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Molecular genetics · Mendelian genetics

Pedigree analysis

Imagine a newborn screening result in a Houston hospital comes back positive for PKU, and neither parent has ever had symptoms. How could that happen? A pedigree summarizes in a diagram how a trait has been passed on in a family over several generations. Knowing how to read one, and above all how to deduce the most likely inheritance pattern from it, is one of the most direct applications of Mendel's law of segregation to real cases, and the basis of genetic counseling. We'll come back to that PKU result at the end of the autosomal section.

Symbols and reading a pedigree

Standard pedigree symbols: male and female, unaffected and affected, couple link line, line of descent, sibship line and generations I and II unaffected male affected male unaffected female affected female I II mating (couple) offspring (siblings)
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Explain the meaning of the basic symbols of a pedigree: squares and circles, filled and empty symbols, the horizontal line joining two individuals and the vertical line…

Explain the meaning of the basic symbols of a pedigree: squares and circles, filled and empty symbols, the horizontal line joining two individuals and the vertical line descending from it.

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What minimum information must a pedigree contain in order to be able to deduce the pattern of inheritance of a trait? State at least three essential pieces of data and…

What minimum information must a pedigree contain in order to be able to deduce the pattern of inheritance of a trait? State at least three essential pieces of data and justify their usefulness.

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Autosomal dominant versus recessive patterns

In a hospital clinic, two family trees are reviewed: in family A, a form of polydactyly appears in grandparents, parents and children without a break; in family B, two parents with normal pigmentation unexpectedly have a child with albinism. Which mechanisms of transmission explain why some traits never miss a generation while others reappear after staying hidden? (The same logic explains the PKU screening result from the introduction: two healthy carrier parents.)

Three-generation family tree with autosomal dominant inheritance: every generation has affected individuals, with no gaps, and an affected parent in each case autosomal dominant pattern: no skipped generations I II III male female affected
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Describe two features of a pedigree that make you suspect that a disease is inherited with an autosomal dominant pattern, and justify each of them.

Describe two features of a pedigree that make you suspect that a disease is inherited with an autosomal dominant pattern, and justify each of them.

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Describe two features of a pedigree that make you suspect that a disease is inherited with an autosomal recessive pattern, and explain why healthy parents with affected…

Describe two features of a pedigree that make you suspect that a disease is inherited with an autosomal recessive pattern, and explain why healthy parents with affected children are often found in these pedigrees.

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A couple in which both members suffer from the same hereditary disease have three children: two affected and one healthy. Reason whether the disease can be due to a…

A couple in which both members suffer from the same hereditary disease have three children: two affected and one healthy. Reason whether the disease can be due to a recessive allele or to a dominant one and state the most probable genotype of the parents.

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Two healthy parents have a daughter affected by a hereditary disease. Explain why the disease must be due to a recessive allele and why, in addition, it cannot be…

Two healthy parents have a daughter affected by a hereditary disease. Explain why the disease must be due to a recessive allele and why, in addition, it cannot be inheritance linked to the X chromosome.

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The pedigree in the diagram shows the transmission of a hereditary disease over three generations; the filled symbols correspond to affected individuals. a) Deduce the…

The pedigree in the diagram shows the transmission of a hereditary disease over three generations; the filled symbols correspond to affected individuals. a) Deduce the most probable pattern of inheritance of the disease and justify it. b) State the genotype of individuals I-1 and I-2. c) State the possible genotypes of the individual marked with ? and the probability that she is a carrier, reasoning your answer.

I II III Unaffected Affected ? Under study I-1 I-2 II-1 II-2 II-4 II-3 III-1 III-2 ?
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In a family, the same disease appears in the grandfather, in a daughter of his and in two of her three children, affecting men and women equally; on the other hand, no…

In a family, the same disease appears in the grandfather, in a daughter of his and in two of her three children, affecting men and women equally; on the other hand, no child of the healthy people in the family is affected. Deduce the most probable pattern of inheritance and assign the most probable genotypes to the three generations.

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X-linked recessive pattern

Three-generation family tree with X-linked recessive inheritance: an affected grandfather, a carrier daughter and an affected grandson, with an unaffected son X-linked recessive inheritance pattern carrier daughter affected grandson
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State two features of a pedigree that point toward X-linked recessive inheritance, and explain why most of those affected in this pattern are male.

State two features of a pedigree that point toward X-linked recessive inheritance, and explain why most of those affected in this pattern are male.

