Double Award - X and Y chromosomes and genetic screening (CCEA)

Part of Combined ScienceGenetics

How is sex determined in humans?

In humans, sex is determined by the sex .

  • Females have two X chromosomes (XX).

  • Males have one X and one Y chromosome (XY).

forms gametes (sperm and egg cells).

All eggs contain one X chromosome.

Half of sperm contain one X chromosome and half contain one Y chromosome.

A mother always passes on an X chromosome, while a father can pass either an X or a Y.

Infographic showing sex determination. A female produces two X egg cells and a male produces X and Y sperm, leading to XX female children or XY male children.

During , there is a 50% chance that a sperm with an X chromosome will fuse with the egg, resulting in a girl (XX), and a 50% chance that a sperm with a Y chromosome will fuse, resulting in a boy (XY).

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What are some genetic conditions?

Watch: An explanation of different types of genetic conditions

Some genetic conditions are inherited, meaning they are passed from parent to child.

They are caused by mutations, which are random changes in the DNA or the number of .

Currently, there are no cures for genetics conditions.

Haemophilia

  • Haemophilia is a blood disorder where people cannot their blood, leading to excessive bleeding.

  • It is caused by a allele on the X chromosome, so it is sex-linked.

  • Sufferers are almost exclusively males because they only have one X chromosome and need just one recessive allele to show the condition.

  • Only in very rare cases a female will have two recessive alleles and be a sufferer.

  • Females with one normal and one recessive allele are . They do not have Haemophilia symptoms but can pass the recessive allele to half of their children and pass the condition to their sons.

GenotypePhenotype
XHYNormal male
XhYHaemophiliac male
XHXHNormal female
XHXhCarrier female
XhXhHaemophiliac female (very rare)

Alleles:

  • H = normal
  • h = haemophilia

Example of how it is inherited:

ParentsNormal DadCarrier Mum
GenotypeXHYXHXh
Gametes:XH, YXH, Xh
XHXh
XHXHXHXHXh
YXHYXhY

With these parents there is a 25% chance of producing a sufferer.

Cystic fibrosis

  • Mainly affects the lungs and digestive system, which become clogged with leading to frequent infections.

  • It is caused by a recessive allele, which means only recessive individuals (ff) will be affected.

GenotypePhenotype
FFNormal
FfCarrier
ffSufferer

Alleles:

  • F = normal
  • f = cystic fibrosis

Example of how it is inherited:

ParentsCarrierCarrier
GenotypeFfFf
Gametes:F, fF, f
Ff
FFFFf
fFfff

With these parents there is a 25% chance of producing a sufferer.

Huntington's disease

  • Affects nerve cells in the brain, leading to brain damage.

  • It is caused by a dominant allele.

  • It usually becomes apparent after 40 years old by which time the person may have passed the allele onto their children

GenotypePhenotype
hhNormal
HhCarrier
HHSufferer

Alleles:

  • h = normal
  • H = Huntington’s

Example of how it is inherited:

ParentsNormalHeterozygous sufferer
GenotypehhHh
Gametes:h, hH, h
Hh
hHhhh
hHhhh

With these parents there is a 50% chance of producing a sufferer.

Down's syndrome

  • Individuals with Down's syndrome have reduced muscle tone and learning difficulties.

  • It is caused by an extra chromosome at chromosome 21.

  • This is not inherited and happens by chance during the formation of egg cells, giving them an extra chromosome (24 total). When fertilised by a sperm cell with 23 chromosomes, this results in a total of 47 chromosomes instead of 46.

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Genetic screening

Genetic screening involves testing people or groups of people for the presence of a particular allele or other genetic abnormality.

Pregnant mothers are offered a blood test at 10–14 weeks to assess the risk of having a child with Down's syndrome.

High-risk cases may then be offered amniocentesis, which is more accurate but carries a 1% risk of miscarriage, unlike the safer blood test.

Image caption,
Amniocentesis

Amniocentesis procedure:

  • A needle is inserted into the that surrounds the and fluid is withdrawn.

  • Chromosomes in foetal cells from the fluid are examined for genetic abnormalities such as Down's syndrome and cystic fibrosis.

Mothers at greater risk include:

  • Those with a family history of genetic conditions.

  • Those who previously carried a foetus with a genetic abnormality.

  • Older mothers.

  • Those with possible problems identified in earlier tests, such as blood tests.

Image caption,
Amniocentesis
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What are some of the ethical issues from genetic screening?

Parents can be faced with difficult decisions if genetic screening shows their foetus has a genetic condition.

Ethical issues are questions about right, wrong and fairness, especially when decisions affect others' rights, privacy, or well-being.

Ethical questions:

Who decides who will be tested?

  • People should have the choice to be tested

  • Decisions for unborn babies are made by parents, is this right?

What are the benefits and risks of amniocentesis and blood tests?

  • Amniocentesis: more accurate but involves a small risk of miscarriage.

  • Blood Tests: safer but less accurate, often needing further testing.

What is the dilemma for carriers of genetic conditions?

  • Parents face emotional challenges and difficult decisions if genetic screening shows their foetus has a genetic condition.

  • It will allow them to access support.

  • Parents may be offered an abortion, but is this the best choice?

    • Yes - prevents suffering, poor quality of life, and ease the burden on parents and siblings.

    • No - the unborn child has a right to life and cannot voice their choice.

    • Abortion is against some religious teachings.

Should genetic information be available to wider society?

  • Pros: It could advance medical research.

  • Cons: Insurers or employers might misuse it, causing discrimination.

  • Solution: Strong laws are needed to protect privacy.

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Quiz time!

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