HAEMOPHILIA
CAUSES |
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Hemophilia A and B are both caused by a
genetic defect present on the X chromosome. (Hemophilia C is
inherited in a different fashion.) About 70% of all people with
hemophilia A or B inherited the disease. The other thirty percent
have hemophilia because of a spontaneous genetic mutation.
The following concepts are important to understanding the
inheritance of these diseases. All humans have two chromosomes which
determine their gender: females have XX, males have XY. Because the
trait is carried only on the X chromosome, it is called
"sex-linked." The chromosome's flawed unit is referred to as the
gene.
Since both factors VIII and IX are produced by a genetic defect of
the X chromosome, hemophilia A and B are both sex-linked diseases.
Because a female child always receives two X chromosomes, she nearly
always will receive at least one normal X chromosome. Therefore,
even if she receives one flawed X chromosome, she will still be
capable of producing a sufficient quantity of factors VIII and IX to
avoid the symptoms of hemophilia. Such a person who has one flawed
chromosome, but does not actually suffer from the disease, is called
a carrier. She carries the flaw which causes hemophilia and can pass
it on to her offspring. If, however, she has a son who receives her
flawed X chromosome, he will be unable to produce the right quantity
of factors VIII or IX, and he will suffer some degree of hemophilia.
(Males inherit one X and one Y chromosome, and therefore have only
one X chromosome.)
In rare cases, a hemophiliac father and a carrier mother can pass on
the right combination of parental chromosomes to result in a
hemophiliac female child. This situation, however, is
extraordinarily rare. The vast majority of people with either
hemophilia A or B are male.
About 30% of all people with hemophilia A or B are the first member
of their family to ever have the disease. These individuals have had
the unfortunate occurrence of a spontaneous mutation; meaning that
in their early development, some random genetic accident befell
their X chromosome, resulting in the defect causing hemophilia A or
B. Once such a spontaneous genetic mutation takes place, offspring
of the affected person can inherit the newly-created, flawed
chromosome. |
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