Facts on Pediatric Genetics

Genetics research studies how individual genes or groups of genes are involved in health and disease. Understanding genetic factors and genetic disorders is important in learning more about preventing birth defects, developmental disabilities, and other unique conditions among children.

Some genetic changes have been associated with an increased risk of having a child with a birth defect or developmental disability. Genetics also can help us understand how birth defects and developmental disabilities happen.

How We Get Our Genes

People get (inherit) their chromosomes, which contain their genes, from their parents. Chromosomes come in pairs and humans have 46 chromosomes, in 23 pairs. Children randomly get one of each pair of chromosomes from their mother and one of each pair from their father. The chromosomes that form the 23rd pair are called the sex chromosomes. They decide if a person is male or female. A female has two X chromosomes, and a male has one X and one Y chromosome. Each daughter gets an X from her mother and an X from her father. Each son gets an X from his mother and a Y from his father.

Genetic Disorders

Genetic disorders can happen for many reasons. Genetic disorders often are described in terms of the chromosome that contains the gene. If the gene is on one of the first 22 pairs of chromosomes, called the autosomes, the genetic disorder is called an autosomal condition. If the gene is on the X chromosome, the disorder is called X-linked.

Genetic disorders also are grouped by how they run in families. Disorders can be dominant or recessive, depending on how they cause conditions and how they run in families.

Dominant

Dominant diseases can be caused by only one copy of a gene with a DNA mutation. If one parent has the disease, each child has a 50% chance of inheriting the mutated gene.

Recessive

For recessive diseases, both copies of a gene must have a DNA mutation in order to get one of these diseases. If both parents have one copy of the mutated gene, each child has a 25% chance of having the disease, even though neither parent has it. In such cases, each parent is called a carrier of the disease. They can pass the disease on to their children, but do not have the disease themselves.

Single Gene Disorders

Some genetic diseases are caused by a DNA mutation in one of a person’s genes. For example, suppose part of a gene usually has the sequence TAC. A mutation can change the sequence to TTC in some people. This change in sequence can change the way that the gene works, for example by changing the protein that is made. Mutations can be passed down to a child from his or her parents. Or, they can happen for the first time in the sperm or egg, so that the child will have the mutation but the parents will not. Single gene disorders can be autosomal or X-linked.

For example, sickle cell disease is an autosomal single gene disorder. It is caused by a mutation in a gene found on chromosome 11. Sickle cell disease causes anemia and other complications. Fragile X syndrome, on the other hand, is an X-linked single gene disorder. It is caused by a change in a gene on the X chromosome. It is the most common known cause of intellectual disability and developmental disability that can be inherited (passed from one generation to the next).

Chromosomal Abnormalities

Different Number of Chromosomes

People usually have 23 pairs of chromosomes. But, sometimes a person is born with a different number. If a person has an extra chromosome it is called trisomy. If a person has a missing chromosome it is called monosomy.

For example, people with Down syndrome have an extra copy of chromosome 21. This extra copy changes the body’s and brain’s normal development and causes intellectual and physical problems for the person. Some disorders are caused by having a different number of sex chromosomes. For example, people with Turner syndrome usually have only one sex chromosome, an X. Women with Turner syndrome can have problems with growth and development.

Changes in Chromosomes

Sometimes chromosomes are incomplete or shaped differently than usual. When a small part of a chromosome is missing, it is called a deletion. If it has moved to another chromosome, it is called a translocation. If it has been flipped over, it is called an inversion.

For example, people with Williams syndrome are missing a small part of chromosome 7. This deletion can result in intellectual disability and a distinctive facial appearance and personality.

Complex Conditions

A complex disease is caused by both genes and environmental factors. Complex diseases also are called multifactorial. Many birth defects and developmental disabilities are complex conditions. For example, while some orofacial clefts are associated with single gene disorders, the majority most likely are caused by changes in several genes acting together with environmental exposures.

For More Information

GeneticsinPrimaryCare.org
This website from the Genetics in Primary Care Institute includes practical tools and information for primary care providers regarding genetics and genomics, genetic testing, family history, genetic counseling, and patient communication. Visit the Provider Education page for resources, webinars, and live educational activities.

GeneEd Web
GeneEd Web, developed and maintained by the National Library of Medicine (NLM) and the National Human Genome Institute (NHGRI), National Institutes of Health (NIH), is a safe and useful resource for students and teachers in grades 9 - 12 to learn genetics.

Genetics Education Center
At this website, the University of Kansas provides information on genetics-related topics.

Educational Materials About Genetics and Genomics
This National Human Genome Research Institute website offers a talking glossary of genetic terms, fact sheets, and other genetics-related resources.

Learn.Genetics: Genetic Science Learning Center at the University of Utah
This is the website for the Genetic Science Learning Center, a science and health education program located in the midst of the bioscience research being carried out at the University of Utah.

Six Things Everyone Should Know About Genetics
This American Society of Human Genetics website provides basic genetics information and resources.

Online Biology Book
Estrella Mountain Community College provides information on general genetics topics at this website.

Genes and Disease
From the National Center for Biotechnology Information, Genes and Disease is an online collection of articles that discuss genes and the diseases that they cause. These genetic disorders are organized by the parts of the body that they affect.

Human Molecular Genetics, 2nd edition
By authors Tom Strachan and Andrew P. Read, the textbook Human Molecular Genetics is available online and provides information on human genetics based on understanding the structure and function of the normal human genome.

Genomes, 2nd Edition
The textbook Genomes, by Terence A. Brown, is available online and provides insight into genomics with the traditional approach to gene expression. The integrated approach of this book provides a teaching resource for modern molecular biology.