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Mohammed El-Khateeb MENDELIAN INHERITANCE MGL - 7 March. 14th 2013 台大農藝系 遺傳學 601 20000 Chapter 1 slide 1 Sex-Linked Disorders X Y Y-linked Traits • The Y chromosome is small and therefore does not contain many genes • Y linked diseases are very rare • Only passed from father to son. • Example: Male infertility Sex-linked inheritance Males are XY and females are XX Two sex chromosomes are very different in size Y about ¼ the size of the X They are not genetically equivalent Traits associated with genes on the X chromosome - X-linked Traits associated with genes on Y chromosome - Y-linked X Chromosomes Inheritance X x • X-Chromosome = 5% • • of the human genome Approximately 160 million bp (160Mb). > 700 genes identified, most of them are Recessive Few of them are Dominant X-Linked Disorders: Males are at Risk X-linked Inheritance Rules for X-linked conditions • X-linked recessive Males have the condition Females are carriers If a male has the allele • All daughters are carriers • All sons are normal If a female has the allele • ½ daughters are carriers • ½ sons have the condition • X-linked dominant – If a male has the allele • All daughters have the condition • All sons are normal – If a female has the allele • ½ offspring have the condition (whether sons or daughters) X-linked Dominant Disorders • Affected males will produce all affected • • • • • • daughters, but no affected sons. 50% chance that a heterozygous affected female will pass trait to either son or daughter. Homozygous females pass on trait to all offspring. On average, twice as many females afflicted as males Expressed in females with one copy. Males are often more severely affected. Typically associated with miscarriage or lethality in males. X-Linked Dominant X-Linked Dominant Inheritance X-Linked Dominant Inheritance There are very few X-linked dominant traits. • Dwarfing conditions due to X-linked dominant conditions include another form of chondrodysplasia punctata (Xlinked dominant type) • Incontinentia Pigmenti • Congenital Generalized Hypertrichosis CGH: • X-linked hypophoshatemic (Vitamin D-resistant rickets). Incontinentia pigmenti X-linked dominant trait Heterozygous female - pigment swirls on skin, hair and tooth loss, seizures Male - death in uterus No homozygous females because no males reproduce X-Linked Dominant Example Congenital Bilateral Ptosis: Droopy Eyelids Locus: Xq24-Xq27.1 X-linked Recessive Disorders • • • • • • • • Abnormal disorder-causing allele is recessive and is located on the X-chromosome Normal, wild type allele is dominant Affects hemizygous males and homozygous females. Expressed phenotype much more common in males Affected males get the mutant allele from their mothers Affected males transmit the mutant allele to all daughters, but not to sons Daughters of affected males are usually heterozygous – thus unaffected Sons of heterozygous mothers have a 50% chance of being afflicted X-Linked Recessive Inheritance X-linked Recessive Inheritance: Recurrence Risks In the usual mating between a heterozygous affected female and a normal male, the risks for offspring are as follows: 25% chance affected male 25% chance normal male 25% chance carrier female (normal) 25% chance non-carrier female (normal) Total risk for an affected child: 25% X-linked Recessive X-Linked Recessive Inheritance Pitfalls in Recognizing X-Linked Recessive Inheritance and Providing Genetic Counseling Small Families. Small family size and few male children may make the pattern of an X-linked recessive disorder difficult to diagnose. New Mutation. An affected male may be the first person in the family with the condition, due to a mutation arising for the first time . sperm, egg or embryo. Germline Mosaicism. A new mutation may arise in testis or ovary, resulting in a parent who can pass on the condition or the carrier state to children, without being either affected (in the case of a male parent) or a carrier (in the case of a female parent). X-linked Recessive Disorders TRAIT Adrenoleukodystrophy Color Blindness Fabry disease G-6-P-D Hemophilia A Hemophilia