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Antenatal and postnatal screeningSingle gene disorders - Autosomal recessive

Antenatal and postnatal screening are used to protect the health of mothers and babies. Antenatal techniques include ultrasound imaging, dating scans, blood and urine tests and diagnostic testing, such as amniocentesis, CVS and genetic screening. Postnatal screening can involve diagnostic testing such as PKU.

Part of Human BiologyPhysiology and Health

Single gene disorders - Autosomal recessive

There are several different patterns of inheritance of single gene disorders that we can study including:

  • autosomal recessive
  • autosomal dominant
  • incomplete dominance
  • sex-linked recessive

X and Y chromosomes = sex chromosomes

All other chromosomes =

Autosomal recessive inheritance

Autosomal recessive traits are expressed rarely, sufferers require two to be affected (homozygous recessive).

Recessive traits may skip generations and will affect both genders equally. An example of an autosomal recessive condition is cystic fibrosis.

is an inherited disorder of cell membranes that mainly affects the lungs and digestive system. They can become clogged with lots of thick, sticky mucus as too much is produced.

Over many years, the lungs become increasingly damaged and may eventually stop working properly. A number of treatments are available to help reduce the problems caused by the condition, but unfortunately average life expectancy is reduced for people who have it.

It is caused by a faulty on chromosome 7. To be born with cystic fibrosis, a child has to inherit two copies of this faulty gene - one from each of their parents. Their parents will not usually have the condition themselves, because they will only carry one faulty gene and one that works normally.

In the diagram below cystic fibrosis involves:

  • the recessive allele (lower case), which can be shown as f
  • the dominant allele (capital letter), which can be shown as F

An individual who is (ff) with the recessive allele will develop cystic fibrosis. Someone who is (Ff) will be a carrier of the recessive allele, but will not develop cystic fibrosis and have no symptoms.

Someone who is homozygous with the allele (FF) will not develop cystic fibrosis, as you need two faulty alleles (ff) for the condition. In this combination, no faulty alleles are present.

Example 1

In example 1, both parents are heterozygous, Ff. The chance of them producing a child with cystic fibrosis is 1 in 4, or 25%. The parents are of the disorder, and it is possible for them to produce a child with cystic fibrosis, without having it themselves. Carriers have no symptoms and are usually unaware they are carrying the recessive allele.

Mother and Father both have the recessive allele.  Therefore there's a one in four chance their offspring will have cystic fibrosis.

Example 2

In example 2, only one parent (the father) has a copy of the recessive allele (Ff). There is no chance of them producing a child with cystic fibrosis. However, half the possible offspring will be homozygous, FF, and be unaffected, and half will be heterozygous, Ff and carry the recessive allele. The ratio of FF to Ff is 1:1 or 50%.

Only the Father has the recessive allele.  Therefore although there's a 50% chance their offspring will carry the recessive allele, the offspring will not have cystic fibrosis.

This genetic diagram shows how cystic fibrosis is inherited.

A genetic diagram showing how cystic fibrosis is inherited