Preliminary syllabus

 

ANG 6469 (9599)/ ANT 4531 (9602) MOLECULAR GENETICS OF DISEASE

 

Prof. Connie J. Mulligan

 

Class meets in 2336 Turlington

Class time: Monday 11:45-2:45, with a 15 min break

 

Contact information:

Prof. Mulligan

409 Genetics Institute

(352) 273-8092

mulligan@anthro.ufl.edu

Office hours: Monday, 9:30-11:30 in B119 Turlington, or by appointment in 409 Genetics Institute

 

Course summary: This course will examine the molecular genetics of disease in humans. The completion of the human genome sequence and the availability of a public database of genetic variants distributed throughout the human genome have greatly accelerated the discovery of genes involved in disease, leading to breakthroughs in diagnosis and treatment. We will discuss a range of genetic disorders from single-gene recessive defects (e.g. myotonic dystrophy and cystic fibrosis) to complex diseases (e.g. diabetes and alcoholism). Methods to isolate genes involved in disease (e.g. whole genome scans and linkage disequilibrium) and types of treatment (e.g. gene therapy) will also be discussed.

           

Course design: This course is intended for advanced undergraduate and graduate students who have an interest in the molecular genetics of disease. Most human genetics courses spend only 1-2 weeks/semester discussing the genetics of disease, whereas this course focuses on disease for the entire semester. We will discuss the basics of the human genome and the basis of simple and complex diseases, including cause, inheritance, diagnosis, and treatment. We will discuss a number of diseases in detail, with the specifics determined by the state of research for a particular disease, i.e. certain eye diseases are now being treated by gene therapy so we will focus on gene therapies for that day, but will focus on the use of microarrays to diagnose different brain tumors on another day. Throughout the semester, guest lecturers (mainly from the medical school) will speak about their research on the diseases that we discuss in detail in class.

      The course is intended for students from all colleges and departments – in the past, I have had students from anthropology, chemistry, English, molecular genetics and microbiology, pharmacology and zoology to name a few. A diverse audience makes for a more interesting class since everyone has different backgrounds, different perspectives and different interests to contribute to class discussions. Active participation is one of the strengths of the class in this regard. It also helps to have a class with undergraduate and graduate students together. Contrary to what one might think, the undergrads are typically as well prepared and as insightful as the graduate students. I keep separate sets of grades for the undergraduate and graduate classes so that each set of students is only compared to his/her cohort.

 

Course objectives and student goals: All students are expected to gain knowledge on the molecular genetic basis of simple and complex diseases in general and the specific genetic basis for a number of particular human diseases. The class is fairly intense and demanding because knowledge across a broad range of fields is fundamental to an exploration of the molecular genetics of human disease – in fact, this course may be one of the most challenging courses you have taken with respect to developing expertise and familiarity with a wide range of materials, techniques, publications, etc. All students are expected to do all of the required readings and to follow up with additional readings if you do not understand something. Additional readings are listed in the textbook and can be found in the references in the journal articles (a glossary of basic terms is also provided in the textbook). Furthermore, you should become familiar with searching PubMed for supplementary, follow-up, or original readings. Finally, there are suggested textbooks to provide additional and supplementary material. Although basic molecular biological concepts will be reviewed, knowledge of DNA structure, Mendelian genetics, and molecular biology is expected (such as Intro Bio, BCS 2011).

 

Reading materials: There are two required reading sources, a textbook and a coursepack, both of which are available at Orange and Blue Textbooks (309 NW 13th St, 375-2707). The main reference for the course is Human Molecular Genetics, 2nd edition by Peter Sudbery. Related journal articles and news-and-views articles will also be discussed and are available in a course packet. Supplemental texts (for additional background on molecular genetics and more information on genetic diseases, specifically cancer) include How the Human Genome Works by Edwin H. McConkey, Medical Genetics by Lynn Jorde et al. and Medical Genetics at a Glance (very brief and short-hand-written) by Pritchard and Korf. All textbooks are also available through online sources such as amazon.com and half.com. In general, at least one journal article will be discussed for each disease that we discuss in detail. If students know of additional articles or diseases that they would like to discuss, please contact me.

