Grade by Grade
D. Genetic Processes · Genetic Processes

Chromosomal Disorders: Non-Disjunction and Karyotypes

D3.4 D2.1 A1.12About 70 minutes
Learning goals
  • I can explain how non-disjunction in meiosis I or meiosis II produces gametes with an extra or a missing chromosome.
  • I can describe trisomy and monosomy and read a karyotype to identify them.
  • I can describe several chromosomal disorders: the chromosomes affected, the effects and the supports or treatments.
  • I can describe structural changes to chromosomes.

Words to know

non-disjunction
The failure of homologous chromosomes (in meiosis I) or sister chromatids (in meiosis II) to separate properly.
aneuploidy
Having an abnormal number of chromosomes (one or more extra or missing).
trisomy
Having three copies of a chromosome instead of two (2n + 1).
monosomy
Having only one copy of a chromosome instead of two (2n − 1).
karyotype
An image of a cell's chromosomes arranged in pairs, used to count chromosomes and see large changes.
amniocentesis / chorionic villus sampling (CVS)
Prenatal procedures that collect fetal cells (from the amniotic fluid or from the placenta) for testing.
deletion, duplication, inversion, translocation
Structural changes in which part of a chromosome is lost, repeated, reversed, or moved to another chromosome.

When the count is off

Meiosis is precise, but it is not perfect. If chromosomes do not separate properly, a gamete can end up with an extra chromosome or a missing one. If that gamete is fertilized, every cell of the new individual will have the wrong number. Most such changes affect development so much that the embryo does not survive, but some are compatible with life and cause recognizable conditions.

This lesson describes those conditions using the scientific language of the curriculum. Behind each name are real people and families, so we will also talk about how people live with these conditions and what supports exist.

Non-disjunction

Non-disjunction means "not coming apart". It can happen at two points:

  • In meiosis I: a pair of homologous chromosomes goes to the same pole. Both cells from meiosis I are abnormal, so all four gametes are abnormal: two have one extra chromosome (n + 1) and two are missing one (n − 1).
  • In meiosis II: the two sister chromatids of one chromosome go to the same pole. Only that cell's products are abnormal: one n + 1, one n − 1 and two normal gametes.

When an n + 1 gamete joins a normal gamete, the zygote has 2n + 1 chromosomes: a trisomy (in humans, 47). When an n − 1 gamete joins a normal gamete, the zygote has 2n − 1: a monosomy (45). Abnormal chromosome numbers are called aneuploidy.

Non-disjunction in meiosis IMIemptyMIIn + 1n + 1n − 1n − 1Non-disjunction in meiosis IIMIMIIn + 1n − 1nn
Non-disjunction of one chromosome pair. Top: if homologues fail to separate in meiosis I, all four gametes are abnormal. Bottom: if sister chromatids fail to separate in meiosis II, two gametes are abnormal and two are normal. An n + 1 gamete joined with a normal gamete gives a trisomy; an n − 1 gamete gives a monosomy.
Worked example

Example: Counting after non-disjunction

In a human cell, chromosome 18 undergoes non-disjunction in meiosis I. (a) How many chromosomes are in each of the four gametes? (b) If the gamete with the extra chromosome is fertilized by a normal gamete, how many chromosomes does the zygote have, and what is the condition called?

  1. A normal human gamete has n = 23.
  2. (a) Non-disjunction in meiosis I: two gametes get both copies of chromosome 18 (24 chromosomes) and two get none (22 chromosomes).
  3. (b) 24 + 23 = 47 chromosomes, with three copies of chromosome 18: trisomy 18.

Gametes: 24, 24, 22, 22. Zygote: 47 chromosomes, trisomy 18 (Edwards syndrome).

Reading a karyotype

To make a karyotype, technicians grow cells (often white blood cells), stop them in metaphase, when chromosomes are most condensed, stain them, photograph them and arrange the chromosomes in pairs by size, centromere position and banding pattern. Count the chromosomes, check each pair, and look at the sex chromosomes. A karyotype is written like this: 47,XX,+21 (47 chromosomes, female, an extra chromosome 21).

