--- Alberto Monteiro <[EMAIL PROTECTED]> wrote:
> Deborah Harrell wrote:
> >
> > A chromosomal mutation like Down's (trisomy 21),
> >
> It's not a mutation. Trisomy means that the 21
> chromosome
> gets a third _copy_. Mutation means that a gene is
> alterered.

<nitpick>
Well, mutation in biology means "heritable alteration
of the genes or chromosomes" (unless they've gone and
changed the definition since I last looked - which is
actually possible; names of bacteria certainly are
changed with distressing frequency!).  

And while about 94% of Down's Syndrome patients do
have 47 chromosomes (the third copy of #21), in some
the genetic material of chromosome 21 is
'translocated' (attached) to another chromosome, like
#14, so technically the affected person has the
correct complement of 46 - even though one of the 14s
will be much bigger than it's supposed to be.  Still
others are "mosaics," having partial trisomy - some
cells have 46, others 47 chromosomes; some mosaics
will have little outward sign of disease, having
average intelligence and height and nearly normal
facial features.
<nitpick>
 
> >on the other hand, doesn't appear amenable (to me)
> to gene therapy, 
> >
> Yes, it is very difficult to "neutralize" the ill
> effects of an
> extra chromosome in _all_ cells of the body.
> 
> > although it is discoverable if chorionic
> > villi sampling or amniocentesis are done; 
> >
> There are other, non-invasive, techniques of
> detection,
> like the triple test (that checks for three things
> in the mother's blood) and ultrasound studies

Yes, these non-invasive methods can diagnose fetal
Down's, but not until after the 15th week (depending
on the test, may be as late as the end of the 2nd
trimester).  CVS can be done as early as week 10;
amnio' is weeks 14-20.  (from this 2002 article, not
sure if you can access it if you're not registered:)
http://www.emedicine.com/oph/topic485.htm

Roughly 75% of all embryos/fetus' with full Down's
Syndrome spontaneously abort.

I have a friend who is a mosaic Turner's Syndrome, who
has completed post-doctoral work and is quite
successful (full Turner's patients have only 1 X
chromosome, with various physical and mental
deficits).

Debbi

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