 

Course format: The course meets once a week for three hours and the course format is lecture plus discussion with substantial class participation. Evaluation of student performance is based on class participation, oral and written assignments, and exams.

 

Grading: Final grades will be determined by the following categories, each of which contributes 100 points to the final grade (exams count for 100 pts each): participation (100 pts), 10 sets of summary/questions/comments (10pts each), 2-4 homework exercises (100 pts total), 1-2 exams (100 pts for each exam). Grades will be based on the following point percentages: 90-100%=A, 87-89%=B+, 80-86%=B, 77-79%=C+, 70-76%=C, 67-69%=D+, 60-66%=D, < 59%=E.

-          Participation is required of all students and will be based on each student’s contribution of original comments, questions, etc. to the class. Simply showing up for class does not constitute participation. Remaining silent in class means that the highest grade a student can receive is a B.

-          At the beginning of each class, a 1-2 paragraph summary and 2-3 questions or comments for each peer-reviewed journal article assigned for that day’s class will be turned in. The summary/questions/comments are required only for the peer-reviewed journal articles, not for the news-and-views type articles that are included in the course pack to provide background or summary information. The summary/questions/comments are intended to ensure that each student is prepared to actively participate in class discussions.

-          There will be approximately 2-4 homework exercises involving the analysis of hypothetical or real molecular data. The exercises are intended to give students an opportunity to perform analyses similar to those conducted in the discussion papers and will be graded on effort and accuracy. Exercises must be turned in two weeks after they are assigned. Students who miss a class in which an exercise is assigned are expected to make up any missed material and to turn in exercises on time, i.e. two weeks after the missed class.

-          There will be one to two exams that will consist of essay and short answer questions and exercises (similar to the homework exercises). Questions must be answered during the exam period without reference to books or notes of any kind. Calculators may be used, but no personal communication devices will be allowed. Make-up exams will be scheduled only in extenuating circumstances and will require a doctor’s note, police report, or similar supporting documentation.

 

Useful websites:

Additional information is provided by several websites:

http://www.clas.ufl.edu/users/mulligan/Webpage/MGD.2008/MGD.home.html – website for class (lectures, problem sets, etc)

http://www.booksites.net/sudbery/molecular/ - website companion to the textbook

http://www.uflib.ufl.edu/ej/ - UF database of available electronic journals (may only be available from a campus computer)

http://www.ncbi.nlm.nih.gov/sites/entrez - National Library of Medicine database of over 11 million journal articles dating back to the 1960s

http://www.genome.gov/glossary.cfm – NIH-maintained glossary of genetic terms

http://medical.webends.com - Online medical dictionary

http://www.genomesonline.org/ - status of genome sequencing projects

http://www.stanford.edu/group/morrinst/hgdp.html – Human Genome Diversity Project (dated, good for historical perspective)

http://geneticassociationdb.nih.gov - NIH database of gene, variants, etc involved in diseases

www.hgmd.org – Human Gene Mutation Database, database of genetic variants that cause disease, maintained by Cardiff University, UK

http://cgap.nci.nih.gov/Chromosomes/Mitelman - Database of chromosome abberations in cancer

http://gmed.bu.edu – genetic associations in Framingham Heart study

http://www.sciencemag.org/feature/plus/sfg/ - breaking news in functional genomics

http://www.genome.gov/LegislativeDatabase - Database of federal and state laws focused on genetic issues, such as genetic testing and counseling, insurance and employee discrimination, etc.

 

Class attendance policy: Because the class meets only one time per week and because the class format is mainly discussion, it is very difficult to make up missed classes by borrowing notes, etc. Therefore, students are strongly encouraged to attend all classes.  Computers are allowed in class for taking notes, but are not allowed during exams. Class discussions/lectures cannot be recorded in any manner without special permission.

 

Copyright information: Lectures may not be tape-recorded without the prior express written permission of Dr. Connie Mulligan.  The contents of the syllabus, lectures, lecture outlines, and handouts for this course are copyrighted and intended for the private use of students registered in ANG 6461/ANT 4530.  They therefore cannot legally be reproduced, in part or in whole, by any commercial enterprise or for any commercial purposes.

