8.4.6

Medical Diagnosis

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DNA Probes

DNA probes are used to identify which alleles are present in a sample of DNA. This can be used in medical diagnosis by identifying if an individual has specific disease-causing alleles.

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Probes

  • A DNA probe is a section of single-stranded DNA.
  • The probe is complementary to the DNA of the target allele (e.g. the allele that causes cystic fibrosis).
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Hybridisation

  • The complementary base sequence in a probe means that if the target allele is present in the DNA that is being sampled, it will bind to the DNA probe.
  • When a base sequence binds to a complementary base sequence, this is called hybridisation.
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Diagnosis

  • DNA probes are labelled with a radioactive phosphate or fluorescent tag.
  • If the disease-causing allele hybridises with the probe, this label will be detected.
  • DNA probes are used in this way to diagnose diseases.

Diagnosis

Multiple labelled DNA probes can be used to diagnose the presence or absence of disease-causing alleles in a DNA sample. This can be done using two different techniques.

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Electrophoresis

  • Electrophoresis is a technique that separates fragments of DNA according to size. The sections of DNA are then transferred onto a nylon sheet.
  • DNA probes labelled with fluorescent tags are 'washed over' the DNA fragments.
  • The DNA probes hybridise with any fragments that are complementary to the probes.
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Microarrays

  • Microarrays use many DNA probes at once.
  • A microarray is a slide with many indents. Each indent contains the DNA probes for a specific gene.
  • The fluorescently labelled DNA sample is 'washed over' the microarray.
  • Any DNA fragments that are complementary to the probes will hybridise.
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Identifying DNA probes

  • DNA probes that have hybridised to the DNA sample in either electrophoresis or a microarray can be identified.
    • If the probes are labelled with fluorescent tags, they will be revealed by UV light.
    • If the probes are labelled with radioactive phosphate, they will be revealed by X-ray.
  • The DNA probes that are identified indicate which alleles are present in a sample of DNA.

Medical Screening

DNA probes in electrophoresis and microarrays can be used to screen an individual for a number of genetic diseases.

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Information

  • Genetic screening can be used to identify -
    • If an individual is a carrier of a genetic disease.
    • If an individual is at greater risk of developing a disease.
    • How likely an individual is to respond to a particular drug.
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Genetic counselling

  • The information gained from genetic screening can be used in genetic counselling.
  • Genetic counselling is used to advise patients about genetic screening.
  • The advice considers -
    • If screening is advisable.
    • What the results of screening mean.
    • How to prevent or treat a condition identified through screening.
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E.g. BRCA1

  • BRCA1 is a mutation that increases the likelihood of developing breast cancer.
  • The mutation is more likely to be present in a woman who has a family history of breast cancer.
  • Genetic counselling will help a woman decide whether to take a genetic screen. If the BRCA1 mutation is identified, genetic counselling can also help advise what she can do to prevent breast cancer.
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Personalised medicine

  • The information gained from genetic screening can also be used in personalised medicine.
  • The genes in an individual influence how likely an individual is to respond to a particular drug.
  • Genetic screening can help doctors prescribe the most effective drugs for their patient.

Jump to other topics

1Biological Molecules

2Cells

3Substance Exchange

4Genetic Information & Variation

5Energy Transfers (A2 only)

6Responding to Change (A2 only)

7Genetics & Ecosystems (A2 only)

8The Control of Gene Expression (A2 only)

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