autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the...

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Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical Genetics Unit, Birmingham Women’s Hospital 18.02.03

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Homozygotes with two copies of the altered gene are affected Question: How can one relate an autosomal recessive pedigree pattern to the segregation of genes at meiosis? Reminder: Answer: By imagining which of the two genes of the parents have been passed on to children as shown on the next few screens Chromosome Gene

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Page 1: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Autosomal recessive inheritance: the basics

a tutorial to show how the genes segregate to give the typical pedigree pattern

Professor P Farndon, Clinical Genetics Unit, Birmingham Women’s Hospital

18.02.03

Page 2: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Question:How can one relate an autosomal recessive pedigree pattern to the segregation of genes at meiosis?

I:1Patrick McKee

I:2Mary

II:1Julia

II:2Edward

II:3Zoe

II:4Elizabeth

II:5Charles

II:6William

II:7Lucy

II:8Laura

Page 3: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Homozygotes with two copies of the altered gene are affected

Question:How can one relate an autosomal recessive pedigree pattern to the segregation of genes at meiosis?

Reminder:

Answer:By imagining which of the two genes of the parents have been passed on to children as shown on the next few screens

Chromosome

Gene

Page 4: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

AUTOSOMAL RECESSIVE INHERITANCE

Parents have two copies of autosomal genes:one copy on each of a particular pair of chromosomes

Page 5: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

AUTOSOMAL RECESSIVE INHERITANCE

A parent who is a carrier of an autosomal recessive disorder has one copy of a normal gene and one copy of an altered gene of the particular pair

Page 6: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

AUTOSOMAL RECESSIVE INHERITANCE

A carrier parent passes on either the normal gene

or the altered gene into the eggs or sperm

The other carrier parent passes on either the normal gene or the altered gene into his/her eggs or sperm

Page 7: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

AUTOSOMAL RECESSIVE INHERITANCE

There are four different combinations

of the two genes from each parent

Page 8: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

This child has inherited two copies of the normal gene - one from each parent

Page 9: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

This child has inherited the normal gene from one parent but the altered gene from the other parent

Page 10: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

Page 11: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

This child has inherited the altered gene from the

first parent and the normal gene from the

second parent

Page 12: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

Page 13: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

This child has inherited the altered gene from

each parent

Page 14: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

Offspring

AUTOSOMAL RECESSIVE INHERITANCE

Which children are affected by the disease?

Page 15: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Parents

Gametes

AUTOSOMAL RECESSIVE INHERITANCE

AffectedUnaffectedUnaffected Unaffected

Page 16: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

AUTOSOMAL RECESSIVE INHERITANCE

At conception,

Each child of two parents who are carriers for the same autosomal recessive disorder therefore has a

1/4 (25%) chance of neither being affected nor a carrier of the disease

1/2 (50%) chance of being a carrier but unaffected

1/4 (25%) chance of inheriting the disease

Page 17: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

But …

what is the risk to a healthy sib of being a carrier for the recessive disease?

II:1John

Hobson

II:2ChristineHobson

III:1MervinHobson

III:2Alice

Hobson

III:3RichardHobson

I:1 I:2

II:3ChristopherWhitehead

II:4

Page 18: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Once a child has been born and we know he or she is not affected by the disease (ie not a disease homozygote) this removes one of the four possibilities.

Page 19: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Once a child has been born and we know he or she is not affected by the disease (ie not a disease homozygote) this removes one of the four possibilities

leaving three genotype possibilities for a healthy sib.

Page 20: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

The three genotype possibilities for a healthy sib are:

A normal homozygoteA healthy carrier (heterozygote) A healthy

carrier (heterozygote)

Page 21: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

A healthy sib of a person with an autosomal recessive disorder therefore has a

2/3 chance of being a carrier.

Page 22: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

Examples of Autosomal Recessive disorders

Cystic fibrosis 0.5

Recessive mental retardation 0.5

Congenital deafness 0.2

Phenylketonuria (PKU) 0.1

Spinal muscular atrophy 0.1

Recessive blindness 0.1

Overall freq of recessive disease ~ 2/1000

Disease Freq/1000 births

Page 23: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

They are important clinically because of

the high risks to other family members.

Autosomal recessive conditions are part of the

group of single gene disorders, which also

include autosomal dominant and X-linked disorders.

Page 24: Autosomal recessive inheritance: the basics a tutorial to show how the genes segregate to give the typical pedigree pattern Professor P Farndon, Clinical

The end!• Thank you for completing this revision aid

• We are interested in your comments about this aid. Please email Professor Farndon. ([email protected])

© P Farndon 2003