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Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

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Page 1: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Author(s): David Ginsburg, M.D., 2012

License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/

We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material.

Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content.

For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.

Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition.

Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

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Use + Share + Adapt

Make Your Own Assessment

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DNA Sequence Variation

David Ginsburg, MD

M1 Patients and Populations

Fall 2012

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Relationships with IndustryUMMS faculty often interact with pharmaceutical, device, and biotechnology companies to improve patient care, and develop new therapies. UMMS faculty disclose these relationships in order to promote an ethical & transparent culture in research, clinical care, and teaching.•I am a member of the Board of Directors for Shire plc.•I am a member of the Scientific Advisory Boards for Portola Pharmaceuticals and Catalyst Biosciences.•I benefit from license/patent royalty payments to Boston Children’s Hospital (VWF) and the University of Michigan (ADAMTS13).

Disclosure required by the UMMS Policy on Faculty Disclosure of Industry Relationships to Students and Trainees .

Page 5: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 6: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Chromosomes, DNA, and Genes

CellCellNucleusNucleus

ChromosomesChromosomes

Gene

ProteinProtein

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Page 7: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

TRANSCRIPTION

Other specificpromoter elements

e.g. CACCC in -globin“CAP SITE”

Transcriptionstart site

“CCAAT” Box

“TATA” Box

ATGInitiation Codon

GT GTAG AG

GU GUAG AG

TissueSpecificelementsEnhancer

GENE

TAA, TGA, or TAGstop codon

AATAAAPolyadenylationsignalSite for addition of (A)n

mRNA PECURSOR

MATURE mRNA

5’ untranslated

region

3’ untranslated

region

INTRON 1 INTRON 2

3’AAAAACAP

5’

AAAAACAP

Gelehrter, Collins and Ginsburg: Principles of Medical Genetics 2E; Figure 5.1

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1944DNA is the

genetic material

1949Abnl Hemoglobin

in sickle cell anemia

1953Double helix

1956Glu 6 Val in sickle hemoglobin

1966Completion of the

genetic code

1970First restriction

enzyme

1972Recombinant

plasmids

1975Southern blotting

1981Transgenic mice

1983Huntington

Disease gene

mapped

1985PCR

1986Positional

cloning (CGD, muscular

dystrophy, retinoblastoma

1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000

1987Knockout

mice

1989Positional cloning without deletion (CF)

1990First NIH-approved gene therapy experiment

1996Complete yeast genome sequence

19951st complete bacterialgenome sequence

2001Draft human

genome sequence

Since 2001:Complete human genome (~100 individual genomes, 1000 genomes in progress) Growing index of human variation: human hapmap, dbSNP ; 1000 genomesComplete genomes of >6500 other species

Gelehrter, Collins and Ginsburg: Principles of Medical Genetics 2E; Figure 5.4

Page 9: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

DNA Samples and PCR

Blood sampleBlood sample

DNA for analysisDNA for analysischeek swabcheek swaburine sampleurine sampleForensic specimensForensic specimens

DNADNARepeat Repeat cyclescycles

Amplified Amplified productproduct

Target Target sequencesequence

primersprimers

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Hybridization array: gene chipHybridization array: gene chip

DNA chip v6.0:

~1 million SNPs

RNA expression:

All ~ 20,000 genes

CGH:

Survey whole genome for large deletions, insertions, rearrangements

Ricardipus (wikipedia)

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Image of DNA sequencing

process removed

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DNA Sequencing

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New Sequencing Technologies

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• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 15: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

DNA Sequence Variation

• DNA Sequence Variation:– Human to human: ~0.1% (1:1000 bp)

• Human genome = 3X109 bp X 0.1% =~3X106 DNA common variants

– Human to chimp: ~1-2%– More common in “junk” DNA: introns, intergenic regions

• poly·mor·phismPronunciation: "päl-i-'mor-"fiz-&mFunction: noun: the quality or state of existing in or assuming different forms: as a (1) : existence of a species in several forms independent of the variations of sex (2) : existence of a gene in several allelic forms (3) : existence of a molecule (as an enzyme) in several forms in a single species

