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366    Chapter 11    Analyzing Genomic Variation


              Figure 11.1  Normal and Crohn’s syndrome bowels.               Figure 11.2  Nic Volker at age 4.
              Colonoscopy (endoscopic examination of the colon using a fiber optic   © Gary Porter/Milwaukee Journal Sentinel/MCT/Newscom
              camera) of a normal person (left) and of a patient suffering from Crohn’s
              disease (right).
              © Gastrolab/Science Source













              (a) Normal colon lining   (b) Crohn’s disease

                  This case history illustrates one of the far-reaching medical con-  Figure 11.3  Nic Volker at age 6.
              sequences of our rapidly increasing power to detect genotype directly   © Andy Manis/Bloomberg via Getty Images
              at the DNA level. Until very recently, scientists were more limited in
              their ability to look at human genomes. In the 1990s, researchers could
              examine an individual’s genotype only a single gene at a time, and this
              was worthwhile only in the few cases where the disease-causing muta-
              tion was already identified. Even this limited amount of personal
              genetic information was often valuable in helping couples to make
              informed reproductive decisions.
                  By the turn of the twenty-first century, advances in genotyping
              allowed scientists to look at a much larger sample of the many nucle-
              otide changes that differentiate one person’s genome from another. For
              example, new methods including DNA microarrays allowed simultane-
              ous examination of dozens or even millions of nucleotide variations at
              different positions, or loci, within individual genomes. As you will see, the ability
              to follow large numbers of nucleotide variations has many uses, even if these vari-
              ations themselves have nothing to do with disease.
                  By 2013, scientists had the ability to genotype not just one or two or thousands
              of loci in a person’s genome, but nearly all of the 6 billion nucleotides in a person’s
              diploid genome. Costs are being driven down rapidly by new innovations in DNA
              sequencing technologies that will soon become a routine part of medical care. In this
              new and uncharted era of whole-genome DNA sequencing, the exponential increase
              in our knowledge of genome variations will provide details about people’s genetic
              histories and destinies never before available.




               11.1   Variation Among Genomes                      There is no such thing as a wild-type human genome;

                                                                   instead, a staggering amount of variation exists between
                                                                   the genomes of any two people. With the advent of new
                learning objectives
                                                                   technologies for whole-genome sequencing that will be
                1.  Cite the approximate number of DNA polymorphisms   described later in this chapter, the degree to which
                   that differentiate any two haploid human genomes.    individual human genomes differ from each other is
                2.  Explain why most of these DNA polymorphisms are not     becoming apparent. Only a small minority of these DNA
                   responsible for the phenotypic differences between people.  sequence variations is responsible for the phenotypic
                3.  Differentiate among different classes of DNA variants in     differences that characterize individuals. But even if cer-
                   terms of their structures, mechanisms of formation, and   tain DNA sequence differences have no effect on pheno-
                   frequency in genomes.                           types, they are still highly useful as markers to track
                                                                   genes and  chromosomes.
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