Inheritance patterns

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Inheritance patterns

Michael Kallsen

Michael Kallsen

Autosomal trisomies: Pathology review
Down syndrome (Trisomy 21)
Inheritance patterns
DNA damage and repair
DNA replication
Free radicals and cellular injury
Cell cycle
Selective permeability of the cell membrane
Colorectal polyps and cancer: Pathology review
Endometrial hyperplasia and cancer: Clinical
Lung cancer
Metaplasia and dysplasia
Oral cancer
Testicular cancer
Breast cancer: Pathology review
Hypertension: Pathology review
Apnea, hypoventilation and pulmonary hypertension: Pathology review
Acute respiratory distress syndrome
Angina pectoris
Aortic valve disease
Arterial disease
Asthma
Atrial septal defect
Bronchiectasis
Chronic bronchitis
Chronic venous insufficiency
Coarctation of the aorta
Deep vein thrombosis
Emphysema
Endocarditis
Gas exchange in the lungs, blood and tissues
Heart failure
Mitral valve disease
Myocardial infarction
Patent ductus arteriosus
Pericarditis and pericardial effusion
Peripheral artery disease
Pleural effusion
Pneumonia
Pulmonary edema
Restrictive lung diseases
Shock
Stroke volume, ejection fraction, and cardiac output
Tetralogy of Fallot
Dementia: Pathology review
Anxiety disorders: Clinical
Arteriovenous malformation
Bipolar and related disorders
Cauda equina syndrome
Cranial nerves
Seizures and epilepsy
Generalized anxiety disorder
Headaches: Pathology review
Huntington disease
Ischemic stroke
Major depressive disorder
Meningitis
Migraine
Multiple sclerosis
Myasthenia gravis
Panic disorder
Parkinson disease
Stroke: Clinical
Alzheimer disease
Diabetes mellitus: Pathology review
Abnormal uterine bleeding: Clinical
Adrenocorticotropic hormone
Chlamydia trachomatis
Cortisol
Cushing syndrome
Endometriosis
Glucagon
Glucocorticoids
Herpes simplex virus
HIV (AIDS)
Hyperthyroidism: Pathology review
Hypothyroidism: Pathology review
Hypothyroidism
Neisseria gonorrhoeae
Pelvic inflammatory disease
Polycystic ovary syndrome
Primary adrenal insufficiency
Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
Testosterone
Thyroid hormones
Benign prostatic hyperplasia
Anemia of chronic disease
Chronic leukemia
Coagulation disorders: Pathology review
Disseminated intravascular coagulation
Factor V Leiden
Hemophilia
Hodgkin lymphoma
Non-Hodgkin lymphoma
Hypocalcemia
Hypokalemia
Inflammation
Innate immune system
Introduction to the immune system
Iron deficiency anemia
Leukemias: Pathology review
Platelet disorders: Pathology review
Sickle cell disease (NORD)
Type IV hypersensitivity
Acute cholecystitis
Acute pancreatitis
Acute pyelonephritis
Alcohol-associated liver disease
Appendicitis
Autoimmune hepatitis
Biliary colic
Bowel obstruction
Celiac disease
Chronic cholecystitis
Chronic pyelonephritis
Chronic pancreatitis
Cirrhosis
Congenital disorders: Clinical
Crohn disease
Gastroesophageal reflux disease (GERD)
Irritable bowel syndrome
Lower urinary tract infection
Nephrotic syndromes: Pathology review
Peptic ulcer
Renal failure: Pathology review
Ulcerative colitis
Urinary tract infections: Pathology review
Viral hepatitis
Acne vulgaris
Atopic dermatitis
Back pain: Pathology review
Bone disorders: Pathology review
Burns
Osteoarthritis
Osteoporosis
Paget disease of bone
Psoriasis
Rheumatoid arthritis
Skin cancer
Varicella zoster virus

Transcript

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Inheritance patterns are the different ways in which traits are passed from one generation to another.

Inheritance relies on homologous chromosomes, which come in pairs - one from mom and one from dad. Each chromosome has genes, which are regions of DNA that carry information for a specific trait.

And different versions of the same gene are called alleles.

As an example, brown eye color and blue eye color are both alleles for the eye color gene.

Each parent offers one allele of a gene, which can be either dominant represented with a capital letter, like big A, or recessive, represented with a lowercase letter, like little a.

It only takes one dominant allele for its trait to be expressed, whereas it takes two recessive alleles for its trait to be expressed.

Human somatic cells - so, all of the cells aside from the gametes - have 23 pairs of chromosomes; 22 somatic pairs and one sexual pair - adding up to 46 chromosomes in total.

