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Modes of Autosomal and Sex
Linked Inheritance
To MBBS/BDS 1st year
08-01-2017
By Dr. Laxman Khanal
Assistant Prof. (Department of Anatomy)
Gregor Johhan Mendel: 1822-1884
Blending of characters
OR
Characters are discrete
and do not blend
Law of dominance
An important reason for studying the pattern
of inheritance of disorders within families is
to enable advice to be given to members of a
family regarding the likelihood of their
developing it or passing it on to their children
(i.e.genetic counseling)
Why this topic is important ?
Some definitions
Gene: Sequence of nucleotides in DNA which forms specific RNA
followed by protein which eventually produce some observable trait.
Alleles: Different variants of gene present in specific
location(locus) of homologous chromosome.
Homologous chromosome: Similar chromosome
inherited from father and mother containing similar
genes.
Fibrillin
Chromosome 15
Dominant disorders
Hemoglobin
Chromosome 11
Disease expression
occurs
Disease expression
occurs
Recessive disorders
Which is more lethal condition ?

Which is manifested earlier ?

Mode of inheritance: Definition
• Its the manner in which a particular genetic trait or disorder is passed
from one generation to the next.
Examples:
• Autosomal dominant/ recessive
• Sex-linked dominant/recessive
• Mitochondrial inheritance.
Knowledge is important for the purpose of ‘Genetic Counselling’
22 AA + XX/ XY
Autosomal dominant
inheritance
• Both parent can transmit mutant gene to
both sons and daughter.
• Male = female affected
• Vertical transmission (no generation gap)
• Myotonic muscular dystrophy
• Marfan’s syndrome
• Achondroplasia
• Huntington’s disease
• Familiar hypercholesterolemia
Autosomal dominant
• Myotonic muscular dystrophy
• Marfan’s syndrome
• Achondroplasia
• Huntington’s disease
• Familiar hypercholesterolemia
• Both parents can transmit mutant gene
to both sons and daughter.
• Male = female affected
• Vertical transmission (no generation gap)
50% of offspring will be affected if
one of the parent has single mutant
allele.
Modes of autosomal and sex linked inheritance
Autosomal dominant inheritance
• Only one copy of a disease allele is necessary for an individual to be
susceptible to expressing the phenotype.
• With each pregnancy, there is 50% chance the offspring will inherit
the disease allele.
• All affected individuals will have at least one parent who carries the
disease allele.
• Vertical inheritance involving all generations.
• Male and females are equally affected.
?
Reduced penetrance
50% chance of
being diseased.
• Pleiotropy
• Variable expressivity
• Reduced penetrance
Autosomal recessive inheritance
• Typically, the parents of an affected individual are not affected but are
gene carriers.
• With each pregnancy of carrier parents:
• There is a one in four (25%) chance of having the disease.
• There is a one in two (50%) chance of having carrier
• There is a one in four (25%) chance of having no disease.
• Proportion of affected male and female is equal.
Carrier
• 25%- affected
• 50%- carrier
• 25%- normal
Autosomal recessive inheritance
• Observed more frequently
in consanguineous relationship
s and in certain ethnic
backgrounds.
• Most of people have 1-5
mutant copy of gene for
autosomal recessive disorders.
• Sickle cell anemia
• Cystic fibrosis
• Tay-sachs disease
Sex limited disorders
• Limited in one of genders
• Mostly genes are in autosome
• Examples
Male pattern baldness
Ovarian carcinoma
Sex linked disorders
• Either X or Y linked
• Can occurs in both gender (if X linked)
• Occurs only in males (if Y linked)
• Genes are in sex chromosome
XY XX
Y linked inheritance
(Holandric inheritance)
Y linked disorders
• Hairy pinna
• Only occurs in male
X X X Y
• Father cannot transmit X linked mutant gene to sons.
• Mother can transmit X linked mutant gene to both sons and daughters.
xx XY xx XY
X linked inheritance
X X X Y
xx XY xx XY
X linked recessive
inheritance
• 50 % of male will be affected
• 50% of female will be carrier
XY
xx XY xx XY
X X X Y
xx XY xx XY
X linked recessive
inheritance
• 50 % of male will be affected
• 50% of female will be carrier
XY
xx XY xx XY
X X X Y
xx XY xx XY
X linked recessive
inheritance
Rare situation
Conclusion:
Males>> females affected
Mostly females act as carriers
• Duchenne muscular dystrophy
• Hemophilia A
• Color blindness
• G6PD deficiency
X-linked recessive inheritance
• Two copies of a disease allele on the X chromosome are required for
an individual with two X chromosomes (a female) to be affected.
• Since males are hemizygous for X-linked genes, any male with one
copy of disease allele is affected.
• Females are usually carriers because they only have one copy of the
disease allele.
• For a carrier female, with each pregnancy there is 50% chance her
sons will inherit the disease allele and 50% chance her daughters will
be carriers.
X X X Y
xx XY xx XY
X linked dominant
inheritance
XY
xx XY xx XY
X X
XY X XX X XY
Females >> males affected.
X-linked recessive inheritance X-linked dominant inheritance
Fragile X syndrome (!!)
Vitamin D resistant rickets
Charcot-Marie-Tooth disease
• Males and females are equally affected
• Both father and mother can transmit the
mutant gene to both sons and daughter.
YESNO Autosomal inheritanceSex linked inheritance
Vertical transmission +no generation gap
Autosomal dominant
Horizontal transmission +generation gap
Autosomal recessive
Father to sons transmission
Y-Linked
No father to sons transmission
X-Linked
Males >> females – X-recessive
Females>> males- X-dominant

