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2.3 Mendelian Inheritance in Humans    35



                           TABLE 2.2     How to Recognize Dominant         the carrier who supplied the original CF allele, but we do
                                         and Recessive Traits in Pedigrees  not know if it was the male or the female. As with an am-
                                                                           biguous dominant phenotype in peas, the unknown second
                        Dominant Traits                                    allele is indicated by a dash (–).
                        1.  Affected children always have at least one affected parent.  In Fig. 2.24a, a mating between the unrelated carriers
                                                                           VI-1 and VI-2 produced a child with cystic fibrosis. How
                        2.  Dominant traits show a vertical pattern of inheritance: The
                           trait shows up in every generation.             likely is such a marriage between unrelated carriers for a re-
                                                                           cessive genetic condition? The answer depends on the gene in
                        3.  Two affected parents can produce unaffected children, if both
                           parents are heterozygotes.                      question and the particular population into which a person is
                                                                           born. As Table 2.1 shows, the incidence of genetic diseases
                        Recessive Traits
                                                                           (and thus the frequency of their carriers) varies markedly
                        1.  Affected individuals can be the children of two unaffected   among populations. Such variation reflects the distinct genetic
                           carriers, particularly as a result of consanguineous matings.
                                                                           histories of different groups. The area of genetics that analyzes
                        2.  All the children of two affected parents should be affected.  differences among groups of individuals is called population
                        3.  Rare recessive traits show a horizontal pattern of inheritance:   genetics, a subject we cover in detail in Chapter 21. Notice that
                           The trait first appears among several members of one   in Fig. 2.24a, several unrelated, unaffected people, such as II-1
                           generation and is not seen in earlier generations.  and II-4, married into the family under consideration. Al-
                        4.  Recessive traits may show a vertical pattern of inheritance if   though it is highly probable that these individuals are homozy-
                           the trait is extremely common in the population.  gotes for the normal allele of the gene (CF CF ), a small
                                                                                                                    +
                                                                                                                +
                                                                           chance (whose magnitude depends on the population) exists
                       not they are related, carrier parents are both heterozygotes.   that any one of them could be a carrier of the disease.
                       Thus among their offspring, the proportion of unaffected to   Genetic researchers identified the cystic fibrosis gene
                       affected children is expected to be 3:1. To look at it another   in 1989, soon after the Huntington disease gene was identi-
                                                                                                       +
                       way, the chances are that 1 out of 4 children of two heterozy-  fied.  The normal, dominant  CF   allele makes  a protein
                       gous carriers will be homozygous cystic fibrosis sufferers.  called cystic fibrosis transmembrane conductance regula-
                          You can gauge your understanding of this inheritance   tor (CFTR). CFTR protein forms a channel in the cell
                       pattern by assigning a genotype to each person in Fig. 2.24   membranes that controls the flow of chloride ions through
                       and then checking your answers against the caption. Note   lung cells. Recessive CF disease alleles either produce no
                       that for several individuals, such as the generation I indi-  CFTR or produce nonfunctional or less functional versions
                       viduals in part (a) of the figure, it is impossible to assign a   of the protein (Fig. 2.25). Because of osmosis, water flows
                       full genotype. We know that one of these people must be   into lung cells without CFTR, while a thick, dehydrated

                       Figure 2.25  Why the allele for cystic fibrosis is recessive. The CFTR protein regulates the passage of chloride ions (green
                       spheres) through the cell membrane. People who are homozygous for a cystic fibrosis disease allele (CF CF) have the disease because
                       recessive disease alleles either specify no CFTR protein as shown, or encode abnormal CFTR proteins that do not function at all or do not
                                                                                               +
                       function as well as the normal protein (not shown). Disease alleles (CF) are recessive because CF CF  heterozygotes produce CFTR from the
                              +
                       normal (CF ) allele, and this amount of CFTR is sufficient for normal lung function.

                                                     +
                                                  +
                                                CF CF or CF CF +                           CF CF
                                                    Outside of the cell
                                                                                                  Outside of the cell
                                                                                          mucus






                                                            Lipid bilayer of
                                                            cell membrane
                                                                                  Inside of the cell
                                    Inside of the cell       CFTR protein




                                                               –
                                                              Cl   ions

                                                      Normal                                 Cystic fibrosis
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