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Part of GEN-02 — Chromosomal Basis of Inheritance, Sex Linkage & Genetic Disorders

GEN-02 Genetic Disorders Classification Table

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Mendelian Disorders

DisorderGeneChromosomeMutation TypeInheritanceKey Feature
Sickle cell anaemiaHBB11Point mutation (GAG→GUG, Glu→Val pos. 6)Autosomal recessiveHbS polymerizes under low O2O_{2}; sickle RBCs; vaso-occlusion
Beta-thalassemiaHBB11Various (reduces HBB expression)Autosomal recessiveReduced/absent beta-globin synthesis; severe anaemia
Alpha-thalassemiaHBA1/HBA216Gene deletionsAutosomal recessiveReduced/absent alpha-globin synthesis; anaemia
PKUPAH12Various (loss of function)Autosomal recessivePhenylalanine hydroxylase deficiency; Phe accumulates; intellectual disability
Haemophilia AF8X chromosomeVarious (F8 loss of function)X-linked recessiveClotting factor VIII deficiency; prolonged bleeding; joint swelling
Colour blindnessOPN1LW/OPN1MWX chromosomeVariousX-linked recessiveInability to distinguish red from green

Chromosomal Disorders

DisorderKaryotypeChromosome ChangeSexTotal Chr.Barr BodiesKey Features
Down syndrome47, +21Trisomy 21 (autosome)M or F470 (M) / 1 (F)Intellectual disability, epicanthic folds, simian crease, short stature
Turner syndrome45, XOMonosomy X (missing sex chr.)Female450Short stature, webbed neck, shield chest, infertility, primary amenorrhoea
Klinefelter syndrome47, XXYExtra X in maleMale471Gynaecomastia, tall stature, small testes, reduced fertility
Super Female47, XXXExtra X in femaleFemale472Often phenotypically normal, may have reduced fertility

Key Distinction: Mendelian vs. Chromosomal

  • Mendelian: single gene mutation, normal chromosome number, detected by DNA/biochemical testing, follows Mendelian ratios
  • Chromosomal: aneuploidy (gain/loss of whole chromosomes), abnormal chromosome count, detected by karyotyping, not inherited in simple Mendelian ratios

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