1. Genetic Counselling L.O: to explain the role of a genetic counsellor Starter: What sources of information might a genetic counsellor use when examining if a baby has a genetic disease? (Think back to last lesson…)

2. Sources of information that a genetic counsellor would use when assessing a case

3. Chorionic Villi Sampling Amniocentesis

4. Sources of information that a genetic counsellor would use when assessing a case Chorionic Villi Sampling Amniocentesis Parental Blood Test Family History Observable characteristics Ultra sound

5. Genetic Counsellors Definition: provide information and support to families who have members with birth defects or genetic disorders and to families who may be at risk of a variety of inherited conditions.

6. Past Exam Questions

15. http://www.youtube.com/watch?v=0enUQ2 dxq9Q 5 mins onwardshttp://www.youtube.com/watch?v=0enUQ2 dxq9Q

16. Cystic Fibrosis 6. Genetic Screening 5. Gene Therapy 4. Treatments 2. Mutation 3. Mode of Inheritance 1. Affected Areas (Stick body pic here and fill in labels)

17. 2. Mutation A deletion on chromosome 7 causes a faulty protein (CFTR) to be made. The CFTR usually transports Cl- out of cells, lowering the water potential outside and so water will move outside of the cell by osmosis. The faulty protein does not allow Cl- to leave the cell, so water does not move outside the cell to dilute the mucus. Therefore, the mucus is thicker and this makes breathing difficult.

18. 3. Mode of Inheritance CF is caused by a r_________ allele, so you need _ copies to express it (h_________). 25% of the population are carriers (h________) therefore are unaffected and unaware they carry the CF allele. A punnet square / genetic cross to show two carrier parents: (use a ruler to draw a genetic cross here)

19. 4. Treatments (From Fridays video, you should be able to write a couple of full sentences (not bullet points!) on CF treatments / ways it is managed)

20. 5. Gene Therapy

21. 6. Genetic Screening

22. Huntington’s Disease – a neurological disorder of the central nervous system that causes progressive degeneration of brain cells 6. Genetic Screening 6. Gene Therapy 5. Treatments 3. Mutation 4. Mode of Inheritance 1. Affected Areas (Draw and label a picture of a neurone here) 2. Symptoms

23. http://www.youtube.com/watch?v=ht37KNc MAl4

24. 3. Mutation A mutation of the Huntingtin gene on chromosome 4 causes ‘CAG’ to be repeated, over the normal level of 35 times. This increases the size of the protein made, which is then cut into smaller, toxic fragments. These bind together and accumulate in neurones. However, the exact science of how this occurs is unknown.

25. 4. Mode of Inheritance HD is caused by a d_________ allele, so you need _ copy to express Huntingtons Disease. A punnet square / genetic cross to show an affected heterozygous parent, with a unaffected parent: (use a ruler to draw a genetic cross here)

26. 5. Treatments (From Fridays video, you should be able to write a couple of full sentences (not bullet points!) on CF treatments / ways it is managed)

27. 6. Gene Therapy

28. 7. Genetic Screening http://www.bbc.co.uk/news/10454649