Genetics For Dummies
By Tara Rodden Robinson and Lisa Spock
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About this ebook
Your no-nonsense guide to genetics
With rapid advances in genomic technologies, genetic testing has become a key part of both clinical practice and research. Scientists are constantly discovering more about how genetics plays a role in health and disease, and healthcare providers are using this information to more accurately identify their patients' particular medical needs. Genetic information is also increasingly being used for a wide range of non-clinical purposes, such as exploring one's ancestry.
This new edition of Genetics For Dummies serves as a perfect course supplement for students pursuing degrees in the sciences. It also provides science-lovers of all skill levels with easy-to-follow and easy-to-understand information about this exciting and constantly evolving field. This edition includes recent developments and applications in the field of genetics, such as:
- Whole-genome and whole-exome sequencing
- Precision medicine and pharmacogenetics
- Direct-to-consumer genetic testing for health risks
- Ancestry testing
Featuring information on some of the hottest topics in genetics right now, this book makes it easier than ever to wrap your head around this fascinating subject.
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Genetics For Dummies - Tara Rodden Robinson
Introduction
Genetics affects all living things. Although sometimes complicated and always diverse, all genetics comes down to basic principles of heredity — how traits are passed from one generation to the next — and how DNA is put together. As a science, genetics is a fast-growing field because of its untapped potential — for good and for bad. Despite its complexity, genetics can be surprisingly accessible. Genetics is a bit like peeking behind a movie’s special effects to find a deceptively simple and elegant system running the whole show.
About This Book
Genetics For Dummies, 3rd Edition, is an overview of the entire field of genetics. Our goal is to explain every topic so that anyone, even someone without any genetics background at all, can follow the subject and understand how it works. As in the first and second editions, we include many examples from the frontiers of research. We also make sure that the book has detailed coverage of some of the hottest topics that you hear about in the news, including gene therapy, pharmacogenetics, and gene editing. And we address the practical side of genetics: how it affects your health and the world around you. In short, this book is designed to be a solid introduction to genetics basics and to provide some details on the subject.
Genetics is a fast-paced field; new discoveries are coming out all the time. You can use this book to help you get through your genetics course or for self-guided study. Genetics For Dummies, 3rd Edition, provides enough information for you to get a handle on the latest press coverage, understand the genetics jargon that mystery writers like to toss around, and translate information imparted to you by medical professionals. The book is filled with stories of key discoveries and wow
developments. Although we try to keep things light and inject some humor when possible, we also make every effort to be sensitive to whatever your circumstances may be.
This book is a great guide if you know nothing at all about genetics. If you already have some background, then you’re set to dive into the details of the subject and expand your horizons.
Conventions Used in This Book
It would be very easy for us to use specialized language that you’d need a translator to understand, but what fun would that be? Throughout this book, we try to avoid jargon as much as possible, but at the same time, we use and carefully define terms that scientists actually use. After all, it may be important for you to understand some of these multisyllabic jawbreakers in the course of your studies or your or a loved one’s medical treatment.
To help you navigate through this book, we use the following typographical conventions:
We use italic for emphasis and to highlight new words or terms that we define in the text.
We use boldface to indicate keywords in bulleted lists or the action parts of numbered steps.
We use monofont for websites and email addresses.
Foolish Assumptions
It's a privilege to be your guide into the amazing world of genetics. Given this responsibility, you were in our thoughts often while we were writing this book. Here’s how we imagine you, our reader:
You’re a student in a genetics or biology class.
You’re curious to understand more about the science you hear reported in the news.
You’re an expectant or new parent or a family member who’s struggling to come to terms with what doctors have told you.
You’re affected by cancer or some hereditary disease, wondering what it means for you and your family.
If any of these descriptions fit, you’ve come to the right place.
How This Book Is Organized
We designed this book to cover background material in the first two parts and then all the applications in the rest of the book. We think you’ll find it quite accessible.
Part 1: The Lowdown on Genetics: Just the Basics
Part 1 explains how trait inheritance works. The first chapter introduces you to the field of genetics and what genetics professionals may do in their day-to-day work lives. The second chapter gives you a handle on how genetic information gets divvied up during cell division; these events provide the foundation for just about everything else that has to do with genetics. From there, we explain simple inheritance of one gene and then move on to more complex forms of inheritance.
Part 2: DNA: The Genetic Material
Part 2 covers what’s sometimes called molecular genetics. Don’t let the word molecular
scare you off. We give you nitty-gritty details, but we break them down so that you can easily follow along. We track the progress of how your genes work from start to finish: how your DNA is put together, how it gets copied, and how the building plans for your body are encoded in the double helix. To help you understand how scientists explore the secrets stored in your DNA, we also cover how DNA is sequenced. In the process, we relate the fascinating story behind the Human Genome Project.
