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Is Androgen Insensitivity Syndrome hereditary?

Here you can see if Androgen Insensitivity Syndrome can be hereditary. Do you have any genetic components? Does any member of your family have Androgen Insensitivity Syndrome or may be more predisposed to developing the condition?

Is Androgen Insensitivity Syndrome hereditary?

Androgen Insensitivity Syndrome (AIS) is a genetic condition that affects the development of sexual characteristics in individuals. It is caused by mutations in the androgen receptor gene. AIS is inherited in an X-linked recessive manner, meaning it is passed down through the X chromosome. Individuals with AIS are typically genetically male but may have female or ambiguous external genitalia. Therefore, there is a hereditary component to AIS as it can be passed from carrier mothers to their children.



Is Androgen Insensitivity Syndrome hereditary?


Androgen Insensitivity Syndrome (AIS) is a genetic condition that affects sexual development in individuals with XY chromosomes. It is caused by mutations in the androgen receptor gene, which is located on the X chromosome. AIS is typically inherited in an X-linked recessive pattern, meaning that the mutated gene is located on the X chromosome and can be passed down from carrier females to their children.


Carrier females have one normal copy of the androgen receptor gene on one X chromosome and one mutated copy on the other X chromosome. They usually do not show any symptoms of AIS because the normal gene compensates for the mutated gene. However, carrier females have a 50% chance of passing the mutated gene to their children.


How does AIS affect inheritance?


When a carrier female with one mutated androgen receptor gene has a child, there are several possible outcomes:



  • If the child is male (XY), there is a 50% chance that he will inherit the mutated gene and develop AIS. In this case, the child will have XY chromosomes but will be born with external female genitalia. The severity of AIS can vary, ranging from complete androgen insensitivity (CAIS) where the individual has typical female external genitalia and internal testes, to partial androgen insensitivity (PAIS) where the individual may have ambiguous genitalia or male external genitalia.

  • If the child is female (XX), there is a 50% chance that she will inherit the carrier status and be able to pass on the mutated gene to her own children. However, she will not develop AIS herself because she has two X chromosomes, and the normal gene compensates for the mutated gene.


Are there any exceptions to the inheritance pattern?


While AIS is typically inherited in an X-linked recessive pattern, there can be exceptions to this pattern. In rare cases, AIS can occur sporadically due to new mutations in the androgen receptor gene. These cases are not inherited from parents and are referred to as de novo mutations.


Additionally, there are other rare forms of AIS that are inherited in an autosomal recessive or autosomal dominant pattern. These forms are caused by mutations in other genes involved in sexual development, rather than the androgen receptor gene. In autosomal recessive AIS, both parents must carry a copy of the mutated gene to have an affected child. In autosomal dominant AIS, only one copy of the mutated gene is needed for an individual to develop the condition.


In conclusion, Androgen Insensitivity Syndrome is generally inherited in an X-linked recessive pattern, with carrier females having a 50% chance of passing on the mutated gene to their children. However, there can be exceptions to this pattern, and other rare forms of AIS can be inherited in autosomal recessive or autosomal dominant patterns.


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