E EIGHTH EDITION I G H T H E D I T MMccGGrraaww--HHiillll’’ss AARRIISS ((AAsssseessssmmeenntt,, RReevviieeww,, aanndd I O Instruction System) makes homework meaningful— N and manageable—for instructors and students. H • Instructors can assign and grade text-specific homework within the industry’s most robust and versatile homework U management system. M • Students can access multimedia learning tools, including HUM AN GENETICS animations, videos, and more. A • Go to aris.mhhe.com to learn more and register! N or visit the text website at www.mhhe.com/lewisgenetics8 G E Case Workbook to accompany N Concepts and Applications Human Genetics E by Ricki Lewis T ISBN 13: 978-0-07-284854-0 ISBN 10: 0-07-284854-5 I C Specifi cally designed to support the concepts presented in Human Genetics, S this workbook has been updated and presents over 70 real, chapter-related C case studies adapted from scientifi c and medical journals. Each case study o is followed by a set of critical-thinking questions, making this workbook an n excellent tool to assess your understanding of chapter concepts and prepare c e p for exams. t s a n Genetics: From Genes to Genomes CD-ROM d A ISBN 13: 978-0-07-246261-6 p ISBN 10: 0-07-246261-2 p l i Covering the most challenging genetics concepts, this c a CD-ROM makes the concepts more understandable t i through the presentation of full-color, narrated animations o n and interactive exercises. s L E W RICKI LEWIS I S Human Genetics Concepts and Applications Eighth Edition Ricki L ewis Genetic Counselor CareNet Medical Group Schenectady, New York F ellow Alden March Bioethics Institute Albany Medical College lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd ii 88//2211//0077 1100::1199::4444 AAMM HUMAN GENETICS, EIGHTH EDITION Published by McGraw-Hill, a business unit of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright © 2008 by The McGraw-Hill Companies, Inc. All rights reserved. Previous editions © 2007, 2005, 2003, 2001, 1999, 1997, and 1994. No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. Some ancillaries, including electronic and print components, may not be available to customers outside the United States. This book is printed on recycled, acid-free paper containing 10% postconsumer waste. 1 2 3 4 5 6 7 8 9 0 DOW/DOW 10 09 08 07 ISBN 978–0–07–721483–8 MHID 0–07–721483–8 Publisher: Janice Roerig-Blong Executive Editor: Patrick E. Reidy Senior Developmental Editor: Anne L. Winch Marketing Manager: Barbara Owca Director Secondary Marketing: Jim Lewis Project Manager: April R. Southwood Senior Production Supervisor: Kara Kudronowicz Senior Media Producer: Eric A. Weber Associate Design Coordinator: Brenda A. Rolwes Cover Design: Studio Montage, St. Louis, Missouri (USE) Cover Image: Lawrence Lawry/Getty Images Lead Photo Research Coordinator: Carrie K. Burger Photo Research: Toni Michaels/PhotoFind, LLC Supplement Producer: Mary Jane Lampe Compositor: Laserwords Private Limited Typeface: 10/12 Minion Printer: R. R. Donnelley Willard, OH The credits section for this book begins on page C-1 and is considered an extension of the copyright page. Reinforced Binding What does it mean? For adopting schools this means these texts can be expected to be more durable and last longer when subjected to daily classroom use in a school environment where textbooks are adopted for multiple years. This text has been adopted by colleges and universities yet is often used in high schools for teaching honors, elective, and college prep courses. Because advanced high school program adoption periods often last several years and a text must stand up to usage by multiple students, McGraw-Hill has elected to manufacture this text in a manner compliant with the “Manufacturing