Sex Linked Diseases Flashcards

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1
Q

Who were the scientists that proposed the Chromosome theory of Inheritance? What did the chromosome theory involve?

A

Theodore Boveri and Walter Sutton proposed the There chromosome Theory of inheritance (1902)
Basis of Chromosome Theory:
-Chromosomes (like genes) occur in matched pairs
-Chromosome pairs (like genes) Segregate from each other when gametes are formed
-Chromosomes are essential for development
- * Chromosomes are the underlying physical basis for genes

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2
Q

Who was Eleanor Carothers and what did she discover?

A

Eleanor Carothers - scientist who did a lot of chromosome staining with different organisms
-She discovered (in grasshoppers) that **Nonhomologous chromosomes Assort independently **

(sometimes see orange chromosome with centrosome in middle, or you would see one with centromere to the side)
(she also noted there was one chromosome that did Not pair with any other one- sex chromosomes)
(hence this was evidence that chromosomes segregate independently just like genes (Mendel’s Laws)

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3
Q

What led to the the Discovery of Sex Linkage? Who discovered this?

A

Drosophila genetics led to Discovery of Sex Linkage
-Thomas Hunt Morgan: founded fruit fly genetics (to work out laws of genetics)
-He helped created modern scientific culture

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4
Q

Why did Thomas Morgan choose fruit flies for his genetic experiment ?

A

He chose fruit flies because:
-They grown Quickly (for reproductive cycle)
-fruit flies grow ROBUSTLY an din LARGE numbers

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5
Q

What controls the Drospholia Sex?

A

Drospholia Sex is controlled by chromosomes
Fruit flies that are female have 2 Identical X chromosomes
Fruit flies that are male: have 2 NON-identical chromosomes (1 X chromosome, 1 Y chromosome (oddly shaped; curved)
hence XX or XY would be determine factor for sex of fruit fly
(proving that sex linked gene was on sex chrosome; able to prove genes are located on chromosomes and know how sex-linked genes worked for humans)

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6
Q

Describe the mutation that can be seen in Fruit flies that affects eye color.

A

In fruit flies, wild type (normal) flies have red eyes
-flies with White mutant gene (W1 mutant) have white eyes
(This mutant show up spontaneously in lab)

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7
Q

Describe the sex-limited inheritance that was observed when working with fruit flies.

A

They observed that when wild type fly with red eyes crossed with white mutant fly with White eyes, you would get BIASED ratios of phenotypes (for eye color)
-found white eyed male and crossed red eyed sisters
all offspring (for F1 generation) had red eyes, except 3 flies (that were white)
Then the F1 hybrids (all red eyed) were inbred, and all the females were red eyed, meanwhile half of the male offspring were red eyed and half of the males were white-eyed
Hence unequal phenotypes between female and male flies.

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8
Q

what was used to explain the unequal phenotypes of male and female fruit flies?

A

Morgan was able to propose that White gene (mutant allele that leads to white eyes) is on the X chromosome
-(gene being inherited with sex chromosome)
Hence they observed that P0 generation have White eyed male with X^w1 Y (X ^w1; mutant white gene) that crossed with Red eyed female fly (X^w+ X^w+ ) would produce:
F1 generation with Red eyed male (X^w+ Y) and Red eyed female (X^w+ X^w1) with mutant allele
(hence all male get X from mom, Y chromes from dad; meanwhile females get a copy of X^w+ from both mom and dad)
-When F1 mated together: X^w+ Y x X^w+ X ^w1:
offspring would be; 1/2 Red-eyed females X^w+ X^w+ , X^w+ X^w1. 1/4 Red eyed males X^w+ Y 1/4 white-eyed males X^w1 Y
(hence white allele is recessive)

The assumption is that white gene is located on X chromosme allowed them to explain the behavior of unusual cross )

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9
Q

What would happen if it was tested that some of F2 females were heterozygous for eye color in fruit flies?

