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Pleiotropy01:33

Pleiotropy

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Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
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Exon Recombination02:32

Exon Recombination

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The evolution of new genes is critical for speciation. Exon recombination, also known as exon shuffling or domain shuffling, is an important means of new gene formation. It is observed across vertebrates, invertebrates, and in some plants such as potatoes and sunflowers. During exon recombination, exons from the same or different genes recombine and produce new exon-intron combinations, which might evolve into new genes. 
Exon shuffling follows “splice frame rules.” Each exon...
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Point and Frameshift Mutations01:30

Point and Frameshift Mutations

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Point mutations are genetic alterations involving the change of a single nucleotide base pair in DNA. Depending on how the alteration affects protein synthesis, they can lead to various consequences.Point mutations fall into the following types:Silent mutations occur when a nucleotide change does not alter the amino acid sequence due to the redundancy of the genetic code. For instance, changing ACC to ACA still encodes threonine, leaving the protein function unaffected. This occurs because...
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Complementation Tests00:49

Complementation Tests

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A complementation test is a simple cross to identify whether the two mutations are located on the same gene or different genes. It was first performed by Edward Lewis in the 1940s while working on fruit flies. He developed the test to identify the location and arrangement of different mutations on chromosomes.
Organisms heterozygous for different mutations are crossed pairwise in all combinations. If present on different genes, the mutations can complement each other by providing the missing...
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Background and Environment Affect Phenotype02:27

Background and Environment Affect Phenotype

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Although the genetic makeup of an organism plays a major role in determining the phenotype, there are also several environmental factors, such as temperature, oxygen availability, presence of mutagens, that can alter an organism’s phenotype.
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
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Position-effect Variegation02:32

Position-effect Variegation

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In 1928, a German botanist Emil Heitz observed the moss nuclei with a DNA binding dye. He observed that while some chromatin regions decondense and spread out in the interphase nucleus, others do not. He termed them euchromatin and heterochromatin, respectively. He proposed that the heterochromatin regions reflect a functionally inactive state of the genome. It was later confirmed that heterochromatin is transcriptionally repressed, and euchromatin is transcriptionally active chromatin.
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Related Experiment Video

Updated: Mar 4, 2026

In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
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Variable phenotype in a novel mutation in PHOX2B.

Rachel C Lombardo1, Elizabeth Kramer2, James F Cnota3

  • 1Division of Human Genetics, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio.

American Journal of Medical Genetics. Part A
|April 20, 2017
PubMed
Summary
This summary is machine-generated.

A novel PHOX2B gene mutation is linked to Hirschsprung disease and autonomic dysfunction in a family. Non-polyalanine tract mutations may not cause severe respiratory issues, but can be associated with congenital heart disease.

Keywords:
HirschsprungPHOX2Bcongenital central hypoventilation syndromecongenital heart diseaseneuroblastoma

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Area of Science:

  • Genetics
  • Developmental Biology
  • Pediatric Medicine

Background:

  • Hirschsprung disease and autonomic dysfunction are associated with PHOX2B gene mutations.
  • Non-polyalanine tract mutations in PHOX2B have been linked to various phenotypes.

Observation:

  • A family presented with long segment colonic agangliosis, anisocoria, and mild dysmorphic features.
  • Genetic analysis revealed a novel heterozygous PHOX2B mutation (c.234C>G) causing a premature stop codon.
  • Two siblings were diagnosed with congenital heart disease, a previously unreported association.

Findings:

  • This family supports a strong association between non-polyalanine tract PHOX2B mutations, autonomic dysfunction, and Hirschsprung disease.
  • The findings suggest that PHOX2B mutations outside the polyalanine tract may not invariably lead to severe respiratory compromise.
  • Congenital heart disease appears to be a rare, potentially associated feature of PHOX2B mutations.

Implications:

  • This study expands the understanding of PHOX2B mutation phenotypes, particularly concerning non-polyalanine tract variants.
  • The identification of congenital heart disease as a possible feature warrants further investigation into its link with PHOX2B mutations and neural crest development.
  • Clinical screening for congenital heart disease may be considered in individuals with PHOX2B-related disorders.