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3. Cystic fibrosis
Cystic fibrosis is the commonest inherited disease in white people, affecting
about one in every 2500 children. The disease occurs when a person inherits
two copies of a recessive allele which controls the production of a protein in
cell membranes. The protein normally controls the passage of chloride ions
across the membrane but is defective in homozygous recessive individuals.
As a consequence, the epithelial cells lining the respiratory passage and
digestive glands produce a thick, sticky mucus which makes the person very
susceptible to infections and interferes with digestion.
Trials are taking places, with genetically engineered genes, which may
alleviate the condition.
4. Huntingtons Disease
Unlike the disease described above, Huntingtons disease is caused by a
dominant allele and can therefore be passed on from the one parent who has
the disorder. However, the gene is not expressed until the carrier reaches
middle age. Thus, although persons carrying the gen will eventually develop
the disease, they may have passed the gene on to 50 per cent of their
children before they were aware of the condition.
The disease is rare, affecting about 1 person in 10000.
It is characterized by a progressive deterioration in mental and physical
faculties.
Because the allele is dominant, and because the phenotypic symptoms do
not appear until after reproductive age, members of families in which the
disease has occurred may choose not to have children.