Standards and Specifi cations for Textbooks” (MSST) published by the “National Association of State Textbook Administrators” (NASTA). The MSST manufacturing guidelines provide guidance and minimum standards for the binding, paper type, and other physical characteristics of a text with the goal of making it more durable. These manufacturing standards are in common use for manufacturing of basal level texts. For full production specifi cation detail visit: www.NASTA.org www.mhhe.com lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd iiii 88//2211//0077 1100::1199::4455 AAMM About the Author Ricki Lewis has built a multifaceted career around communicating the excitement of life science, especially genetics and biotech- nology. She earned her Ph.D. in genetics in 1980 from Indiana University, working with homeotic mutations in Drosophila melanogaster. Ricki is the original author of L ife, an introductory biology text; co-author of two human anatomy and physiology textbooks; and author of D iscovery: Windows on the Life Sciences, an essay collection. She writes and speaks frequently on research and news in genetics, biotechnology, and neuroscience and blogs at blog.bioethics.net. Since 1980, Ricki has published widely, including one of the first stories on DNA profiling, in Discover magazine. She has taught a variety of life science courses at Miami University, the University at Albany, Empire State College, and community colleges. She has also written a novel about stem cells, genetic disease, and iPods. Ricki has been a genetic counselor for a large private medical practice in Schenectady, NY, since 1984, and is very active as a hospice volunteer. Ricki lives in upstate New York and some- times Martha's Vineyard with chemist hus- band Larry, three daughters, and many cats. She can be reached at [email protected]. lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd iiiiii 88//2211//0077 1100::1199::4477 AAMM Dedicated to Benzena Tucker and Glenn Nichols, who taught me the value of optimism. lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd iivv 88//2211//0077 1100::1199::5500 AAMM Brief Contents PART ONE Introduction 1 1 Overview of Genetics 1 2 Cells 17 3 Meiosis and Development 41 PART TWO Transmission Genetics 69 4 Single-Gene Inheritance 69 5 Beyond Mendel's Laws 89 6 Matters of Sex 107 7 Multifactorial Traits 131 8 Genetics of Behavior 151 PART THREE PART ONE, 1 PART FOUR, 265 DNA and Chromosomes 165 9 DNA Structure and Replication 165 10 Gene Action: From DNA to Protein 179 11 Control of Gene Expression and Genome Architecture 199 12 Gene Mutation 213 13 Chromosomes 239 PART FOUR Population Genetics 265 14 Constant Allele Frequencies 265 15 Changing Allele Frequencies 281 PART TWO, 69 PART FIVE, 327 16 Human Ancestry and Eugenics 301 PART FIVE Immunity and Cancer 327 17 Genetics of Immunity 327 18 Genetics of Cancer 353 PART SIX Genetic Technology 375 19 Genetic Technologies: Amplifying, Modifying, and Monitoring DNA 375 20 Genetic Testing and Treatment 393 21 Reproductive Technologies 413 PART THREE, 165 PART SIX, 375 22 Genomics 429 vv lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd vv 88//2211//0077 1100::1199::5511 AAMM List of Boxes Readings In Their Own Words 1 .1 Introducing DNA 3 The Y Wars 110 2 .1 Inborn Errors of Metabolism Familial Dysautonomia: Affect the Major Rebekah's Story 224 Biomolecules 19 Genocide by Rape in Sudan 283 2 .2 Faulty Ion Channels Cause p53: A Family's View 366 Inherited Disease 26 The First Gene Therapy Patient 405 3 .1 The Centenarian Genome 63 Bioethics: Choices 4 .1 It's All in the Genes 75 6 .1 Of Preserved Eyeballs for the Future and Duplicated Genes— Colorblindness 120 Genetic Testing 13 7 .1 Solving a Problem: Why a Clone