B Ichethiosis Lynch-Nyhan S Muscular dystrophy Phenotype Atrophy of the adrenal gland; maternal Deterioration; death 1-5 Y after onset Green (60-75%); Red (25 – 40%) MD α-Galactozidase A deficiency Cardiac and Renal , Death Benign, can cause sever fetal anemia Due to certain food and drugs Lack of factor VIII “Christmas Disease” lack of factor IX Skin disorder causing large, dark scales on extremities MD Hypoxanthine guanine Phosphoribisyl transferase (HGPRT) Deficiency: MR, Self-mutilation Early death Many types X-linked recessive forms Hemophilia A - factor VIII Hemophilia B - factor IX “Christmas Disease” Hemophilia A 1/10,000 males 1/100 million females Why? - requires two copies in female - only 1 in male Hemophilia •It is a rare blood disorder. •The blood does not clot. • A hemophiliac will bleed “freely”, while a normal person will eventually stop bleeding because a scab forms. •Hemophiliacs require medical intervention to stop the flow of blood. •Usually they are given clotting factors, which help them form scabs. •Hemophilia is inherited. •About 1 out of 5,000 males are born with hemophilia each year. Intermarriage caused the disease hemophilia to spread through the royal families of Europe Muscular Dystrophy Group of disorders some X-linked recessive Duchene muscular dystrophy (DMD) Becker muscular dystrophy (BMD) some autosomal recessive Phenotype - progressive weakness and muscle wasting Most common form: Duchennes Muscular Dystrophy -X-linked recessive -1 in 3500 males afflicted - age on onset between 1 and 6 yrs - confined to wheel chair by age 12 - death by age 20 Ichthyosis Enzyme deficiency onset 1 year of age Most common form Xlinked recessive 1/6,000 males rare in females X-Linked Color Blindness in Humans • Human eye detects only three colors-red, green and blue • Affected woman passes the X-linked recessive trait to her sons but not to her daughters • Affected man passes the trait to his grandsons through his daughters but never to his sons • Pattern of inheritance exhibited by X-linked recessive characteristics Color Blind • The human eye has two types of receptors that detect light: Rods detect differences in the intensity of light Cones detect colors There are 3 types of cones, which detect red, blue & green wavelengths of light Red–green color blindness is inherited as an X-linked recessive trait in humans Color Blind Normal subjects see an 8 Color blind subjects see a3 Normal subjects see a 6 Color blind subjects can’t see any number Normal subjects see a 7 Color blind subjects can’t See any number Normal subjects see a 35 Color blind subjects see either a 3 or a 5 depending on the type of color blindness Y-Linked Inheritance Y-linked Father’s Gametes Mother’s Gametes X Y X XX XY X XX XY Y Chromosome Inheritance Y-Chromrosome = 70Mb Few dozen genes (Holandric) are found on Y Male differentiation genes Testis-specific spermatogenesis factor Minor Histocompatibility genes (HY) Several housekeeping genes Transmission strictly from father to son Y-linked traits • - Related to genes unique to the Y chromosome - are present only in males (no afflicted females) - passed directly from fathers to sons hemizygous – always expressed • Very rare - only about 3 dozen Y-linked traits known - Often associated with infertility • One important gene - TDF – testis determining factor - Also known as SRY - Sex determining region of the Y chromosome Y-Linked Traits HYPERTRICHOSIS PINNAE AURIS (Hairy ears), Y-LINKED?? Hypertrichosis Pinnae. • Hairy ears • Can happen later in life. • Y-linked Sex-Limited, Sex-Influenced • Sex-Limited: Autosomal genes – Affects a structure/process/behavior found only in one sex due to anatomical differences, Inherited Uterine or Testicular defects • Sex-Influenced: Autosomal genes Baldness, Dominant in males and recessive in females, carrier females have thinner hair Sex-influenced traits • characteristic may appear in both sexes but expression of the phenotype differs. • Example: Early balding (pattern baldness) in humans. Heterozygous men (b+/b) lose their hair; heteroyzgous women do not have significant hair loss. • Homozygous