A Deadly Inheritance ■ 137
members over two or more generations of a
family’s medical history (Figure 8.2). Pedigrees
provide scientists with a way to analyze infor-
mation in order to learn about the inheritance
of a particular genetic trait or disorder. Aldrich
found that 16 male infants in the family, but no
females, had died of the syndrome (Figure 8.3).
Because of the “remarkable family history,” as
he described it, Aldrich concluded, like Wiskott,
that the illness was a genetic disorder, caused by
a mutation passed down from parent to child.
Genetic disorders can be caused by mutations in
Painful Pedigree
Tw e n t y y e a r s a f t e r W i s k o t t d e s c r i b e d t h e fi r s t c a s e s
of the mysterious disease and determined that
it was inherited, an American pediatrician, Dr.
Robert Anderson Aldrich, solved the next piece of
the puzzle. Aldrich met a six-month-old boy with
anemia, bloody diarrhea, and general weakness.
After several emergency room visits, the baby died.
Aldrich sat down with the boy’s mother to review
possible causes. After an hour of asking questions,
he still had no idea what might have brought on
the illness. Finally, he asked about other relatives
who might have had a similar illness. The boy’s
grandmother, who had tagged along to the meet-
ing, exclaimed sadly, “Just like all the rest of them.”
Other male infants in the family, it turned out, had
died under similar circumstances.
Given that information, Aldrich worked
with the mother and grandmother to trace the
family’s history back six generations by draw-
ing a pedigree, a chart similar to a family tree
that shows genetic relationships among family
I
Female Male Unaffected
individual
Affected
individual
1 2
1 2 3 4 5 6
1 2 3 4
Generation
II
III
All geneticists who study human inheritance use a
standard set of symbols in pedigrees:
● Roman numerals identify different generations
● Circles represent females; squares represent males
● Open symbols (blue here) represent unaffected
individuals; filled symbols (red here) represent
affected individuals
● Numbers listed below the symbols identify
individuals of a given generation
Figure 8.2
Patterns of inheritance can be analyzed in family pedigrees
This cystic fibrosis pedigree shows six children (generation III), two of whom are affected with the
disease.
Q1: Which two children in this pedigree have cystic fibrosis? How do you know?
Q2: Does either parent of these two children have cystic fibrosis? If so, which one(s)? How do
you know?
Q3: Do any of the grandparents of these two children have cystic fibrosis? If so, which one(s)?
How do you know?
A medical doctor and cancer researcher, Christoph
Klein is now chair of pediatrics at the University
of Munich. In 2010, Klein began testing a new gene
therapy to treat young children with Wiskott-Aldrich
syndrome, a rare and life-threatening disease. The
therapy, though still experimental, has been very
successful.
CHRISTOPH KLEIN