12345678910111213141516171819202122X Xtrisomy 2147 chromosomes: three copies of chromosome 21 (female karyotype shown)
A simplified karyotype for trisomy 21 (Down syndrome): 47 chromosomes, with three copies of chromosome 21. A karyotype like this can be made from cells in a blood sample or, before birth, from cells collected by amniocentesis or chorionic villus sampling.

Some chromosomal conditions

ConditionChromosomesSome typical effectsSupports and treatments
Down syndromeTrisomy 21 (47,+21)Some degree of intellectual disability (varies widely), characteristic facial features, low muscle tone; higher chance of heart differences and some other health conditionsEarly-intervention therapies (speech, physical, occupational), inclusive education, heart surgery when needed, regular health check-ups. Many people with Down syndrome go to school, work and live in their communities.
Edwards syndromeTrisomy 18Severe effects on many organs and on growth; most babies do not survive beyond the first yearMedical and palliative care; family support
Patau syndromeTrisomy 13Severe effects on the brain, heart and other organs; most babies do not survive beyond the first yearMedical and palliative care; family support
Turner syndromeMonosomy X (45,X)Female; short stature; ovaries usually do not develop fully, so puberty may not start on its own and infertility is commonGrowth hormone in childhood; estrogen therapy to start puberty; regular heart and kidney checks
Klinefelter syndrome47,XXYMale; often taller than average; lower testosterone; usually infertile; sometimes learning differences. Many are not diagnosed until adulthood.Testosterone therapy; educational support; fertility treatments in some cases
Triple X / 47,XYY47,XXX or 47,XYYOften few or no noticeable effects; may be taller than average, some learning differencesEducational support if needed; many are never diagnosed
Chromosomal conditions named in many Grade 11 textbooks. Effects vary from person to person.

Why are most trisomies of small chromosomes?

Chromosomes 13, 18 and 21 carry relatively few genes (18 and 21 are small; 13 is medium-sized but gene-poor). An extra copy of a large chromosome (with many more genes) usually disrupts development too much for a pregnancy to continue. Extra or missing sex chromosomes are better tolerated because extra X chromosomes are mostly inactivated (as Barr bodies) and the Y carries few genes.

Risk factors

Non-disjunction can happen in any pregnancy. The chance of trisomy 21 increases with the age of the egg, so it rises with the age of the biological mother, especially after about 35. Remember from the gamete-formation lesson that egg cells begin meiosis before birth and pause for years; one hypothesis is that the long pause makes errors in separating chromosomes more likely.

Structural changes

Chromosomes can also break and rejoin incorrectly, even when the number is normal:

  • Deletion: a piece is lost. Example: cri du chat syndrome, a deletion on the short arm of chromosome 5.
  • Duplication: a piece is repeated.
  • Inversion: a piece is flipped end to end.
  • Translocation: a piece moves to a non-homologous chromosome. A small fraction of Down syndrome cases are caused by a translocation of chromosome 21 material onto another chromosome.
Original:ABCDEFGDeletion:ABDEFGC is lostDuplication:ABCCDEFGC is repeatedInversion:ABEDCFGC-D-E reversedTranslocation:ABCDEFGMNM-N: piece from a different chromosome
Four kinds of structural chromosome change, with letters standing for sections of a chromosome. Shaded boxes show the changed section. Cri du chat syndrome, for example, is caused by a deletion on chromosome 5.

Prenatal and newborn testing

People who are pregnant in Ontario may be offered prenatal screening (for example, a blood test that looks at the fetus's cell-free DNA in the pregnant person's blood, sometimes called NIPT). Screening estimates a chance; it does not diagnose. A diagnostic test such as amniocentesis or chorionic villus sampling (CVS) collects fetal cells to make a karyotype or do other genetic tests, but it carries a small risk to the pregnancy. Choices about testing are personal and are supported by genetic counsellors. You will look at the social and ethical questions in the lesson on ethics in genetics.

