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6.6: Mutations

Feature: My Human Body Inherited mutations are thought to play a role in about 5 to 10 percent of all cancers. Specific mutations that cause many of the known hereditary cancers have been identified. Most of the mutations occur in genes that control the growth

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Feature: My Human Body

Inherited mutations are thought to play a role in about 5 to 10 percent of all cancers. Specific mutations that cause many of the known hereditary cancers have been identified. Most of the mutations occur in genes that control the growth of cells or the repair of damaged DNA. Genetic testing can be done to determine whether individuals have inherited specific cancer-causing mutations. Some of the most common inherited cancers for which genetic testing is available hereditary, breast, and ovarian cancer, caused by mutations in genes named BRCA1 and BRCA2. Besides breast and ovarian cancers, mutations in these genes may also cause pancreatic and prostate cancers. Genetic testing is generally done on a small sample of body fluid or tissue, such as blood, saliva, or skin cells. The sample is analyzed by a lab that specializes in genetic testing, and it usually takes at least a few weeks to get the test results. Should you get genetic testing to find out whether you have inherited a cancer-causing mutation? Such testing is not done routinely just to screen patients for risk of cancer. Instead, the tests are generally done only when the following three criteria are met:

  • The test can determine definitively whether a specific gene is mutation is present. This is the case with the BRCA1 and BRCA2 gene mutations, for example.
  • The test results would be useful to help guide future medical care. For example, if you found out you had a mutation in the BRCA1 or BRCA2 gene, you might get more frequent breast and ovarian cancer screenings than are generally recommended.
  • You have a personal or family history that suggests you are at risk of inherited cancer.

Criterion number 3 is based, in turn, on such factors as:

  • diagnosis of cancer at an unusually young age.
  • several different cancers occurring independently in the same individual.
  • several close genetic relatives having the same type of cancer (such as a maternal grandmother, mother, and sister all having breast cancer).
  • cancer occurring in both organs in a set of paired organs (such as both kidneys or both breasts).

If you meet the criteria for genetic testing and are advised to undergo it, genetic counseling is highly recommended. A genetic counselor can help you understand what the results mean and how to make use of them to reduce your risk of developing cancer. For example, a positive test result that shows the presence of a mutation may not necessarily mean that you will develop cancer. It may depend on whether the gene is located on an autosome or sex chromosome and whether the mutation is dominant or recessive. Lifestyle factors may also play a role in cancer risk even for hereditary cancers, and early detection can often be life-saving if cancer does develop. Genetic counseling can also help you assess the chances that any children you may have will inherit the mutation.

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Related questions

01What Is the Human Genome?

The human genome refers to all the DNA of the human species. Human DNA consists of 3.3 billion base pairs and is divided into more than 20,000 genes onto 23 pairs of chromosomes. The human genome also includes noncoding sequences (e.g. intergenic region) of DNA, as shown in Figure \(\PageIndex{2}\).

Source: bio.libretexts.org ↗
02What Is the Genetic Code?

The genetic code consists of the sequence of nitrogen bases in a polynucleotide chain of DNA or RNA. The bases are adenine (A), cytosine (C), guanine (G), and thymine (T) (or uracil, U, in RNA). The four bases make up the “letters” of the genetic code. The letters are combined in groups of three to form code “words,” called codons . Each codon stands for (encodes) one amino acid unless it codes for a start or stop signal. There are 20 common amino acids in proteins. With four bases forming three-base codons, there are 64 possible codons. 61 codons are more than enough to code for the 20 amino acids, thus more than one codon codes for a single amino acid. Please find genetic codes in Table \(\PageIndex{1}\) or in appendix 1 .

Source: bio.libretexts.org ↗
03What Makes You...You?

This person has naturally red hair. Why is this hair red instead of some other color? And, in general, what causes specific traits to occur? There is a molecule in human beings and most other living things that is largely responsible for their traits. The molecule is large and has a spiral structure in eukaryotes. What molecule is it? With these hints, you probably know that the molecule is DNA.

Source: bio.libretexts.org ↗
04So how is it possible to know which genetic variants cause disease and which are passengers?

The way scientists look at disease variants is to compare the genetic makeup of a large number of people who have a specific disease with those who do not. This allows scientists to look for genetic variants that are more common in people with a disease compared to people without the disease. For example, if a particular genetic variant is present in 80 percent of patients with the disease but only 20 percent of the healthy population it suggests that this variant is increasing the risk of that disease. However, looking for a disease that is caused by variants in a single gene is the simplest example. There are many complex diseases where variants in many different genes might be involved. As well as the transcriptional and translational regulation of some enzyme production may vary due to the genetic variation in the enhancer and repressors of a gene. So, for this type of comparison to be effective very large groups of people need to be studied, usually in the tens of thousands, to find the variants that have subtle effects on disease risk. Researchers also try to pick individuals with similar phenotypes, in both the diseased and healthy groups, so that the disease genes are easier to identify and study.

Source: bio.libretexts.org ↗
05What Is Gene Expression?

Using a gene to make a protein is called gene expression . It includes the synthesis of the protein by the processes of transcription of DNA and translation of mRNA. It may also include further processing of the protein after synthesis. Gene expression is regulated to ensure that the correct proteins are made when and where they are needed. Regulation may occur at any point in the expression of a gene, from the start of the transcription phase of protein synthesis to the processing of a protein after synthesis occurs. The regulation of transcription is one of the most complicated parts of gene regulation in eukaryotic cells and is the focus of this concept.

Source: bio.libretexts.org ↗
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Peptide Therapy Guide Editorial Team

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