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Heterozygous female may have a variable expression of X linked recessive disorder due to the random process of X inactivation involving inactivation of the X chromosome with a mutant allele in some cells while inactivation of the X chromosome with a normal allele in other cells (mosaic pattern). VARIABLE EXPRESSION: Heterozygous female are those who are having mutant allele on one X chromosome, and normal allele on another X. If a carrier female has kids with a healthy male, each male offspring has a 50% chance of being affected, and female offspring have a 50% chance of being a carrier. If an affected male has kids with a healthy female, none of his male offsprings will be affected, but all of his female offspring will be carriers. RISK CALCULATION: The X chromosome from a male is transmitted to daughters, and the Y chromosome is transferred to sons.

So from affected males, it can be transmitted to male grandchildren through carrier daughter ('diagonal' or 'Knight's move' transmission). Healthy heterozygous carrier females pass the disorder to affected sons. A male with an affected allele on his single X chromosome is hemizygous and can not transmit the disorder to their male offsprings, but all his daughters would be obligate carriers. Lyon's hypothesis provided an improved understanding of the basic mechanisms responsible for X-linked diseases.Ĭlassically, the descriptions of X-linked inheritance are either X linked recessive and X linked dominant. In 1961, Mary Lyon proposed that in the cells of mammalian females, one X chromosome out of the two would undergo random inactivation in early embryonic life, and therefore, both males and females have a single active X. A 'trait' or 'disorder' determined by a gene on the X chromosome demonstrates X-linked inheritance.

There are at least 533 disorders due to the involvement of the genes on the X chromosome. The X chromosome contains 867 identified genes most of these genes are responsible for the development of tissues like bone, neural, blood, hepatic, renal, retina, ears, ear, cardiac, skin, and teeth.