A

Test; Some F2 females are heterozygous
Cross white eyed male with Red eye female (homozygous)
X^w1 Y x X^w+ X^w+
you get offspring of 1/2 Red eyed female X^w+ X^w1
1/2 red eyed male X^w+ Y
OR Cross white eyed male with Red eyed female (heterozygous)
X^w1 Y x X^w+ X^w1
you get offspring with 1/4 Red eyed females X^w+ X^w1
1/4 White eyed females X^w1 X^w1
1/4 Red eyed male X^w+ Y
1/4 white eyed male X^w1 Y

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10
Q

What kind of offspring are produced when you test a white female and cross red male fruit fly?

A

Test: white female produce White sons
Cross Red eyed male with white-eyed female
X^w+ Y x X^w1 X^w1
you will get offspring:
1/2 Red-eyed female X^w+ X^w1
1/2 White eyedmale X^w1 Y

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11
Q

What is Hemophilia A? What type of genetic disorder is it?

A

Hemophilia A: genetic bleeding disorder caused by a lack of blood clotting factor VIII.
This disorder is Sex-linked Recessive (as mutation is caused by gene on X chromosome)

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12
Q

Describe the clinical features and symptoms of Hemophilia A

A

Hemophilia A caused by mutation that impairs blood clotting
-prolonged and severe bleeding from wounds
-Severe bruising
-Hemarthroses occur- bleeding into joints
-platelets are normal and stop minor bleeding
(people with hemophilia A are also missing Complement that allows blood to coagulate(clot) , but platelets are still present to help overbreeding stop)

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13
Q

What is the popular example of sex-linkage in genetics? What is the assumption?

A

Queen Victoria’s family: most famous example of Sex-linked disease hemophilia A
a lot of males in each generation have hemophilia
-Assumption: Queen Victoria must have been carrier for hemophilia. Hence could have son who is affected and daughters who are carriers and will pass on mutated allele to their children.

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14
Q

What does a typical inheritance of Sex-linked recessive diseases (like hemophilia) look like? How does th

A

Typical inheritance of sex-linked recessive diseases (like Hemophilia) ;
Father who is unaffected (X+ Y) will mate with mother (X+ h) who is a carrier for the disease
They will cross and produce offspring:
1/4 X+ X+ normla girl
1/4 X+ Y normal boy
1/4 X^h X+ carrier girl
1/4 X^h Y Affected boy
Hence, in sex-linkage recessive diseases, males only need 1 mutated copy, so the frequency of males being affected with disease is HIGH
* Frequency of people with sex-linked recessive disorders are much HIGHER compared to other genetic disorders, and Only affect MALES*

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15
Q

How did Hemophilia influence the downfall of the Tsars?

A

Descendants of Queen Victoria (some family members who were affected with Hemophilia) married into royal families, like the Russian royal house
The Last Tsar of Russia (Tsar Nicholas) had son who inherited mutation from mother (descendent of Queen Victoria) and his father had Hemophilia. Hence family worried about son’s health.
(Gregory Rasputin: claim to use mystic arts to keep son healthy)

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16
Q

What type of mutation causes Hemophilia A? Differentiate between mutations that cause Severe vs Mild Hemophilia A

A

Mutations in Clotting Factor VIII gene (F8) cause Hemophilia A
Severe Hemophilia A
-Null Mutations that either:
-Prevent the production of clotting factor VIII (less than 1% of protein)
-Prevent clotting factor VIII from functioning
(Null mutation: mutations that stop gene from working together)
Mild Hemophilia A:
missense mutations that impair VIII function
(hence you still will make clotting factor, but it will not work as well)
(You will not have serious issue with clotting and stopping bleeding, but will have defects)

(side note; there are other genes that are involved in blood clotting; most autosomal, one is on X chromosome
Hemophilia is the dominant gene

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17
Q

What kind of treatment is provided for Hemophilia A? What can be used to help stop bleeding or breakdown clots that will be necessary for those with Hemophilia?

