Universitat Internacional de Catalunya

Clinical Genetics

Clinical Genetics
3
13495
3
First semester
OB
PHARMACOLOGY AND DIAGNOSIS
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


 

Questions will be resolved before or after class. To resolve non-contact questions, this will be done by videoconference

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.


In recent years, Genetics has been experiencing a genuine revolution, which has had a substantial impact on Medicine. Currently, Genetics is being applied at the diagnostic and prognostic level to a large number of diseases. New advances in this area and the precise diagnosis and characterization of many genetic diseases will lead to the development of new therapeutic strategies and strengthen the foundations of a Personalized Medicine. In Medicine, more and more, Genetics is not only a tool for the study of genetic diseases but is also an integral part of the study of disease, as a cause or as a factor. The knowledge of the pathophysiology of non-genetic diseases cannot be understood today without the contribution of Genetics. Many disciplines of medicine are enriched by advances in genetics such as pharmacology (pharmacogenomics). The increased precision and early diagnosis of genetically based diseases gives significant advantages from the point of view of prognosis, prevention, and even therapy for a growing number of pathologies. This contributes to a reduction in morbidity and mortality from this type of disease, an increase in the quality of life of this type of patient and a greater rationalization of diagnostic tests or of certain therapeutic measures. We must bear in mind that, at present, we know of more than 6,000 human diseases with a marked genetic component, of which a high percentage are hereditary. Almost all of these diseases are classified as rare due to their low frequency. However, if we take all of them together, their social impact is very large, affecting between 3-8% of the population. Rapid advances in research in this field result in a significant gap between scientific possibilities and their direct application in daily clinical practice. In addition, this research leads to new fields of application that require great specialization. In this context, it is necessary for Health professionals to have a basic knowledge of Genetics and especially Human Genetics, in order to understand the pathophysiological bases of a large number of genetic diseases, their characteristics and clinical, family and social implications; to learn to identify them and be up-to-date on the diagnostic, prognostic and therapeutic possibilities of a growing number of genetic diseases. To date, diagnostic efforts have focused on monogenic diseases and diagnostic protocols are available for nearly 2,000 diseases. Furthermore, as these are usually developments based on recent research, the scarcity and heterogeneity of the available sources of information create large gaps of diagnostic uncertainty. However, it should be noted that the group of the most frequent diseases, and those that have the greatest impact on the population, is specifically the multigenic and multifactorial diseases. Among these we find some as frequent as cardiovascular, neuromuscular, neurodegenerative diseases (Alzheimer's, Parkinson's, etc.), mental retardation, asthma or cancer. It is essential that there is easy communication between the laboratory that studies diseases, variants, etc. and the clinical medicine that studies particular cases. In this subject we will try to facilitate this approach so that patients benefit from translational medicine.

Pre-course requirements

To have passed the subject of Genetics or have the knowledge in order to understand the bases of the application of Genetics to clinical practice.

 

Objectives

To acquire sufficient knowledge of Genetics to be able to understand its current clinical applications, the limitations of the new available technologies and the most promising lines of applied research. To reduce the significant gap between scientific advances in the field of Genetics and their applications to routine clinical practice as well as to enrich the study of genetic bases with their present or future clinical application. To provide the necessary capabilities and skills to be able to identify patients with hereditary diseases and properly channel their clinical management and understand or give guidance when genetics can help to resolve a clinical case. The acquisition of basic knowledge in: • Human Genetics: how genetic information is organized, how genes are expressed and how they are inherited. • Applications of Genetics to Medicine: Identification, clinical diagnosis and clinical management of genetic diseases. • To know the hereditary nature of genetic diseases and their transmission mechanisms. • Prevalence, epidemiology and etiology of genetic diseases. • Genetic counselling, creation of a genealogical tree, inheritance patterns, estimation of genetic risks, communication of information to the patient, etc. • Genetic diagnostic techniques: Cytogenetics, molecular genetics and genomics. • Interpretation of results. • Genetic and genomic research. • Ethical and legislative principles related to genetic studies. Specialized knowledge of clinical applications such as; mental retardation, neuromuscular diseases, neurosensory diseases, cardiological and cardiovascular diseases, prenatal diagnosis, pre-implantation diagnosis, reproductive genetics, cancer, leukaemias. To understand personalized medicine and pharmacogenetics and treatments for genetic diseases.

Competences/Learning outcomes of the degree programme

Recognize the aspects that govern the pathological state and its implications at a clinical and diagnostic level. Recognize the impact of genetics and the diagnostic tools used in each of the Health areas. Identify the frequency and distribution of diseases, their causes and determinants, as well as the necessary interventions to maintain or restore health. Recognize basic concepts from different fields related to biomedical sciences. That students have the ability to gather and interpret relevant data (usually within their area of study) to make judgments that include reflection on relevant issues of a social, scientific or ethical nature. That students can transmit information, ideas, problems and solutions to both specialized and non-specialized audiences Develop the capacity for organization and planning appropriate to the moment. Develop the ability to solve problems. Develop the capacity for analysis and synthesis. Interpret experimental results and identify consistent and inconsistent elements. Use the internet as a means of communication and as a source of information. Know how to communicate, make presentations and write scientific papers. To be able to teamwork. Reasoning and evaluating situations and results from a critical and constructive point of view. Be able to carry out autonomous learning. Apply theoretical knowledge to practice. Apply the scientific method. Know the ethical and legal implications of genetics.

