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Memmler’s The Human Body in Health and Disease 11th edition Chapter 25 Heredity and Hereditary Diseases Heredity is what sets the parents of a teenager wondering about each other. Laurence J. Peter Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins One Chromosome – Many Genes Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Methodical Investigation into Heredity How traits are transmitted from parents to offspring • 19th century • Gregor Mendel • Genes (units of heredity) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Genes and Chromosomes • Genes are DNA segments • Thousands of genes per chromosome • Gene carries code for specific trait • Cell contains 46 chromosomes (except sex cell) – 1 pair sex chromosomes (23rd chromosome) – 22 pairs autosomes • Allele—Any form of gene on a specific site on a chromosome • Alleles for each trait exist in pairs Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Checkpoint 25-1: What is a gene and what is a gene made of? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Dominant and Recessive Genes • Dominant gene – Always expresses effect – Needed from one parent only • Recessive gene – No effect unless paired allele is also recessive – Need one affected gene from each parent • Heterozygous alleles • Homozygous alleles Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Dominant and Recessive Genes (cont’d) • Phenotype – and characteristic that can be observed. – Example: eye color, blood type • Karotype – determination of sexual make up • Genotype – a person’s genetic makeup – Example: heterozygous dominant Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Checkpoint 25-2: What is the difference between a dominant and a recessive gene? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Question: Paired genes for a given trait are called: a. chromosomes b. gametes c. alleles Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer: c. alleles Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Distribution of Chromosomes to Offspring • Meiosis – Produces gametes with 23 chromosomes – Cells receive chromosomes at random from parents – “Makes little a ‘me’ ” • Punnett square X X X Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Y Checkpoint 25-3: What is the process of cell division that forms the gametes? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Question: True or False?: Genotype is all the characteristics of a person (or an organism) that can be seen or tested for. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer: False: Phenotype is all the characteristics of a person (or an organism) that can be seen or tested for. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Sex Determination Sex chromosomes not matched in size, appearance • Female (X) chromosome larger • Male (Y) chromosome smaller • Females—two X chromosomes • Males—X, Y chromosomes • Sperm—X or Y chromosome, therefore sperm determines the sex of the offspring Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Sex determination. If an X chromosome from a male unites with an X chromosome from a female, the child is female (XX); if a Y chromosome from a male unites with an X chromosome from a female, the child is male (XY). Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Sex-Linked Traits Traits carried on sex chromosomes X Y x xX xY X XX XY • Most are carried on X (Xlinked – represented as x) • Appear almost exclusively in males Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Hereditary Traits • Determined by single pair of genes – Less common • Determined by gene pairs acting together – More common – Multifactorial inheritance Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Clubbed feet and treatment Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Gene Expression Gene effects on phenotype are influenced by many factors • Sex – male pattern baldness; color blindness • Presence of other genes – XO, XXY • Environment – nature aspect of nature vs nuture Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Genetic Mutation Genes or chromosomes that do not replicate exactly • Changes in genes or chromosomes • Chromosomal breakage or loss, gene fragment rearrangement • May occur during cell division – Spontaneous – Induced by mutagen Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Genetic Diseases Gene disorders • All are genetic • Some are hereditary – Passed from parent to offspring – Genetic research can identify some causes Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Congenital Versus Hereditary Diseases Congenital • Present at birth • Possible causes – Maternal infections – Environmental toxins – Maternal alcohol (fetal alcohol syndrome), smoking – Maternal nutrition Hereditary • Genetically transmitted or transmissible • Not always evident at birth • EX diabetes, hypertension, BRACA Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Examples of Fetal Alcohol Syndrome Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Checkpoint 25-7: Can a disorder be congenital but not hereditary? Explain. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Examples of Genetic Diseases • Down syndrome (trisomy 21) © • Huntington disease (D) • Marfan syndrome © • Progressive muscular atrophies (9 types with all 3 patterns of inheritance) • Albinism ® • Osteogenesis imperfecta (D) • Phenylketonuria (PKU) (M) • Neurofibromatosis (D) • Sickle cell disease ® • Fragile X syndrome (X) • Cystic fibrosis ® • Hemophilia (X) • Tay-Sachs disease ® • Some cancers Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Inheritance Pattern Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Marfan Syndrome Neurofibromatosis Neurofibromatosis Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Checkpoint 25-8: What causes phenylketonuria? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Treatment and Prevention of Genetic Diseases • More than 400 genetic diseases identified • List is growing as science advances Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Genetic Counseling • Family history (pedigree) • Laboratory studies – Amniocentesis – Chorionic villus sampling (CVS) – Karyotype analysis (determines sex of infant) • Counseling prospective parents Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Amniocentesis. A sample of amniotic fluid is removed from the amniotic sac. Cells and fluid are tested for fetal abnormalities. (Reprinted with permission from Cohen BJ. Medical Terminology. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2004.) Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Question: Which of these is the least invasive method for testing for genetic disease? a. amniocentesis b. chorionic villus sampling c. karyotype analysis Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer: c. karyotype analysis Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Progress in Medical Treatment Some diseases respond to early diagnosis and treatment • Dietary control – Maple syrup urine disease – Wilson disease (+ drug therapy)- liver cannot rid copper from the body – PKU • Drug therapy • Hormone therapy – Klinefelter syndrome (+ psychotherapy) • Psychotherapy Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins