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Biology · Inheritance

Sex-Linked Genetic Disorders (Higher tier)

Why are some disorders much more common in boys than girls? This lesson is for separate Biology only, and for the Higher tier only: Combined Science and Foundation students do not need it. It explains sex-linked inheritance, using haemophilia and colour blindness as examples.

  • Separate onlyHigher
  • 9 key terms
  • All boards

Learning Objectives

  1. 1(Higher tier) Explain what is meant by a sex-linked disorder.
  2. 2(Higher tier) Explain why males are more likely than females to have a sex-linked recessive disorder.
  3. 3(Higher tier) Use a genetic diagram to show how sex-linked disorders are inherited.
  4. 4(Higher tier) Calculate the probability that a child will inherit a sex-linked disorder.

Retrieval practice

  1. 1

    What sex chromosomes does a female have?

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    XX.

  2. 2

    What sex chromosomes does a male have?

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    XY.

  3. 3

    What is a carrier?

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    Someone with one recessive allele who does not show the disorder.

  4. 4

    Which sex chromosome do all eggs carry?

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    X.

Genes on the sex chromosomes

Most genes are on the 22 pairs of chromosomes that are the same in males and females. But the X chromosome is large and carries about 800 genes, while the Y chromosome is small and carries very few. A gene that is found on one of the sex chromosomes is described as sex-linked. Because males and females have different combinations of the sex chromosomes, the inheritance of sex-linked genes follows a different pattern from other genes, and is more likely to affect males.

Why sex-linked recessive disorders affect males more

The difference comes down to the number of X chromosomes.

  • Males have one X

    A male has only one X chromosome, and the Y chromosome does not carry matching alleles for most of its genes. Whatever allele he has on his X chromosome will show.

  • Females have two X chromosomes

    A female has two alleles, so a recessive allele on one X can be hidden by a dominant allele on the other.

  • Males cannot be carriers

    A male with the recessive allele has the disorder, since there is no second allele to hide it.

  • Females need two

    A female only has the disorder if she inherits the recessive allele on both X chromosomes, which is much less likely.

Writing the genotypes

Genotypes for sex-linked genes show the allele on the X chromosome. We will use haemophilia as the example, where \(H\) is the normal allele and \(h\) is the haemophilia allele.

  • \(X^H X^H\)

    A normal female.

  • \(X^H X^h\)

    A female carrier. She does not have haemophilia but can pass on the allele.

  • \(X^h X^h\)

    A female with haemophilia, which is rare.

  • \(X^H Y\) and \(X^h Y\)

    A normal male and a male with haemophilia. The Y chromosome has no allele for the gene.

A carrier mother and a normal father

A woman is a carrier of haemophilia (\(X^H X^h\)). Her partner does not have haemophilia (\(X^H Y\)). Draw a Punnett square, and state the probability that a child is a boy with haemophilia, and the probability that a son has haemophilia.

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  1. 1 Gametes The mother makes \(X^H\) and \(X^h\) eggs, and the father makes \(X^H\) and \(Y\) sperm.
  2. 2 Fill in the Punnett square The children are \(X^H X^H\), \(X^H Y\), \(X^H X^h\) and \(X^h Y\).
  3. 3 Probability of an affected boy Only \(X^h Y\) has haemophilia, which is 1 of the 4 boxes, so 1 in 4.
  4. 4 Probability for a son Of the two sons, \(X^H Y\) and \(X^h Y\), one is affected, so the chance for a son is 1 in 2.

AnswerThe probability that a child is a boy with haemophilia is 1 in 4 (25%). The probability that a son has haemophilia is 1 in 2 (50%).

A father with the disorder

A man has haemophilia (\(X^h Y\)), and his partner is homozygous normal (\(X^H X^H\)). Show how the allele is passed on.

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  1. 1 Gametes The father makes \(X^h\) and \(Y\) sperm. The mother makes only \(X^H\) eggs.
  2. 2 Fill in the Punnett square The children are \(X^H X^h\), \(X^H X^h\), \(X^H Y\) and \(X^H Y\).
  3. 3 Daughters All receive his \(X^h\), so they are all carriers.
  4. 4 Sons They receive his Y, so none inherit the allele and all are unaffected.

AnswerAll daughters are carriers, and all sons are unaffected.

Examples of sex-linked disorders

These are all caused by recessive alleles on the X chromosome.

  • Haemophilia

    The blood does not clot properly, so cuts and bruises bleed for a long time. It can be treated by injections of the missing clotting protein.

  • Red-green colour blindness

    A person cannot tell red from green, because of faulty alleles for the cone cells. About 1 in 12 men are affected.

  • Duchenne muscular dystrophy

    A severe disorder in which muscles gradually weaken, affecting about 1 in 3500 boys.

  • Patterns

    They are more common in males, they do not pass from father to son, and they can skip a generation through carrier females.

Autosomal and sex-linked recessive disorders

Autosomal recessive, such as cystic fibrosis

  • The gene is on one of the 22 pairs of chromosomes
  • Males and females are equally likely to be affected
  • Both parents are carriers or affected
  • Both sexes are affected equally

Sex-linked recessive, such as haemophilia

  • The gene is on the X chromosome
  • Males are much more likely to be affected
  • A carrier mother can have an affected son
  • An affected father cannot pass it to his sons

Case study

Haemophilia in the royal families of Europe

Queen Victoria was a carrier of haemophilia. Her son Leopold had the disorder and died young after a fall in 1884, and two of her daughters were carriers. Through marriages between the royal houses, the allele spread to the families of Spain, Germany and Russia. Tsar Nicholas II's son Alexei, the heir to the Russian throne, had haemophilia. The pattern, of affected males and carrier females, is typical of a sex-linked recessive allele.

1884 The year Prince Leopold died.
Carrier women Passed the allele to their children through several royal houses.

Summary and exam focus

  • A sex-linked gene is one on a sex chromosome, usually the X.
  • Males have only one X chromosome, so a single recessive allele on it causes the disorder.
  • Females need two recessive alleles to be affected, and a female with one is a carrier.
  • A carrier mother and a normal father have a 50% chance of an affected son and a 50% chance of a carrier daughter.
  • An affected father passes the allele to all his daughters, but not to his sons.

Exam focus

Colour blindness is caused by a recessive allele on the X chromosome. Explain why it is more common in men than in women, and use a genetic diagram to show how a colour-blind son can have parents with normal vision. (6 marks) (6 marks)

Write the genotypes with the allele as a superscript on the X, such as \(X^B\) and \(X^b\). Say that a man has only one X, so one recessive allele is enough, and a woman needs two. For the cross, the mother must be a carrier and the father normal.

Key terms

The words this lesson expects you to use. Each one is linked from the first place it appears above.

Sex-linked
Describes a gene that is found on one of the sex chromosomes, usually the X.
X-linked
Describes a gene on the X chromosome.
Haemophilia
A sex-linked recessive disorder in which blood does not clot properly.
Colour blindness
A sex-linked recessive condition in which a person cannot tell some colours apart.
Carrier
A female with one recessive allele on one X chromosome, who does not have the disorder.
Autosome
A chromosome that is not a sex chromosome.
Duchenne muscular dystrophy
A sex-linked recessive disorder that causes progressive muscle weakness.
Sex chromosomes
The X and Y chromosomes, which decide the sex of a person.
Clotting
The process by which blood forms a solid plug to stop bleeding.

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