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Each person is made in God’s image 
(Gen. 1:27).
 50% of spontaneous abortion are chromosomal abnormal 
 Mostly triploidy. 45 XO, trisomy 16 
 98% of fetus with turner abort 
 Generally 6/1000 the incidence of chromosomal 
abnormalities
 Unexplained infertility 
 Multiple abortion >2 
 Prior case of defective baby 
 Presence of congenital 
anomalies 
› 45% have minor single 
anomalies 
› 9% 3 minor anomalies 
› 1.5% have major anomaly 
 2 or more major anomalies 
may represent genetic 
syndrome or chromosomal 
abnormalities(10%).
`
1. Klinefelter syndrome- XXY 
 male in spite of having 2 X chromosomes or with a 44-XXY 
chromosomes. 
The Sperm containing both X and Y combines with an egg containing the X, results in a male child. 
The egg may contribute the extra X chromosome.
 Males with some development of 
breast tissue normally seen in 
females. 
 Little body hair is present, and such 
person are typically tall, have small 
testes. 
 Infertility results from absent 
sperm. 
 Evidence of mental retardation may 
or may not be present.
2. Turner syndrome –XO 
 have only 45 chromosomes ( 2n-1) 
 -externally female in spite of the presence of only one X 
chromosomes which are short and flat chested like those with XXX 
syndrome
3. Jacob’s Syndrome- XYY (Criminal syndrome) 
 XYY syndrome is an aneuploidy (abnormal number) of the sex 
chromosomes in which a human male receives an extra Y-chromosome
 causes no unusual physical 
features or medical problems. 
 may be slightly taller than 
average 
 May have more severe acne 
than normal. 
 Skeletal malformations may 
also accompany 
 includes large hands and 
feet, 
 have normal sexual 
development and are able to 
conceive children.
4. Triple-X- superfemale, metafemale, XXX 
 -individual has 47 chromosomes (2n +n) 
 affects about 1 in 1,000 females. 
 usually results from an error in the formation of a 
mother's egg cell or a father's sperm cell. 
 Sometimes, it occurs as a result of an error early in 
the embryo's development.
 physically and mentally normal 
 May include hypertelorism, epicanthal folds, depressed nasal 
bridge 
 Delay in growth and mental development, when present, is 
usually mild. 
 Occasionally associated with Prader-Willi syndrome.
5.YO 
 -a condition which is lethal because x 
chromosome is necessary for life
 Deletions (deficiencies) 
 Duplications 
 Inversions 
 Translocations
Deletions (deficiencies) 
- Loss of a (generally small) segment of 
chromosome 
A B C D E F G A B D E F G 
C
Arise through spontaneous breakage some 
chromosomes have fragile spots, radiation, UV, 
chemicals, and viruses . 
Ionizing radiation acts like little atomic "cannon balls", 
blasting through strands of DNA or chromosomes. 
Why do they rejoin? 
Break points of chromosomes are highly reactive ("sticky"), 
whereas normal ends of chromosomes are capped by 
telomeres, which do not readily bond to other molecules.
Deletion disorder in human: 
1. Cri- du -chat, or cat-cry 
syndrome. 
 - Individuals with this syndrome 
have high pitched, plaintive cry, 
very similar to that of a kitten in 
distress. 
represent a loss in chromosomal 
material.
Mental retardation 
Slow motor skill development 
Low birth weight and slow 
growth 
Small head (microcephaly) 
Partial webbing of fingers or 
toes 
Wide-set eyes 
(hypertelorism)
Fragile Sites 
 are weak points at specific locations in 
chromatids 
 is a place where part of a chromosome 
attached to the rest of the 
chromosome. They have been identified 
in sex chromosomes as well as on 
autosomes. 
EX. 
