Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  two hit hypothesis 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

can some one explain this plz?shaking head

___________________
I CAN DO IT.

  #2

its seen in p 53 or any tumuor suppressor gene inheritance.

it shu get damages in both homologous chromosomes. so in p53 mutation. the chlid inherits a mutation in one chromosome and he gets mutated p53 in second homologous chr and gets cancer.

so he is hit twice before he gets the actual disese. so people with one damaged p53 will have a very high likly hood of lifraumani or any other cancer disorder

___________________
If you think you can You can! If you think you cant you are right again!!

  #3

so if only one chromosome affected,there will be a risk but no disease?

___________________
I CAN DO IT.

  #4

yup you are right

___________________
If you think you can You can! If you think you cant you are right again!!

  #5

Think of RB1 mutation in chromosome 13.. The inheritance pattern is autosomal dominant with a 90% of penetrance..

In order to express or develope a neoplasm by inheriting a defect in a tumor suppressor gene (loss of function mutation), you have to aqcuire a second hit (secondary somatic mutation) through out your life.. Which in this particular case 90% if people who inherit this mutation will develope a second hit and subsequently neoplasia (retinoblastomas or osteosarcomas)...





___________________
original mazinger z







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.