How is hemophilia inherited?
Hemophilia is an X-linked recessive genetic disorder. This means that the gene responsible for the disorder is located on the X chromosome. Males are more likely to have hemophilia than females because males only have one X chromosome, while females have two.
If a male has one copy of the hemophilia gene, he will have the disorder. If a female has one copy of the hemophilia gene, she will be a carrier. Carriers do not have the disorder themselves, but they can pass the gene on to their children.
The inheritance pattern of hemophilia can be illustrated using a Punnett square. A Punnett square is a diagram that shows all possible combinations of genotypes for two parents.
In the case of hemophilia, the Punnett square would look like this:
```
| | Xh Y|
--+----------------+
| XH| XH Xh XH Y
| Xh| Xh Xh Xh Y
```
- XH represents the normal allele for the clotting factor VIII gene.
- Xh represents the hemophilia allele for the clotting factor VIII gene.
- Y represents the male sex chromosome.
The Punnett square shows that there are four possible genotypes for the offspring of a male with hemophilia and a female who is a carrier.
- The chances of having a son with hemophilia are 50%.
- The chances of having an unaffected son are 50%.
- There is a 25% chance of having a daughter with hemophilia.
- There is also a 25% chance of having a daughter who is a carrier of hemophilia.
Hemophilia can also be inherited in a rare autosomal dominant form, in which case both males and females can be affected.