2. Fragile X syndrome (FXS), Martin–Bell 
syndrome, or Escalante's syndrome (more 
commonly used in South American 
countries), is a genetic syndrome that is the 
most common known single-gene cause of 
autism and the most common inherited 
cause of intellectual disability
 May arise 
through unequal 
crossing over 
A B C D E F G 
A B C D E F G 
x 
A B C D E G A B C D E F F G 
Deletion Duplication 
Changes in the numbers of genes
 Large deletions will most probably be lethal 
 Smaller deletions may allow survival 
 Cri-du-chat syndrome - Micro deletion of chromosome 5 
 DiGeorge syndrome - Micro deletion of chromosome 22 
 Schizophrenia & Obsessive Compulsive Disorder 
-Micro deletion of chromosome 22 associated 
 Angelman syndrome- Micro deletion of chromosome 15 
 Prader-Willi syndrome- Micro deletion of chromosome 15
Prader-Willi  lack of muscle tone in newborn 
 poor swallowing reflex 
 as adult - gross obesity 
 mean I.Q. ~ 50 
 microdeletion of 15
 developmentally delayed 
 jerky movements 
 stiff, fixed smile 
 uncontrolled laughter 
 abnormal E.E.G., epilepsy 
 microdeletion of 15
 Deletions (deficiencies) 
 Duplications 
 Inversions 
 Translocations
 Redundant segment of a chromosome 
A B C D E F G A B C D E F F G
 inherited neurological disorder that affects the peripheral nerves. 
 individuals experience weakness and wasting (atrophy) of the muscles 
of the lower legs beginning in adolescence; later they experience hand 
weakness and sensory loss. 
 caused by having an extra copy (a duplication) of the PMP22 gene. 
 It is inherited in an autosomal dominant manner. 
 Treatment : physical therapy; occupational therapy; braces and other 
orthopedic devices; orthopedic surgery; and pain medications.
 Deletions (deficiencies) 
 Duplications 
 Inversions 
 Translocations
A portion of the chromosome has 
broken off 
A B C D E F G H I J K 
180O 
A B C H G F E D I J K
turned upside down and reattached, 
therefore the genetic material is 
inverted. 
A B 
C 
D 
E 
F G 
• 180o reversal of chromosome segment
• Produced through breakage and 
reassociation of chromosome 
A B 
C 
D 
E 
F G
Inversions cause complicated synapsis at meiosis for heterozygotes 
Those not containing the centromere 
are called paracentric.
Chromatids involved in crossing over do not allow development of 
functional gametes 
Inversions containing the centromere 
are called pericentric.
 May change phenotype through “position effects” 
 move active genes to sites generally inactive; 
 lose gene function 
 move inactive genes to sites generally active; 
 gain gene function 
 May act to preserve blocks of genes (specific alleles) which 
function well together 
No gain or loss of information; just rearrangement of genome.
 Deletions (deficiencies) 
 Duplications 
 Inversions 
 Translocations
Reciprocal Translocation: Exchange of segments between non-homologous 
chromosomes 
F 
A 
B 
C 
D 
E 
L M N 
O 
P 
Q
A B C 
A portion of one chromosome is transferred to 
another chromosome. 
O N M L 
D E F 
Q P 
segment from one chromosome is exchanged with a segment 
from another nonhomologous one, so two translocation 
chromosomes are generated simultaneously.
 Lead to impaired fertility 
› complications to synapsis and segregation 
 May lead to changes in phenotype 
› position effects 
› human cancers and translocations
A B C 
O N M L 
D E F 
Q P 
A B C D E F 
L M N O P Q
 Only 1/3 of the segregations will lead to 
usable gametes 
 Fertility is reduced by 2/3
Several human cancers are associated with reciprocal 
translocations 
Chronic myelocytic leukemia, is a slowly progressing blood 
and bone marrow disease that usually occurs during or after 
middle age, and rarely occurs in children. 
 Normally, the bone marrow makes blood stem 
cells (immature cells) that become mature blood cells over time. 
 A blood stem cell may become a myeloid stem cell or 
a lymphoid stem cell. 
 A lymphoid stem cell becomes a white blood cell. 
 A myeloid stem cell becomes one of three types of mature blood 
cells: RBC, platelets and Granulocytes.
Reciprocal translocation between chr. 22 and chr. 9 
9 9 22 22
Reciprocal translocation between chr. 22 and chr. 9 
9 9 22 22 
Chr. 9 segment 
has an oncogene; 
when moved, it 
becomes active
Translocations between chr. 8 and one of three others: 
› 8 & 2 or 8 & 14 or 8 & 22 
Chr. 8 has an oncogene ( genes involved in cell proliferation) 
Chr. 2, 14, 22 have genes coding for antibody production and their 
enhancer genes 
Oncogene becomes highly active under control of enhancers!
