soundtrack retained.

Kinesin: how a molecular motor walks

Follow the two heads and the ATP → ADP cycle.

Graham Johnson · 2:09 · English subtitles: automatic transcript with terminology and segmentation corrected.

Kinesin: transporting cargo

Connect molecular stepping to transport at the scale of a cell.

em2134x · 0:22 · English viewing-guide captions (not a spoken transcript).

Your body’s molecular machines

Watch how molecular machines cooperate during cell division.

Veritasium · 6:20 · English subtitles from the published caption track. Starts at 0:02.

Case study: SARS-CoV-2, a virus written in the same code

  • A coronavirus is an RNA virus: its genome is a single positive-sense RNA strand of about 30,000 nucleotides — read directly by the host ribosome, no DNA step needed.
  • Its ~30 genes encode the components you can see in the next 3D models: spike (S), envelope (E) and membrane (M) proteins stud the lipid envelope; inside sits the nucleocapsid (N) wrapped around the RNA.
  • Every structural protein is specified by an open reading frame — the same reading-frame logic we just saw applies to a virus.
  • Sequencing this genome — and its mutations — is what made diagnostics, vaccines and variant tracking possible in weeks.

Explorable: the virion assembled from PDB structures

Render still of the SARS-CoV-2 particle: colour-coded spike, envelope and membrane proteins on the lipid envelope

Rotate the virion; the protein distribution is research-based but stylised, assembled from published PDB structures of the S, E and M proteins.

3D model: SARS-CoV-2 (COVID-19) · Fusion Medical Animation · S protein 6CRV, E protein 5X29, M protein 3I6G · via the Sketchfab viewer.

Anatomy of a coronavirus particle

Cutaway view of a SARS-CoV-2 particle showing spike proteins on the outer lipid envelope, and the coiled nucleocapsid with the single-stranded RNA genome inside

3D model: corona virus (SARS-COV-2) · eMirage · Sketchfab · render still, unchanged. Interactive 3D version on the next slides.

Explorable: corona virus (SARS-COV-2)

Render still of the annotated SARS-CoV-2 particle with spike, envelope, membrane proteins and the nucleocapsid RNA visible

Rotate, zoom and cut into the particle with the mouse or trackpad. Double-click a protein to isolate it; press the camera icons to tour the annotated parts.

How the virus enters a cell — and how antibodies block it

SARS-CoV-2 spike trimer bound to the human ACE-2 receptor at the cell membrane, with a Y-shaped antibody bound to the spike preventing the ACE-2 contact
  • Infection: spike binds the human ACE-2 receptor; ACE-2 is pulled inside (endocytosis) and viral replication begins.
  • Protection: vaccine- or infection-elicited antibodies coat the spike and physically block the ACE-2 contact.

3D model: Coronavirus spike + ACE-2 receptor + antibody · axonology · Sketchfab (CC BY-NC-SA 4.0) · render still, unchanged. Raw files by Darren Gowers, molecularmodels.co.uk.

Explorable: spike + ACE-2 receptor + antibody

Render still of the SARS-CoV-2 spike trimer with ACE-2 receptor and blocking antibody

Rotate the spike trimer, dock it against ACE-2, then bring in the antibody to see what “blocking” means in molecular terms.

Molecular binding close-up: the RBD–ACE2 interface

Molecular close-up of the SARS-CoV-2 receptor-binding domain bound to the ACE-2 peptidase domain, with the receptor-binding motif highlighted in magenta at the contact interface
  • The receptor-binding domain (RBD) of the spike docks onto the ACE-2 peptidase domain.
  • The magenta receptor-binding motif (RBM) forms most of the contact — a few substitutions here (e.g. N501Y) change how tightly the virus binds, which is why mutations matter.

3D model: Binding of SARS-CoV-2 to ACE2 · AlizaK · Sketchfab · render still, unchanged.

Explorable: binding of SARS-CoV-2 to ACE2

Render still of the SARS-CoV-2 receptor-binding domain bound to ACE-2 with the receptor-binding motif highlighted in magenta

Inspect the contacts residue by residue with the mouse; note the magenta RBM, and N-glycans (NAGs) are hidden by the author for clarity.

3D model: Binding of SARS-CoV-2 to ACE2 · AlizaK via the Sketchfab viewer.

