{"id":300,"date":"2020-07-24T12:00:00","date_gmt":"2020-07-24T16:00:00","guid":{"rendered":"https:\/\/anyonecanscience.com\/?p=300"},"modified":"2020-07-23T20:52:23","modified_gmt":"2020-07-24T00:52:23","slug":"duchenne-muscular-dystrophy-and-sex-linked-inheritance","status":"publish","type":"post","link":"https:\/\/anyonecanscience.com\/index.php\/2020\/07\/24\/duchenne-muscular-dystrophy-and-sex-linked-inheritance\/","title":{"rendered":"The Genetic Blueprint of Disease: Part 3 \u2014 Duchenne Muscular Dystrophy and Sex-Linked Inheritance"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/anyonecanscience.com\/index.php\/2020\/07\/17\/the-interwoven-genetics-of-sickle-cell-anemia-and-malaria\/\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">Last week<\/a> we saw how the complex interplay of genetics and environment has impacted the inheritance of sickle-cell anemia. This week, I want to talk about a special subset of inherited diseases called sex-linked disorders. One of the most common sex-linked disorders is Duchenne muscular dystrophy (DMD), a debilitating muscular disorder linked to the X-chromosome. Sex-linked disorders, like <a href=\"https:\/\/www.genome.gov\/Genetic-Disorders\/Duchenne-Muscular-Dystrophy\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">DMD<\/a>, come from genes in the sex chromosomes (X and Y in humans). <a href=\"https:\/\/www.genome.gov\/genetics-glossary\/Sex-Chromosome\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">Sex chromosomes<\/a> are responsible for determining an individual\u2019s biological sex, XX for female, XY for male (although there are other less common combinations that come from chromosomal aberrations\u2014we\u2019ll talk about those more in the future). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What makes sex-linked inheritance so unique, however, is that these genes exclusively appear on the X chromosome. Additionally, to make up for the different levels of gene expression, XX individuals turn off one of the X chromosomes in each of their cells. Because different cells choose to turn off different X chromosomes, certain traits can be expressed in a patchwork throughout the individual\u2019s body. This is best seen in calico cats\u2014female cats inherit two different sex-linked fur color genes, which are expressed in patches.  DMD is an X-linked recessive gene. Recessive genes normally require two copies (one from each parent) to be expressed, but in XY individuals, only one copy of the aberrant gene is needed (from the mother) since the Y chromosome doesn\u2019t carry the gene at all.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/Karyotype-small.jpg?resize=1024%2C1024&#038;ssl=1\" alt=\"Humans have 22 pairs of autosomal chromosomes and 1 pair of sex chromosomes.\" class=\"wp-image-298\" srcset=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/Karyotype-small.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/Karyotype-small.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/Karyotype-small.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/Karyotype-small.jpg?resize=768%2C768&amp;ssl=1 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption>Humans have 22 pairs of autosomal chromosomes and 1 pair of sex chromosomes.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Humans have 22 pairs of autosomal <a href=\"https:\/\/ghr.nlm.nih.gov\/primer\/basics\/howmanychromosomes\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">chromosomes<\/a> (non-sex chromosomes) and 1 pair of sex chromosomes for a total of 46. The autosomal chromosome pairs are identical in terms of what genes they contain, but they can have different variants of that gene (gene variants are typically called alleles). This means that every cell in the body contains two of each gene, except for the gametes (egg or sperm cells). Gametes only have one of each chromosome pair, and the alleles are distributed semi-randomly to each gamete. A baby inherits one copy of each gene from each of their parents to form their complete set of 46 chromosomes. In terms of the sex chromosomes, a baby inherits an X chromosome from their mother and either an X or a Y from their father, which determines their biological sex. