Page 1
Genetic
Disorder
8.1 Chromosomal a bnormalities and
s yndromes In certain situations e.g., due to environmental radiation,
food intake or internal genetic conditions, chromosomes
may suffer damage or may change in numbers. The
change in structure is called structural chromosomal
abnormality (or aberration) and the change in number is
called numerical chromosomal abnormalities. When one
chromosome of the pair is absent, the condition is called
monosomy (2n-1) for that chromosome e.g., monosomy of
chromosome 1. When a chromosome is present in three
copies, this condition is called trisomy (2n+1) e.g., trisomy
of chromosome X. It is important to notice that both
monosomy and trisomy come under the broad category of
aneuploidy. However, when the entire set of chromosome
is multiplied (e.g., 69: 23 ´ 3, 92: 23 ´ 4), the condition
is called polyploidy. The artificial breeding of plants has
resulted in several polyploid varieties that we commonly
use in our food. For example, bread wheat has six sets
of chromosomes (hexaploid), cabbages or mustards are
Chapter 8.indd 217 11/14/2019 10:14:02 AM
Page 2
Genetic
Disorder
8.1 Chromosomal a bnormalities and
s yndromes In certain situations e.g., due to environmental radiation,
food intake or internal genetic conditions, chromosomes
may suffer damage or may change in numbers. The
change in structure is called structural chromosomal
abnormality (or aberration) and the change in number is
called numerical chromosomal abnormalities. When one
chromosome of the pair is absent, the condition is called
monosomy (2n-1) for that chromosome e.g., monosomy of
chromosome 1. When a chromosome is present in three
copies, this condition is called trisomy (2n+1) e.g., trisomy
of chromosome X. It is important to notice that both
monosomy and trisomy come under the broad category of
aneuploidy. However, when the entire set of chromosome
is multiplied (e.g., 69: 23 ´ 3, 92: 23 ´ 4), the condition
is called polyploidy. The artificial breeding of plants has
resulted in several polyploid varieties that we commonly
use in our food. For example, bread wheat has six sets
of chromosomes (hexaploid), cabbages or mustards are
Chapter 8.indd 217 11/14/2019 10:14:02 AM
218
tetraploids. Likewise, banana and apple are triploid (3 sets
of chromosomes), strawberry and sugar cane are octoploid
(8 sets of chromosomes). Both structural or numerical
changes can result in significant changes in phenotypic
condition in the form of diseases or syndromes.
8.1.1 Structural chromosomal abnormalities
Structural chromosomal abnormalities may be of following
types:
1. Deletion— In deletion, a segment of a chromosome
breaks away leading to shortening of the chromosome
(Fig. 8.1a). For example, retinoblastoma is caused due
to deletion of a portion of chromosome 13. Sometimes
when two ends of a chromosome are deleted, they can
reattach to form a ring chromosome.
2. Duplication— Duplication refers to when a segment
of the chromosome gets repeated resulting in a longer
chromosome (Fig. 8.1b). This can lead to conditions
e.g., Charcot-Marie-Tooth disease caused due to
duplication of genes on chromosome 17.
3. Inversion— In inversion, a segment of the chromosome
breaks away, completely reverses itself and reattaches
with the chromosome. Here the overall length of the
chromosome remains same but the orientation of genes
is reversed by 180 degrees (Fig. 8.1c). For example,
RCAD syndrome caused by inversion of a segment of
chromosome 17.
4. Translocation—In translocation, a segment of a
chromosome breaks away and reattaches itself with
another chromosome. If there is a mutual exchange
of segments between two chromosomes, it is called
Fig. 8.1: (a) Deletion (b) Duplication (c) Inversion and (d) Translocation
A
C
E
F
B
A
C
B
E
F
D D
D
C
E
F
C
A
E
F
D D
A
B
A
C
E
F
B
D
A
F
E
D
C
B
A
C
E
F
B
D
L
M
N
O
P
Q
A
C
E
F
P
Q
B
D
L
M
N
O
(a) (b) (c) (d)
Chapter 8.indd 218 11/14/2019 10:14:02 AM
Page 3
Genetic
Disorder
8.1 Chromosomal a bnormalities and
s yndromes In certain situations e.g., due to environmental radiation,
food intake or internal genetic conditions, chromosomes
may suffer damage or may change in numbers. The
change in structure is called structural chromosomal
abnormality (or aberration) and the change in number is
called numerical chromosomal abnormalities. When one
chromosome of the pair is absent, the condition is called
monosomy (2n-1) for that chromosome e.g., monosomy of
chromosome 1. When a chromosome is present in three
copies, this condition is called trisomy (2n+1) e.g., trisomy
of chromosome X. It is important to notice that both
monosomy and trisomy come under the broad category of
aneuploidy. However, when the entire set of chromosome
is multiplied (e.g., 69: 23 ´ 3, 92: 23 ´ 4), the condition
is called polyploidy. The artificial breeding of plants has
resulted in several polyploid varieties that we commonly
use in our food. For example, bread wheat has six sets
of chromosomes (hexaploid), cabbages or mustards are
Chapter 8.indd 217 11/14/2019 10:14:02 AM
218
tetraploids. Likewise, banana and apple are triploid (3 sets
of chromosomes), strawberry and sugar cane are octoploid
(8 sets of chromosomes). Both structural or numerical
changes can result in significant changes in phenotypic
condition in the form of diseases or syndromes.