Cells

Each cell

Despite its complexity, there exists some fundamental principles common to all cell types.

  1. Information. e.g. Required information to create a replica of itself.

  2. Machinery. e.g. collect materials to manufacture its own components, replicate information and boot the new cell.

Life and genetic material

Cells

  • Life-cycle! (born, eat, reproduce and die)

  • Very controlled processes

  • e.g. A cell only replicates if there are sufficient resources (nutrients) to complete the process

  • How do they decide?

  • Hey, they have no brain!

  • They take decisions through pathway networks.

Life and genetic material

Life and genetic material

Pathway Networks

  • Synthesize materials.

  • Break compounds.

  • Signal information (apoptosis).

  • Complex reaction networks.

Life and genetic material

Life and genetic material

Genotype and phenotype

Genotype describes an organism’s genetic constitution, either at particular loci or more broadly.

Phenotype comprises observable or measurable characteristics.

Phenotypes arise through genetic effects, environmental influences, development, and their interactions. “Genotype + environment” is a conceptual shorthand, not a universal additive equation.

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Some notes on the Human Genome Project

Genetic variation

  • Mutation introduces new sequence variants; recombination reshuffles existing variation.
  • At a typical diploid autosomal locus, an individual carries two allele copies.
  • A population can have more than two alleles at the same locus.
  • Rare variants remain biologically relevant; a 1% frequency threshold is a historical convention for the word “polymorphism”.

Genetic Variability

In spots where no genetic variability exists, both alleles will be equal.

In spots where genetic variability exists, the alleles could be different

  • Homozygote: Both alleles are equal

  • Heterozygote: alleles are different

Mutation types: the DNA change and its consequence

A DNA change and a protein consequence describe different things.

DNA change Possible consequence in a coding region
Single-base substitution Synonymous, missense or stop-gain
Insertion or deletion In-frame change or frameshift
Larger rearrangement Changes in dosage, gene structure or regulation

The consequence depends on where the change occurs and which transcript is affected.

Small DNA changes: substitution, insertion and deletion

Reference
ACGTAC
Substitute G → A
ACATAC
Insert T
ACGTTAC
Delete G
AC∅TAC

A substitution replaces a base. An insertion adds sequence. A deletion removes sequence. ∅ marks the deleted position.

Larger changes: copy number, orientation and location

Letters below represent chromosome segments, not individual bases.

Reference
A→B→C→D→E→
Duplicate C
A→B→C→C→D→E→
Invert B–C
A→C←B←D→E→
Move B–C
X→B→C→Y→

A translocation moves a segment to a new chromosomal context. An inversion reverses its orientation.

Variant names describe different properties

Term What it describes
SNV A difference at one nucleotide position
SNP A single-nucleotide polymorphism in a population
Indel An insertion or deletion of sequence
CNV A difference in the copy number of a genomic segment

An SNV can be synonymous, missense or stop-gain in a coding region.

An indel can affect coding sequence, splicing or regulation.

Mutation types: a map from DNA change to disease

Classify what changes in DNA first; then ask what happens to RNA, protein or gene dosage.

These are teaching groups, not mutually exclusive mechanisms. Here, “point mutation” means a single-base substitution; some definitions also include one-base indels. Splicing and regulatory effects can occur across groups.

How to read mutation notation

Reference : level . position change → NM_000518.5:c.20A>T
HBB transcript/version · coding DNA · base 20 · A replaced by T

DNA: what changed?

Example¹ Read it as…
c.20A>T Substitute A with T at base 20
c.1521_1523del Delete bases 1521–1523 (CFTR)
c.76_77insA Insert A between bases 76 and 77
c.76_78dup Copy bases 76–78 next to themselves
g.100_200inv Invert genomic bases 100–200
CAG[40] 40 repeats; locus/coordinates also needed

Protein: what is the consequence?

Example¹ Read it as…
p.Gly608= Glycine unchanged: synonymous
p.Glu7Val / E7V Glutamate → valine at residue 7
p.Gln40Ter / Q40* Glutamine → STOP: nonsense
p.Phe508del / ΔF508 Lose phenylalanine 508: in-frame
p.Arg97ProfsTer23 Arg97 → Pro; frame shifts; STOP is codon 23 of the new frame

Levels: g. genomic DNA · c. coding DNA · r. RNA · p. protein. Chromosomes: t(9;22) means a translocation involving chromosomes 9 and 22 (cytogenetic shorthand, not HGVS).

