Genetic Inheritance- Autosomal Dominant, Autosomal Recessive, X-linked Dominant and X-Linked Recessive

“Inheritance or passing of a genetic trait or disease gene from one generation to another is referred to as genetic inheritance.”

Depending upon the cell types, the genetic inheritance can be divided into- Autosomal dominant and autosomal recessive or X-linked dominant and X-linked recessive.

Among 23 pairs of human chromosomes, 22 pairs are autosomal chromosomes with a single pair of sex chromosomes.

The DNA or genes are located on chromosomes. Genes on the autosomal chromosome are known as autosomal genes. Genes located on X or Y chromosomes are known as sex- chromosome genes.

“An alternative form of the gene is called as an allele”. 

The allele or gene expressed in offspring is a dominant one, contrary, the alleles which are not expressed, are recessive.

As the genes/alleles inherited into offsprings so the mutations on it, too pass on. therefore, the genetic condition either disorder or disease associated with a specific mutation also inherited.

In the present article, we will explain to you different types of inheritance patterns or genetic inheritance. Also, we will explain to you how different disorders or diseases inherited into the offsprings.

Lets start’s the topics,

Autosomal inheritance:

As we said earlier, genes located on autosomes are called autosomal genes.

In autosomal inheritance, the inheritance of genetic traits/ disease gene governed by the alleles located on autosomes.  It is further categorized into autosomal dominant and autosomal recessive inheritance.

Autosomal dominant inheritance:

In autosomal dominant inheritance, a single dominant allele is responsible for the occurrence of a phenotype. For an autosomal dominant disorder, we can state it as, 

A single dominant mutant allele is sufficient for the occurrence of the disease is known as an autosomal dominant disorder.

This means a single defective gene from one of the parent is sufficient to cause disease.

For example, Huntington’s disease, Marfan syndrome, Neurofibromatosis type 1 and  Achondroplasia.

The inheritance pattern of autosomal dominant inheritance.
Figure 1. The inheritance pattern of autosomal dominant inheritance.

Take a look at the example,

Here, a father has a faulty gene on one of the autosomes. However, the mother is normal. As you can see in figure 1, there is a 50% chance that two out of four children affected by the disease.

Also, 50% of offspring remains normal.

Autosomal dominant disorders:

Huntington disease, Marfan syndrome, Neurofibromatosis type 1, Achondroplasia and Myotonic muscular dystrophy are inherited in autosomal dominant fashion. 

Huntington’s disease

A single dominant HTT gene is responsible for Huntington’s disease. It’s present on chromosome 4 (autosome).

Cognitive and neurodegenerative problems are commonly seen in the present genetic condition. Walking, thinking and swallowing problems are usually observed in a person with Huntington disease.

It is triplet repeat expansion disorder occurs due to abnormal expansion of  CAG trinucleotide.

Increased size of CAG triplet repeat number of HTT gene causes Huntington’s disease hence it is often called as triple repeat expansion disorder.

The normal range of CAG triplet repeats on the HTT gene is 27 to 35. Although the disorder is autosomal dominant there are three different conditions noted.

  • <26  triplet repeats of CAG- normal 
  • 27 to 35 triplet repeats of  CAG – intermedia
  • 36 to 39 triplet repeats of  CAG – penetrance
  • Above 40 triplet repeats of CAG- affected

Huntington’s disease follows the inheritance pattern as shown in figure 1.

Now let’s understand the recessive one. Read our amazing article on how the present condition inherited: How Is Huntington’s Disease Inherited?

Autosomal recessive inheritance:

“Two homozygous recessive alleles are responsible for the occurrence of the phenotype.” For an autosomal recessive disorder, the present condition is defined as,

Inheritance of two copies of the mutant gene required in order to cause disease in offspring.

Here is an interesting catch,

With a single recessive allele, an individual remains normal. Although, it is categorised as a carrier of the disease due to their heterozygous genotype.

The inheritance pattern of autosomal recessive inheritance.
Figure 2. The inheritance pattern of autosomal recessive inheritance.

See figure 2,

Only a 25% chance of affected child associated with it.

Contrary, 50% of the offsprings are a carrier and don’t have disease symptoms with a 25% chance of normal child.

If only a single parent is a carrier, none of the offspring suffers from the disease. Still, there is a 50% chance of a carrier.

Autosomal recessive disorders:

Cystic fibrosis, Sickle cell anaemia and Tay-Sachs disease are three classical examples of autosomal recessive disorders.

Let us understand the mechanism of autosomal recessive inheritance by an example,

Sickle cell anaemia:

Atypical haemoglobin chain (called as haemoglobin S) causes red blood cell to become sickle-shaped.

decrease RBCs, anaemia, pain crisis and infections are common problems associated with the present condition.

The threat of stoke and severe bacterial infection remains throughout life.

It affects an estimated 1 out of 500 children worldwide. 

Normal HBB gene is responsible for the production of normal haemoglobin. However, the HbS is the mutant allele of the HBB gene, causes sickle cell anaemia.

In the homozygous recessive condition, two mutant copy of the HBB gene  (HbS) causes sickle cell anaemia.

The carrier with a single Hbs allele appears normal without any complications.

Another common autosomal recessive inherited disorder is Cystic fibrosis.

Cystic fibrosis:

Cystic fibrosis is a single gene disorder, caused by the CFTR gene mutation.