8.1.1 Structural chromosomal abnormalities
Structural chromosomal abnormalities may be of following
types:
1. Deletion— In deletion, a segment of a chromosome
breaks away leading to shortening of the chromosome
(Fig. 8.1a). For example, retinoblastoma is caused due
to deletion of a portion of chromosome 13. Sometimes
when two ends of a chromosome are deleted, they can
reattach to form a ring chromosome.
2. Duplication— Duplication refers to when a segment
of the chromosome gets repeated resulting in a longer
chromosome (Fig. 8.1b). This can lead to conditions
e.g., Charcot-Marie-Tooth disease caused due to
duplication of genes on chromosome 17.
3. Inversion— In inversion, a segment of the chromosome
breaks away, completely reverses itself and reattaches
with the chromosome. Here the overall length of the
chromosome remains same but the orientation of genes
is reversed by 180 degrees (Fig. 8.1c). For example,
RCAD syndrome caused by inversion of a segment of
chromosome 17.
4. Translocation—In translocation, a segment of a
chromosome breaks away and reattaches itself with
another chromosome. If there is a mutual exchange
of segments between two chromosomes, it is called
Fig. 8.1: (a) Deletion (b) Duplication (c) Inversion and (d) Translocation
A
C
E
F
B
A
C
B
E
F
D D
D
C
E
F
C
A
E
F
D D
A
B
A
C
E
F
B
D
A
F
E
D
C
B
A
C
E
F
B
D
L
M
N
O
P
Q
A
C
E
F
P
Q
B
D
L
M
N
O
(a) (b) (c) (d)
Chapter 8.indd 218 11/14/2019 10:14:02 AM
reciprocal translocation. Example: Burkitt’s lymphoma,
where exchange of materials happens between
chromosomes 8 and 14. If a segment of a chromosome
breaks away and attaches with another chromosome,
without mutual exchange, it is called Robertsonian
translocation. This may result in decrease of chromosome
number of the cell (Fig. 8.1d).
8.1.2 Numerical chromosomal abnormalities
Some commonly observed syndromes/diseases due to
numerical chromosomal abberations are described in
following section. The term syndrome is generally referred
to a group of symptoms which consistently occur together,
or a condition characterised by a set of associated
symptoms. A disease refers to abnormal physiological
response to internal or external factors e.g., fever caused
due to microbes.
1. Down's Syndrome
Incidence: Occurs in approx.1 per 800 live births.
Chromosomal basis: Down syndrome is a genetic condition
that arises due to presence of an extra chromosome 21.
Here, chromosome 21 is repeated thrice (trisomy 21),
instead of showing up twice in a normal individual. The
karyotype of Down syndrome is represented as 47, XX,
+21 (females) and 47, XY, +21 (males) (Fig. 8.2a).
The trisomic condition is usually caused by an error in the
process of cell division called non disjunction, i.e., inability
of chromosomes to separate at the time of cell division.
Fig. 8.2: Karyogram of (a) an individual affected with down syndrome (b) an individual affected
with Klinefelter's
(a) (b)
Chapter 8.indd 219 11/14/2019 10:14:03 AM
Page 4
Genetic
Disorder
8.1 Chromosomal a bnormalities and
s yndromes In certain situations e.g., due to environmental radiation,
food intake or internal genetic conditions, chromosomes
may suffer damage or may change in numbers. The
change in structure is called structural chromosomal
abnormality (or aberration) and the change in number is
called numerical chromosomal abnormalities. When one
chromosome of the pair is absent, the condition is called
monosomy (2n-1) for that chromosome e.g., monosomy of
chromosome 1. When a chromosome is present in three
copies, this condition is called trisomy (2n+1) e.g., trisomy
of chromosome X. It is important to notice that both
monosomy and trisomy come under the broad category of
aneuploidy. However, when the entire set of chromosome
is multiplied (e.g., 69: 23 ´ 3, 92: 23 ´ 4), the condition
is called polyploidy. The artificial breeding of plants has
resulted in several polyploid varieties that we commonly
use in our food. For example, bread wheat has six sets
of chromosomes (hexaploid), cabbages or mustards are
Chapter 8.indd 217 11/14/2019 10:14:02 AM
218
tetraploids. Likewise, banana and apple are triploid (3 sets
of chromosomes), strawberry and sugar cane are octoploid
(8 sets of chromosomes). Both structural or numerical
changes can result in significant changes in phenotypic
condition in the form of diseases or syndromes.
8.1.1 Structural chromosomal abnormalities
Structural chromosomal abnormalities may be of following
types:
1. Deletion— In deletion, a segment of a chromosome
breaks away leading to shortening of the chromosome
(Fig. 8.1a). For example, retinoblastoma is caused due
to deletion of a portion of chromosome 13. Sometimes
when two ends of a chromosome are deleted, they can
reattach to form a ring chromosome.
2. Duplication— Duplication refers to when a segment
of the chromosome gets repeated resulting in a longer
chromosome (Fig. 8.1b). This can lead to conditions
e.g., Charcot-Marie-Tooth disease caused due to
duplication of genes on chromosome 17.
3. Inversion— In inversion, a segment of the chromosome
breaks away, completely reverses itself and reattaches
with the chromosome. Here the overall length of the
chromosome remains same but the orientation of genes
is reversed by 180 degrees (Fig. 8.1c). For example,
RCAD syndrome caused by inversion of a segment of
chromosome 17.
4. Translocation—In translocation, a segment of a
chromosome breaks away and reattaches itself with
another chromosome. If there is a mutual exchange
of segments between two chromosomes, it is called
Fig. 8.1: (a) Deletion (b) Duplication (c) Inversion and (d) Translocation
A
C
E
F
B
A
C
B
E
F
D D
D
C
E
F
C
A
E
F
D D
A
B
A
C
E
F
B
D
A
F
E
D
C
B
A
C
E
F
B
D
L
M
N
O
P
Q
A
C
E
F
P
Q
B
D
L
M
N
O
(a) (b) (c) (d)
Chapter 8.indd 218 11/14/2019 10:14:02 AM
reciprocal translocation. Example: Burkitt’s lymphoma,
where exchange of materials happens between
chromosomes 8 and 14. If a segment of a chromosome
breaks away and attaches with another chromosome,
without mutual exchange, it is called Robertsonian
translocation. This may result in decrease of chromosome
number of the cell (Fig. 8.1d).
8.1.2 Numerical chromosomal abnormalities
Some commonly observed syndromes/diseases due to
numerical chromosomal abberations are described in
following section. The term syndrome is generally referred
to a group of symptoms which consistently occur together,
or a condition characterised by a set of associated
symptoms. A disease refers to abnormal physiological
response to internal or external factors e.g., fever caused
due to microbes.
1. Down's Syndrome
Incidence: Occurs in approx.1 per 800 live births.
Chromosomal basis: Down syndrome is a genetic condition
that arises due to presence of an extra chromosome 21.
Here, chromosome 21 is repeated thrice (trisomy 21),
instead of showing up twice in a normal individual. The
karyotype of Down syndrome is represented as 47, XX,
+21 (females) and 47, XY, +21 (males) (Fig. 8.2a).
The trisomic condition is usually caused by an error in the
process of cell division called non disjunction, i.e., inability
of chromosomes to separate at the time of cell division.
Fig. 8.2: Karyogram of (a) an individual affected with down syndrome (b) an individual affected
with Klinefelter's
(a) (b)
Chapter 8.indd 219 11/14/2019 10:14:03 AM
The possibility of having a Down's syndrome baby in
the family increases with the maternal age. It has been
reported that more than 85% Down syndrome babies
are born in mothers over 35 years of age, at the time of
pregnancy.
Clinical symptoms: Some of the distinguishing features of
Down's syndrome are: flat face, slanting eye, small mouth,
protruding tongue, flattened nose, short neck, short arms
and legs, single deep crease across the palm, low IQ,
stunted growth, muscular hypotonia, under developed
gonads. Down's syndrome babies also show breathing,
heart or hearing problems.
Diagnosis and Treatment: Down
syndromes are usually diagnosed
by an extra chromosome 21 in the
karyotype. There is no single standard
treatment protocol for Down syndrome.
Treatments are tailored on specific
set of conditions presented by these
individuals. At early age, children with
Down's syndrome can benefit from
speech therapy, physiotherapy and
taking nutritional supplements.
In early 1900s, on an average,
Down's syndromes used to live until
age 9. Now with the advances in
diagnostic and treatment technologies,
the age expectancy has increased up to
60 and even longer.
2. Klinefelter's syndrome
Incidence: Occurs in approximately 1
out of 1000 new born males.
Chromosomal basis: Genotype:
47, XXY. Affects males. The extra
chromosome is not transmitted
genetically (i.e., a Klinefelter newborn
cannot have a Klinefelter father) but
arises from inability of X chromosome
to detach itself from the pair during
meiosis (at the time of gamete
formation). Fertilisation of an XX ova
with a Y sperm produces an XXY
zygote.
Fig. 8.3: Individual with
Klinefelter's Syndrome
Chapter 8.indd 220 11/14/2019 10:14:03 AM
Page 5
Genetic
Disorder
8.1 Chromosomal a bnormalities and
s yndromes In certain situations e.g., due to environmental radiation,
food intake or internal genetic conditions, chromosomes
may suffer damage or may change in numbers. The
change in structure is called structural chromosomal
abnormality (or aberration) and the change in number is
called numerical chromosomal abnormalities. When one
chromosome of the pair is absent, the condition is called
monosomy (2n-1) for that chromosome e.g., monosomy of
chromosome 1. When a chromosome is present in three
copies, this condition is called trisomy (2n+1) e.g., trisomy
of chromosome X. It is important to notice that both
monosomy and trisomy come under the broad category of
aneuploidy. However, when the entire set of chromosome
is multiplied (e.g., 69: 23 ´ 3, 92: 23 ´ 4), the condition
is called polyploidy. The artificial breeding of plants has
resulted in several polyploid varieties that we commonly
use in our food. For example, bread wheat has six sets
of chromosomes (hexaploid), cabbages or mustards are
Chapter 8.indd 217 11/14/2019 10:14:02 AM
218
tetraploids. Likewise, banana and apple are triploid (3 sets
of chromosomes), strawberry and sugar cane are octoploid
(8 sets of chromosomes). Both structural or numerical
changes can result in significant changes in phenotypic
condition in the form of diseases or syndromes.
8.1.1 Structural chromosomal abnormalities
Structural chromosomal abnormalities may be of following
types:
1. Deletion— In deletion, a segment of a chromosome
breaks away leading to shortening of the chromosome
(Fig. 8.1a). For example, retinoblastoma is caused due
to deletion of a portion of chromosome 13. Sometimes
when two ends of a chromosome are deleted, they can
reattach to form a ring chromosome.
2. Duplication— Duplication refers to when a segment
of the chromosome gets repeated resulting in a longer
chromosome (Fig. 8.1b). This can lead to conditions
e.g., Charcot-Marie-Tooth disease caused due to
duplication of genes on chromosome 17.
3. Inversion— In inversion, a segment of the chromosome
breaks away, completely reverses itself and reattaches
with the chromosome. Here the overall length of the
chromosome remains same but the orientation of genes
is reversed by 180 degrees (Fig. 8.1c). For example,
RCAD syndrome caused by inversion of a segment of
chromosome 17.
4. Translocation—In translocation, a segment of a
chromosome breaks away and reattaches itself with
another chromosome. If there is a mutual exchange
of segments between two chromosomes, it is called
Fig. 8.1: (a) Deletion (b) Duplication (c) Inversion and (d) Translocation
A
C
E
F
B
A
C
B
E
F
D D
D
C
E
F
C
A
E
F
D D
A
B
A
C
E
F
B
D
A
F
E
D
C
B
A
C
E
F
B
D
L
M
N
O
P
Q
A
C
E
F
P
Q
B
D
L
M
N
O
(a) (b) (c) (d)
Chapter 8.indd 218 11/14/2019 10:14:02 AM
reciprocal translocation. Example: Burkitt’s lymphoma,
where exchange of materials happens between
chromosomes 8 and 14. If a segment of a chromosome
breaks away and attaches with another chromosome,
without mutual exchange, it is called Robertsonian
translocation. This may result in decrease of chromosome
number of the cell (Fig. 8.1d).
8.1.2 Numerical chromosomal abnormalities
Some commonly observed syndromes/diseases due to
numerical chromosomal abberations are described in
following section. The term syndrome is generally referred
to a group of symptoms which consistently occur together,
or a condition characterised by a set of associated
symptoms. A disease refers to abnormal physiological
response to internal or external factors e.g., fever caused
due to microbes.
1. Down's Syndrome
Incidence: Occurs in approx.1 per 800 live births.
Chromosomal basis: Down syndrome is a genetic condition
that arises due to presence of an extra chromosome 21.
Here, chromosome 21 is repeated thrice (trisomy 21),
instead of showing up twice in a normal individual. The
karyotype of Down syndrome is represented as 47, XX,
+21 (females) and 47, XY, +21 (males) (Fig. 8.2a).
The trisomic condition is usually caused by an error in the
process of cell division called non disjunction, i.e., inability
of chromosomes to separate at the time of cell division.
Fig. 8.2: Karyogram of (a) an individual affected with down syndrome (b) an individual affected
with Klinefelter's
(a) (b)
Chapter 8.indd 219 11/14/2019 10:14:03 AM
The possibility of having a Down's syndrome baby in
the family increases with the maternal age. It has been
reported that more than 85% Down syndrome babies
are born in mothers over 35 years of age, at the time of
pregnancy.
Clinical symptoms: Some of the distinguishing features of
Down's syndrome are: flat face, slanting eye, small mouth,
protruding tongue, flattened nose, short neck, short arms
and legs, single deep crease across the palm, low IQ,
stunted growth, muscular hypotonia, under developed
gonads. Down's syndrome babies also show breathing,
heart or hearing problems.
Diagnosis and Treatment: Down
syndromes are usually diagnosed
by an extra chromosome 21 in the
karyotype. There is no single standard
treatment protocol for Down syndrome.
Treatments are tailored on specific
set of conditions presented by these
individuals. At early age, children with
Down's syndrome can benefit from
speech therapy, physiotherapy and
taking nutritional supplements.
In early 1900s, on an average,
Down's syndromes used to live until
age 9. Now with the advances in
diagnostic and treatment technologies,
the age expectancy has increased up to
60 and even longer.
2. Klinefelter's syndrome
Incidence: Occurs in approximately 1
out of 1000 new born males.
Chromosomal basis: Genotype:
47, XXY. Affects males. The extra
chromosome is not transmitted
genetically (i.e., a Klinefelter newborn
cannot have a Klinefelter father) but
arises from inability of X chromosome
to detach itself from the pair during
meiosis (at the time of gamete
formation). Fertilisation of an XX ova
with a Y sperm produces an XXY
zygote.
Fig. 8.3: Individual with
Klinefelter's Syndrome
Chapter 8.indd 220 11/14/2019 10:14:03 AM
Clinical Symptoms: Klinefelter's syndrome children are
unusually tall for their age, have reduced facial and body
hair, smaller testes, enlarged breasts and coarse voice
(Fig. 8.2b and 8.3).
Diagnosis and Treatment: One of the most frequent
methods to diagnose Klinefelter syndrome is through Barr
body test of buccal smear. Normally no Barr body appears
in the male buccal smear. However, in Klinefelter one
Barr body shows up, indicating the presence of an extra X
chromosome.
At the time of birth, babies with Klinefelter differ a little
with other normal babies. However, as the age increase
the differences become noticeable, especially at the time
of puberty.
People with Klinefelter's syndromes are often treated
with testosterone to look masculine. They also need to be
psychologically counselled to control depression leading to
aggression.
3. Turner's Syndrome
Incidence: Occurs in 1 in 2,500 newborn girls, frequently
observed in miscarriages and still births.
Chromosomal basis: Affects females, arises due to the
missing X chromosome in affected females. This is called
monosomy X and the karyotype is represented as: 45, X.
A cell division error during meiosis of an ovum results in
an ovum with no X chromosome and other
with two X chromosomes. The ovum with no
X chromosome fuses with sperm with one
X chromosome to generate 45, X condition.
Mothers with Turner syndrome cannot
pass the condition to their daughters i.e.,
this condition is not inherited.
Clinical symptoms: Turner syndromes
are diagnosed by following features — short
stature, webbed neck (i.e., the neck skin is
unusually loose and can be pulled several
centimetres of the neck), small breasts, low
set ears (i.e., ears are placed below the normal position),
swollen hands and feet. Furthermore, ovaries are under
developed and menstrual periods are usually absent
(Fig. 8.4).
Fig. 8.4: Turner's Syndrome
Chapter 8.indd 221 11/14/2019 10:14:03 AM
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