For the sex chromosomes, a genetic female has two X chromosomes, while a genetic male has an X and Y chromosome.

All 46 of these chromosomes, along with the alleles they carry, segregate during meiosis - which is the process of making gametes.

Gametes only carry half the genetic information of the parent - so 23 chromosomes. Females require an egg and a sperm that are both “22, X”, whereas males require an egg that’s “22,X” and a sperm that’s “22,Y”.

Once the male and female gametes merge during fertilization, their alleles combine to give rise to one of three possible genotypes of the offspring, homozygous dominant - or AA -, heterozygous - or Aa - , and homozygous recessive - or aa.

This genotype determines a person’s features —or phenotype— such as hair color, or whether or not they have a genetic disease.

Genetic diseases develop when a gene doesn’t work well because of a mutation that affects one of the two alleles, and if the person has children these mutations can be inherited.

To get a quick picture of how different inheritance patterns work, we’ll use a pedigree - where we represent females with a circle and males with a square.

We’ll shade in the individuals with the disease - so it’s based on phenotype, not genotype.

When a mutation affects a dominant allele, it only takes one mutant copy to cause a disease - this is a dominant inheritance pattern.

However, if a mutation affects a recessive allele, it takes two mutant copies to cause a disease - this is a recessive inheritance pattern.

Now, when the mutant allele is on a somatic chromosome, it’s called autosomal inheritance, and when it’s on a sex chromosome, it’s called sexual inheritance.

Sexual inheritance is divided into X-linked inheritance - where the mutant allele is on the X chromosome - and Y linked inheritance - where the mutant allele is on the Y chromosome.

Finally there’s mitochondrial inheritance.

In addition to the 46 chromosomes in the nucleus, cells also have mitochondria which carry their own DNA.

When an egg and sperm come together,

the cytoplasm and organelles like mitochondria come from the egg.

So when looking at the pedigree of a family affected by mitochondrial disease, you can see that as a result, both males and females can develop mitochondrial diseases but only females can pass those diseases to their children.

So, let’s look at autosomal dominant inheritance, an example would be Huntington’s disease, where there’s a mutation resulting in a dominant allele on an autosome.

So both homozygous dominant people -(DD)- and heterozygotes - (Dd) - have the disease.

But, homozygous dominant people rarely reproduce because the disease is too severe.

So, most of the individuals that reproduce are heterozygotes.

So let’s say that we have an individual who’s heterozygous - or Dd and that the other parent doesn’t have the disease, so they’re homozygous - dd - .

Now, since the mutation is on an autosome, it doesn’t matter which parent has the disease.

Now let’s create a Punnett square.

The affected parent can make either mutant gametes, which carry the D allele, or normal gametes, with the d allele.

The healthy parent only makes normal gametes carrying the d allele.

When these gametes combine, the children have a 50% chance of being heterozygous Dd and having the disease and a 50% chance of being homozygous recessive - dd- and not having the disease.

In a family pedigree, the inheritance pattern would look like this, with affected members in every generation.

Usually a person with the disease has one affected grandparent, affected and unaffected uncles and aunts, one affected parent, and even affected and unaffected siblings.

In addition, the mutation can also appear spontaneously in a person who’s family isn’t affected.

Now, autosomal recessive diseases, like cystic fibrosis only occur when a person has two recessive alleles - or rr.

And heterozygotes with only one mutant allele - or Rr - are considered to be carriers of the disease, even though they don’t have the disease.

For example, if two parents are carriers for cystic fibrosis - they are both heterozygous Rr.

Let’s use a Punnett square again.

They make gametes that have the normal R allele, or the recessive mutant r allele.

So, their children have 25% chance of ending up homozygous dominant - RR - which means they don’t have cystic fibrosis, aren’t carriers so are healthy.

Key Takeaways

Inheritance patterns refer to the different ways in which traits are passed from one generation to another. There are three patterns of inheritance: autosomal dominant, autosomal recessive, and X-linked.

Autosomal dominant inheritance means that only one copy of the defective gene is necessary for the trait to be expressed. This pattern is seen in conditions such as Huntington's disease and Marfan syndrome.

Autosomal recessive inheritance means that two copies of the defective gene are necessary for the trait to be expressed. This pattern is seen in conditions such as cystic fibrosis and sickle cell disease.

X-linked inheritance means that the gene is located on the X chromosome. Males have only one X chromosome, so they will express a disease if it is carried on that chromosome. Females have two X chromosomes, so they will only express a disease if they inherit two defective copies of the gene (one from each parent). This pattern is seen in conditions such as hemophilia and color blindness.