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most alleles are either <a href=\"https:\/\/learn.genetics.utah.edu\/content\/basics\/patterns\/\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">dominant or recessive<\/a>, which dictates how the gene is expressed. If an individual has one dominant allele and one recessive allele (they are heterozygous for that gene), then the dominant one usually controls expression. An example would be brown versus blue eye color\u2014the brown eye allele is dominant so two parents with brown eyes are less likely to have a blue-eyed baby. Eye color is actually much more complex than this and linked with the genetics of hair and skin color (plus, this explanation leaves out the most important eye color, green). In this simplified view of inheritance, the only way for a recessive allele to be expressed is if both copies of the gene are recessive (two blue eye genes, one from each parent).<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1040\" height=\"781\" src=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/IMG_4096.jpg?resize=1040%2C781&#038;ssl=1\" alt=\"Our esteemed scientific expert, Phineas, and I both have green eyes. Green eyes occur in about 2% of the (human) population and are attributed to a mutation that produces a bit more melanin in than the blue eye color.\" class=\"wp-image-296\" srcset=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/IMG_4096.jpg?w=1040&amp;ssl=1 1040w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/IMG_4096.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/IMG_4096.jpg?resize=1024%2C769&amp;ssl=1 1024w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/IMG_4096.jpg?resize=768%2C577&amp;ssl=1 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption>Our esteemed scientific expert, Phineas, and I both have green eyes. Green eyes occur in about 2% of the (human) population and are attributed to a mutation that produces a bit more melanin in than the blue eye color.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">In individuals with two X chromosomes, X-linked alleles interact in pretty much the same way as autosomal alleles. The allele for Duchenne muscular dystrophy is recessive, so XX individuals need two copies of the allele from each of their parents to experience the disease. If only one of their X chromosomes has the DMD allele, then they are considered a carrier of the disease\u2014they don\u2019t experience any of the negative side effects, but they can pass the disease on to their children. On the other hand, XY individuals only need one copy of the DMD allele (from their carrier mother, since their father gave them the Y chromosome) to experience the disease.   <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Duchenne muscular dystrophy allele is a <a href=\"https:\/\/ghr.nlm.nih.gov\/condition\/duchenne-and-becker-muscular-dystrophy#genes\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">mutated form of the dystrophin gene<\/a>. Dystrophin is a protein found in muscle tissues, including the heart, that stabilizes muscle and facilitates chemical signaling between muscle cells. The mutated DMD gene encodes for a dystrophin protein that is not functional, causing muscle degeneration and heart problems. In heterozygous XX carriers, the normal dystrophin gene makes enough of the protein to maintain normal muscular function.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/30536545610_69bc93fffc_b.jpg?resize=1024%2C1024&#038;ssl=1\" alt=\"Lab grown muscle can be used to test drugs for many muscular disorders, including Duchenne muscular dystrophy. \" class=\"wp-image-297\" srcset=\"https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/30536545610_69bc93fffc_b.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/30536545610_69bc93fffc_b.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/30536545610_69bc93fffc_b.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/anyonecanscience.com\/wp-content\/uploads\/2020\/07\/30536545610_69bc93fffc_b.jpg?resize=768%2C768&amp;ssl=1 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption><a href=\"https:\/\/www.flickr.com\/photos\/135077182@N04\/30536545610\" target=\"_blank\" rel=\"noreferrer noopener\">&#8220;Lab-Grown Muscle&#8221;<\/a>&nbsp;by&nbsp;<a href=\"https:\/\/www.flickr.com\/photos\/135077182@N04\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute of Arthritis and Musculoskeleta<\/a>&nbsp;is licensed under&nbsp;<a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/?ref=ccsearch&amp;atype=rich\" target=\"_blank\" rel=\"noreferrer noopener\">CC BY-NC-SA 2.0<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Approximately 1 in every 3500 male babies has Duchenne muscular dystrophy, which often causes symptoms before the age of six. DMD babies may not sit, stand, or walk as early as their healthy counterparts, and muscle weakness may affect their ability to get around. The muscles continue to decay over time until the individual is confined to a wheelchair (usually by the age of 12). Difficulty breathing and heart disorder continue to plague the DMD individual and cause early mortality (usually by their 30s). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Currently, the treatment for Duchenne muscular dystrophy is primarily focused on managing the symptoms, but scientists are constantly looking for better treatments that target the disorder at its source. Recently, researchers have been able to successfully use <a href=\"https:\/\/anyonecanscience.com\/index.php\/2020\/06\/05\/the-future-of-crispr-cas9\/\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">CRISPR-Cas9<\/a> to <a href=\"https:\/\/advances.sciencemag.org\/content\/6\/8\/eaay6812\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">correct the mutated dystrophin gene<\/a> in the muscle cells of DMD mice. The results of the experiment were promising and it\u2019s possible that gene editing could permanently provide <a href=\"https:\/\/www.technologynetworks.com\/genomics\/news\/researchers-use-crispr-to-correct-mutation-in-duschenne-muscular-dystrophy-model-324043\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">functional dystrophin for DMD individuals<\/a>. Additionally, genetic screening and selective <em>in vitro<\/em> fertilization (IVF) can already be used to prevent DMD carrying mothers from passing the gene on to their children. Selective IVF involves screening potential embryos for the <a href=\"https:\/\/www.nature.com\/scitable\/topicpage\/embryo-screening-and-the-ethics-of-human-60561\/\" target=\"_blank\" aria-label=\"undefined (opens in a new tab)\" rel=\"noreferrer noopener\">gene mutation before implanting them back into the mother<\/a>. A mother who is a DMD carrier normally has a 50% chance of passing the mutation on to a child, but through selective IVF, it\u2019s possible to single out viable embryos without the debilitating mutation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Comment below or email me at <a href=\"mailto:contact@anyonecanscience.com\">contact@anyonecanscience.com<\/a> to let me know what you think about this week\u2019s blog post and tell me what sorts of topics you want me to cover in the future. And subscribe below for weekly science posts sent straight to your email! <\/p>\n\n\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Last week we saw how the complex interplay of genetics and environment has impacted the inheritance of sickle-cell anemia. This week, I want to talk about a special subset of inherited diseases called sex-linked disorders. One of the most common sex-linked disorders is Duchenne muscular dystrophy (DMD), a debilitating muscular disorder linked to the X-chromosome. Sex-linked disorders, like DMD, come from genes in the sex chromosomes (X and Y in humans). Sex chromosomes are responsible for determining an individual\u2019s biological sex, XX for female, XY for male (although there are other less common combinations that come from chromosomal aberrations\u2014we\u2019ll talk&#8230;<\/p>\n<div class=\"more-link-wrapper\"><a class=\"more-link\" href=\"https:\/\/anyonecanscience.com\/index.php\/2020\/07\/24\/duchenne-muscular-dystrophy-and-sex-linked-inheritance\/\">Continue reading<span class=\"screen-reader-text\">The Genetic Blueprint of Disease: Part 3 \u2014 Duchenne Muscular Dystrophy and Sex-Linked Inheritance<\/span><\/a><\/div>\n","protected":false},"author":1,"featured_media":299,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[44],"tags":[71,68,67,73,74,69,70,72],"class_list":["post-300","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","tag-chromosomes","tag-duchenne-muscular-dystrophy-dmd","tag-genetic-disorders","tag-inheritance","tag-muscular-dystrophy","tag-sex-linked-disorders","tag-x-linked-disorders","tag-xy-chromosomes","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Genetic Blueprint of Disease: Part 3 \u2014 Duchenne Muscular Dystrophy and Sex-Linked Inheritance<\/title>\n<meta name=\"description\" content=\"One of the most common sex-linked disorders is Duchenne muscular dystrophy (DMD), a debilitating muscular disorder linked to the X-chromosome. Sex-linked disorders, like DMD, come from genes in the sex chromosomes (X and Y in humans). 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