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Human Genetic Diseases
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AP Biology
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Pedigree analysis

Pedigree analysis reveals Mendelian
patterns in human inheritance
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= male
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data mapped on a family tree
= female
= male w/ trait
= female w/ trait
Simple pedigree analysis
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What’s the
likely inheritance
pattern?
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Genetic counseling
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Pedigree can help us understand the past
& predict the future
Thousands of genetic disorders are
inherited as simple recessive traits
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from benign conditions to deadly diseases
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albinism
cystic fibrosis
Tay sachs
sickle cell anemia
PKU
Genetic testing
sequence
individual genes
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Recessive diseases
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The diseases are recessive because the
allele codes for either a malfunctioning
protein or no protein at all
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Heterozygotes (Aa)
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carriers
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have a normal phenotype because one
“normal” allele produces enough of the
required protein
Heterozygote crosses
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Heterozygotes as carriers of recessive alleles
Aa x Aa
female / eggs
male / sperm
A
a
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A
a
AA
AA
Aa
Aa
A
Aa
a
carrier
Aa
Aa
aa
carrier
disease
A
Aa
a
Cystic fibrosis (recessive)
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Primarily whites of
European descent
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strikes 1 in 2500 births
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normal lung tissue
normal allele codes for a membrane protein
that transports Cl- across cell membrane
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1 in 25 whites is a carrier (Aa)
defective or absent channels limit transport of Cl- & H2O
across cell membrane
thicker & stickier mucus coats around cells
mucus build-up in the pancreas, lungs, digestive tract &
causes bacterial infections
without treatment children die before 5;
with treatment can live past their late 20s
Chloride channel
Effect on Lungs
normal lungs
airway
Cl–
transports salt through protein
channel out of cell
Osmosis: H2O follows Cl–
Cl– channel
H 2O
cells lining
lungs
cystic fibrosis
Cl–
H 2O
bacteria & mucus build up
thickened mucus
hard to secrete
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mucus secreting glands
delta F508
loss of one
amino acid
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Tay-Sachs (recessive)
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Primarily Jews of eastern European (Ashkenazi)
descent & Cajuns (Louisiana)
 strikes 1 in 3600 births
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non-functional enzyme fails to breakdown lipids
in brain cells
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100 times greater than incidence among
non-Jews
fats collect in cells destroying their function
symptoms begin few months
after birth
seizures, blindness &
degeneration of muscle &
mental performance
child usually dies before 5yo
Sickle cell anemia (recessive)
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Primarily Africans
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strikes 1 out of 400 African Americans
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high frequency
caused by substitution of a single amino
acid in hemoglobin
 when oxygen levels are low, sickle-cell
hemoglobin crystallizes into long rods
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deforms red blood cells into
sickle shape
sickling creates pleiotropic
effects = cascade of other
symptoms
Sickle cell anemia
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Substitution of one amino acid in
polypeptide chain
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hydrophilic
amino acid
hydrophobic
amino acid
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Sickle cell phenotype
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2 alleles are codominant
both normal & mutant hemoglobins are
synthesized in heterozygote (Aa)
 50% cells sickle; 50% cells normal
 carriers usually healthy
 sickle-cell disease
triggered under blood
oxygen stress
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exercise
Heterozygote advantage
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Malaria
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single-celled eukaryote parasite spends part of its
life cycle in red blood cells
In tropical Africa, where malaria is common:
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homozygous dominant individuals die of malaria
homozygous recessive individuals die of sickle cell
anemia
heterozygote carriers are relatively free of both
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reproductive advantage
High frequency of sickle
cell allele in African
Americans is vestige of
African roots••••••
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Prevalence of Malaria
Prevalence of Sickle
Cell Anemia
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Huntington’s chorea (dominant)
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Dominant inheritance
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Testing…
Would you
want to
know?
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repeated mutation on end of
chromosome 4
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mutation = CAG repeats
glutamine amino acid repeats in protein
one of 1st genes to be identified
build up of “huntingtin” protein in brain causing cell
death
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1872
memory loss
muscle tremors, jerky movements
 “chorea”
starts at age 30-50
early death
 10-20 years after start
Genetics & culture
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Why do all cultures have a taboo against incest?
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laws or cultural taboos forbidding marriages
between close relatives are fairly universal
Fairly unlikely that 2 unrelated carriers of same
rare harmful recessive allele will meet & mate
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but matings between close relatives increase risk
 “consanguineous” (same blood) matings
individuals who share a
recent common ancestor
are more likely to carry
same recessive alleles
A hidden disease reveals itself
Aa
x
Aa
male / sperm
male / sperm
A
A
A
a
A
AA
AA
A
AA
Aa
a
Aa
Aa
a
Aa
aa
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female / eggs
female / eggs
AA x Aa
• increase carriers in population
• hidden disease is revealed
Speaking of hidden diseases…
The “Blue People” of
Troublesome Creek,
Kentucky
The Fugate family
pedigree
“There’s BLUE people up in them thar hills!”
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The Blue People
of Troublesome
Creek
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© Anne Beaumont
Blue People of Troublesome Creek
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Blue People of Troublesome Creek
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1820 - French orphan Martin Fugate
settled in Troublesome Creek
Married Elizabeth Smith - 7 children of
whom 4 reported to be ‘blue’
Many consanguineous marriages
(normally cousin - cousin)
One of their sons married an aunt
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Blue People of Troublesome Creek
Dd
+
Generation
1 and Dad
Generation
1: Mom
Dd
mother/father
DD + Dd + Dd + dd
DD
DD
DD
DD
DD + DD + DD + Dd
DD DD DD Dd
DD Dd
Dd Dd
DD Dd
Dd Dd
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Generation 2: 2
Siblings
Generation
brothers/sisters
Reproduce with
Reproduce with non-carrier
non-carrier
Generation 3: Cousins
Generation 3
Cousins
Blue People of Troublesome Creek
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6 generations later Ben Stacy born
(1975)
Ben’s skin blue - no apparent cause
(1998) lips and fingernails still blue
when stressed
What is the cause? Treatment?
Madison Cawein (1960 ) proposed
answers
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Blue People of Troublesome Creek
Haemoglobin (Fe(II))
Diaphorase
Met-Haemoglobin (Fe(III))
(blueness)
Oxyhaemoglobin (Fe(II))
Methylene Blue
Reduction
in Body
Reduced Methylene
Blue (colourless)
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Side Effects
Haemoglobin (Fe(II))
Diaphorase
Met-Haemoglobin (Fe(III))
(blueness)
Oxyhaemoglobin (Fe(II))
Methylene Blue
Reduction
in Body
Reduced Methylene
Blue (colourless)
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Any questions?
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Woody Guthrie & Arlo Guthrie
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