GEN-02 HIGH-SPEED REVISION CARD
SEX DETERMINATION
- Father determines sex (XX-XY): X sperm → daughter; Y sperm → son
- Grasshopper: XX-XO (male = XO, no Y, 2n-1; female = XX, 2n)
- Birds: ZW-ZZ (female ZW = heterogametic; male ZZ = homogametic) ← REVERSE of humans
X-LINKED RECESSIVE RULES
- Males: hemizygous → any recessive X allele expressed → more affected
- Carrier female ( ): normal phenotype, 50% sons affected, 50% daughters carriers
- Affected male ( Y): ALL daughters become carriers, ALL sons normal (via non-carrier mother)
- NO father-to-son transmission (father gives Y to sons, NEVER X)
- Affected female: needs from BOTH parents (rare: needs carrier/affected mom + affected dad)
PEDIGREE QUICK-ID
- Every generation affected + at least one affected parent → AUTOSOMAL DOMINANT
- Skips generations + equal sex ratio + unaffected parents → AUTOSOMAL RECESSIVE
- More males + no father-to-son transmission + carrier females → X-LINKED RECESSIVE
- ALL daughters of affected father affected + NO sons → X-LINKED DOMINANT
CHROMOSOMAL DISORDERS
| Disorder | Karyotype | Sex | UNIQUE Feature |
|---|---|---|---|
| Down | 47, +21 | Either | Intellectual disability, epicanthic folds, simian crease |
| Turner | 45, XO | Female | Webbed neck, short, infertile (streak gonads) |
| Klinefelter | 47, XXY | Male | Gynaecomastia, tall, small testes |
| Super Female | 47, XXX | Female | Often phenotypically normal |
- Turner = FEMALE (no Y); Klinefelter = MALE (Y present, SRY gene)
- Down = ONLY autosomal disorder in this list (chromosome 21 is an autosome)
- Barr bodies = number of X chromosomes − 1
MENDELIAN DISORDERS
| Disorder | Mutation Type | Gene | Chromosome | Pattern |
|---|---|---|---|---|
| Sickle cell anaemia | Point mutation GAG→GUG; Glu→Val pos. 6 | HBB | 11 | Autosomal recessive |
| Beta-thalassemia | Reduced HBB expression (quantitative) | HBB | 11 | Autosomal recessive |
| Alpha-thalassemia | Gene deletions (quantitative) | HBA1/HBA2 | 16 | Autosomal recessive |
| PKU | Missing phenylalanine hydroxylase | PAH | 12 | Autosomal recessive |
| Haemophilia A | Missing clotting factor VIII | F8 | X | X-linked recessive |
| Colour blindness | Missing photopigment | OPN1LW/MW | X | X-linked recessive |
KEY PROBABILITIES
- Carrier × Normal male → P(affected child) = 1/4; P(affected son) = 1/2 of sons
- Carrier × Affected male → P(affected child) = 1/2
- Two carriers (autosomal recessive) → P(affected child) = 1/4
- Unaffected sibling of autosomal recessive patient → P(carrier) = 2/3