Rough draft.This research track is under review with Dr. Atit's lab. Content and sequence may still change.
The Baby Mateo Case
Genetics domainMedical Interventions (MI), with PBS overlapLesson 9 of 20Your seat: Variant analyst

The Hidden Regulatory Variant

Discovery question

Where is the common, hidden variant?

💡 The same gene can cause disease two ways: rare coding changes break the and cause syndromes, while a common regulatory change lowers how much protein is made and nudges up -lip risk.

The plan

Prerequisite check

Before this page, you should know
  • IRF6 has a (residues 7 to 115) and a ; changes are enriched in the DNA-binding domain but not the protein-binding domain.
  • Truncating typos (/) spread across the gene cause through (half-dose).
Today's new idea is only
The same gene can cause disease two ways: rare coding changes break the and cause syndromes, while a common regulatory change lowers how much protein is made and nudges up -lip risk.
Learn first

What you will learn

Goal: Students will distinguish coding from regulatory variants and explain how the common -lip risk variant rs642961 raises risk by disrupting an AP-2alpha instead of changing the .

Know by the end
  • A changes the sequence; a changes a control region and alters how much protein is made, without changing the sequence.
  • IRF6 has an called MCS-9.7 about 10 kb where the AP-2alpha (TFAP2A) normally docks to switch IRF6 on.
  • The common variant rs642961 (G to A) sits inside MCS-9.7; the A does not change the IRF6 but blocks AP-2alpha binding, dialing IRF6 down in lip-forming .
  • rs642961 is specific to lip, has a modest around 2, and accounts for about 18% of -lip risk in the studied populations.
Learn first

Model: A gene has a switch, and the rs642961 result

A gene is more than its recipe. Nearby DNA contains enhancers, switch regions where helper proteins called factors dock to turn the gene up or down. IRF6 has an called MCS-9.7 about 10,000 bases (10 kb) of the gene. A named AP-2alpha (gene TFAP2A) normally docks onto MCS-9.7 and helps switch IRF6 on at the right place and time in the developing face.

Rahimov and colleagues (2008) searched conserved non-coding pieces near IRF6 in cases and controls. One common single-letter change, rs642961 (a G changed to an A), stood out. It sits INSIDE the MCS-9.7 , not in the code, so the protein sequence does NOT change. The risk version is the A , overtransmitted to affected children across many populations. A gel-shift binding showed the G version binds AP-2alpha strongly, but the A version did NOT bind AP-2alpha at all. The effect was specific to lip ( about 1.99) with no association to cleft only, and the A allele accounts for about 18% of -lip risk in the studied populations. So the A allele breaks the docking site, AP-2alpha cannot land, and IRF6 is presumably dialed down in lip-forming , even though the protein itself is perfectly normal.

Read this in pieces, one chunk at a time
Do the work

Explore (work the model before reading on)

  1. Where does the MCS-9.7 sit relative to the IRF6 coding region?
  2. Does the rs642961 A change the IRF6 sequence?
  3. What happened in the binding test when AP-2alpha met the G version versus the A version?
  4. The A does not change a single amino acid, yet it raises risk. How can a change that leaves the untouched still cause a problem? Use the /switch idea.
  5. The syndromic variants from Lesson 8 were rare and severe; rs642961 is common and raises risk only modestly. Why might a regulatory dial-it-down change be milder and more common than a coding break-the- change?
  6. rs642961 affects lip but not cleft only. What does that tell you about WHEN and WHERE the MCS-9.7 normally switches IRF6 on?
  7. In one sentence, how can a change OUTSIDE the code still raise disease risk?
The plan

Guided notes

1

Two locations for a variant

Model start: A changes the sequence; a changes a control region and alters how much protein is made.
  • A changes the ____ itself (the and typos from earlier lessons).
  • A changes a control region, like an ____, and alters HOW MUCH is made, without changing the sequence.
2

The rs642961 switch

  • rs642961 lies in the IRF6 MCS-9.7 about 10 kb ; the (A) disrupts a docking site for the AP-2____.
  • So the factor cannot bind and IRF6 is turned down in lip-forming , without changing the IRF6 .
3

