What genetic defects result in the disorder xeroderma pigmento\(\operatorname{sum}(\mathrm{XP})\) in humans? How do these defects create the phenotypes associated with the disorder?

Short Answer

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Answer: The genetic defects in xeroderma pigmentosum (XP) are mutations in one of the following genes: XPA, ERCC3 (XPB), XPC, ERCC2 (XPD), DDB2 (XPE), ERCC4 (XPF), ERCC5 (XPG), and POLH (XPV). These genes are essential for the nucleotide excision repair (NER) pathway, responsible for repairing DNA damage caused by UV radiation. These mutations result in reduced or impaired NER pathway function, leading to an insufficient ability to repair DNA damage. Consequently, the accumulation of unrepaired DNA damage in skin cells increases the risk of skin cancer, skin abnormalities, and potentially neurological issues.

Step by step solution

01

Introduce Xeroderma Pigmentosum (XP)

Xeroderma pigmentosum (XP) is a rare inherited genetic disorder that affects the body's ability to repair DNA damage, particularly damage caused by ultraviolet (UV) radiation from the sun. This results in an increased susceptibility to skin cancer and other skin abnormalities, as well as possible neurological problems.
02

Explain the cause of XP

XP is caused by mutations in several genes that are essential for the nucleotide excision repair (NER) pathway. The NER pathway is responsible for repairing DNA damage, including damage caused by UV radiation. There are at least eight different complementation groups (XP-A to XP-G and XP-V) of XP, which correspond to mutations in different genes involved in the NER pathway or DNA polymerase.
03

Detail specific genetic defects

The genetic defects that lead to XP include mutations in one of the following genes: XPA, ERCC3 (XPB), XPC, ERCC2 (XPD), DDB2 (XPE), ERCC4 (XPF), ERCC5 (XPG), and POLH (XPV). These genes are involved in various aspects of the NER pathway, from recognizing DNA damage to repairing the damaged DNA. Mutations in these genes result in reduced or impaired NER pathway function, leading to an insufficient ability to repair DNA damage.
04

Describe how defects create the phenotypes associated with XP

When the NER pathway is not functioning efficiently due to mutations in one of the genes mentioned above, DNA damage from UV radiation accumulates in the skin cells without being repaired. This accumulation of DNA damage leads to an increased risk of skin cancer, as well as other skin abnormalities such as freckling, pigmentation changes, and premature aging. In some cases, the impaired DNA repair may also affect the nervous system, leading to neurological problems like progressive hearing loss, difficulty walking, and cognitive decline.
05

Summarize the findings

In conclusion, xeroderma pigmentosum (XP) is a rare genetic disorder caused by mutations in genes involved in the nucleotide excision repair (NER) pathway. These mutations result in an impaired ability to repair DNA damage, specifically damage caused by UV radiation, leading to an increased risk of skin cancer, skin abnormalities, and potentially neurological issues.

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