A

Treatment for hemophilia A:
**Clotting factor VIII can be given intravenously (frequent injections so patient can form blood clots if they get cut)
-Recombinant factor VIII is safest, since it carries No risk of contamination
-Human Derived factor VIII was purified from blood and transmitted the HIV virus to many hemophiliacs
-DDAVP (desmopressin acetate) is a version of vasopressin that helps stop bleeding
-Aminocaproic acid can be used to slow the breakdown of clots

(When HIV virus outbreak occurred, many people did not know what it was; hence they were unaware they had HIV disease, donated blood and AIDS virus was concentrated down with clotting factor 8 and was distributed in blood drive for people with hemophilia. Hence many hemophiliacs dies of AIDS due to blood distribution that had AIDS in blood along with clotting factor 8)

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18
Q

What is one benefit of having Hemophilia?

A

Hemophilia LOWERS Cardiovascular mortality
(since clotting is involved in heart issues, strokes, those with hemophilia benefit) However, tiny benefit

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19
Q

What is Duchenne Muscular Dystrophy and what are its symptoms?

A

Duchenne Muscular Dystrophy: Sex-linked recessive disorder
This disease causes progressive loss of muscles (causes little movement)
Symptoms:
Progressive weakness and loss of muscle
-Leakage of Creatine Kinase into blood from dying muscles
-Heart and lungs become impaired , leading to an early death. The heart problems cause cardiomyopathy
(Cardiomyopathy:harder for heart to pump blood to rest of body)

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20
Q

What Kind of mutation causes Duchenne Muscular Dystrophy (DMD). Discuss the frequency of disease in males vs females.

A

DMD is caused by sex-linked recessive mutation
-Carriers are women with two Xs (marked with a dot in pedigree); one of which has the mutation
- Most affected individuals are MALE, since they only have one X
-1/4000 males have DMD (very high rate)

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21
Q

Describe the Muscular Dystrophy gene and how it causes the disease (Duchenne muscular dystrophy)
What kind of Alleles cause DMD?

A

The Duchenne Muscular Dystrophy gene is LARGE (> 2 million base pairs) and Easily mutated
hence there a lot of places on gene where mutations can occur.
There is also an enormous Dystrophin protein (> 3600 amino acids) that contain many domains that help interact with other structuring proteins of muscle
- *This protein helps main integrity of other proteins which have to form fibers that give muscle its structure and low it contract
**Severe alleles and NULL Alleles cause DMD

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22
Q

What does the DMD gene code for? Describe the surroundings of dysytrophin protein and structure involved

A

DMD gene codes for the key muscle protein Dystrophin
Around the dystrophin protein there is cell membrane, extracellular matrix (maintains stabilty).
There are set of proteins embedded in membrane (allows for contraction)
The dystrophin protein is connected to actin filaments (actin and myosin) and play a role in muscle function
-Those with DMD, can assemble muscle
The dystrophin protein provides support, which helps keep everything in place, despite the sprain that muscles undergo due to contractions. Protein helps us have muscles last for a longer time

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23
Q

Discuss the treatment available for Duchenne Muscular Dystrophy?

A

Treatment for Duchenne Muscular Dystrophy:
-There is NO CURE
-Physical therapy can alleviate some muscle symptoms and slow down the course of the disease. Inactivity is harmful (you need some kind of movement)
-Drugs and othopedics can help with muscle function and movement
- Pacemakers and respiratory assistance can help with heart and lung function

(also gene therapy treatments are currently trying to be made to help with disease)

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24
Q

What is Becker’s Muscular Dystrophy and how does it relate to Duchenne Muscular Dystrophy (DMD)? What are its symptoms?

A

Becker’s Muscular Dystrophy: sex-linked recessive disease (causes progressive weakness of muscles )
- BMD is also X-linked
-They symptoms are usually MILDER (than DMD)
- Affected individuals Live Longer than those with Duchenne Muscular Dystrophy

25
Q

Which gene controls Becker’s Muscular Dystrophy (BMD)? what kind of mutation cause BMD? What kind of alleles are seen in BMD?