 

Accommodations for students with disabilities: If you require accommodation due to a disability, please make an appointment or visit during my office hours so that we may discuss your needs.  Students requesting classroom accommodation must first register with the Dean of Students Office.  The Dean of Students Office will provide documentation to the student who must then provide this documentation to the Instructor when requesting accommodation.

 

Academic honesty: As a result of completing the registration form at the University of Florida, every student has signed the following statement: “I understand that the University of Florida expects its students to be honest in all their academic work. I agree to adhere to this commitment to academic honesty and understand that my failure to comply with this commitment may result in disciplinary action up to and including expulsion from the University.” An excellent website that explains plagiarism (provides a definition and many useful examples) is http://www.csubak.edu/ssric/Modules/Other/plagiarism.htm. All students should read this material at least once.

 

Strategies for success:

-          It is important to complete all the readings on time and it is best to read the readings throughout the week. In this way, you have time to think about and process the information during the week and in between different readings. Ideally, you would read some every night of the week. The amount of reading material is very modest, particularly for an anthropology course. This is because it is expected that you will re-read (gasp!) anything you do not understand the first time.  I often re-read journal articles and find myself discovering things that I completely missed on the first read. Or new items will come to light after having read a different, but related article. This is the intent of the readings – that they relate to each other and increase your knowledge and expertise in an exponential way. During your reading, you should take copious notes and these notes will form the basis of the summary + questions you must turn in for every article.

-          You have two weeks to work on the exercises. The intent is that you will use the first week to start on the exercise and come to class the next week (i.e. the week before the exercise is due) with any questions you have about the exercise. Do not wait until the second week to start the exercise. Also, I am always available by email to ask questions about the exercises.

-          Finally, you should review material throughout the course rather than trying to cram everything in the night before the exam. Ask for help in taking notes, comprehending the material, or preparing any of the written or oral assignments – I am available during office hours, you can schedule an appointment outside of office hours, and I am always available by email.

 

UF Counseling Services: On-campus services are available for students having personal problems or lacking clear career and academic goals.  They include:

  1. University Counseling Center, 301 Peabody Hall, 392-1575, personal and career counseling
  2. Student Mental Health, Student Health Care Center, 392-1171, personal counseling
  3. Sexual Assault Recovery Services (SARS), Student Health Care Center, 392-1161, sexual assault counseling
  4. Career Resource Center, Reitz Union, 392-1601, career development assistance and counseling

 

 

Course schedule:

 

January 7 –    First day of classes!!!

                     Introduction

                     Video – Breaking the Code: Applying Genetic Techniques to Human Disease

 

 

January 14 – The structure of the human genome

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpt 2

-          Coursepack

§          “Dissecting Human Disease in the Postgenomic Era”, Science, 2001

§         Challenges in human genetic diversity: Demographic history and adaptation, Balaresque et al., Hum Mol Genet, 2007, 16:R134-R139

§         “In genetic control of disease, does ‘race matter?”, Nature Genetics, 2004

§         Paternal age at birth is an important determinant of offspring telomere length, De Meyer et al., Hum Mol Genet, 2007, 16:3097-3102

§         Evolution and Genetic History, Genetics and the Search for Modern Human Origins, Chpt 2

 

         Lecture

-          Background material

-          How to read a scientific article

-          PubMed search

 

 

January 21 -   No classes – Martin Luther King Jr. Day

 

 

January 28 – Mapping the human genome /The sequence of the human genome

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpts 3, 4.1-4.8.4 (pp 52-116)

-          Coursepack

§         “The Human Genome”, Science, 2001

§         “Was the human genome project worth the effort?”, Science, 2005

§         “Venter’s genome sheds new light on human variation”, Science, Sept 7, 2007

§         “The race for the $1000 genome”, Science, 2006

§         Defining genes in the genomics era, Snyder and Gerstein, Science, 2003, 300:258-260

 

         Guest lecturer – Joe Wilson, Dept of Anthropology – fibroblast growth factor receptors and skeletal dysplasia

