3.4.2. Genetic diseases

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Autosomal genetic diseases

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Autosomal genetic diseases

Caused by a gene in an autosomal chromosome

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Types of autosomal genetic diseases

Recessive, dominant and co-dominant

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Recessive diseases

  • Caused by recessive alleles

  • Most common genetic disease

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What phenotype develops the disease?

Individual must have two copies of the recessive allele in order to develop the disease

  • Heterozygous

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Carriers

Individuals who have one allele for the genetic disease and one dominant allele (i.e. heterozygous individuals)

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Examples of recessive disease

Cystic Fibrosis

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Cystic Fibrosis

Mutation to CFTR gene on chromosome 7

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Normal role of CFTR gene

Codes for the production of chloride ion channels required for secretion of sweat, mucus and digestive juices

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Effects of Cystic Fibrosis

Recessive alleles of affected gene produce malfunctioning chloride channels

  • Sweat contains excessive sodium chloride, but digestive juices and mucus have insufficient sodium chloride

  • Hence, not enough water moves into the secretions by osmosis, making them more viscous

  • Sticky mucus builds up in the lungs, causing infections and respiratory failure

  • Pancreatic duct is blocked (pancreatic cyst) so digestive enzymes secreted by the pancreas do not reach the small intestine

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Chances of both parents being carriers

1/400

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Dominant diseases

  • Caused by a dominant allele

  • Small proportion of genetic diseases

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What phenotypes develop the disease?

Only one dominant allele of the gene is required to develop the disease

  • Homozygous dominant (100% chance)

  • Heterozygous (50%)

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Example of dominant disease

Huntington’s disease

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Huntington’s disease

Caused by the dominant allele of the HTT gene on chromosome 4

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Normal role of HHT gene

Produced a protein called Huntington, whose function is unknown

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Effects of Huntington’s disease

  • Dominant allele causes degenerative changes in the brain

  • Symptoms usually start between 30 to 50 years old

    • Changes to behavior, thinking and emotions become increasingly severe

    • Life expectancy after the start of symptoms is 20 years

    • Individual eventually dies of heart failure, pneumonia or other infections

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Co-dominant diseases

  • Caused by co-dominant alleles

  • Very rare

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Genotype affected

In individuals carrying one normal allele and one affected allele, both are expressed

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Example of co-dominant disease

Sickle cell anemia

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Sickle cell anemia

  • Normal allele for hemoglobin is Hb^A and the sickle cell allele is Hb^S

  • Phenotype of individuals with one Hb^A and one Hb^S (heterozygous) differ from those who have two copies of either allele, so the alleles are co-dominant

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Sex-linked genetic diseases

Caused by a gene in a sex chromosome

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Sex linkage

When the ratios of inheritance for a disease are different in males and females

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What causes sex linkage?

Sex-linked genes are only present on one sex chromosome and not the other, so the sex of an individual affects what alleles are passed onto offspring

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What chromosome causes the majority of sex-linked diseases? Why?

X-chromosome

  • Y chromosome is shorter and contains only a few genes, while the X is longer and contains genes not present in the Y

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If the gene is on the X chromosome, how many copies will males vs females have?

Males (XY) → one copy

Females (XX) → two copies

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X-linked dominant inheritance

More common in females because if ither chromosome (maternal or paternal) carries a dominant allele for the disease, the female will have it

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X-linked recessive inheritance

More common in males because they only have one copy of the gene, so if they have the affected allele, they will express the disease

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Carriers of X-linked recessive

Males → cannot be carriers as Y chromosome cannot mask the disease

Females → since they do not inherit affected gene from an unaffected father, they can be carriers

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Example of X-linked recessive

Red-green colorblindness and haemophlia

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Red-green colorblindness

Disorder in which the individual fails to discriminate between red and green

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What causes red-green colorblindness?

A recessive allele of a gene that synthesizes photoreceptor proteins

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Who is more affected by red-green colorblindness?

Males since the presence of an abnormal allele will necessarily given them the condition

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Conditions for a female to be affected

Affected father + inherit the X-chromosome carrying the recessive gene from their mother

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Conditions for a male to be affected

Mother is affected → 100% chance since mother must be homozygous recessive

Mother is carrier → 50% chance since mother is heterozygous

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Haemophilia

Disorder in which the body’s ability to control blood clotting is impaired

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What causes haemophilia?

A recessive allele of a gene that codes for a protein called factor VIII, which is needed to make blood clots

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Alleles of factor VIII gene

Dominant F → codes for normal factor VIII

Recessive f → lack of factor VIII

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Conditions for male vs female be affected

Same as red-green colorblindness

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Pedigree charts

Used to investigate patterns of inheritance within a family

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term image

Autosomal dominant

  • Cannot be recessive → two affected parents would not have unaffected offspring

  • Parents must be heterozygous

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Autosomal recessive

  • Cannot be dominant → two unaffected parents would not have affected offspring

  • Parents must be heterozygous

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X-linked dominant

  • Sex linkage cannot be confirmed

  • 100% incidence of affected daughters from an affected father suggests X-linked dominance

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X-linked recessive

  • Sex linkage cannot be confirmed

  • 100% incidence of affected sons from an affected mother suggests X-linked recessive

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