 Fusions 
› two chromosomes join to form one 
Fissions 
• one chromosome splits to form two
 Polydyspondylie 
› mental retardation and spinal malformations 
› fusion of two chromosomes w/ loss of short 
arms
Familial Down Syndrome 
› fusion of chromosomes 14 and 21 
14 21 14+21
synapsis 
Three possible disjunctions
X 
X
X 
X 
X 
X
Myths and Truths about Down 
Syndrome 
MYTH: Down syndrome is hereditary and runs in families. 
TRUTH: 
• Down syndrome is hereditary in approximately 1% of all instances. 
• In the other 99% of cases Down syndrome is completely random and the 
only known factor that increases the risk is the age of the mother (over 
35). 
• Translocation is the only type of Down syndrome known to have 
hereditary link.
Maternal Age: 
Women are born with all the eggs they will ever have. 
Therefore, when a woman is 30 years old, so are her eggs. 
Errors can crop up in the eggs' genetic material as they age over time. 
Therefore, older women are more at risk of giving birth to babies with 
chromosome abnormalities than younger women. 
Since men produce new sperm throughout their life, paternal age does 
not increase risk of chromosome abnormalities.
MYTH: Children with Down syndrome must be placed in segregated special 
education programs. 
TRUTH: Children with Down syndrome have been included in regular academic 
classrooms in schools across the country. 
The current trend in education is for full inclusion in the social and educational 
life of the community. 
Inclusion is a right, not a privilege 
for a select few
Human Genome Project 
 It is possible to treat diseases by altering our very genes‚ 
giving us new ones if ours are non-functional, changing bad 
genes for good ones. 
The primary goal is to determine the sequence of chemical base pairs 
which make up human DNA, and to identify and map the total genes of 
the human genome from both a physical and functional standpoint.
 We need to understand that the “genome” of 
individual is unique. Mapping the human genome 
involves sequencing multiple variations of each 
gene. There is a need to get ready , to face 
courageously and to appreciate the truth that most 
chromosome abnormalities can occur. 
 This study is about embracing all, making a 
commitment to do whatever it takes to provide each 
one in the community- an inalienable right to belong, 
not to be excluded. Assume then, that living and 
learning together is a better way that benefits 
everyone, not just children who are labeled as 
having a difference.
Thank you for listening… 
Enjoy Being Normal!

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Sex aberrations

  • 1.
  • 2. Each person is made in God’s image (Gen. 1:27).
  • 3.
  • 4.
  • 5.
  • 6.  50% of spontaneous abortion are chromosomal abnormal  Mostly triploidy. 45 XO, trisomy 16  98% of fetus with turner abort  Generally 6/1000 the incidence of chromosomal abnormalities
  • 7.  Unexplained infertility  Multiple abortion >2  Prior case of defective baby  Presence of congenital anomalies › 45% have minor single anomalies › 9% 3 minor anomalies › 1.5% have major anomaly  2 or more major anomalies may represent genetic syndrome or chromosomal abnormalities(10%).
  • 8.
  • 9.
  • 10. `
  • 11. 1. Klinefelter syndrome- XXY  male in spite of having 2 X chromosomes or with a 44-XXY chromosomes. The Sperm containing both X and Y combines with an egg containing the X, results in a male child. The egg may contribute the extra X chromosome.
  • 12.  Males with some development of breast tissue normally seen in females.  Little body hair is present, and such person are typically tall, have small testes.  Infertility results from absent sperm.  Evidence of mental retardation may or may not be present.
  • 13. 2. Turner syndrome –XO  have only 45 chromosomes ( 2n-1)  -externally female in spite of the presence of only one X chromosomes which are short and flat chested like those with XXX syndrome
  • 14.
  • 15. 3. Jacob’s Syndrome- XYY (Criminal syndrome)  XYY syndrome is an aneuploidy (abnormal number) of the sex chromosomes in which a human male receives an extra Y-chromosome
  • 16.  causes no unusual physical features or medical problems.  may be slightly taller than average  May have more severe acne than normal.  Skeletal malformations may also accompany  includes large hands and feet,  have normal sexual development and are able to conceive children.
