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Ch. 15 - Gene Mutation, DNA Repair, and Transposition
Chapter 15, Problem 17

In 2013 the actress Angelina Jolie elected to have prophylactic double-mastectomy surgery to prevent breast cancer based on a positive test for mutation of the BRCA1 gene. What are some potential positive and negative consequences of this high-profile example of acting on the results of a genetic test?

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Understand the role of the BRCA1 gene: The BRCA1 gene is responsible for producing a protein that helps repair damaged DNA. Mutations in this gene can lead to an increased risk of breast and ovarian cancer.
Identify the potential positive consequences: Consider how Angelina Jolie's decision might raise awareness about genetic testing and encourage individuals to learn about their genetic risks, potentially leading to early detection and prevention strategies.
Consider the potential negative consequences: Reflect on how high-profile cases might lead to anxiety or unnecessary medical procedures for individuals who may not fully understand their genetic risk or who might not have the same level of access to healthcare resources.
Discuss the impact on public perception: Analyze how such a high-profile case might influence public perception of genetic testing, possibly leading to increased acceptance or, conversely, fear and misunderstanding of genetic information.
Evaluate the ethical considerations: Consider the ethical implications of genetic testing, such as privacy concerns, potential discrimination, and the psychological impact of knowing one's genetic risks.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

BRCA1 Gene and Its Role in Cancer

The BRCA1 gene is a crucial gene that produces a protein responsible for repairing damaged DNA. Mutations in this gene can significantly increase the risk of breast and ovarian cancers. Understanding the implications of BRCA1 mutations is essential for assessing cancer risk and making informed medical decisions, such as prophylactic surgeries.
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Prophylactic Surgery

Prophylactic surgery, such as a double mastectomy, is a preventive measure taken to reduce the risk of developing cancer in individuals with a high genetic predisposition. This surgical option can significantly lower the chances of cancer but also involves physical, emotional, and psychological consequences that must be carefully considered by patients.

Public Perception and Genetic Testing

High-profile cases like Angelina Jolie's can influence public perception of genetic testing and preventive measures. While they can raise awareness and encourage individuals to seek genetic testing, they may also lead to misconceptions about the risks and benefits, potentially resulting in pressure to undergo similar procedures without fully understanding the implications.
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Related Practice
Textbook Question

A significant number of mutations in the HBB gene that cause human β-thalassemia occur within introns or in upstream noncoding sequences. Explain why mutations in these regions often lead to severe disease, although they may not directly alter the coding regions of the gene.

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Textbook Question

Dominant mutations can be categorized according to whether they increase or decrease the overall activity of a gene or gene product. Although a loss-of-function mutation (a mutation that inactivates the gene product) is usually recessive, for some genes, one dose of the normal gene product, encoded by the normal allele, is not sufficient to produce a normal phenotype. In this case, a loss-of-function mutation in the gene will be dominant, and the gene is said to be haploinsufficient. A second category of dominant mutation is the gain-of-function mutation, which results in a new activity or increased activity or expression of a gene or gene product. The gene therapy technique currently being used in clinical trials involves the 'addition' to somatic cells of a normal copy of a gene. In other words, a normal copy of the gene is inserted into the genome of the mutant somatic cell, but the mutated copy of the gene is not removed or replaced. Will this strategy work for either of the two aforementioned types of dominant mutations?

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Textbook Question
Contrast the structure of SINE and LINE DNA sequences. Why are LINEs referred to as retrotransposons?
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Textbook Question
Describe how the Ames test screens for potential environmental mutagens. Why is it thought that a compound that tests positively in the Ames test may also be carcinogenic?
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Textbook Question
It has been shown that infectious agents such as viruses often exert a dramatic effect on their host cell's genome architecture. In many cases, viruses induce methylation of host DNA sequences in order to enhance their infectivity. What specific host gene functions would you consider as strong candidates for such methylation by infecting viruses?
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Textbook Question
What genetic defects result in the disorder xeroderma pigmentosum (XP) in humans? How do these defects create the phenotypes associated with the disorder?
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