¹ Abbreviated examples; a full HGVS report needs a reference accession and version. Parentheses mark a prediction: p.(Glu7Val). Legacy HbS E6V = HGVS p.Glu7Val because the numbering conventions differ.

One reference sequence for the coding examples

An illustrative sequence, not a patient allele. Read the coding DNA strand 5′ to 3′ in groups of three bases.

Coding DNA
ATGGAATTTGGCTAA
mRNA
AUGGAAUUUGGCUAA
Protein · N → C
MetGluPheGlySTOP

The coding strand matches the mRNA sequence, with T replaced by U. STOP ends translation and is not an amino acid.

Synonymous: same amino acid, possible RNA effect

Mutation map → 1 · Point substitutions

LMNA GGC to GGT preserves glycine but activates abnormal RNA splicing.

Codon meaning is unchanged. This does not guarantee unchanged splicing or expression.

Hutchinson–Gilford progeria syndrome

  • LMNA c.1824C>T (p.Gly608=): GGC → GGT.
  • A cryptic splice site is activated; the RNA loses 150 nucleotides.
  • The resulting progerin lacks 50 amino acids.

A synonymous DNA change can have a major effect through RNA splicing.

Disease paper: Eriksson et al., Nature (2003).
Figure: Original vector schematic based on Eriksson et al. (2003).

Missense: one amino acid is replaced

Mutation map → 1 · Point substitutions

NLM diagram shows a base substitution changing one amino acid.

One codon changes its amino-acid meaning; the reading frame stays intact.

Sickle cell disease

  • HBB c.20A>T: GAG → GTG; glutamate → valine.
  • HbS can polymerise when deoxygenated, promoting red-cell sickling.
  • Disease usually requires HbS plus another disease-causing HBB allele.

One altered residue can change a protein’s interactions.

Disease paper: Ingram, Nature (1956).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Nonsense: a premature stop codon

Mutation map → 1 · Point substitutions

NLM diagram shows a glutamine codon replaced by a stop codon.

A sense codon becomes STOP. The RNA may be degraded by nonsense-mediated decay.

β⁰-thalassaemia

  • HBB codon 39 in traditional β-globin numbering: CAG → TAG.
  • Glutamine becomes STOP; the affected allele produces no functional β-globin.
  • Two severe HBB alleles can cause severe anaemia.

Do not assume that a stable shortened protein always accumulates.

Disease paper: Trecartin et al., J Clin Invest (1981).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

In-frame indel: the downstream frame is retained

Mutation map → 2 · Small insertions / deletions

Deletion of three bases from an illustrative sequence removes one amino acid without shifting later codons.

A net change of 3n coding bases preserves the downstream reading frame.

Cystic fibrosis

  • CFTR c.1521_1523delCTT → p.Phe508del (F508del).
  • Three DNA bases are lost; phenylalanine 508 is absent.
  • This impairs CFTR folding/processing; CF is typically recessive.

Preserving the reading frame does not mean preserving function.

Disease paper: Riordan et al., Science (1989).
Figure: Original vector teaching schematic; clinical example from Riordan et al.

Frameshift indel: downstream codons are regrouped

Mutation map → 2 · Small insertions / deletions

NLM diagram shows how losing one base changes grouping of downstream codons.

Adding or deleting a number of coding bases not divisible by 3 changes the reading frame.

Tay–Sachs disease

  • A known HEXA exon 11 four-base insertion shifts the frame.
  • Loss of hexosaminidase A activity impairs GM2 breakdown.
  • With pathogenic variants in both copies, GM2 accumulates and neurons are damaged.

4 mod 3 = 1: a four-base insertion is a frameshift too.

Disease paper: Myerowitz & Costigan, J Biol Chem (1988).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Inversion: a segment reverses orientation

Mutation map → 3 · Within one chromosome

NLM diagrams compare inversions excluding and including the centromere.

A segment flips. In double-stranded DNA, this reverses orientation: the reference-strand sequence becomes its reverse complement.