is Not an Exact READINGS Duplicate 52 Connecting Cousins 138 When Diagnosing a Fetus Also 9 .1 DNA Makes History 171 Diagnoses a Parent: Huntington 1 0.1 Considering Kuru 194 Disease (HD) 77 1 2.1 Fragile X Mutations Sex Reassignment: Making Affect Boys and Their a Biological “He” into Grandfathers 226 a Social “She” 113 1 4.1 DNA Profi ling: Molecular Blaming Genes 153 Genetics Meets Population Population Biobanks 277 Genetics 272 Two Views of Neural Tube Defects 320 1 5.1 Antibiotic Resistance: Pig Parts 347 The Rise of MRSA 291 The Ethics of Using a Recombinant 1 6.1 What Makes Us Human? 312 Drug: EPO 383 1 8.1 Erin's Story: How Gleevec Canavan Disease: Patients Treats Leukemia 364 Versus Patents 408 IN THEIR OWN WORDS 2 2.1 Discovering the Huntington Technology Too Soon? Disease Gene 431 The Case of ICSI 420 vvii BIOETHICS lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd vvii 88//2211//0077 1100::2211::0000 AAMM Clinical Coverage Chapter Opening Case Studies 1 Superboy 14 A Reversal of Fortune 2 S tem Cells Restore Sight, 15 The Evolution of Lactose But Not Vision Intolerance 3 S elling Eggs: Vanessa's Story 16 Lonely Humanity 4 Cystic Fibrosis, Then and Now 17 Gene Expression in Rheumatoid 5 The Many Faces of Alkaptonuria Arthritis 6 A Family Tragedy Averted 18 Microarrays Illuminate Thyroid 7 C left Lip and Palate Cancer 8 Chronic Fatigue Syndrome 19 A Brief History of Cheese 9 O n the Meaning of Gene 20 Gene Therapy for Canavan 10 The Evolving Story of Marfan Disease Syndrome 21 Postmortem Sperm Retrieval 11 Uncloaking a Cancer 22 An Alga Helps Explain a Human 12 Two Mutations Strike One Disease Gene—And One Little Girl 13 A Late Diagnosis Solving a Problem Segregation 77 Connecting Cousins 138 Following More Than One From DNA to RNA to Protein 191 Segregating Gene 80 The Hardy-Weinberg Equation 268 Conditional Probability 83 Comparing Chimps and Humans 310 Linkage 101 Interpreting a DNA Sequence X-Linked Inheritance 117 Variation Microarray 388 Special Chapters “People with Chromosomal Abnormalities” Chapter 13 “Peoples of the Past” Chapter 16 vviiii lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd vviiii 88//2211//0077 1100::2211::2299 AAMM Contents About the Author iii Chapter 2 3.6 Maturation and Aging 60 Adult-Onset Inherited Disorders 60 List of Boxes vi Cells 17 Disorders That Resemble Clinical Coverage vii 2.1 The Components Accelerated Aging 61 of Cells 18 Is Longevity Inherited? 62 Preface xii Chemical Constituents of Cells 18 Visual Preview xvi Organelles 20 The Plasma Membrane 24 The Cytoskeleton 26 PART TWO 2.2 Cell Division and Death 28 Transmission PART ONE The Cell Cycle 28 Genetics 69 Apoptosis 32 2.3 Cell-Cell Interactions 33 Chapter 4 Introduction 1 Signal Transduction 33 Cellular Adhesion 33 Single-Gene Inheritance 69 2.4 Stem Cells and Cell 4.1 Following the Inheritance Chapter 1 Specialization 34 of One Gene— Cell Lineages 34 Overview of Genetics 1 Segregation 70 Using Embryos 36 Mendel the Man 70 1.1 Levels of Genetics 2 Using “Adult” Stem Cells 37 Mendel's Experiments 70 DNA 2 Terms and Tools to Follow Chapter 3 Genes, Chromosomes, Segregating Genes 71 and Genomes 2 Meiosis And Development 41 4.2 Single-Gene Inheritance Cells, Tissues, and Organs 4 in Humans 74 Individual 4 3.1 The Reproductive Modes of Inheritance 74 Family 5 System 42 On the Meaning of Dominance Population 5 The Male 42 and Recessiveness 78 Evolution 5 The Female 42 4.3 Following the 1.2 Most Genes Do Not 3.2 Meiosis 43 Inheritance of Two Function Alone 7 3.3 Gamete Maturation 47 Genes—Independent Genes and Disease Risk 8 Sperm Formation 47 Assortment 78 Genetic Determinism 8 Oocyte Formation 49 Mendel's Second Law 79 1.3 Applications 3.4 Prenatal Development 50 4.4 Pedigree