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Modes of autosomal and sex linked inheritance

  • 1. Modes of Autosomal and Sex Linked Inheritance To MBBS/BDS 1st year 08-01-2017 By Dr. Laxman Khanal Assistant Prof. (Department of Anatomy)
  • 3. Blending of characters OR Characters are discrete and do not blend Law of dominance
  • 4. An important reason for studying the pattern of inheritance of disorders within families is to enable advice to be given to members of a family regarding the likelihood of their developing it or passing it on to their children (i.e.genetic counseling) Why this topic is important ?
  • 5. Some definitions Gene: Sequence of nucleotides in DNA which forms specific RNA followed by protein which eventually produce some observable trait. Alleles: Different variants of gene present in specific location(locus) of homologous chromosome. Homologous chromosome: Similar chromosome inherited from father and mother containing similar genes.
  • 6. Fibrillin Chromosome 15 Dominant disorders Hemoglobin Chromosome 11 Disease expression occurs Disease expression occurs Recessive disorders Which is more lethal condition ?  Which is manifested earlier ? 
  • 7. Mode of inheritance: Definition • Its the manner in which a particular genetic trait or disorder is passed from one generation to the next. Examples: • Autosomal dominant/ recessive • Sex-linked dominant/recessive • Mitochondrial inheritance. Knowledge is important for the purpose of ‘Genetic Counselling’ 22 AA + XX/ XY
  • 8. Autosomal dominant inheritance • Both parent can transmit mutant gene to both sons and daughter. • Male = female affected • Vertical transmission (no generation gap) • Myotonic muscular dystrophy • Marfan’s syndrome • Achondroplasia • Huntington’s disease • Familiar hypercholesterolemia
  • 9. Autosomal dominant • Myotonic muscular dystrophy • Marfan’s syndrome • Achondroplasia • Huntington’s disease • Familiar hypercholesterolemia • Both parents can transmit mutant gene to both sons and daughter. • Male = female affected • Vertical transmission (no generation gap) 50% of offspring will be affected if one of the parent has single mutant allele.
  • 11. Autosomal dominant inheritance • Only one copy of a disease allele is necessary for an individual to be susceptible to expressing the phenotype. • With each pregnancy, there is 50% chance the offspring will inherit the disease allele. • All affected individuals will have at least one parent who carries the disease allele. • Vertical inheritance involving all generations. • Male and females are equally affected.
  • 12. ? Reduced penetrance 50% chance of being diseased. • Pleiotropy • Variable expressivity • Reduced penetrance
  • 13. Autosomal recessive inheritance • Typically, the parents of an affected individual are not affected but are gene carriers. • With each pregnancy of carrier parents: • There is a one in four (25%) chance of having the disease. • There is a one in two (50%) chance of having carrier • There is a one in four (25%) chance of having no disease. • Proportion of affected male and female is equal.
  • 14. Carrier • 25%- affected • 50%- carrier • 25%- normal
  • 15. Autosomal recessive inheritance • Observed more frequently in consanguineous relationship s and in certain ethnic backgrounds. • Most of people have 1-5 mutant copy of gene for autosomal recessive disorders. • Sickle cell anemia • Cystic fibrosis • Tay-sachs disease
  • 16. Sex limited disorders • Limited in one of genders • Mostly genes are in autosome • Examples Male pattern baldness Ovarian carcinoma Sex linked disorders • Either X or Y linked • Can occurs in both gender (if X linked) • Occurs only in males (if Y linked) • Genes are in sex chromosome
  • 17. XY XX Y linked inheritance (Holandric inheritance) Y linked disorders • Hairy pinna • Only occurs in male
  • 18. X X X Y • Father cannot transmit X linked mutant gene to sons. • Mother can transmit X linked mutant gene to both sons and daughters. xx XY xx XY X linked inheritance
  • 19. X X X Y xx XY xx XY X linked recessive inheritance • 50 % of male will be affected • 50% of female will be carrier XY xx XY xx XY
  • 20. X X X Y xx XY xx XY X linked recessive inheritance • 50 % of male will be affected • 50% of female will be carrier XY xx XY xx XY
  • 21. X X X Y xx XY xx XY X linked recessive inheritance Rare situation Conclusion: Males>> females affected Mostly females act as carriers • Duchenne muscular dystrophy • Hemophilia A • Color blindness • G6PD deficiency
  • 22. X-linked recessive inheritance • Two copies of a disease allele on the X chromosome are required for an individual with two X chromosomes (a female) to be affected. • Since males are hemizygous for X-linked genes, any male with one copy of disease allele is affected. • Females are usually carriers because they only have one copy of the disease allele. • For a carrier female, with each pregnancy there is 50% chance her sons will inherit the disease allele and 50% chance her daughters will be carriers.
  • 23. X X X Y xx XY xx XY X linked dominant inheritance XY xx XY xx XY X X XY X XX X XY Females >> males affected.
  • 24. X-linked recessive inheritance X-linked dominant inheritance Fragile X syndrome (!!) Vitamin D resistant rickets Charcot-Marie-Tooth disease
  • 25. • Males and females are equally affected • Both father and mother can transmit the mutant gene to both sons and daughter. YESNO Autosomal inheritanceSex linked inheritance Vertical transmission +no generation gap Autosomal dominant Horizontal transmission +generation gap Autosomal recessive Father to sons transmission Y-Linked No father to sons transmission X-Linked Males >> females – X-recessive Females>> males- X-dominant