Single-Gene Mutation Disorders in Man — 2024 Paper I
Single-gene mutation disorders in man
Model Answer
VAID ICSSingle-gene or monogenic disorders result from a pathogenic mutation at one gene locus. They usually follow Mendelian inheritance, although penetrance, expressivity and environmental factors may modify their clinical manifestation. Mutations may involve base substitution, deletion, insertion, abnormal splicing or repeat expansion.
They are classified according to their mode of inheritance:
- Autosomal dominant: One altered allele is sufficient. Huntington disease results from CAG-repeat expansion in the HTT gene and shows anticipation. Achondroplasia and Marfan syndrome are other examples.
- Autosomal recessive: The disorder appears when both alleles are altered. Cystic fibrosis is caused by CFTR mutations, while phenylketonuria results from deficiency of phenylalanine hydroxylase.
- X-linked recessive: These conditions occur predominantly in males. Haemophilia A, caused by mutation in the F8 gene, and Duchenne muscular dystrophy are important examples.
- Mitochondrial disorders: These are transmitted maternally, as in Leber hereditary optic neuropathy.
Sickle-cell disease is a classic anthropological example. A missense mutation in the HBB gene replaces glutamic acid with valine in beta-globin, producing haemoglobin S. In malaria-endemic regions, heterozygotes possess a selective advantage against severe malaria. This balanced polymorphism, anticipated by J.B.S. Haldane and demonstrated by A.C. Allison, illustrates the interaction of mutation, natural selection and ecology.
Their population frequency may also be influenced by endogamy, consanguinity, founder effect and genetic drift. Diagnosis involves pedigree analysis, biochemical tests and molecular testing, while genetic counselling, carrier screening and prenatal diagnosis help families make informed decisions.
Thus, monogenic disorders connect molecular genetics with human evolution, population structure and medical anthropology.
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