  • 17. 4. Triple-X- superfemale, metafemale, XXX  -individual has 47 chromosomes (2n +n)  affects about 1 in 1,000 females.  usually results from an error in the formation of a mother's egg cell or a father's sperm cell.  Sometimes, it occurs as a result of an error early in the embryo's development.
  • 18.  physically and mentally normal  May include hypertelorism, epicanthal folds, depressed nasal bridge  Delay in growth and mental development, when present, is usually mild.  Occasionally associated with Prader-Willi syndrome.
  • 19. 5.YO  -a condition which is lethal because x chromosome is necessary for life
  • 20.  Deletions (deficiencies)  Duplications  Inversions  Translocations
  • 21. Deletions (deficiencies) - Loss of a (generally small) segment of chromosome A B C D E F G A B D E F G C
  • 22. Arise through spontaneous breakage some chromosomes have fragile spots, radiation, UV, chemicals, and viruses . Ionizing radiation acts like little atomic "cannon balls", blasting through strands of DNA or chromosomes. Why do they rejoin? Break points of chromosomes are highly reactive ("sticky"), whereas normal ends of chromosomes are capped by telomeres, which do not readily bond to other molecules.
  • 23. Deletion disorder in human: 1. Cri- du -chat, or cat-cry syndrome.  - Individuals with this syndrome have high pitched, plaintive cry, very similar to that of a kitten in distress. represent a loss in chromosomal material.
  • 24. Mental retardation Slow motor skill development Low birth weight and slow growth Small head (microcephaly) Partial webbing of fingers or toes Wide-set eyes (hypertelorism)
  • 25. Fragile Sites  are weak points at specific locations in chromatids  is a place where part of a chromosome attached to the rest of the chromosome. They have been identified in sex chromosomes as well as on autosomes. EX. 2. Fragile X syndrome (FXS), Martin–Bell syndrome, or Escalante's syndrome (more commonly used in South American countries), is a genetic syndrome that is the most common known single-gene cause of autism and the most common inherited cause of intellectual disability
  • 26.
  • 27.  May arise through unequal crossing over A B C D E F G A B C D E F G x A B C D E G A B C D E F F G Deletion Duplication Changes in the numbers of genes
  • 28.  Large deletions will most probably be lethal  Smaller deletions may allow survival  Cri-du-chat syndrome - Micro deletion of chromosome 5  DiGeorge syndrome - Micro deletion of chromosome 22  Schizophrenia & Obsessive Compulsive Disorder -Micro deletion of chromosome 22 associated  Angelman syndrome- Micro deletion of chromosome 15  Prader-Willi syndrome- Micro deletion of chromosome 15
  • 29. Prader-Willi  lack of muscle tone in newborn  poor swallowing reflex  as adult - gross obesity  mean I.Q. ~ 50  microdeletion of 15
  • 30.  developmentally delayed  jerky movements  stiff, fixed smile  uncontrolled laughter  abnormal E.E.G., epilepsy  microdeletion of 15
  • 31.  Deletions (deficiencies)  Duplications  Inversions  Translocations
  • 32.  Redundant segment of a chromosome A B C D E F G A B C D E F F G
  • 33.
  • 34.  inherited neurological disorder that affects the peripheral nerves.  individuals experience weakness and wasting (atrophy) of the muscles of the lower legs beginning in adolescence; later they experience hand weakness and sensory loss.  caused by having an extra copy (a duplication) of the PMP22 gene.  It is inherited in an autosomal dominant manner.  Treatment : physical therapy; occupational therapy; braces and other orthopedic devices; orthopedic surgery; and pain medications.
  • 35.  Deletions (deficiencies)  Duplications  Inversions  Translocations
  • 36. A portion of the chromosome has broken off A B C D E F G H I J K 180O A B C H G F E D I J K
  • 37. turned upside down and reattached, therefore the genetic material is inverted. A B C D E F G • 180o reversal of chromosome segment
  • 38. • Produced through breakage and reassociation of chromosome A B C D E F G
  • 39. Inversions cause complicated synapsis at meiosis for heterozygotes Those not containing the centromere are called paracentric.
  • 40. Chromatids involved in crossing over do not allow development of functional gametes Inversions containing the centromere are called pericentric.
