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Sex linked inheritance
X linked- genes that are in X chromosome
Y linked- genes that are in Y chromosome
X linked dominance
Male are hemizygote for X linked inheritance
Girls twice affected
Vertical transmission- fathers cannot transmit
Recurrence risk for X linked
Heterozygous female + Homozygous male (normal)
50% of sons and daughters affected
Recurrence risk for X linked
Homozygous female (mutant) + normal male
100% sons and daughters affected
Recurrence risk for X linked
Heterozygous female + hemyzygotic male
50% sons affected
100% daughters affected
Recurrence risk for X linked
Homozygous female (mutant) + hemyzygotic male
100% of both sex affected
Hypophosphatemic rickets
PHEX gene
Xp22.1
Inability to reabsorb phosphate
X linked recessive
Boys are more affected
Only girls are carriers
To exhibit they must be homozygote
Horizontal transmission
Affected fathers cant transmit to sons but carrier for daughters
Recurrence risk for X linked recessive
Carrier mom and affected male
50% normal
50% affected sons and carrier daughters
Recurrence risk for X linked recessive
Unafected mom and affected male
100% normal sons
100% carrier daughters
Recurrence risk for X linked recessive
Carrier mom and unaffected male
50% normal
50% sons affected and carrier girls
Haemophilia
Cant make blood clots
A Haemophilia
B Haemophilia
VIII factor
IX factor
Xq28
Xq27.1
Lyon Hypothesis
One of two X chromosomes is chosen at random for inactivation
X inactivation center contains XIST transcribed ONLY in inactive X chromosome
XIST
X inactive specific transcript
Non coding RNA gene
Xq13
XIST produces RNA that silences X chromosome, marking permanent inactivation
Y linked inheritance
Only boys affected
Only father to son transmission
Mitochondrial Inheritance
Maternal Inheritance
No father transmission
No skip generation
LHON
Missense mutation in mDNA
Leber Hereditary Optic Neuropathy
MT-ND1
MT-ND4
MT-ND4L
MT-ND6