Page 16: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

MutationsA mutation is a change in the “normal” base pair sequence

• Can be:– a single base pair substitution– a deletion or insertions of 1 or more base pairs (indel)– a larger deletion/insertion or rearrangement

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Page 17: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Polymorphisms and Mutations• Genetic polymorphism:

– Common variation in the population:• Phenotype (eye color, height, etc)• genotype (DNA sequence polymorphism)

– Frequency of minor allele(s) > 1%

• DNA (and amino acid) sequence variation:– Most common allele < 0.99 = polymorphism

(minor allele(s) > 1%)– Variant alleles < 0.01 = rare variant

• Mutation-- any change in DNA sequence– Silent vs. amino acid substitution vs. other– neutral vs. disease-causing– 1X10-8/bp/generation (~70 new mutations/individual)

• balanced polymorphism= disease + polymorphism

• Common but incorrect usage: – “mutation vs. polymorphism”

Page 18: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Common but incorrect usage:

“a disease-causing mutation” OR “a polymorphism”

All DNA sequence variation arises via mutation of an ancestral sequence

“Normal”

“Disease”

< 1% > 1%

Rare variant or “private”

polymorphismpolymorphism

Disease mutationExample: Factor V Leiden

(thrombosis) 5% allele frequency

Page 19: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 20: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Types of DNA Sequence Variation• RFLP: Restriction Fragment Length Polymorphism• VNTR: Variable Number of Tandem Repeats

– or minisatellite– ~10-100 bp core unit

• SSR : Simple Sequence Repeat – or STR (simple tandem repeat) – or microsatellite– ~1-5 bp core unit

• SNP: Single Nucleotide Polymorphism– Commonly used to also include rare variants (SNVs)

• Insertions or deletions– INDEL – small (few nucleotides) insertion or deletion

• Rearrangement (inversion, duplication, complex rearrangement)– CNV: Copy Number Variation

Page 21: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

STR

Gelehrter, Collins and Ginsburg: Principles of Medical Genetics 2E; Figure 5.22

Page 22: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

SNP

• Most are “silent”• Intragenic• Promoters and other regulatory sequences• Introns• Exons

– 5’ and 3’ untranslated regions– Coding sequence (~1-2% of genome)

Allele 1Allele 1 A U G A A G U U U G G C G C A U U G A AC

Allele 2Allele 2 A U G A A G U U U G G U G C A U U G A AC

Page 23: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Human Chromosome 4

2010

• 23,653,737 total human entries in dbSNP

http://www.ncbi.nlm.nih.gov/projects/SNP/

• Chromosome 4– 4,311,728 SNPs

• ~1M SNP chip commercially available

1981 1991 1994 1996

3 markers 53 markers 393 markers 791 markers

Gelehrter, Collins and Ginsburg: Principles of Medical Genetics 2E; Figure 10.3

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Copy Number Variation (CNV)• Kb to Mb in size (average ~250 Kb)• >>2000 known, affect ~12% of human genome• ? ~100 / person• ? Role in human disease/normal traits

Nature 444:444, Nov 2006.

Page 25: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 26: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Silent Sequence Change(Synonymous SNP)

NormalNormalmRNAmRNA

ProteinProtein

A U G

Met

A A G

Lys

U U U

Phe

G G C

Gly

G C A

Ala

U U G

Leu

A A

Gln

C

Sequence Sequence variantvariant

mRNAmRNA

ProteinProteinA U G

Met

A A G

Lys

U U U

Phe

G G U

Gly

G C A

Ala

U U G

Leu

A A

Gln

C

G

Changes that do not alter the encoded amino acidChanges that do not alter the encoded amino acid

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Page 27: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

MissenseMissense

Missense: changes to a codon for another amino acid Missense: changes to a codon for another amino acid