A type of recessive autosomal disorder, cystic fibrosis gene is located on chromosome number 7. Cystic fibrosis transmembrane conductance regulator gene encodes cell membrane channel protein. This protein helps in the secretion of mucus, tear and saliva.

Furthermore, it regulates the transportation of chloride ions across the membrane. Mutation in the CFTR gene results in accumulation of thick mucus in the lung and the ion channel across the membrane is disturbed.

Thick sputum, wheezing and coughing are the most common symptoms of CF. Due to the low immunity, a patient may suffer from repeated lung infections.

Read our amazing article on the inheritance of the present condition: How Is Cystic Fibrosis Inherited?

Sex-linked inheritance:

A pair of a sex chromosome is present in human, XX in a female and XY in a male.

Genes presents on the X chromosome are said to be X-linked and on Y said to be Y-linked. Both types of the gene have a different inheritance pattern.

Human sex is decided by the presence or absence of the Y chromosome. If a Y chromosome is present along with the X chromosome, the embryo develops into a male. If Y is absent the embryo will develop into a female.

Sex-determining region on Y (SRY) is responsible for the development of the embryo into the male sex. However, genes on X chromosomes are homologous and genes on the Y chromosome are non-homologous.

Anyway coming to our original topics,

X-linked inheritance:

Genes present on X chromosome said as X linked genes.

X linked genes inherited just like autosomes (either dominant or recessive). However, the phenotypic effect of X linked inheritance is different in both males and females.

As males contain only single X chromosomes, the chance of inheritance of the disease is higher in male as compared to female. In the case of X lined disorders males are always remains affected in almost all cases.

Even if the condition is X linked dominant or recessive, the male offspring persists the disease because of the presence of a single X chromosome.

(How sad it is!) anyway, Let’s go further,

X linked dominant inheritance:

“A single dominant allele of the X chromosome is sufficient to pass on a trait.”

For a disease gene, a single dominant gene located on the X chromosome is enough to cause disease in both male and female.

The inheritance pattern of X-linked dominant inheritance.
Figure 3. The inheritance pattern of X-linked dominant inheritance.

From figure 3 you can understand how the present condition happens.

There is a 50% chance of disease in offspring with 50% of normal offspring.

X-linked dominant disorders:

Ratt syndrome and fragile X syndrome are comment type of X linked dominant disorders. As we said earlier, in the present condition, males are more at risk of occurrence of disease.

Fragile X syndrome:

A mutation in the FMR1 gene is responsible for the development of fragile X syndrome.

Developmental delay, cognitively impaired and learning disabilities are common symptoms of fragile X syndrome.

Additionally, individuals may suffer from wide ranges of mental disorders like delayed speech development, delayed language and lower intelligence.

Fragile X is also a triple repeat expansion disorder in which abnormal CGG repeats results in the mutant phenotype. The normal range of CGG repeats in the FMR1 gene is 5-40 repeats.

The range of CGG repeats in humans are:

  • 1-40 range of CGG repeats is a normal state
  • 40- 200 pre-mutation
  • More than 200 CGG repeats disease state

Pre-mutation is a condition in which the individual may carry the mutant FMR1 gene. 

X linked recessive inheritance:

In X linked recessive inheritance, the presence of two recessive alleles produces a mutant phenotype.

Hence in X linked recessive disorders, only one out of 4 female become affected, all males of the progeny become affected.

However, two heterozygous female become a carrier. Carrier is a condition in which the individual remains normal but carries the mutant allele and this mutant allele can be inherited in subsequent generations.

The inheritance pattern of X-linked recessive inheritance.

X-linked recessive disorders:

Haemophilia and Duchenne muscular dystrophy are two common types of X linked recessive disorders.


Haemophilia A and haemophilia B are X linked bleeding disorders. People with haemophilia experience prolonged bleeding.

Even a minor cut results in heavy blood loss. The condition becomes even worse in case of internal bleeding in joints, brain and internal organs.

In females, the chance of disorder is fewer due to the presence of two X chromosome. However, males with a mutant allele always remain affected.

Haemophilia is most frequent in males as compared to female. Haemophilia A is even the most common disorder and affects 1 in 5000 males as compared to haemophilia B  (1 in 20,000 female) worldwide.

Y linked inherited disorder:

Y linked disorders are very rare in nature as Y chromosome is present only in males. However, some of the genes present on Y chromosomes are inherited from male to male.

The Y chromosome is the smallest chromosome and contains only a few genes on it. Most of the Y chromosomal genes are related to fertility and maleness. If the mutation occurs in Y chromosomal genes as, like the SRY gene, the individual suffering from infertility.

It indicates that if the person is suffered from infertility, it cannot reproduce and cannot produce offsprings. Hence Y linked disorders are rarest among rare.

Extrachromosomal inheritance:

Genes present in mitochondria and chloroplast inherited in a non-mendelian pattern. Extrachromosomal genes do not follow any distinct pattern of inheritance. Mutant gene inherited randomly.   

For more detail on extrachromosomal inheritance please read the articles:

  1. Extrachromosomal inheritance class 1: Introduction to maternal inheritance
  2. Extrachromosomal inheritance class 2: organelle DNA
The image of the 22 pairs of autosomes and a pair of sex chromosome of us.


Conclusively, we can say, nuclear genes inherited in the mendelian pattern while some extrachromosomal genes don’t follow the exact pattern. Using the present knowledge in the diagnosis of disease, normal, carrier or diseased individuals can be distinguished using the DNA test.

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