men or women (b/b) become bald. The trait is therefore dominant in men, recessive in women. (We used b to designate the mutant baldness allele even though the allele is dominant in males.) Pattern Baldness In Humans: A Sex Influenced Trait Baldness is an autosomal trait and is apparently influenced by sex hormones after people reach 30 years of age or older. In men the gene is dominant, while in women it is recessive. A man needs only one allele (B) for the baldness trait to be expressed, while a bald woman must be homozygous for the trait (BB). What are the probabilities for the children for a bald man and woman with no history of baldness in the family? SUMMARY: X-linked Traits Males • One X chromosome • Inherited from mother • Two possible genotypes •XpY •XmY • Have trait or do not have trait • Hemizygous • Males transmit their X to their daughters, Y to their sons Females • Two X chromosomes • Inherited from both parents • Three possible genotypes • XpXp • XpXm • Xm X m • Heterozygotes are carriers of recessive traits. • Females transmit their X randomly to either their sons or daughters Males are more likely to be afflicted than females regarding X-linked traits Male-Determining Region SRY on the Y Chromosome X-Chromosome Inactivation The Lyon Hypothesis of X Inactivation • Proposed by Mary Lyon and Liane Russell (1961) • Which X is inactivated? Inactivation of X chromosome occurs randomly in somatic cells during embryogenesis • Progeny of cells all have same inactivated X chromosome as original, creating mosaic individual X-inactivation is an epigenetic process. • Because of X-inactivation every female is a mosaic of cell lines with different active X chromosomes • Early in the development of female, one X-chromosome is inactivated at random (710 days after fertilization) • around 24 cell X Chromosome Inactivation • Mechanism of X Chromosome inactivation • XIC – X chromosome Inactivation Center • XIC controls expression of the XIST gene • XIST: X-inactive-specific transcript • XIST produces a non-coding 17 kb RNA molecule • “Coats” the entire local X-chromosome – cis-acting Dosage Compensation • • How can females have 2 X’s and males only 1 without running into gene dosage problems? Lyon hypothesis (1961): placental mammals randomly inactivate all but 1 X at the 200-400 cell embryo stage (blastocyst). The inactivated X's become Barr bodies: late-replicating condensed chromatin sitting on the nuclear membrane (heterochromatin). – Number of Barr bodies is always 1 less than the number of X’s: Seen in XXY, XXX, etc. • why are females rarely colorblind? Many retinal precursor cells present at time of inactivation, so get a finegrained mosaicism--brain fills in colors After SRY • The testes produce two hormones: testosterone and anti-Mullerian hormone (also known as Mullerian Inhibiting Substance, MIS) at about week 6. Together these hormones cause development of male structures and regression of female structures. • Testosterone is a steroid hormone; which binds to a receptor in the cytoplasm and then moves to the nucleus to stimulate transcription. – • In target tissues, some testosterone is converted to dihydro form by 5-alpha reductase. Dihydrotestosterone controls male external genitalia development. – • A person with 5-alpha reductase deficiency can appear female until puberty, when the testosterone level gets high enough to stimulate development of eh male external geneialia: the penis grows. Common in a village in the Domincan Republic. Technically, they are male pseudohermaphrodites (have testes but some female characteristics). Called “guevedoce ”, which is probably a corruption of “heuvos a doce”, meaning “eggs (i.e. testicles) at 12”. Although they grew up as girls, once this happens they develop normal heterosexual interest in girls (or at least most of them do I suppose). Anti-Mullerian hormone is also secreted by the testes. It is a peptide hormone which causes the Mullerian ducts to regress. – • Receptor defects cause “testicular feminization” (better known as androgen insensitivity). A chromosomal male develops female external genitalia and vagina