Analysis 81 of Genetics 8 Fertilization 50 Pedigrees Then and Now 82 Establishing Identity Cleavage and Implantation 50 Pedigrees Display Mendel's Laws 83 and Ancestry 9 The Embryo Forms 52 Health Care 10 Supportive Structures Form 53 Chapter 5 Agriculture 11 Multiples 54 Ecology 11 The Embryo Develops 56 Beyond Mendel's Laws 89 A Global Perspective 12 The Fetus Grows 57 5.1 When Gene Expression 3.5 Birth Defects 58 Appears to Alter The Critical Period 58 Mendelian Ratios 90 Teratogens 58 Lethal Allele Combinations 90 vviiiiii lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd vviiiiii 88//2211//0077 1100::2211::4411 AAMM Multiple Alleles 90 Fingerprint Patterns 133 9.2 DNA Structure 169 Different Dominance Height 133 9.3 DNA Replication— Relationships 91 Eye Color 134 Maintaining Genetic Epistasis 92 Skin Color 135 Information 173 Penetrance and Expressivity 92 7.2 Investigating Multifactorial Replication Is Semiconservative 173 Pleiotropy 93 Traits 136 Steps of DNA Replication 175 Genetic Heterogeneity 95 Empiric Risk 137 Chapter 10 Phenocopies 95 Heritability 137 The Human Genome Sequence Adopted Individuals 140 Gene Action: From Adds Perspective 95 Twins 140 DNA to Protein 179 5.2 Maternal Inheritance and Association Studies 141 Mitochondrial Genes 96 7.3 Two Multifactorial 10.1 Transcription 180 Mitochondrial Disorders 97 Traits 144 RNA Structure and Types 180 Heteroplasmy 98 Heart Health 144 Transcription Factors 182 Mitochondrial DNA Weight 145 Steps of Transcription 183 Reveals the Past 98 RNA Processing 184 5.3 Linkage 98 10.2 Translation of a Chapter 8 Protein 186 Discovery in Pea Plants 98 Linkage Maps 99 Genetics of Behavior 151 Deciphering the Genetic Code 186 The Evolution of Gene Mapping 102 Building a Protein 189 8.1 Genes Contribute to 10.3 Protein Folding 191 Chapter 6 Most Behavioral Traits 152 Chapter 11 Matters of Sex 107 8.2 Eating Disorders 154 Control of Gene 6.1 Sexual Development 108 8.3 Sleep 155 Expression and Genome Sex Chromosomes 108 Narcolepsy 155 Architecture 199 The Phenotype Forms 109 Familial Advanced Sleep Is Homosexuality Inherited? 113 Phase Syndrome 156 11.1 Gene Expression Through Sex Ratio 114 8.4 Intelligence 156 Time and Tissue 200 6.2 Traits Inherited on Sex 8.5 Drug Addiction 158 Globin Chain Switching 200 Chromosomes 115 8.6 Mood Disorders 158 Building Tissues and Organs 201 X-Linked Recessive Inheritance 116 8.7 Schizophrenia 160 Proteomics 202 11.2 Mechanisms of Gene X-Linked Dominant Inheritance 116 6.3 Sex-Limited and Sex- Expression 203 Infl uenced Traits 119 Chromatin Remodeling 204 Sex-Limited Traits 119 PART THREE RNA Interference 205 11.3 Proteins Outnumber Sex-Infl uenced Traits 120 6.4 X Inactivation 121 Genes 206 DNA and 11.4 Most of the Human Equaling Out the Sexes 121 Chromosomes 165 Genome Does N ot Effect on the Phenotype 122 Encode Protein 208 Subtle Effects of X Inactivation 123 6.5 Genomic Imprinting 124 Viral DNA 208 Silencing the Contribution Chapter 9 Noncoding RNAs 209 From One Parent 124 Repeats 209 DNA Structure Imprinting Disorders and Replication 165 Chapter 12 in Humans 125 A Sheep With a Giant Rear End 126 9.1 Experiments Identify Gene Mutation 213 and Describe the Genetic Chapter 7 12.1 Mutations Can Alter Material 166 Proteins—Three Multifactorial Traits 131 DNA Is the Hereditary Molecule 166 Examples 215 7.1 Genes and the Environment Protein Is Not the Hereditary The Beta Globin Gene Revisited 215 Mold Most Traits 132 Molecule 167 Disorders of Orderly Collagen 216 Polygenic Traits Are Discovering the Structure Early-Onset Alzheimer Disease 217 Continuously Varying 132 of DNA 167 One Disorder or Several? 217 Contents ix lleeww1144883388__ffmm__ii--xxxxiiii..iinndddd iixx 88//2211//0077 1100::2211::5511 AAMM