Human Genetics - 2019

What the Human Genome Project and others did was to map genes. For example,
for most people the INS gene is found on chromosome 11 in the region known as
p15.5 - sometimes the location is described as between molecular base pairs
2,159,779 to 2,161,209. Chromosome 11 (untangled version shown below) has about
chromosome 11
135 million total nucleotides (about 4% of the total for a human). Different surveys
have tallied between 1224 and 1327 protein coding genes on human chromosome 11
 (out of a total of about 24,000 total for humans);  840 pseudo-genes (perhaps as many
 as 33,000 total - a very heavily disputed area); and between 270 (!) and 1060 (!!)
 genes that do not code for proteins. A challenge is that many of the third
group are genes that regulate other genes. Note that about 90% of our DNA does
NOT have a known function. A further challenge is that not everyone agrees on what
the name of a gene should be. The synonyms for INS include IDDM2, ILPR, IRDN
and MODY10.
Insulin is a fairly conservative protein - most changes in it will cause diabetes. The
changes can include [1] a single nucleotide change that results in a different amino
acid;  [2] a misplaced start or stop triplet; [3] a repetition of a triplet (so CAGCAG
instead of CAG - note that repeats can extend into the hundreds); [4] a deletion -
perhaps of a triplet but sometimes of a region or even a whole chromosome;
[5] a trans-location such that the part of chromosome 11 containing the INS gene
winds up attached to some other chromosome; [6] the part of chromosome 11
containing the INS gene is moved elsewhere in chromosome 11; [7]  a section of some
chromosome attaches to chromosome 11; [8] an extra copy of part or all of a
chromosome. This last is usually know as a trisomy. The most common trisomy 
involves chromosome 21 and is known as the Down Syndrome spectrum. There
is a similar spectrum of effects for chromosome 11 trisomies - they are generally
as devastating as Down syndrome. [10] To confuse matters even further there are
epigenetic effects - methylization and histone modification are two of the most
common - where someone might have normal looking DNA but some genes
have been de-activated.
In a teaching situation it does not matter to us whether a flaw in INS or any other
gene was inherited from the father, the mother or was de novo (different from either
parent). The student is what the student is. However, it is likely of interest to parents
if they have had or might have other children.
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