  • 41.  May change phenotype through “position effects”  move active genes to sites generally inactive;  lose gene function  move inactive genes to sites generally active;  gain gene function  May act to preserve blocks of genes (specific alleles) which function well together No gain or loss of information; just rearrangement of genome.
  • 42.  Deletions (deficiencies)  Duplications  Inversions  Translocations
  • 43. Reciprocal Translocation: Exchange of segments between non-homologous chromosomes F A B C D E L M N O P Q
  • 44. A B C A portion of one chromosome is transferred to another chromosome. O N M L D E F Q P segment from one chromosome is exchanged with a segment from another nonhomologous one, so two translocation chromosomes are generated simultaneously.
  • 45.  Lead to impaired fertility › complications to synapsis and segregation  May lead to changes in phenotype › position effects › human cancers and translocations
  • 46. A B C O N M L D E F Q P A B C D E F L M N O P Q
  • 47.  Only 1/3 of the segregations will lead to usable gametes  Fertility is reduced by 2/3
  • 48. Several human cancers are associated with reciprocal translocations Chronic myelocytic leukemia, is a slowly progressing blood and bone marrow disease that usually occurs during or after middle age, and rarely occurs in children.  Normally, the bone marrow makes blood stem cells (immature cells) that become mature blood cells over time.  A blood stem cell may become a myeloid stem cell or a lymphoid stem cell.  A lymphoid stem cell becomes a white blood cell.  A myeloid stem cell becomes one of three types of mature blood cells: RBC, platelets and Granulocytes.
  • 49.
  • 50. Reciprocal translocation between chr. 22 and chr. 9 9 9 22 22
  • 51. Reciprocal translocation between chr. 22 and chr. 9 9 9 22 22 Chr. 9 segment has an oncogene; when moved, it becomes active
  • 52. Translocations between chr. 8 and one of three others: › 8 & 2 or 8 & 14 or 8 & 22 Chr. 8 has an oncogene ( genes involved in cell proliferation) Chr. 2, 14, 22 have genes coding for antibody production and their enhancer genes Oncogene becomes highly active under control of enhancers!
  • 53.  Fusions › two chromosomes join to form one Fissions • one chromosome splits to form two
  • 54.  Polydyspondylie › mental retardation and spinal malformations › fusion of two chromosomes w/ loss of short arms
  • 55. Familial Down Syndrome › fusion of chromosomes 14 and 21 14 21 14+21
  • 56. synapsis Three possible disjunctions
  • 57.
  • 58. X X
  • 59. X X X X
  • 60. Myths and Truths about Down Syndrome MYTH: Down syndrome is hereditary and runs in families. TRUTH: • Down syndrome is hereditary in approximately 1% of all instances. • In the other 99% of cases Down syndrome is completely random and the only known factor that increases the risk is the age of the mother (over 35). • Translocation is the only type of Down syndrome known to have hereditary link.
  • 61. Maternal Age: Women are born with all the eggs they will ever have. Therefore, when a woman is 30 years old, so are her eggs. Errors can crop up in the eggs' genetic material as they age over time. Therefore, older women are more at risk of giving birth to babies with chromosome abnormalities than younger women. Since men produce new sperm throughout their life, paternal age does not increase risk of chromosome abnormalities.
  • 62. MYTH: Children with Down syndrome must be placed in segregated special education programs. TRUTH: Children with Down syndrome have been included in regular academic classrooms in schools across the country. The current trend in education is for full inclusion in the social and educational life of the community. Inclusion is a right, not a privilege for a select few
  • 63. Human Genome Project  It is possible to treat diseases by altering our very genes‚ giving us new ones if ours are non-functional, changing bad genes for good ones. The primary goal is to determine the sequence of chemical base pairs which make up human DNA, and to identify and map the total genes of the human genome from both a physical and functional standpoint.
  • 64.  We need to understand that the “genome” of individual is unique. Mapping the human genome involves sequencing multiple variations of each gene. There is a need to get ready , to face courageously and to appreciate the truth that most chromosome abnormalities can occur.  This study is about embracing all, making a commitment to do whatever it takes to provide each one in the community- an inalienable right to belong, not to be excluded. Assume then, that living and learning together is a better way that benefits everyone, not just children who are labeled as having a difference.
  • 65. Thank you for listening… Enjoy Being Normal!