Why this links back to Mateo

  • Rare coding changes ____ the and cause syndromes; a common regulatory change lowers the protein ____ and nudges up risk of ordinary lip.
  • Mateo's is isolated and multifactorial, so a common small-effect regulatory like rs642961 fits his picture, not a rare syndrome .
Explore

Reading the Research

Why this source matters
This is the published evidence behind today's idea: The same gene can cause disease two ways: rare coding changes break the and cause syndromes, while a common regulatory change lowers how much protein is made and nudges up -lip risk.
Reading moves
  1. Skim the title and abstract first to get the gist.
  2. Circle the one sentence that states the main claim.
  3. Box the evidence the authors give for that claim.
  4. Mark one sentence that confuses you, and move on.
Stop point
You do not need the methods or statistics yet. If a sentence is about lab technique or math you have not learned, mark it and skip it.
Your output
Write one claim-evidence sentence: what this source claims, and the one piece of evidence that backs it up.
Where this fits
Tested on (Ohio WebXam)
Genetics of Disease · 072130
PLTW lesson
MI · Genetics domain · Unit 2 How to Screen Your Genes, 2.2 Our Genetic Future
WebXam domain
Bio-Molecular Technology
Evidence to produce
In the genetic counselor's note, write two sentences for the family: one explaining that rs642961 does NOT change the IRF6 protein but turns it down by breaking a switch, and one stating why it is a risk factor, not a guaranteed cause.
Lab / skill
Medical Interventions (MI) · Principles of Biomedical Science (PBS)
Words

Vocabulary (the same words your classes use)

The plan

Track your progress today

Check these off as you work through the lesson, then submit. This tells Mr. Mendoza how you're doing so he can help the class. It does not replace turning in your producible.

Use the code Mr. Mendoza gave you, not your name. Saved on this device.

Check off as you finish
  • Read the Model and answered the Explore questions.
  • Filled in the guided notes in my own words.
  • Defined the new vocabulary with an example.
  • Built the producible: In the genetic counselor's note, write two sentences for the family: one explaining that rs642961 does NOT change the IRF6 protein but turns it down by breaking a switch, and one stating why it is a risk factor, not a guaranteed cause.
  • Wrote my Claim, Evidence, and Reasoning exit ticket.
Pick your period and code first.
Check yourself

Exit ticket (Claim, Evidence, Reasoning)

  • Claim: rs642961 raises risk even though it does not change the IRF6 ____.
  • Evidence: The A sits in the MCS-9.7 ____ and, in a binding test, blocks ____ from docking.
  • Reasoning: Therefore a can cause disease by ____, which shows that not all important variants are in the code.
How this is graded (rubric)
For: In the genetic counselor's note, write two sentences for the family: one explaining that rs642961 does NOT change the IRF6 protein but turns it down by breaking a switch, and one stating why it is a risk factor, not a guaranteed cause.
CriterionProficientDevelopingBeginning
CompleteEvery required part of the artifact is present and filled in.Most parts are present, but one is missing or left blank.Several parts are missing.
AccurateThe science and data are correct and match the evidence.Mostly correct, with a small factual slip.Key science or data is wrong.
Scientific reasoning (CER)States a claim, backs it with specific evidence, and explains the reasoning.Has a claim and evidence, but the reasoning is thin or missing.Gives an answer with no evidence or reasoning.
Professional communicationClear, organized, and labeled the way a clinician or scientist would write it.Readable but disorganized or missing labels.Hard to follow.
SubmittedTurned in the right way (Schoology for routine work) and confirmed.Turned in, but in the wrong place or unconfirmed.Not turned in.
How the model answer scores against this rubric
  • CompleteProficient: Nothing is left blank: the model fills every part of "In the genetic counselor's note, write two sentences for the family: one explaining that rs642961 does NOT change the IRF6 protein but turns it down by breaking a switch, and one stating why it is a risk factor, not a guaranteed cause.".
  • AccurateProficient: Every number and claim matches the case evidence.
  • Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
  • Professional communicationProficient: It is organized and labeled like a real chart note.
  • SubmittedProficient: It would be turned in on Schoology and confirmed.
Explore

Where this leads: careers

Genetic counselor Regulatory genomics researcher Variant analyst

What's next: A lowers how MUCH IRF6 is made, while syndromic variants damage specific parts. To understand both, we need to see the protein itself. What does the IRF6 protein actually look like?