but no uterus, female breast development (often "voluptuously feminine" -OMIM). The testes are internal (undescended) and can become cancerous. Can also cause spinal bulbar syndrome: atrophy of lower back muscles. If AMH is absent or its receptor is defective, you get a male with a rudimentary uterus and fallopian tubes (but no ovaries or vagina). Amusing bit of history: Aristotle taught that gender was determined by the state of the semen: hot semen produced a male child and cold semen generated a female child. X Inactivation Center (XIC) • (XIC) located near the centromere, Contains 12 genes 7 genes code for proteins 5 genes code for untranslated RNA (Rougeulle et al., 2003) X chromosome lacking Xist gene cannot be inactivated XIST contained no "open reading frames" (no codons to encode AA) XIST is transcribed but not translated. Xist gene Encodes a large RNA molecule RNA Coats Xi from the XIC near the centromere outward along the X chromosome High levels of DNA methylation (CH3) (Chadwick et al., 2003) Low levels of histone substitution of the acetyl group (CH3CO) for a H atom in a -OH group cen Xist/Tsix in XIC Xq13.2 Xa Xist RNA cen cen Xi X - Inactivation • The inactivation is random, either paternal or maternal X may be inactivated in any cell • A structurally abnormal X-chromosome is always inactivated • In balanced X-autosome translocation, the normal X chromosome is inactivated so that inactivation does not involve an autosome • In an unbalanced X-autosome translocation, the translocated chromosome is inactivated • A few genes on the inactivated X chromosome are expressed in the somatic cells of adult female mammals – Pseudoautosomal genes (Dosage compensation in this case is unnecessary because these genes are located both on the X and Y) – Up to a 25% of X genes in humans may escape full inactivation • The mechanism is not understood Fig 7.4 The epithelial cells derived from this embryonic cell will produce a patch of white fur While those from this will produce a patch of black fur At an early stage of embryonic development X - Inactivation The Lyon hypothesis states that one X chromosome in the cell is randomly inactivated early in the embryonic development of females Inactivation results in 'dosage compensation', The X inactivation center is located on Xq 13 ( 1 Mb). The XIST X Inactive Specific Transcript. gene is transcribed only from the inactive X chromosome. X - Inactivation • Pseudo autosomal region on short arms of X and Y chromosomes heal" same gene loci, they pair during meiosis with exchange of segments • The inactivation is incomplete: 1/3 of genes on Short arm and 5% of genes on long arm escape inactivation (deletion of short arm causes more significant consequences) • Reactivation of the previously inactivated X chromosome OCCURS during oogenesis Mammalian X-inactivation involves the interaction of 2 overlapping genes. Promotes compaction Prevents compaction Human sex chromosomes (includes Mic2 gene) Organization of Human Sex Chromosomes pseudoautosomal regions (short arms) Many genes escape inactivation sex-limited regions Y Xce – X chromosome inactivation center pseudoautosomal regions (long arms) Length: 153,692,391 bp Gene Count: 1228 Length: 50,286,555 bp Gene Count: 160 X Why is One X Chromosome Inactivated? Causes Xist (X-inactive specific transcript) expressed from and binds to inactive X chromosome Methylation of specific cytidine residues Late replication mCpG Effects Dosage compensation between the sexes Sex Linkage X-linkage; Hemizygous genes Pseudoautosomal Y-linkage; Hemizygous genes Sequence Homologies of the X and Y Chromosomes • 15% ox X Chr. Escape Inactivation • Tips of P and q arms escape inactivation • Steroid sulfatase • Xg blood group • Kallman Syndrome ( hypogonadism inability to perceive odor) • Housekeeping genes X-INACTIVATION • G6PD • Melanine • Anhidrotic Ectodermal Dysplasia • Calico Cat Fur Color • Barr Bodies Mosaicism Reveals the Random Inactivation of one X chromosome Anhidrotic ectodermal dysplasia in a heterozygous woman Regions where sweat glands are absent. spotting gene - autosomal Xb active XB active