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Case 1 - DMD Linkage Problem

See pedigree drawing (figure below). Individuals II3 and III1 have a clinical diagnosis of Duchenne muscular dystrophy. MLPA analysis revealed no deletion or duplication in III1. Prior to considering point mutation analysis, your local clinical geneticist asked you to perform linkage analysis to determine the carrier risk for II4 (and you agreed!). Marker order is A, B, C, D. Marker A is directly adjacent to the 5’ end of the gene, marker D is directly adjacent to the 3’ end of the gene and the markers are equally spaced with respect to the coding sequence.

Your results are as follows: I1 – A=1, B=3, C=4, D=2; I2 – A=1/3, B=1/3, C=1/3, D=2/3; II2 – A=1/1, B=1/3, C=3/4, D=2/3; II3 – A=1, B=1, C=3, D=3; II4 – A=1/1, B=3/3, C=1/4, D=2/2; III1 – A=1, B=1, C=3, D=3.

Construct haplotypes and calculate the carrier risk for II4.

There is approximately a 10% chance of recombination within the gene at meiosis and for simplicity you should assume that point mutation positions and recombination positions are random with respect to the coding sequence (is this really the case?).

 

 

Figure: pedigree drawing for case 1.

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