Down
syndrome is caused by extra genetic material from chromosome 21. Chromosomes
are the structures in cells that contain the genes.
Each
person normally has 23 pairs of chromosomes, or 46 in all. An individual
inherits one chromosome per pair from the mother’s egg and one from the
father’s sperm. When an egg and sperm join together, they normally form a
fertilized egg with 46 chromosomes.
Sometimes
something goes wrong before fertilization. A developing egg or sperm cell may
divide incorrectly, sometimes causing an egg or sperm cell to have an extra
chromosome number 21. When this cell joins with a normal egg or sperm cell, the
resulting embryo has 47 chromosomes instead of 46. Down syndrome is called
trisomy 21 because affected individuals have three number 21 chromosomes,
instead of two. This type of error in cell division causes about 95 percent of
the cases of Down syndrome.
Occasionally,
before fertilization, a part of chromosome 21 breaks off during cell division
and becomes attached to another chromosome in the egg or sperm cell. The
resulting embryo may have what is called translocation Down syndrome. Affected
individuals have two normal copies of chromosome 21, plus extra chromosome 21
material attached to another chromosome. This type of error in cell division
causes about 3 to 4 percent of the cases of Down syndrome. In some cases, the
parent has a rearrangement of chromosome 21, called a balanced translocation,
which does not affect his or her health.
About
1 to 2 percent of individuals with Down syndrome have a form called mosaicism.
In this form, the error in cell division occurs after fertilization. Affected
individuals have some cells with an extra chromosome 21 and others with the
normal number.
The
risk of Down syndrome increases with the mother’s age. Even though the risk is
greater as the mother’s age increases, about 80 percent of babies with Down
syndrome are born to women under age 35. This is because younger women have
more babies than older women.
To
learn more about Down syndrome and the types of health problems someone with
Down syndrome might have, read this article.
Tags:
birth defect, chromosome
21,
Down Syndrome, genes, genetic
disorder, mosaicism, translocation, trisomy
21
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