provides a comprehensive look at
the who, what, when and how of Genetic disease
< b>Genetic disease: A disease caused by an abnormality in an individual's
genome.
There are a number of different types of genetic inheritance:
Single gene inheritance --
Also called Mendelian or monogenic inheritance.
This type of inheritance is caused by changes or mutations that occur in the
DNA sequence of a single gene. There are more than 6,000 known single-gene disorders,
which occur in about 1 out of every 200 births. Some examples are cystic fibrosis,
sickle cell anemia, Marfan syndrome, Huntington's disease, and hemochromatosis.
Single-gene disorders are inherited in recognizable patterns: autosomal dominant,
autosomal recessive, and X-linked.
Multifactorial inheritance --
Also called complex or polygenic inheritance.
This type of inheritance is caused by a combination of environmental factors
and mutations in multiple genes. For example, different genes that influence
breast cancer susceptibility have been found on chromosomes 6, 11, 13, 14, 15,
17, and 22. Some common chronic diseases are multifactorial disorders. Examples
include heart disease, high blood pressure, Alzheimer disease, arthritis, diabetes,
cancer, and obesity. Multifactorial inheritance also is associated with heritable
traits such as fingerprint patterns, height, eye color, and skin color.
Chromosome abnormalities --
Chromosomes, distinct structures made
up of DNA and protein, are located in the nucleus of each cell. Because chromosomes
are the carriers of the genetic material, abnormalities in chromosome number
or structure can result in disease. For example, Down syndrome or trisomy 21
is a common disorder that occurs when a person has three copies of chromosome
21. There are many other chromosome abnormalities including Turner syndrome
(45,X), Klinefelter syndrome (47, XXY), the cat cry syndrome (46, XX or XY,
5p-), and so on.
Mitochondrial inheritance --
This type of genetic disorder is caused
by mutations in the nonchromosomal DNA of mitochondria. Mitochondria are small
round or rod-like organelles that are involved in cellular respiration and found
in the cytoplasm of plant and animal cells. Each mitochondrion may contain 5
to 10 circular pieces of DNA. Examples of mitochondrial disease include an eye
disease called Leber's hereditary optic atrophy; a type of epilepsy called MERRF
which stands for Myoclonus Epilepsy with Ragged Red Fibers; and a form of dementia
called MELAS for Mitochondrial Encephalopathy, Lactic Acidosis and Stroke-like
episodes.
The sequence of the human genome provides the first holistic view of our genetic
heritage. While not yet complete, continued refinement of the data bring us ever
closer to a complete human genome reference sequence. The 46 human chromosomes (22
pairs of autosomal chromosomes and 2 sex chromosomes) between them house almost
3 billion base pairs of DNA that contains about 30 to 40,000 protein-coding genes.
The coding regions make up less than 5% of the genome (the function of the remaining
DNA is not clear) and some chromosomes have a higher density of genes than others.
Most genetic diseases are the direct result of a mutation in one gene. However,
one of the most difficult problems ahead is to find out how genes contribute to
diseases that have a complex pattern of inheritance, such as in the cases of diabetes,
asthma, cancer and mental illness. In all these cases, no one gene has the yes/no
power to say whether a person has a disease or not. It is likely that more than
one mutation is required before the disease is manifest, and a number of genes may
each make a subtle contribution to a person's susceptibility to a disease; genes
may also affect how a person reacts to environmental factors.
Common Misspellings: genetic diease, genetic desease
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