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True Religion Genes. A Guide to Jewish Genetics Kaitlin Medland. Genetic Diseases in General. All Ethnic Groups: Cystic Fibrosis, Fabry Diease , Fragile X Syndrome, Prader-Willi Syndrome, Spinal Muscular Atrophy, WHIM Syndrome. African American: Beta-Thalassemia, Sickle Cell Anemia.
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True Religion Genes A Guide to Jewish Genetics Kaitlin Medland
Genetic Diseases in General All Ethnic Groups: Cystic Fibrosis, FabryDiease, Fragile X Syndrome, Prader-Willi Syndrome, Spinal Muscular Atrophy, WHIM Syndrome African American: Beta-Thalassemia, Sickle Cell Anemia Asian: Alpha-Thalassemia, Beta-Thalassemia, Kawasaki Disease
Ashkenazi or Sephardi Ashkenazi: Ancestors came from France, Germany, or Eastern Europe Sephardi: Ancestors came from Spain, Portugal, North Africa, and the Middle east
Genetic Disorders Seen in Sephardi Populations • Beta Thalassemia • Familial Mediterranean Fever • G6PD Deficiency • Glycogen Storage Disease, Type III • Wolman Disease
Genetic Disorders Seen in Ashkenazi Populations • Bloom’s Syndrome 1 in 110 • Canavan Disease 1 in 57 • Cystic Fibrosis 1 in 25 • Familial Dysautonomia 1 in 30 • Familial Hyperinsulinism 1 in 66 • Fanconi Anemia Group C 1 in 89 • Gaucher Disease, Type 1 1 in 12 • Glycogen Storage Disease, Type 1 1 in 72 • Joubert Syndrome 2 1 in 92 • Maple Syrup Urine Disease 1 in 81 • Mucolipidosis IV 1 in 100 • Nemaline Myopathy 1 in 108 • Niemann-Pick Disease, Type A 1 in 90 • Spinal Muscular Atrophy 1 in 41 • Tay-Sachs Disease 1 in 26 • Usher Syndrome 1F- 1 in 141 (Type 1F and Type III) Type III- 1 in 107 • Walker-Warburg Syndrome 1 in 149 • Dihydrolipoamide 1 in 96 Dehydrogenase Deficiency • Hereditary Cancers
Focus for Today • The four genetic disorders we will be focusing on today are: • Cystic Fibrosis • Familial Dysautonomia • Tay-Sachs Disease • Hereditary Cancer
Cystic Fibrosis • Stems from respiratory and GI tracts • Early development delays • Seizures • Treatment Options: • Pancreatic enzymes • Antibiotics • Airway Clearance • Lung Transplantation for some
Familial Dysautonomia • Inability to regulate sensory and autonomic nervous system • Cardiovascular, pulmonary, and GI problems • Treatment Options: • Management of symptoms • Supportive care
Tay-Sachs Disease • Rapid and progressive deterioration of the brain and nervous system • Treatment Options: • Supportive care • Management of symptoms
Types of Testing • Diagnostic Testing • Carrier Screening • Prenatal Testing • Predictive Testing • Pre-Implantation Genetic Diagnosis • Direct to consumer genetic testing
What Happens Next? Egg Donor Adoption Sperm Donor Carrier 25% Chance Pre-implantation genetic Diagnosis
Tay-Sachs in Other Populations • 1 in 50 Irish-Americans • 1 in 250 from the general public
Hereditary Cancer • Ashkenazi Jews are at a higher risk for types of breast, ovarian, and colon cancers • Predisposition genes • BRCA1 and BRCA2 gene mutations
Limit fat intake • Maintain a healthy body weight • Make exercise a part of daily life • Cut back on cocktails • Don’t smoke
Eating Right • Vitamin D • Vitamin A • Vitamin E • Fiber • Fruits and Vegetables