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GLOSSARY

Aggregation
The clustering of disease within a family, typical of a complex disease such as diabetes. Because such diseases do no follow patterns of inheritance characteristic of single-gene disorders (AD, AR, XLR), prediction of recurrence risk or disease severity is difficult.

Alleles
Different versions of the same gene. (Each person has two versions, or two alleles, of each gene. There is an exception: because males have only one X chromosome, they have only one allele of each gene located on the X chromosome.)

Blue sclerae
Sclera is a fibrous tissue that helps form the outer layer of the eyeball. A blue-gray tint to the "whites" of the eyes, or blue sclerae, may be apparent in several genetic conditions, including osteogenesis imperfecta.


Chromosomes

Thread-like structures in the nucleus of a cell that are made of DNA and structural proteins. Human cells other than egg and sperm normally have 46 chromosomes (23 pairs). Egg and sperm cells have 23 chromosomes.

Gene
A segment of DNA that contains instructions for making a specific protein or proteins required by the body. Genes are found in succession along the length of chromosomes. Human beings have about 30,000 to 35,000 genes.

Genetics
The branch of science concerned with the means and consequences of biologic inheritance.

Genome
All of the DNA of a given organism. One speaks, for example, of the human genome or the mouse genome.

Genomics
the study of whole genomes, usually focusing on extensive DNA sequences.

Independent assortment
The principle that different genes are distributed independently into egg and sperm. For example, the distribution of the genes associated with DI has no effect on the distribution of genes associated with eye color. Independent assortment explains why it is possible to look like a certain family member, but not to have the same medical conditions or traits, and vice versa.

Isolated
A medical trait that appears to occur alone, without accompanying co-findings.

Karyotype
A picture, or organized graphic representation of the chromosomes in a single cell. Normal human karyotypes show 23 pairs of chromosomes, numbered from larger to smaller. The 23rd pair is the sex chromosomes (XX = female; XY = male) for a total of 46.

Mutations

Changes in the DNA code. Mutations can be beneficial, neutral, or harmful
(for example, disease-causing).

Pedigree
A diagram showing the genetic relationships between members of a family that is annotated with relevant medical information. Pedigrees are used to visualize inheritance patterns and to aid in diagnosis and risk assessment.

Proband
The person who has brought the condition in question to medical attention.
Variable expressivity – The different ways the same disease or disease-causing mutation can affect individuals, even within the same family. Most genetic conditions have several recognizable traits, but persons with the same disease may show different combinations of these traits, which can be less or more severe.

Segregation
The distribution of genes during the formation of an egg or sperm. Each person has two versions (called alleles) of each gene, but can only contribute one version (allele) to each egg or sperm cell.
In complex diseases, chromosomes, genes, and mutations in genes still obey the laws of inheritance (i.e., they still segregate). However, the disease itself does not segregate in the predictable manner of a single-gene disorder. The failure of the disease to appear in a regular pattern presumably results from the effects of multiple genes and multiple environmental influences.

Syndrome
Multiple signs and symptoms that, together, constitute the picture of a disease.

Variable expressivity
The different ways the same disease or disease-causing mutation can affect individuals, even within the same family. Most genetic conditions have several recognizable traits, but persons with the same disease may show different combinations of these traits, which can be less or more severe.


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