(can be harmful mutation or neutral variant(can be harmful mutation or neutral variant))

mRNAmRNA

ProteinProtein

NormalNormalmRNAmRNA

ProteinProtein

A U G

Met

A A G

Lys

U U U

Phe

G G C

Gly

G C A

Ala

U U G

Leu

A U G

Met

A A G

Lys

U U U

Phe

A G C

Ser

G C A

Ala

U U G

Leu

A A

Gln

C

A A

Gln

C

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Missense Mutation(Nonynonymous SNP)

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Nonsense: change from an amino acid codon to a Nonsense: change from an amino acid codon to a stop codon, producing a shortened proteinstop codon, producing a shortened protein

NonsenseNonsense

mRNAmRNA

ProteinProtein

NormalNormalmRNAmRNA

ProteinProtein

A U G

Met

A A G

Lys

U U U

Phe

G G C

Gly

G C A

Ala

U U G

Leu

A U G

Met

U A G U U U G G C G C A U U G

A A

Gln

C

A AC

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Nonsense Mutation(Nonynonymous SNP)

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FrameshiftFrameshift U G C A AA U G

Met

A A G

Lys

G C G

Ala

C A UU U

U

G

Leu

Frameshift: insertion or deletion of base pairs, producing Frameshift: insertion or deletion of base pairs, producing a stop codon downstream and (usually) shortened proteina stop codon downstream and (usually) shortened protein

mRNAmRNA

ProteinProtein

NormalNormalmRNAmRNA

ProteinProtein

A U G

Met

A A G

Lys

U U U

Phe

G G C

Gly

G C A

Ala

U U G

Leu

A A

Gln

C

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Frameshift Mutations

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Exon 1Exon 1 IntronIntron Exon 2Exon 2 IntronIntron Exon 3Exon 3

Exon 1Exon 1 Exon 3Exon 3Altered mRNAAltered mRNA

Splice-site mutation: a change that results in altered RNA sequenceSplice-site mutation: a change that results in altered RNA sequence

Exon 2Exon 2

Adapted from Adapted from ASCO teaching slidesASCO teaching slides

Splice-site Mutations

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Other Types of Mutations

• Mutations in regulatory regions of the geneMutations in regulatory regions of the gene

• Large deletions or insertionsLarge deletions or insertions

• Chromosomal translocations or inversionsChromosomal translocations or inversions

Page 32: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Potentially pathogenic CNV detected in ~10-20% of unexplained intellectual disability

J. Med. Genet. 2004, 41:241.

Page 33: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 34: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Tests to Detect Mutations

• Many methods/technologies

• Rapidly changing

• DNA sequencing– Most direct and informative– The gold standard– Targeted region (known mutation)– “Whole” gene (unknown mutation)– … Whole exome / whole genome

Page 35: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

How do we distinguish a disease causing mutation from a silent sequence variation?

• Obvious disruption of gene– large deletion or rearrangement– frameshift– nonsense mutation

• Functional analysis of gene product– expression of recombinant protein– transgenic mice

• New mutation by phenotype and genotype

• Computer predictions• Disease-specific mutation databases

– Same/similar mutation in other patients, not in controls

• Rare disease-causing mutation vs. private “polymorphism” (rare variant)

X

Page 36: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

• Understand the meaning of DNA sequence and amino acid polymorphisms.

• Recognize the different types of DNA sequence polymorphisms:– STR, SNP, CNV

• Know the different classes of  DNA mutation:– Point mutations (silent, missense, nonsense, frameshift,

splicing, regulatory) insertion/deletions, rearrangements

• Understand how to distinguish a disease-causing mutation from a neutral DNA sequence variation

Learning Objectives

Page 37: Author(s): David Ginsburg, M.D., 2012 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share

Slide 10: CC: BY-SA: Ricardipus (wikipedia) http://creativecommons.org/licenses/by-sa/2.0/deed.en

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