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BASIM ZWAIN LECTURES 
MEDICAL PHYSIOLOGY 
PATTERNS OF INHERITANCE 
Professor Dr. Basim Zwain 
Faculty of Medicine 
Jabir ibn Hayyan Medical University 
basimzwain@jmu.edu.iq
PATTERNS OF INHERITANCE 
Inheritance pattern Description Examples 
Autosomal dominant One mutated copy of the gene in each cell 
is sufficient for a person to be affected by 
an autosomal dominant disorder. Each 
affected person usually has one affected 
parent . Autosomal dominant disorders 
tend to occur in every generation of an 
affected family. 
Huntington 
disease,neurofibro 
matosis type 1 
Autosomal recessive Two mutated copies of the gene are 
present in each cell when a person has an 
autosomal recessive disorder. An affected 
person usually has unaffected parents who 
each carry a single copy of the mutated 
gene (and are referred to as carriers) . 
Autosomal recessive disorders are typically 
not seen in every generation of an affected 
family. 
cystic fibrosis, 
sickle cell anemia
PATTERNS OF INHERITANCE 
Inheritance pattern Description Examples 
X-linked dominant X-linked dominant disorders are caused by 
mutations in genes on the X chromosome. Females 
are more frequently affected than males, and the 
chance of passing on an X-linked dominant disorder 
differs between men and women . Families with an 
X-linked dominant disorder often have both 
affected males and affected females in each 
generation. A characteristic of X-linked inheritance 
is that fathers cannot pass X-linked traits to their 
sons (no male-to-male transmission). 
fragile X syndrome 
X-linked recessive X-linked recessive disorders are also caused by 
mutations in genes on the X chromosome. Males 
are more frequently affected than females, and the 
chance of passing on the disorder differs between 
men and women . Families with an X-linked 
recessive disorder often have affected males, but 
rarely affected females, in each generation. A 
characteristic of X-linked inheritance is that fathers 
cannot pass X-linked traits to their sons (no male-to- 
male transmission). 
Hemophilia, 
Fabry disease
PATTERNS OF INHERITANCE 
Inheritance 
pattern Description Examples 
Codominant In codominant inheritance, two different versions 
(alleles) of a gene can be expressed, and each 
version makes a slightly different protein . Both 
alleles influence the genetic trait or determine the 
characteristics of the genetic condition. 
ABO blood group, 
alpha-1 antitrypsin 
deficiency 
Mitochondrial This type of inheritance, also known as maternal 
inheritance, applies to genes in mitochondrial 
DNA. Mitochondria, which are structures in each 
cell that convert molecules into energy, each 
contain a small amount of DNA. Because only egg 
cells contribute mitochondria to the developing 
embryo, only females can pass on mitochondrial 
mutations to their children . Disorders resulting 
from mutations in mitochondrial DNA can appear 
in every generation of a family and can affect both 
males and females, but fathers do not pass these 
disorders to their children. 
Leber hereditary 
optic neuropathy 
(LHON)
Basim Zwain Lectures- Inheritance

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Basim Zwain Lectures- Inheritance

  • 1. BASIM ZWAIN LECTURES MEDICAL PHYSIOLOGY PATTERNS OF INHERITANCE Professor Dr. Basim Zwain Faculty of Medicine Jabir ibn Hayyan Medical University basimzwain@jmu.edu.iq
  • 2. PATTERNS OF INHERITANCE Inheritance pattern Description Examples Autosomal dominant One mutated copy of the gene in each cell is sufficient for a person to be affected by an autosomal dominant disorder. Each affected person usually has one affected parent . Autosomal dominant disorders tend to occur in every generation of an affected family. Huntington disease,neurofibro matosis type 1 Autosomal recessive Two mutated copies of the gene are present in each cell when a person has an autosomal recessive disorder. An affected person usually has unaffected parents who each carry a single copy of the mutated gene (and are referred to as carriers) . Autosomal recessive disorders are typically not seen in every generation of an affected family. cystic fibrosis, sickle cell anemia
  • 3. PATTERNS OF INHERITANCE Inheritance pattern Description Examples X-linked dominant X-linked dominant disorders are caused by mutations in genes on the X chromosome. Females are more frequently affected than males, and the chance of passing on an X-linked dominant disorder differs between men and women . Families with an X-linked dominant disorder often have both affected males and affected females in each generation. A characteristic of X-linked inheritance is that fathers cannot pass X-linked traits to their sons (no male-to-male transmission). fragile X syndrome X-linked recessive X-linked recessive disorders are also caused by mutations in genes on the X chromosome. Males are more frequently affected than females, and the chance of passing on the disorder differs between men and women . Families with an X-linked recessive disorder often have affected males, but rarely affected females, in each generation. A characteristic of X-linked inheritance is that fathers cannot pass X-linked traits to their sons (no male-to- male transmission). Hemophilia, Fabry disease
  • 4. PATTERNS OF INHERITANCE Inheritance pattern Description Examples Codominant In codominant inheritance, two different versions (alleles) of a gene can be expressed, and each version makes a slightly different protein . Both alleles influence the genetic trait or determine the characteristics of the genetic condition. ABO blood group, alpha-1 antitrypsin deficiency Mitochondrial This type of inheritance, also known as maternal inheritance, applies to genes in mitochondrial DNA. Mitochondria, which are structures in each cell that convert molecules into energy, each contain a small amount of DNA. Because only egg cells contribute mitochondria to the developing embryo, only females can pass on mitochondrial mutations to their children . Disorders resulting from mutations in mitochondrial DNA can appear in every generation of a family and can affect both males and females, but fathers do not pass these disorders to their children. Leber hereditary optic neuropathy (LHON)