 

         Exercise 1 assigned

 

 

February 4 -   Analysis of the human genome

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpt 4.8.5-4.10 (pp 116-139)

-          Coursepack

§         Proteomic approaches in brain research and neuropharmacology, Vercauteren et al., Eur J Pharmacol, 2004, 500:385-398

§         “Going from genome to pill”, Science, 2005

§         “Personal dose: In milestone, FDA pushes genetic tests tied to drug; agency seeks to tame risks of blood thinner; some doctors protest”, The Wall Street Journal, August, 2007

§         “Cancer sharpshooters rely on DNA tests for a better aim”, Science, 2004

§         A bill on genetic testing introduced into the US Senate in August, 2006

§         Pharmacogenomics: Challenges and opportunities, Roden et al., Ann Int Med, 2006, 145:749-757

 

Guest speaker – Prof. Julie Johnson, Professor, Dept of Pharmaceutical Sciences and Director, UF Center for Pharmacogenomics – Pharmacogenomics - Confirmed

 

 

February 11 - Human genetic disease

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpt 1

-          Coursepack

§         “The land between Mendelian and multifactorial inheritance, Burghes et al., Science, 2001, 293:2213-2214

§         Do mitochondrial DNA mutations have a role in neurodegenerative disease?, Krishnan et a., Biochem Soc Trans, 2007, 35:1232-1235

§         Alpha one antitrypsin deficiency: From gene to treatment, Wood and Stockley, Respiration, 2007, 74:481-492

 

                     Guest lecturer, 10:30-11:30 - Prof. Mark Brantly, Professor, Dept of Medicine and Molecular Genetics and Microbiology – alpha 1-antitrypsin deficiency - Confirmed

 

                     Exercise 1 due

 

 

February 18 – Single gene disorders

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpt 5.1-5.6 (pp 140-164)

-          Coursepack

§         Cystic fibrosis gene variability in two southern Brazilian Amerindian populations: Analysis of the delta-F508 mutation and the KM19 and XV2C haplotypes, Raskin et al., Hum Biol, 2007, 79:79-91

§         A regulatory SNP causes a human genetic disease by creating a new transcriptional promoter, De Gobbi et al. Science, 2006, 312:1215-1217

§         Myotonic dystrophy: Emerging mechanisms for DM1 and DM2, Cho and Tapscott, Biochiim Biophys Acta, 2007, 1772:195-204

 

Guest speaker – Jason R O'Rourke , Dept of Molecular Genetics and Microbiology – myotonic dystrophy -Confirmed

 

 

February 25 – Inherited cancers

                     Reading assignment

-          Human Molecular Genetics (HMG), Chpt 5.7-5.8 (pp 164-179)

-          Coursepack

§         “Disease backs cancer origin theory”, Science, 2004

§         The gene topography of cancer, Trent and Touchman, Science, 2007, 318:1079-1080

§         Genetic variation in the DNA repair genes is predictive of outcome in lung cancer, Matakidou et al., Hum Mol Genet, 2007, 16:2333-2340

§         Role of telomeres and telomerase in genomic instability, senescence and cancer, Deng and Chang, Lab Invest, 2007, 87:1071-1076

 

                     Guest speaker in cancer ???

                    

 

March 3 -      The genetic components of complex disease

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 6.1-6.4.4.3 (pp 180-210)

-          Coursepack

§         The structure of common genetic variation in United States populations, Guthrey et al., Am J Hum Genet, 2007, 81:1221-1231

§         The changing phenotype of the human species (affluent variety), Gale, Diabetologia, 2004, 47:1339-1342\

§         Allelic variation at alcohol metabolism genes (ADH1B, ADH1C, ALDH2) and alcohol dependence in an American Indian population, Mulligan et al., Hum Genet, 2003, 113:325-336

 

                     Guest speaker - Thomas Yang, Professor, Dept of Biochemistry and Molecular Biology, Director, Center for Mammalian Genetics – epigenetics????