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In an X-linked recessive disease, an affected man has sons and daughters with a healthy non-carrier woman. Explain to which of his children he will certainly pass on his…

In an X-linked recessive disease, an affected man has sons and daughters with a healthy non-carrier woman. Explain to which of his children he will certainly pass on his X chromosome with the mutant allele and what effect this will have on the appearance of the pedigree.

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A woman with normal vision whose father was color-blind is married to a man with normal vision. The couple have four children: a healthy daughter, a carrier daughter, a…

A woman with normal vision whose father was color-blind is married to a man with normal vision. The couple have four children: a healthy daughter, a carrier daughter, a healthy son and a color-blind son. a) Assign genotypes to the parents and to each of the children. b) Explain which feature of this family is characteristic of inheritance linked to the X chromosome.

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The medical history of a blood clotting abnormality is investigated in a three-generation family: In generation I, an affected male (I-1) and a healthy woman with no…

The medical history of a blood clotting abnormality is investigated in a three-generation family:

  • In generation I, an affected male (I-1) and a healthy woman with no family history (I-2) have two children: a healthy daughter (II-2) and a healthy son (II-3).

  • Female II-2 has children with a healthy man (II-1): their first son (III-1) has the abnormality, their second son (III-2) is healthy, and their third child (III-3) is a healthy daughter.

  • Male II-3 has two healthy daughters with a healthy woman with no family history.

  1. a) Draw the complete pedigree using international standard symbols and indicate the most likely genotype of each individual.
  2. b) Argue in detail why the transmission pattern corresponds to X-linked recessive inheritance, justifying why it cannot be Y-linked inheritance nor autosomal dominant inheritance.
  3. c) Explain the concept of "criss-cross inheritance" applying it to this pedigree, pointing out the specific transmission path of the mutated allele from generation I to individual III-1.
  4. d) If woman III-3 has children with a healthy male, calculate the probability that their first child (whether male or female) will manifest the disease and the probability that they will have a carrier daughter.
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Calculating probabilities and genetic risk

A healthy couple who already have a daughter with cystic fibrosis go to a genetic counselor because their second child has been born completely healthy and they want to know whether he might be a carrier. Why does the counselor say that the probability that their healthy son is a carrier is exactly $2/3$, and not $1/2$ or $1/4$?

Pedigree of an Aa × Aa couple with four possible children (AA, Aa, Aa, aa): once the affected aa child is excluded, two of the three healthy children are carriers, 2/3 carrier (Aa) affected (aa) Aa Aa AA Aa Aa aa affected (excluded) healthy: AA and Aa (3 cases) P(carrier among healthy) = 2/3
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Phenylketonuria is an autosomal recessive disease. A couple of first cousins, both healthy but with a family history of the disease, have an affected child. a) State the…

Phenylketonuria is an autosomal recessive disease. A couple of first cousins, both healthy but with a family history of the disease, have an affected child. a) State the genotypes of the parents. b) Calculate the probability that their next child will also have the disease. c) Explain why consanguinity increases the probability of recessive diseases appearing in the offspring.

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For an autosomal recessive disease, a healthy woman has an affected brother; her parents are both healthy. The woman marries a healthy man whose father was affected and…

For an autosomal recessive disease, a healthy woman has an affected brother; her parents are both healthy. The woman marries a healthy man whose father was affected and whose mother was homozygous normal. a) Calculate the probability that the woman is a carrier. b) State the husband's genotype. c) Calculate the probability that the couple's first child will suffer from the disease.

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A healthy couple have four children: two healthy boys, one boy affected by a hereditary disease and one healthy girl. Years later, the healthy daughter has, with a…

A healthy couple have four children: two healthy boys, one boy affected by a hereditary disease and one healthy girl. Years later, the healthy daughter has, with a healthy man, a son affected by the same disease. a) Reason whether the disease fits an autosomal recessive pattern or an X-linked recessive one better. b) Assign the genotypes of the first couple and of the daughter. c) State what a priori probability the daughter had of being a carrier.

