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32     Chapter 2    Mendel’s Principles of Heredity


              would require that the fewest genetically unrelated people   Figure 2.22  Huntington disease: A rare dominant trait.
              carry the allele. Only the father in Fig. 2.21 would need to   All individuals represented by filled-in symbols are heterozygotes
              have a dominant disease-causing allele, but both parents   (except I-1, who could instead have been homozygous for the
              would need to carry a recessive disease-causing allele (the   dominant HD disease allele); all individuals represented by open
                                                                   symbols are homozygotes for the recessive HD  normal allele.
                                                                                                     +
              father two copies and the mother one). However, even the   Among the 14 children of the consanguineous mating, DNA testing
              information that the trait is rare does not allow us to draw   shows that some are HD HD, some are HD HD , and some are HD
                                                                                                                   +
                                                                                                     +
              the firm conclusion that it is inherited in a dominant fash-  HD . The diamond designation masks personal details to protect
                                                                     +
              ion. The pedigree in the figure is so limited that we cannot   confidentiality.
              be sure the two parents are themselves unrelated. As we   I
              discuss later in more detail, related parents might have both                  1    2
              received the same rare recessive allele from their common   II
              ancestor. This example illustrates why human geneticists try          1    2            3    4
              to collect family histories that cover several generations.  III
                  We now look at more extensive pedigrees for the dom-           1  2   3  4    5   6  7  8   9
              inant trait of Huntington disease and for the recessive con-  IV
              dition of cystic fibrosis. The patterns by which these traits   1   2  3  4   5  6
              appear in the pedigrees provide important clues that can   V                        14
              indicate modes of inheritance and allow geneticists to as-   1   2   3
              sign genotypes to family members.


              A Vertical Pattern of Inheritance Indicates              In tracking a dominant allele through a pedigree, you
              a Rare Dominant Trait                                can view every mating between an affected and an unaf-
                                                                   fected partner as analogous to a testcross. If some of the
              Huntington disease is named for George Huntington, the   offspring do not have Huntington disease, you know the
              New York physician who first described its course. This   parent showing the trait is a heterozygote. As an exercise,
              illness usually shows up in middle age and slowly destroys   you should check your own genotype assignments against
              its victims both mentally and physically. Symptoms in-  the answers in the caption to Fig. 2.22.
              clude  intellectual  deterioration,  severe  depression, and   Notice also in the legend to Fig. 2.22 that human
              jerky, irregular movements, all caused by the progressive     geneticists use different symbols than Mendel’s for alleles
              death of nerve cells. If one parent develops the symptoms,   of genes. In human genotypes, all alleles are written in
              his or her children usually have a 50% probability of suffer-    uppercase.  If the  allele specifies a normally  functioning
              ing from the disease, provided they live to adulthood. Be-  gene product, the allele symbol has a superscript +. Alleles
              cause  symptoms  are  not  present  at  birth and  manifest   that specify no gene product or abnormal gene products
              themselves only later in life, Huntington disease is known   sometimes have no superscript at all, as in the Fig. 2.22
              as a late-onset genetic trait.                       legend, but in other cases they have a superscript other than
                  How would you proceed in assigning genotypes to the   + that  signifies a particular type of abnormal allele. (See
              individuals in the Huntington disease pedigree depicted in   the Appendix  Guidelines for Gene Nomenclature for
              Fig. 2.22? First, you would need to find out if the disease-     further discussion of genetic notation.)
              producing allele is dominant or recessive. Several clues   Like Mendel’s pea genes, the gene that causes Hun-
              suggest that Huntington disease is transmitted by a domi-  tington disease has been identified and studied at the
              nant allele of a single gene. Everyone who develops the   molecular level. In fact, in 1988 this was the first hu-
              disease has at least one parent who shows the trait, and in   man disease gene identified molecularly using methods
              several generations, approximately half of the offspring are   that will be described in Chapter 11. The protein prod-
              affected. The pattern of affected individuals is thus  vertical:   uct of the Huntington disease gene, called Huntingtin or
              If you trace back through the ancestors of any  affected in-  Htt, is needed for the proper physiology of nerve cells,
              dividual, you would see at least one affected person in each   but the protein’s precise role in these cells is not yet
              generation, giving a continuous line of family members   understood. The dominant disease allele (HD) specifies
              with the disease. When a disease is rare in the population as   a defective Htt protein that over time damages nerve
              a whole, a vertical pattern is strong evidence that a domi-  cells (Fig. 2.23).
              nant allele causes the trait; the alternative would require   The disease allele is dominant to the normal allele be-
              that many unrelated people carry a rare recessive allele. (A   cause the presence of the normal Htt protein in heterozy-
              recessive trait that is extremely common might also show   gotes does not prevent the abnormal protein from damaging
              up in every generation; we examine this possibility in Prob-  the cells. It is important to note that this explanation for the
              lem 40 at the end of this chapter.)                  Huntington disease allele is only one of many different
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