Prepare a list of lethal alleles encountered in the human population and their mode of inheritance
Lethal alleles are mutations in essential genes that can cause death either in the embryonic stage, during development, or even later in life. These alleles interfere with important cellular functions like metabolism, neural development and protein synthesis. The concept of lethal alleles was first explained by Lucien Cuenot in 1905 in mice while working on coat colour genetics. In human populations, many such lethal alleles are well documented and their modes of inheritance vary, which affects how they are transmitted from parents to offspring. These lethal genes may act in homozygous or even heterozygous conditions and can be autosomal or X-linked, depending on the location of the gene. In humans, four different types of lethal alleles are encountered, based on how they are inherited and expressed. These are described below with clear human examples.
1. Recessive Lethal Alleles (Autosomal Recessive Inheritance)
In this type, the allele causes lethality only when present in homozygous condition. If an individual inherits two copies of the mutant allele, the body fails to produce essential proteins, leading to death. However, heterozygous individuals (carriers) are usually normal or may show mild symptoms. This is the most common type of lethal allele in human populations.
Mode of inheritance: Autosomal recessive
Examples in humans:
- Tay-Sachs disease:
- Caused by a mutation in the HEXA gene, leading to the buildup of GM2 ganglioside in neurons. Infants with this condition lose motor skills, go blind and usually die by age 4.
- Cystic Fibrosis:
- Mutation in the CFTR gene leads to thick mucus formation that affects the lungs and digestive system. Without proper treatment, it can reduce life expectancy.
- Sickle Cell Anaemia (HbS/HbS):
- The homozygous condition leads to malformed red blood cells, severe anaemia and organ failure, often fatal in early life if untreated.
2. Dominant Lethal Alleles (Autosomal Dominant Inheritance)
In this type, even one copy of the mutant allele is sufficient to cause lethality. Such alleles are very rare in the population because they are naturally eliminated due to early death. However, if they allow survival until reproductive age, they can be transmitted to the next generation.
Mode of inheritance: Autosomal dominant
Examples in humans:
- Huntington's disease:
- Caused by CAG trinucleotide repeat expansion in the HTT gene. It leads to progressive brain degeneration, memory loss, mood changes and death in mid-life, typically after age 35–40, hence it can be passed on.
- Achondroplasia:
- Caused by mutation in the FGFR3 gene. Heterozygous individuals show dwarfism and survive, but the homozygous dominant (AA) condition is lethal due to improper bone development in the embryo.
3. Sub-lethal Alleles (Partial or Reduced Penetrance)
These alleles reduce survival rate or life span but do not necessarily cause immediate death. Expression can vary due to genetic background, environmental factors, or modifier genes. They are especially important in population genetics as they may appear to behave like non-lethal mutations in some individuals.
Mode of inheritance: Variable, often autosomal
Examples in humans:
- β-Thalassemia Major:
- Homozygous individuals have a complete lack of β-globin chains, requiring lifelong blood transfusions. If untreated, death occurs early in life.
- Neurofibromatosis Type I:
- Mutation in the NF1 gene causes tumour growth along nerves. Some cases may remain mild while others progress to malignant tumours, depending on penetrance and age.
4. Conditional Lethal Alleles (Environment-Dependent Expression)
These alleles become lethal only under specific environmental conditions such as exposure to certain drugs, chemicals, or dietary components. In absence of these conditions, the individuals can live a normal life. Hence, proper management can prevent lethality.
Mode of inheritance: Generally recessive; environment acts as a trigger
Examples in humans:
- G6PD Deficiency:
- Due to mutation in G6PD gene. Individuals are asymptomatic but exposure to antimalarial drugs or fava beans leads to hemolysis and potentially fatal anaemia.
- Phenylketonuria (PKU):
- Mutation in PAH gene blocks conversion of phenylalanine to tyrosine. Without a low-phenylalanine diet, brain damage and death can occur in early life.
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