17. Complex inheritance (p10) Flashcards
Frequency of genetic diseases of different inheritance
Chromosomal: 4/1000
Monogenic: 20/1000
Multifactorial: 600/1000
Environmental influence on inheritance
Major genes:
- Monogenic
- Variable penetrance and expressivity
- Ecogenetic traits
Minor genes:
- Polygenic
- Multifactorial
Totally genetic diseases examples
- Cystic fibrosis
- Duchenne muscular dystrophy
Characteristics of most of the human traits
- Polygenic
- Continuous - quantitative traits
- Additive effects (not dominant and recessive)
- Multifactorial/complex (environment also involved)
Phenotypes distribution
Show continuous, normal distribution in the population.
- As the number of genes increases, so does the number of phenotype categories
Skin color inheritance
Supposing 3 additive genes
- Normal distribution
Complex disorders (discontinuous)
Frequency of diseases shows ethnic group and sex dependency
- Congenital malformations
- Chronic adult diseases
Characteristics of multifactorial traits, diseases
- No Mendelian pattern of inheritance (contradicted by concordance in monoz. and diz. twins)
- Occurs more often in a specific ethnic group and in one gender, but not sex-linked nor sex-limited trait
- Recurrence risk increase with number of affected children in a family and severity of affected
- Marriage between relatives moderately increase the risk
- Risk of affected relatives falls off very quickly with the degree of relationship - First degree relatives of individuals belonging to the more rarely affected gender have a higher risk of bearing the disease)
- Environment can influence the risk of disease (pos/neg)
Methods for indentification of genetic background
1) Familial aggregation
2) Twin studies
3) Adoption studies
Calculation of familial aggregation
λfamily/λpopulation (λr=1 - no genetics, λr>1 - genetics)
λr: relatives
λs: siblings
λp: parents
Example: CF (λs = 750) definitely genetically determined
DM inheritance
- Genetic influence in T1DM higher than in T2DM
- Environment affect both types
How identical are monoz. vs diz. twins?
Monoz: 100 %
Dizygotic: 50 %
Concordance, discordance analysis in twins
- If genetic factors play more important role - concordance of monozygotic will be higher than dizygotic
- If only environmental factors - concordance values of monozygotic = dizygotic
2 theories of genes involved in complex inheritance
1) Many genes with minor effect
2) Few genes with high penetrance
Identification of genes involved in multifactorial traits, diseases
1) Hypothesis driven (linkage analysis)
2) Hypothesis free (GWAS)
* Methods: molecular genetic methods, CGH, microarray etc