Learning outcomes of the subject

At the end of the course, the student will be able to: Identify the genetic bases of human pathology and variability, as well as the medical importance of genetic testing:   Know the applicability of genetics to Clinical Medicine: Learn about the main genetic diagnostic techniques used in current clinical medicine: Understand the current limitations of the results of genetic studies: Learn about the ethical and legal implications of genetic studies and biomedical research: Use published knowledge and research tools to solve clinical cases in which genetics is involved: Be is able to create and criticize hypotheses and, therefore, apply scientific method to solving cases in which genetics is involved: Be able to create a genealogical tree, a family study and interpret it: Be able to interpret a genetic study carried out: Identify clinical problems or future study needs to create scientific knowledge.

Syllabus

Lectures; 

1. Introduction to medical genetics. Genetic structure. Mechanisms of expression. Transmission patterns. Family tree. Type of inheritance. Epigenetic regulation. 

2. Bioinformatics and data analysis in genetics, the genetic report / Ethical, legal and juridical aspects of genetic diagnosis 

3. Research for treatments in rare diseases; R + D + i 

4. Prenatal diagnosis 

5. Pharmacogenetics

6. Genetics of heart disease 

7. Genetics of intellectual disability 

8. Genetics of neuromuscular diseases / Genetics of mitochondrial diseases 

9. Genetics and epigenetics of cancer. 

10. "Special" clinical cases. Carried out in 2 hour sessions.   


2. Genetics laboratory; Laboratory practice groups G1 with 4 subgroups A, B, C and D G1: 24 (Tuesday) and 27 (Friday) Nov 2020 from 10 a.m. to 1 p.m. G2 with 5 subgroups A, B, C, D and E 3 (or 2) people per subgroup G2: 18 (Wednesday) and 20 (Friday) Nov 2020 from 10 a.m. to 1 p.m. Changes: ONLY reciprocal changes are allowed (you find the person who wants to swap with you) after contacting the teacher on this issue: CHANGE PRACTICES GENETICA CLINICA 3º BIOMED To email msanchezfe@uic.es BEFORE September 30, 2020 After that no more changes will be accepted 3. Case methods; The students will solve the cases working in the same groups as in the laboratory. The teacher will participate, actively contributing new knowledge. 2 classes on 30 November and 14 December, with a competitive case method escape room.

Teaching and learning activities

In person



Lectures: a 50-minute presentation on a theoretical topic by the teacher. In the master classes, the theoretical contents of the subject will be presented and queries related to the course will be resolved. They will be given in blocks of two hours. Clinical cases or case methods (CM): Approach to a real or imaginary situation. Students work on the questions formulated in small groups or in interaction with the teacher and the answers are discussed. The teacher intervenes actively and, if necessary, contributes new knowledge. In this course we will try to introduce innovative teaching activities. Virtual education (VE): Online material that the student can consult from any computer, at any time, that will contribute to the self-learning of concepts related to the subject. In this course, blended learning will be provided since the contents of the subject will be delivered both in a face-to-face context and online, where the activities will be linked to the Lectures. Laboratory programme: experimental demonstration in the laboratory of the concepts covered in the theoretical classes. Familiarization with the most common experimental resources in a biomedical laboratory.

Evaluation systems and criteria

In person



1) Students in the first sitting: Participation in class and activities: 10% in the lectures or online, various activities that the student can undertake will be proposed; their maximum score will be 10% of the grade. Resolution of clinical cases 10%. The two methods of the case studies will score 10% of the final mark. Laboratory practice: 10% Final exam: 70% by multiple choice test in which a correct answer gives a point and an error subtracts -0.25. In the final exam, the content of the theoretical classes is not only evaluated, but the knowledge acquired in the subject is evaluated, whether in a master class, online, by case method, material provided for study or laboratory. Excellence (5%) those students who show a level of excellence in their academic activities may have their grade increased by 10% (over 100%) after a panel discussion 2) Students in second or subsequent sitting: the continuous assessment grade will be saved, although, whenever they wish, students may repeat the attendance at the different methodologies and obtain a new grade. General points to bear in mind about the evaluation system: 1) In order to be able to calculate the average, in the final exam you must obtain a minimum grade of 5. 2) Attendance at case methods is mandatory. 3) Class participation is understood to involve the contribution of interesting ideas or raising pertinent questions that help to improve the quality of the session, whether it is a lecture or case methods. 4) The exams will be multiple choice with 4 answer options, counting +1 for correct answers and -0.25 for errors. 5) Attendance at theoretical classes is not compulsory, but attendees will have to be governed by the rules indicated by the teachers. In the case of late arrival, enter silently without disturbing or interrupting the class.

Bibliography and resources

 

Farreras-Rozman. Medicina interna. Editorial Elsevier, Vol, 1 i 2, 2009

Donalson P, Daly A, Ermini L i Bevitt D. Genetic of complex disease. Editorial Garland Science, 2016

Firth H.V. i Hurst J.A. Oxford Desk Reference Clinical Genetics. Editorial Oxford University Press, 2005

Harper P. S. Practical genetic counselling, 7a ed. Editorial Hodder Arnold, 2010

Jorde L.B., Carey J.C. i Bamshad M.J. Genética Médica, 5a ed. Elsevier, 2016

Korf B.R. i Irons M.B. Human Genetics and Genomics, 4ª ed, Editorial Wiley-Blackwell, 2013

Nussbaum R. L., McInnes R.R. i Willard H.F. Thompson and Thompson Genética en Medicina, 8a ed. Editorial Elsevier, 2016

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:
  • E1 11/01/2021 I3 09:00h
  • E2 21/06/2021 09:00h