A

The SAME gene controls Becker’s Muscular Dystrophy and Duchenne MD
-Dystrophin gene (that is large, and has 2 million base pairs)
MILD alleles that work (Poorly) cause BMD
(symptoms are milder, since MISSENSE mutations seen in BMD will alter protein without destroying it)
(whereas in DMD (Duchenne’s), mutations like Stop and Deletions that affect protein, cause it have no function)

26
Q

What is Fragile X syndrome? What kind of disorder is it?

A

Fragile X syndrome: Sex linked SEMI-DOMINANT disorder (causes range of developmental problems, including learning disabilities and cognitive impairment)
affect women and men; but affect men most severely.

27
Q

What are the symptoms of Fragile X Syndrome?

A

Fragile X Syndorme Symptoms:
-Mental Retardation
-Behavioral problems
-Elongated face and large ears
-Low muscle tone
-Some women have premature menopause

28
Q

What is the most common genetic cause of mental retardation?

A

FRAGILE X SYNDROME

29
Q

What kind of mutation causes Fragile X syndrome?

A

Fragile X is caused by mutations in the FMR1 gene
-The key mutations are in the 5’ UTR (untranslated region), which does NOT code for protein
-The CGG repeats in this FMR1 gene, however protein sequence is not affected

30
Q

Explain how Fragile X syndrome can change over the generations

A

The number of CGG repeats in the FMR1 gene can INCREASE with each generation
-The MORE repeats, the More SEVERE the effects of the allele
- Affected males are worse off than females with an identical allele

31
Q

What can happen if there are too many CGG repeats in the FMR1 gene? Discuss the differences with phenotypes due to number of CGG repeats

A

Too many CGG repeats at the start of the FMR1 gene can turn it OFF.
Normal protein: 6-50 CGG repeats (it can make FMR1 mRNA and also make FMRP protein)
Premutation: 55-200 repeats (make MORE mRNA and have more transcription occur) creating LESS protein; hence you start to see symptoms: (that can lead to premature ovarian failure in some females; and tremor/ataxia syndrome in a few males )
- *** FULL MUTATION: with Greater than 200 CCG repeats you will have METHYL groups placed on DNA that will shut down FMR1 gene, and No mRNA will be made. No protein will be made and you will 100% get Fragile X syndrome (FXS) **

32
Q

What are affects of expansion of CCG repeats

A

The expansion of CGG repeats cause disease in FMR1 gene and they can change generation by generation (Due to difficulty reproducing the genes properly) leading to more severe problems later on

33
Q

How will FMR1 mutations affect chromosomes?

A

FMR1 mutations affect the local structure of X chromosome
-Methylation will affect the activation of the gene and structure of gene (shut down apart of gene) causing curved chromosome structure

34
Q

How does FMR1 gene help with the translation of Large mRNAs?

A

-FMR1 gene binds many mRNAs
-FMR1 promotes the translation of long mRNAs into proteins
-Many FMR1 targets regulate nervous system development.
(complicated gene)

35
Q

Explain why Fragile X-Syndrome is considered semi-dominant?

A

Fragile X Syndrome is Semi-dominant:
-Women with ONE defective FMR1 gene and one Normal one are healthier than:
-Women with TWO Defective FMR1 genes (homozygous)
-Men with only a defective FMR1 gene, and NO normal copy of the gene (because it is on X)
-Thus these mutations are NOT completely Dominant over the normal allele
-We can refer to them as semi-dominant

36
Q

What is treatment for Fragile X syndrome? Is there a cure?

A

Treatment for Fragile X Syndrome:
-There are NO Treatments or Cures
-Speech therapy, behavioral therapy and special education can help
-Drugs can partially alleviate the hyperactivity and impulsivity
-Genetic counseling can help affected families plan how to have children.

37
Q

What kind of disorder is hypohosphatetmic Rickets?

