prenatal diagnosis: trisomy 21 (down’s syndrome) karyotype picture of the chromosomes in a cell...

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natal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

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Page 1: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Prenatal diagnosis: Trisomy 21 (Down’s syndrome)

karyotype• picture of the chromosomes in a cell used to check for abnormalities

Page 2: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Preparing a karyotype

• harvest cells

Postnatal diagnostic karyotype tumor biopsy skin cells from mouth (ie. for non-cancer related diagnoses)

Prenatal diagnostic karyotypechorionic villi sampling (CVS)amniocentesis

Page 3: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Who is offered amniocentesis or CVS?

• maternal age (women 35 or older)Risk of Down’s syndrome: mother in 20s 1/1250 99.92% OKmother at 35 1/400 99.75% OKmother at 40 1/100 99% OK

Page 4: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Prenatal diagnosis: amniocentesis

• sampling cells from amniotic fluid• usually done ~ 15-18 weeks

Page 5: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

DiGeorge syndrome/CATCH22

• microdeletion on chromosome 22• birth defect that affects the immune system• absence of or underdevelopment of the thymus and parathyroid glands• facial features include low-set ears, wide-set eyes, small

jaw, and bowing up of upper lip

Page 6: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

EngageGenetic Disorders

• Patau Syndrome

• Edward Syndrome

• Klinfelter’s Syndrome

• Turner Syndrome

• Super Male Syndrome

• Super Female Syndrome

Page 7: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

47, XX or XY, +13

• serious eye, brain, circulatory defects as well as cleft palate. 1:5000 live births. Children rarely live more than a few months.

• Patau Syndrome

Page 8: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities
Page 9: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Edward Syndrome

• almost every organ system affected 1:10,000 live births. Children with full Trisomy 18 generally do not

live more than a few months.

Page 10: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Turner Syndrome

Page 11: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Turner Syndrom

Page 12: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Kleinfelter Disease

Page 13: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Kleinfelter

Page 14: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities

Super Male and Super Female

• - Has an XXX- Fertile females with normal intelligence

Has an XYYHas an XYY- Tall male with heavy acne- Tall male with heavy acne- Some tendency to mental - Some tendency to mental retardationretardationAggressive tendencyAggressive tendency

Page 15: Prenatal diagnosis: Trisomy 21 (Down’s syndrome) karyotype picture of the chromosomes in a cell used to check for abnormalities