At the end of the course, students will have acquired advanced theoretical and conceptual knowledge of human and medical genetics, with a focus on diagnostic and clinical applications. In particular, they will learn: The structural and functional organization of the human genome and the molecular mechanisms underlying genetic diseases. How to classify and interpret genetic variants using ACMG criteria. Cytogenetic and molecular diagnostic methodologies (karyotyping, FISH, array-CGH, NGS, gene panels, WES, WGS). How to apply genomic approaches to real-world case studies by identifying the genetic alteration, the appropriate diagnostic technique, and the most suitable genomic strategy.
Prerequisiti
Core knowledge of General and Human Genetics.
Metodi didattici
The course is structured through frontal lectures.
Verifica Apprendimento
The examination will consist of a written/multiple-choice exam covering the topics addressed during the frontal lectures. Students will be evaluated on their critical understanding of how to choose the most appropriate genetic/genomic approach for the molecular diagnosis of a given disease or condition, as well as their knowledge of the core principles. The exam is composed of 32 multiple-choice questions. Each correct answer is worth 1 point (maximum score 32/32). No points are deducted for incorrect or unanswered questions. Duration: 60 minutes. The same exam will include both questions from this course module and the 509940 - RNA TECHNOLOGIES module (Prof. Felice Alessio Bava). The grade for this module has no expiration date.
Testi
Lecture PowerPoint presentations Textbooks: R.L. Nussbaum, R.R. McInnes, H.F. Willard. Thompson & Thompson Genetics in Medicine. Edises. T. Strachan, A. Read. Human Molecular Genetics. 5th Edition. Garland Science.
Contenuti
Module 1 - Fundamentals of Genetics and the Human Genome Organization of the human genome; chromosomes, karyotype, nuclear and mitochondrial DNA. Central Dogma (transcription, RNA maturation, translation); gene structure (exons, introns, promoters, enhancers, silencers); alternative splicing; coding and non-coding RNA. Alleles and genetic variability (common and rare variants); Mendel's laws (homozygosity, heterozygosity, hemizygosity) and exceptions (incomplete dominance, codominance, epistasis, pleiotropy); modes of inheritance (autosomal dominant/recessive, X-linked, Y-linked, mitochondrial). Module 2 - Genomic Variants and Interpretation with ACMG Criteria Classification of variants: chromosomal mutations (deletions, duplications, inversions, translocations, ring/isochromosomes, dicentric), genomic mutations (aneuploidies, polyploidies), SNPs, indels, CNVs, and structural variants. Single nucleotide/indel variants: missense, nonsense, frameshift, splice-site, promoter, enhancer. Pathogenetic mechanisms: loss-of-function, gain-of-function, dominant-negative, haploinsufficiency, toxic gain-of-function. ACMG variant classification: pathogenic, likely pathogenic, VUS, likely benign, benign. Module 3 - Cytogenetics and Genomics Karyotype preparation and chromosome banding. FISH; array-CGH; SNP-array. Module 4 - Genomics and Next-Generation Sequencing Sanger sequencing; NGS technologies; coverage, depth, alignment, and variant calling (concepts). Genomic approaches: gene panels, WES, WGS (advantages, limitations, and specific technologies). Module 5 - Case Studies Real-world examples focusing on the genetic alteration, diagnostic technique, and genomic approach.