Hands-on activity

Make and analyse a paper karyotype

You need: a printed page or a hand-drawn sheet of 46 to 47 chromosome sketches (you can copy the karyotype figure in this lesson in a random jumble onto paper), scissors (take care; a grown-up can help), glue or tape and a blank sheet.

  1. Have a family member draw or arrange the chromosome sketches in a jumble on a page. They may secretly add one extra chromosome or leave one out, and choose XX or XY.
  2. Cut out each chromosome.
  3. Match homologous pairs by length, centromere position and any bands drawn on them.
  4. Arrange the pairs from largest (1) to smallest (22), with the sex chromosomes last.
  5. Count the chromosomes. Write the karyotype in standard form (for example 46,XY or 47,XX,+21).

What to look for: a correct karyotype has 22 matched autosome pairs. Any chromosome without a partner, or a group of three, is the clue. This is the same reasoning (in a much simpler form) that cytogenetic technologists use in hospital laboratories.

Your turn

1

What is non-disjunction?

2

Non-disjunction happens in meiosis II for one chromosome. How many of the four gametes are abnormal?

3

What is the total chromosome number of a person with a trisomy? With a monosomy?

4

Write the karyotype for a male with Down syndrome caused by an extra chromosome 21.

5

Which sex chromosome monosomy is compatible with life, and what is it called?

6

Give one support or treatment for Klinefelter syndrome and one for Turner syndrome.

More practice: warm-up

1

Which chromosome is affected in Down syndrome?

2

What does aneuploidy mean?

3

What is the karyotype notation for Klinefelter syndrome?

4

Name the four kinds of structural chromosome change.

5

In which phase are chromosomes photographed for a karyotype?

More practice: on your own

1

Explain why non-disjunction in meiosis I produces more abnormal gametes than non-disjunction in meiosis II.

2

A karyotype shows 45 chromosomes, with only one X and no Y. What condition is this, and what is the person's sex?

3

Why are trisomies of chromosomes 13, 18 and 21 seen in newborns, but trisomy of chromosome 1 is not?

4

A father's sperm forms with non-disjunction of the sex chromosomes in meiosis I. What sex chromosomes could the sperm contain? What zygotes could result with a normal egg?

5

What is the difference between a screening test and a diagnostic test?

Challenge

1

Non-disjunction of the sex chromosomes in a mother's meiosis II (sister chromatids of one X fail to separate) can produce an XX egg or an egg with no X. List all the zygotes possible when these eggs are fertilized by normal X or Y sperm, and name the conditions.

2

Why might extra X chromosomes cause milder effects than an extra autosome? Use the term Barr body.

3

A person has 46 chromosomes but has Down syndrome. Suggest how this is possible.

Check your understanding

Quiz

1.

Non-disjunction in meiosis I results in:

2.

A karyotype written 47,XX,+21 shows:

3.

Klinefelter syndrome is caused by:

4.

A monosomy is:

5.

Which structural change moves a piece of a chromosome to a non-homologous chromosome?

6.

Which statement about Down syndrome is accurate?

For parents and teachers

Big idea: This lesson covers the chromosomal half of D3.4: disorders caused by non-disjunction and other chromosome changes, the chromosomes involved, their effects and treatments. Mutations in single genes are in the next lesson.

Sensitive topic: Your teen may know someone with Down syndrome, Turner syndrome or another condition named here, or your family may have experience of pregnancy loss or prenatal testing. The lesson uses people-first language ("a person with Down syndrome") and stresses that effects vary and that people with these conditions live full lives with the right supports. There is deliberately no joke in this lesson.

How to help: Ask your teen to explain non-disjunction with two pencils (a homologous pair) and two hands (the poles): "What happens if both pencils go to one hand?"

Common difficulties:

  • Mixing up which division error gives 4 versus 2 abnormal gametes.
  • Confusing trisomy (number change) with translocation (structure change).
  • Thinking screening tests give a diagnosis.