A

**Hypophosphatemic Rickets; Sex-linked DOMINANT disorder
(genetic disorder in one has LOW leaves of phosphate in blood, causing bones to be painfully soft and bend easily)

38
Q

How does Hypophosphatemic Rickets affect bone?

A

Hypophosphatemic Rickets causes bone deformities
-Normal bone structure: Complex, rigid structure
-Bone with Rickets: The bone will be spongier and can be disformed under stress or normal development
(defective bone structure)

39
Q

What are other symptoms of Hypophosphatemic Rickets. Distinguish between mild and severe cases

A

Other symptoms of Hypophosphatemic Rickets:
-Mild cases:
Hypophosphatemia (LOW blood phosphate)
-More Severe cases:
Hypophosphatemia (low blood phosphate)
-Bow legs
-Bone pain
-Osteoarthritis
-Dental problems

40
Q

What kind of mutations cause Hypophosphatemic Rickets? How does this impact inheritance of mutation?

A

Hypophosphatemic Rickets is Caused by DOMINANT mutations in the PHEX gene
-PHEX is on X chromosome
-Heterozygous mothers can pass it on to both daughters or sons
-half of daughters and half of sons are affected
- **Affected fathers ONLY pass it to daughters
-ALL daughters are affected

(sons get Y from Dad, so all sons will be not be affected)

41
Q

Explain how PHEX gene is impacted when one has Hypophosphatemic Rickets

A

The PHEX gene turns OFF FGF23 , which controls phosphate metabolism
(secretion and take up of phosphate in body)
Hence with FGF23 gene off, little phosphate will be produced.
PHEX regulate phosphate levels. if you have dominant mutation, leads to little phosphate in blood.

Phosphate metabolism: you need phosphate to be released and moves around in body; intestines secrete phosphate from food we digest, kidneys excrete excess phosphate, bone take up phosphate and relate phosphate into blood; thyroid controls phosphate levels.

42
Q

What is the Treatment for Hypophosphatemic Rickets?

A

Treatment for Hypophosphatemic Rickets:
-** NO response to Vitamin D supplements
-Oral phosphate can help, but must be monitored
-Surgery can correct bone developmental problems.

43
Q

Explain the revelation that occurred when working with Fruit flies (Calvin Bridges in “The Fly Room”)

A

When working with Fruit flies, we were able to discover dosage compensation and formation of Barr bodies.
Calvin Bridges had Diagram of Normal sex-linked inheritance with VERMILLION gene (affected eye color in flies) , and it showed how you could get carrier females and affected males with vermillion mutation
He wrote a paper and had diagram where he found rare problems with mitosis that could lead to eggs with 2 X chromosomes (instead of 1 X chromosome) and if fertilized by sperm you can get embryo with Three X chromosomes, or 2 Xs and Y chromosome.
Or you could get eggs with NO X chromosomes and could end up with single X from father or just a Y.
**Hence mistakes in meiosis can lead to abnormal numbers of chromosomes **

44
Q

What was learned about Non-disjunction in fruit flies ?

A

Non-disjunction creates rare exceptional progeny
a fruit fly with just one X becomes male (even without Y chromosomes)
-2 X chromosomes are females in fruit flies
However the flies with 3 chromosomes DIED–> Dosage compensation problem.

45
Q

Explain the Dosage compensation and how animals alter expression of X-linked genes.

A

Dosage Compensation: Changes in X chromosome number can be harmful to many animals
-However this does not occur in humans.

Fruitflies have system where they can alter transcription on their single male X (double rate)
-some animals (like worms) can turn down expressions of 2 Xs in females
- ***mammals (humans): females start with two working X chromosomes, but then one of two X’s is shut down and made-up to Bar body **.
So, in males you have one working X and females only have 1 working X (due to Barr body).hence there is balance.
mammals: random inactivation of one of females X chromosome.

46
Q

How are Human Barr bodies identified?

A

human bar bodies are identified by using antibodies we can use with bar bodies to glow.
ex: XXX female will have two bar bodies (and 1 working X chromosome)
human bar body formation equalize how XX and XY chromosome work (well balanced system)

47
Q

When does X-inactivation occur? What is a good example of this.