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Complex cases and genetic counseling

Three three-generation pedigrees: A, all the children of the affected mother are affected (possible mitochondrial inheritance); B, affected individuals in every generation and in both sexes (autosomal dominant); C, affected individuals skipping generations, only males (X-linked recessive) three pedigrees, three different patterns A: all the children of an affected mother, affected mitochondrial? B: every generation, both sexes autosomal dominant C: skips generations, almost only males X-linked recessive male female affected
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In a family there are two independent traits: hereditary deafness, autosomal recessive, and color blindness, recessive and linked to the X chromosome. A healthy,…

In a family there are two independent traits: hereditary deafness, autosomal recessive, and color blindness, recessive and linked to the X chromosome. A healthy, non-color-blind man, whose father was deaf, has children with a healthy woman who is a carrier of the color blindness allele and whose mother was deaf. a) State the genotypes of the couple. b) Calculate the probability that they will have a deaf, color-blind son. c) Calculate the probability that they will have a daughter who is healthy for both traits. d) Reason whether any daughter of this couple could be color-blind.

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In the pedigree of a family it is observed that a disease is transmitted by all affected women to all their sons and daughters, while no affected man transmits it to any…

In the pedigree of a family it is observed that a disease is transmitted by all affected women to all their sons and daughters, while no affected man transmits it to any of his descendants. Deduce what type of inheritance this disease shows and justify it from where its genetic information is located and how it is transmitted.

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Huntington's disease is due to an autosomal dominant allele of late onset, which usually appears from the age of 40-50. The father of a 30-year-old woman, currently…

Huntington's disease is due to an autosomal dominant allele of late onset, which usually appears from the age of 40-50. The father of a 30-year-old woman, currently healthy, developed the disease at 50. a) State the probability that the woman has inherited the allele. b) Calculate the probability that a child of hers will inherit it. c) Explain why late-onset dominant diseases pose a special problem in pedigree analysis and in genetic counseling.

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Three different pedigrees are studied. In pedigree A, all the children of affected women have the disease and no child of affected men has it. In pedigree B, the disease…

Three different pedigrees are studied. In pedigree A, all the children of affected women have the disease and no child of affected men has it. In pedigree B, the disease appears in every generation and affects men and women equally, and every affected person has at least one affected parent. In pedigree C, the disease skips generations, almost always affects males and is never transmitted from father to son. a) Assign to each pedigree the most probable pattern of inheritance. b) Justify each assignment from the features described. c) State in which of the three cases women can be healthy carriers of the disease.

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X-linked dominant inheritance: justifying a pedigree

In a model of complete X-linked dominance, with complete penetrance and no new mutations, one $X^D$ allele is enough to express the trait. An affected father passes his X to all his daughters and his Y to all his sons: there is no direct transmission from father to son.

Two crosses of X-linked dominant inheritance with pedigree symbols: affected father and healthy mother, giving all daughters affected and no sons affected, and heterozygous mother with healthy father, giving half affected in each sex Cross 1 Father XᴰY Mother XᵈXᵈ XᴰXᵈ XᴰXᵈ XᵈY XᵈY → all daughters affected Cross 2 Father XᵈY Mother XᴰXᵈ XᴰXᵈ XᵈXᵈ XᴰY XᵈY → 1/2 affected in each sex Female Male Affected Unaffected
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Explain which feature of a pedigree makes it possible to distinguish a dominant disease linked to the X chromosome from an autosomal dominant one, taking as a reference…

Explain which feature of a pedigree makes it possible to distinguish a dominant disease linked to the X chromosome from an autosomal dominant one, taking as a reference what happens to the sons and daughters of affected men in each case.

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Vitamin D-resistant hypophosphatemic rickets is a dominant disease linked to the X chromosome. An affected man and a healthy woman have three daughters and two sons: all…

Vitamin D-resistant hypophosphatemic rickets is a dominant disease linked to the X chromosome. An affected man and a healthy woman have three daughters and two sons: all the daughters are affected and no son is. a) Explain why this result is the one expected for this pattern of inheritance. b) Assign the genotypes of the parents and of the children. c) If one of the affected daughters has children with a healthy man, state what proportion of her sons and daughters would be expected to be affected, justifying your answer.

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In the pedigree of a rare disease the following is observed: in generation I, an affected man and a healthy woman have, in generation II, an affected daughter and a…

In the pedigree of a rare disease the following is observed: in generation I, an affected man and a healthy woman have, in generation II, an affected daughter and a healthy son; the affected daughter has, with a healthy man, in generation III, an affected son and a healthy daughter. a) Reason whether the pedigree is compatible with autosomal dominant inheritance. b) Reason whether it is compatible with X-linked dominant inheritance. c) Reason whether it is compatible with autosomal recessive inheritance. d) Conclude which pattern or patterns are the most parsimonious for a rare disease and justify your answer.

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Summary

See all the exercises in this section