☰ Contents · Biology

Hereditary diseases. History of genetic engineering

Lessons 26–27 · 2 lessons · A. G‘afurov, A. Abdukarimov, J. Tolipova, O. Ishankulov, M. Umaraliyeva, I. Abdurahmonova. Biology, Grade 10, 1st edition. “Sharq” publishing and printing joint-stock company, Tashkent, 2017
26

Hereditary diseases in humans. Reproductive health

Textbook: pp. 116–120
GoalExplain gene and chromosomal diseases, the difference between hereditary and congenital diseases, factors affecting reproductive health and ways of prevention.
New words
hereditary disease · irsiy kasallikcongenital disease · tug‘ma kasallikscreening · skriningreproductive health · reproduktiv salomatlik
Explanation

Hereditary diseases arise from a change in hereditary information and can pass to descendants. Gene diseases depend on a mutation of one gene: autosomal recessive – sickle-cell anaemia, phenylketonuria, albinism; autosomal dominant – traits such as syndactyly (fused fingers); X-linked – haemophilia, colour blindness. In chromosomal and genomic diseases the number or structure of chromosomes is disturbed: Down syndrome (trisomy 21, 47 chromosomes), Klinefelter syndrome (XXY, in males), Shereshevsky–Turner syndrome (XO, 45 chromosomes, in girls). A congenital disease is present from birth but need not be hereditary: it arises during development of the foetus from factors such as infection, alcohol, smoking, some drugs, or nutrient shortage (iodine, folic acid). Reproductive health is complete physical, mental and social well-being in matters of the reproductive system. It is harmed by marriage between close relatives, alcohol, narcotics, smoking and sexually transmitted infections (HIV/AIDS). In Uzbekistan there is medical-genetic counselling before marriage and a screening system for pregnant women and newborns, which helps detect diseases early and start treatment.

Worked examples
Phenylketonuria is an autosomal recessive disease (aa). If both parents are healthy carriers (Aa × Aa), each child has a 1/4 (25 %) chance of being affected. Newborn screening finds it early, and a special diet then prevents its complications.
If a mother smokes or drinks alcohol in pregnancy, the baby can have a congenital defect. This is not a mutation but a disturbance of foetal development, so it is not passed on to later generations.
Class activity

“Which is which?”: cards with disease names (Down, haemophilia, albinism, Klinefelter) are sorted into “gene” and “chromosome” columns.

Practice
1
State the difference between hereditary and congenital diseases.
2
For Aa × Aa (a – disease, recessive), what is the chance of a healthy child? (Percent, number only.)
3
How many chromosomes are there in Shereshevsky–Turner syndrome and what are the sex chromosomes?
4
Why is medical-genetic counselling recommended before marriage?