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Q.Study the pedigree chart of a family sharing the inheritance of sickle cell anemia. [Pedigree chart figure] The trait traced in the above pedigree chart is : (A) Dominant X-linked (B) Autosomal dominant (C) Recessive X-linked (D) Autosomal recessive

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Sickle cell anemia is an autosomal recessive disorder, requiring two copies of the mutant allele for expression and affecting both sexes equally without sex-linkage.

Pedigree analysis is a powerful tool in human genetics that allows us to trace the inheritance pattern of a trait through generations of a family. When we examine a pedigree chart for sickle cell anemia, we're looking for clues that reveal whether the trait is dominant or recessive, and whether it's carried on an autosome (any chromosome except the sex chromosomes) or on a sex chromosome (X or Y).

Sickle cell anemia is caused by a mutation in the gene coding for the beta chain of hemoglobin. The mutant hemoglobin (HbS) causes red blood cells to assume a sickle shape under low oxygen conditions, leading to various complications. The key to identifying its inheritance pattern lies in understanding how the trait appears across generations and between sexes.

Distinguishing the pattern

To determine the correct inheritance pattern, we need to consider four possibilities:

Dominant versus Recessive:

A dominant trait appears in every generation when present — an affected individual has at least one affected parent. A recessive trait can skip generations because carriers (heterozygotes) don't show symptoms but can pass the allele to their children. Sickle cell anemia typically appears in children of two apparently healthy parents who are carriers, which immediately suggests a recessive pattern.

Autosomal versus Sex-linked:

An autosomal trait affects males and females equally because the gene is on one of the 22 pairs of autosomes. An X-linked trait shows a characteristic pattern — recessive X-linked traits predominantly affect males (who have only one X chromosome), while females are usually carriers. Dominant X-linked traits affect more females than males and show no male-to-male transmission.

Note

In sickle cell anemia, both males and females are affected with equal frequency. If you see affected daughters born to unaffected fathers in a pedigree, the trait cannot be X-linked recessive, because fathers pass their X chromosome only to daughters, and an unaffected father cannot carry a recessive X-linked allele.

Why sickle cell anemia is autosomal recessive

The inheritance pattern of sickle cell anemia reveals several telltale features:

  • Both sexes are equally affected — there's no male or female predominance, ruling out X-linkage.
  • The trait can skip generations — two carrier parents (genotype HbA HbS) who are phenotypically normal can have affected children (genotype HbS HbS).
  • Affected individuals typically have unaffected parents — both parents are heterozygous carriers. …

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