Examples of Inheritance in Humans


Table 1. Some major recessive genetic disorders caused by single gene mutations.

Disease
Frequency
Symptoms

Cystic fibrosis
1 in 2000 (N. Europeans)
Recurrent lung infections,
pancreatic exocrine deficiency,
male sterility

a1 - Antitrypsin deficiency
1 in 5000 to 1 in 10,000 (N. Europeans)
Liver failure, emphysema

Phenylketonuria
1 in 2000 to 1 in 5000 (N. Europeans)
Mental retardation

Tay-Sachs disease
1 in 3000 (Ashkenazi Jews)
Neurological degeneration,
blindness and paralysis

Sickle cell anemia
1-2 in 100 (Africa where malaria is endemic)
Anaemia

Hemochromotosis
1 in 500
Excessive iron accumulation in adults, resulting in diabetes,
liver cirrhosis and heart failure

Thalassemias
1-2 in 100 (Mediterranean and Asia where malaria is endemic)
Anaemia




Table 2. Some major dominant genetic disorders caused by single gene mutations.

Disease
Frequency
Symptoms

Familial hypercholesterolaemia
1 in 500
Premature heart disease

Familial breast cancer

BRCA1
BRCA2


1 in 800 (USA)
1 in 100 (Ashkenazi Jews 1)


High lifetime risk of breast and ovarian cancer. Earlier onset than sporadic cases.

Familial Alzheimer's disease
10 % lifetime risk at age 80 2
Dementia. Earlier onset than sporadic cases.

Hereditary non-polyposis colorectal cancer
1 in 400 3
Colon cancer not associated with polyps

Familial adenomatous polyposis
1 in 8000
Bowel polyps that may become malignant

Neurofibromatosis
1 in 4000
Tumors of peripheral nerves. Cafe-au-lait pigment spots on skin

Huntington's disease
1-2 in 10,000
Involuntary choreiform movements. Dementia.

Myotonic dystrophy
1 in 8500
Myotonia, heart defects, and cataracts.

Familial retinoblastoma
1 in 14,000
Multiple unilateral and bilateral tumors of the retina

1
BRCA1 and BRCA2 each have a frequency of 1 in 100 in Ashekanazi Jews.
2
Alzheimer's disease is normally a complex disease with genetic and environmental components. A subset of cases show early onset and simple autosomal dominant inheritance. The proportion of total cases represented in this category is unknown.
3
Wide range of estimates from 1 in 200 to 1 in 10,000.

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