A

X-inactivation occurs RANDOMLY during early development
-egg keeps divinding, then some cells turn off one X; other cells turn off another X.
-once cell turns off particular X, all descendent X keeps same X inactivated
Different patches of body turn off one X,
different patches use turn off other X.
A good example of this is seen in Calico Cats
-Cats have a color gene on X chromosome with alleles that can make orange fur, or black fur
(white fur controlled by different gene)
-The big orange-colored patch of fur on calico cat is inactivating an X chromosome, while black-colored patch on fur is inactivating another X chromosme.
hence orange- black fur pattern

48
Q

Describe how X-linked ocular albinism can be detected in women.

A

X-linked ocular albinism in women:
The Mother who carries the mutated X gene can pass it on to son (who only needs one mutated X gene) and will be affected.
X-linked recessive
Homozygous affected male (big pattern, lots of yellow seen, surrounded by orange color) : cause vision abnormalities .
-Heterozygous female -some cells have yellowish pattern, others have red pattern

minor effect seen with X-linked disease

49
Q

What kind of phenotypes can women have due to X inactivation ?

A

Women can have MOSAIC phenotypes depending on X-inactivation
-Recessive mutation in the EDA gene cause Hypohidrotic ectodermal dysplasia- the Absence of Sweat glands
-The EDA gene is on X chromosome
-Women who are carriers have affected patches of skin.
-(some patches of skin will have no sweat glands, other patches of skin will have sweat glands: head mosaic (half and half)

-

50
Q

Explain why female identical twins are NOT completely identical

A

For Female identical twins it is randomly determined which X is activated (From mother or father)
Hence genetic differences can occur between females identical twins ( different use of different X chromosme in different parts of the body allow mosaic phenotypes

Male identical twins are MORE identical, since all the cells use the same X chromosme.

51
Q

Discuss what an Autosomal Recessive trait look like in pedigree

A

Autosmal Recessive trait:
-Not all generation affected (SKIPS Generations)
-common with consanguinous marriages (cousins)
-could affect males or females equally
-Rare

52
Q

What does a Autosomal Dominant trait look like in pedigree?

A

Autosomal Dominant Trait:
- Affects EVERY Generation
-Affect males or females equally
parents must be HETEROZYGOUS (if they have some unaffected children; or affected)

53
Q

Discuss what a Sex-linked recessive trait looks like in pedigree?

A

Sex-linked recessive trait (ex: inheritance of Red-Green Color Blindness)
-many affected males
if father is affected, females will be carries, sons not affected (since only get Y chromosome from dad)
-female carriers can pass it on to their sons who may be affected.
(one of most common traits)

54
Q

How does pedigree of Cystic Fibrosis look like?

A

Cystic fibrosis pedigree
-Recessive trait
-affect males and females equally.
(hence autosomal recessive trait)

55
Q

How does Pedigree of Micropthalmia look like? How is it inherited?

A

Micropthalmia (eye condition that happens before birth)
-mostly sex-linked recessive
-mainly males are affected.
-need female who has it to have affected female daughters.
-Extremely RARE

56
Q

What does pedigree of Autosomal Dominant inheritance look like?

A
57
Q

What does pedigree of Sex-linked Dominant look like?

A

Sex-linked Dominant:
-every generation is affected (affected patients and children)
-Affected Father has 2 affected daughters and NO affected sons.
-Affected mother can EQUALLY pass on mutant gene to daughters and sons

58
Q

What does Autosomal Recessive inheritance look like?

A

Autosomal Recessive
-Skips generations
-Consaguinous marriage (cousins marriages)
-males and females equally affected

59
Q

What about Sex-linked Recessive? What does the pedigree look like?

A

Sex-linked Recessive:
-skips generations (not every generation has disease)
-only males (or particular sex) are affected
(also female carriers will be present that can pass on gene to son)