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Chapter 18

                            with each pregnancy. Some X-linked dominant conditions,
                            such as Aicardi Syndrome, are fatal to boys, therefore only
                            girls have them (and boys with Klinefelter Syndrome).
                            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. The sons of a      Hemophilia A, Duchenne
             X-linked       man with an X-linked recessive disorder will not be        muscular dystrophy,
             recessive      affected, and his daughters will carry one copy of the     Color blindness, Turner
                            mutated gene. With each pregnancy, a woman who carries  Syndrome
                            an X-linked recessive disorder has a 50% chance of having
                            sons who are affected and a 50% chance of having
                            daughters who carry one copy of the mutated gene.
                            Y-linked disorders are caused by mutations on the Y
                            chromosome. Only males can get them, and all of the sons
                            of an affected father are affected. Since the Y chromosome
             Y-linked                                                                  Male Infertility
                            is very small, Y-linked disorders only cause infertility, and
                            may be circumvented with the help of some fertility
                            treatments.
                            This type of inheritance, also known as maternal
                            inheritance, applies to genes in mitochondrial DNA.        Leber's Hereditary Optic
             Mitochondrial Because only egg cells contribute mitochondria to the       Neuropathy (LHON)
                            developing embryo, only females can pass on
                            mitochondrial conditions to their children.


            Mechanisms of inheritance


                 A person's cells hold the exact genes that originated from the sperm and egg of his parents at the
            time of conception. The genes of a cell are formed into long strands of DNA. Most of the genes that
            control characteristic are in pairs, one gene from mom and one gene from dad. Everybody has 22 pairs
            of chromosomes (autosomes) and two more genes called sex-linked chromosomes. Females have two
            X (XX) chromosomes and males have an X and a Y (XY) chromosome. Inherited traits and disorders
            can be divided into three categories: unifactorial inheritance, sex-linked inheritance, and multifactor
            inheritance.



            Unifactorial Inheritance


                 Traits such as blood type, eye color, hair color, and taste are each thought to be controlled by a
            single pair of genes. The Austrian monk Gregor Mendel was the first to discover this phenomenon, and
            it is now referred to as the laws of Mendelian inheritance. The genes deciding a single trait may have
            several forms (alleles). For example, the gene responsible for hair color has two main alleles: red and
            brown. The four possibilities are thus

                 Brown/red, which would result in brown hair, Red/red, resulting in red hair, Brown/brown,
            resulting in brown hair, or Red/brown, resulting in red hair.

                 The genetic codes for red and brown can be either dominant or recessive. In any case, the


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