 

 

March 10 -     Spring break        

 

 

March 17 -     The genetic components of complex disease/Alzheimer’s

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 6.4.4.4-6.5 (pp 210-224)

-          Coursepack

§         A second generation human haplotype map of over 3.1 million SNPs, International HapMap Consortium, Nature, 2007, 449:851-862

§         The double puzzle of diabetes, Diamond, Nature, 2003, 423:599-602

§         A review of current approaches to identifying human genes involved in myopia, Tang et al., Clin Exp Optometry, 2008, 91:4-22

§         Towards compendia of negative genetic association studies: An example for Alzheimer disease, Blomgvist et al., Hum Genet, 2006, 119:29-37

 

                     Guest speaker – Dr. Jeffrey Hughes, Dept of Pharmaceutics – Alzheimer’s disease - Confirmed

                             

 

 

March 24 -     Human population genetics and evolution

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 9

-          Coursepack

§         Use of Y chromosome and mitochondrial DNA population structure in tracing human migrations, Underhill and Kivisild, Annu Rev Genet, 2007, 41:539-564

§         Modern humans did not admix with Neanderthals during their range expansion into Europe, Currat and Excoffier, PloS Biology, 2004, 2:2264-2274

 

                     Exercise 2 assigned

 

                    

March 31 -    Genetic testing

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 8

-          Coursepack

§         “A risky business: Assessing breast cancer risk”, Science, 2003

§         “Genetic screen misses mutations in women at high risk of breast cancer”, Science, 2006

§         “Genetic testing oversight”, Science 2006

§         “Fast technology drives new world of newborn screening”, Science Magazine, 2001

§         UK embryos may be screened for cancer risk”, Science, 2006

§         France debates right not to be born”, Christian Science Monitor, 2001

§          

                             

                     Guest speaker – Henry Baker, Professor, Dept of Molecular Genetics and Microbiology – Use of microarray data to diagnose brain tumors - Confirmed

 

 

April 7 -         Gene therapy

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 7

-          Coursepack

§         “Gene therapy death prompts review of adenovirus vector”, Science, 1999

§         “Blood test flags agent in death of Penn subject”, Science, 2002

§         “A tragic setback”, Nature, 2002

§         “As Gelsinger case ends, gene therapy suffers another blow”, Science, 2005

§         Efficient expression of CFTR function with adeno-associated virus vectors that carry shortened CFTR genes, Zhang et al., Proc Natl Acad Sci, 1998, 95:10158-10163

§         AAV vectors for retinal gene therapy, Min et al. (Hauswirth’s group), Parvoviruses (Linden, R.M. and Parrish, C., Eds.) Arnold Publishers, New York, NY, 2005

 

                     Guest speaker – Prof. William Hauswirth, Professor, Dept of Ophthalmology and Molecular Genetics – Gene therapy and eye disease - Confirmed

 

                     Exercise 2 due    

 

 

April 14 -       Human genetics and society

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 11

-          Coursepack

§         “Taking the least of you”, The New York Times, April, 2006

§         Genome research and human subject privacy, Lin et al., Science, 2004, 305:183

§         “Long-awaited genetic nondiscrimination bill headed for easy passage”, Science, 2007

§         “DNA gatherers hit snag: Tribes don’t trust them”, The New York Times, December, 2006

§         Human genetic research: Emerging trends in ethics, Knoppers and Chadwick, Nature Reviews Genetics, 2005, 6:75-79

§         Ethical, legal, and social issues in pharmacogenomics, Allen, Pharmacogenomics: Applications to patient care, 2004, American College of Clinical Pharmacy, Kansas City Mo

                                                                                                    

                     Guest speaker – Bill Allen, Director, Program in Bioethics, Law and Medical Professionalism – Ethical, legal and social issues

 

                     Review for exam

 

 

April 21         DNA fingerprinting

                     Reading assignment

-          Human Molecular Genetic (HMG), Chpt 10

-          Coursepack

§         “Gene hunt”, Science, 2006

§         Molecular evidence of HIV-1 transmission in a criminal case, Metzker et al., PNAS, 2002, 99:14292-14297

 

                     Gene Hunters video

 

                     Exam

 

 

FINAL EXAM, Wednesday, April 30, 5:30-7:30