Severe haemophilia A

  • Recombination involving F8 intron 22 repeats can invert an intervening segment on chromosome X.
  • The rearrangement disrupts the F8 gene.
  • Factor VIII deficiency impairs blood clotting.

Copy number can be unchanged while a gene is disrupted.

Disease paper: Lakich et al., Nature Genetics (1993).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Chromosomal deletion: a segment is lost

Mutation map → 3 · Within one chromosome

NLM chromosome schematic shows loss of a segment between two breaks.

A deletion removes DNA and reduces gene dosage. Diagram: interstitial loss; cri-du-chat often involves terminal 5p loss.

Cri-du-chat syndrome (5p deletion)

  • Loss of part of the short arm of chromosome 5.
  • Clinical features can include a characteristic infant cry and developmental disability.
  • The size and position of the deletion vary between people.

A chromosome deletion affects gene dosage, not just codon grouping.

Disease paper: Mainardi et al., J Med Genet (2001).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Intrachromosomal relocation: same chromosome, new site

Mutation map → 3 · Within one chromosome

Schematic segment D E moves to another site on the same chromosome without reversal.

Often described as an intrachromosomal insertion; “single-chromosome translocation” is a broader teaching label.

A reported Menkes disease case

  • An X-chromosome segment Xq13.3–q21.2 was inserted at Xp11.4.
  • The report described a boy with Menkes disease: 46,XY,ins(X)(p11.4q13.3q21.2).
  • This is a rare structural example, not the usual mutation in Menkes disease.

Movement and inversion are different: ask whether the segment changes orientation.

Disease paper: Human Genetics (1992), original case report.
Figure: Original vector schematic based on the reported intrachromosomal insertion.

Interchromosomal translocation: two chromosomes

Mutation map → 4 · Between chromosomes

NLM figure shows an exchange of segments between two chromosomes.

Segments move between chromosomes. A reciprocal exchange can be cytogenetically balanced yet create a gene fusion.

Chronic myeloid leukaemia (CML)

  • t(9;22) creates the Philadelphia chromosome, a derivative chromosome 22.
  • BCR::ABL1 encodes an abnormally active tyrosine kinase.
  • This is an acquired mutation in the leukaemic cell lineage.

“Balanced” describes DNA amount; it does not guarantee a harmless outcome.

Disease paper: Rowley, Nature (1973); Shtivelman et al., Nature (1985).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Repeat expansion: more copies of a short motif

Mutation map → 5 · Repeat expansion

NLM diagram shows CAG repeat expansion lengthening a glutamine tract.

The repeated motif stays recognisable, but the number of copies increases. Effects depend on its genomic context.

Huntington disease

  • Expansion of the CAG repeat in HTT lengthens its polyglutamine tract.
  • 36–39 repeats: reduced penetrance. ≥40: full-penetrance range over a typical lifespan.
  • Autosomal dominant; repeat length can change between generations.

Adding CAG triplets preserves the reading frame but can still cause disease.

Disease paper: Huntington’s Disease Collaborative Research Group, Cell (1993).
Figure: U.S. National Library of Medicine, MedlinePlus Genetics, unchanged.

Compare mechanisms, not just names

DNA change What to ask next Disease example
Synonymous / missense / nonsense Splicing? Residue change? Premature stop? Progeria / sickle cell / β-thalassaemia
In-frame / frameshift indel Is the coding-length change divisible by 3? Cystic fibrosis / Tay–Sachs
Inversion / deletion / relocation Orientation? Dosage? Position? Haemophilia A / cri-du-chat / Menkes case
Interchromosomal translocation Which genes meet at the breakpoints? CML: BCR::ABL1
Repeat expansion Which motif, where, and how many copies? Huntington disease

The molecular change, its functional consequence, and its clinical effect are three different descriptions.

Check your classification

  1. A synonymous change activates a cryptic splice site. Is it necessarily harmless?
  2. A coding deletion removes six bases. Does it necessarily shift the reading frame?
  3. A rearrangement has no visible loss of DNA. Can it still cause disease?
  4. One chromosome segment moves elsewhere on that same chromosome. Is that interchromosomal?

1 No: LMNA/progeria. 2 No: six is divisible by three, assuming unchanged splicing. 3 Yes: F8 disruption or BCR::ABL1 fusion. 4 No: it is intrachromosomal relocation.

The End

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