Part 3: Genetics and Your Health
Part 3 is intended to help you see how genetics affects your health and well-being. We cover the subjects of genetic counseling; inherited diseases; genetics and cancer; and chromosome disorders such as Down syndrome. We also include a chapter on gene therapy, a practice that may hold the key to cures or treatments for many of the disorders we describe in this part of the book.
Part 4: Genetics and Your World
Part 4 explains the broader impact of genetics and covers some hot topics that are often in the news. We explain how various technologies work and highlight both the possibilities and the perils of each. We delve into population genetics (of both humans, past and present, and endangered animal species), evolution, DNA and forensics, genetically modified plants and animals, and the issue of ethics, which is raised on a daily basis as scientists push the boundaries of the possible with cutting-edge technology.
Part 5: The Part of Tens
In Part 5, you get our lists of ten milestone events and important people that have shaped genetics history, and ten of the next big things in the field.
Icons Used in This Book
All For Dummies books use icons to help readers keep track of what’s what. Here’s a rundown of the icons we use in this book and what they all mean.
Historical stuff This icon points out stories about the people behind the science and accounts of how discoveries came about.
Remember This icon flags information that’s critical to your understanding or that’s particularly important to keep in mind.
Technical stuff These details are useful but not necessary to know. If you’re a student, though, these sections may be especially important to you.
Tip Points in the text where we provide added insight on how to get a better handle on a concept are found here. We draw on our personal experience for these tips and alert you to other sources of information you can check out.
Beyond This Book
We’ve included a ton of extra content on the website that accompanies this book. To find it, simply open your favorite web browser, go to www.dummies.com, and search for Genetics For Dummies to find the following:
Cheat Sheet: We’ve created Cheat Sheet pages that review basic genetics terminology; the structure of cells, chromosomes, and DNA; the laws of inheritance; solving genetics problems; and the basics of transcription and translation.
Bonus chapters: While the book covers a lot of the hottest topics in genetics, it can’t cover everything. Check out the bonus chapter on cloning.
Updates to the book, if any.
Where to Go from Here
With Genetics For Dummies, 3rd Edition, you can start anywhere, in any chapter, and get a handle on what you’re interested in right away. We make generous use of cross-references throughout the book to help you get background details that you may have skipped earlier. The table of contents and index can point you to specific topics in a hurry, or you can just start at the beginning and work your way straight through. If you read the book from front to back, you’ll get a short course in genetics in the style and order that it’s often taught in colleges and universities — Mendel first and DNA second.
Part 1
The Lowdown on Genetics: Just the Basics
IN THIS PART …
Discover the basics of genetics and the various careers in the field.
Learn how cells divide and how chromosomes are divvyed up among those cells.
Learn about Mendelian genetics and how genes and traits are inherited.
Understand how the inheritance of genes and traits is not always straightforward.
Chapter 1
Welcome to Genetics: What’s What and Who’s Who
IN THIS CHAPTER
Bullet Defining the subject of genetics and its various subdivisions
Bullet A brief introduction to what is covered in this book
Bullet A review of some of the possible career opportunities in genetics
Welcome to the complex and fascinating world of genetics. Genetics is all about physical traits and the DNA code that supplies the building plans for any organism. This chapter defines the field of genetics and explains what geneticists do. You get an introduction to the big picture and a glimpse at some of the details found in other chapters of this book.
What Is Genetics?
Genetics is the field of science that examines how traits are passed from one generation to the next. Simply put, genetics affects everything about every living thing on earth. An organism’s genes are segments of DNA (deoxyribonucleic acid) that are the fundamental units of heredity. Genes play an essential role in how the organism looks, behaves, and reproduces. Because all biology depends on genes, understanding genetics as a foundation for all other life sciences, including agriculture and medicine, is critical.
Historical stuff From a historical point of view, genetics is still a young science. The principles that govern inheritance of traits by one generation from another were described (and promptly lost) less than 150 years ago. Around the turn of the 20th century, the laws of inheritance were rediscovered, an event that transformed biology forever. It wasn’t until the 1950s that the importance of the star of the genetics show, DNA, was really understood. Now technology is helping geneticists push the envelope of knowledge every day.
Genetics is generally divided into four major subdivisions:
Classical, or Mendelian, genetics: A discipline that describes how physical characteristics (traits) are passed along from one generation to another.
Molecular genetics: The study of the chemical and physical structures of DNA, its close cousin RNA (ribonucleic acid), and proteins. Molecular genetics also covers how genes do their jobs.
Population genetics: A division of genetics that looks at the genetic makeup of larger groups.
Quantitative genetics: A highly mathematical field that examines the statistical relationships between genes and the traits with which they are associated.
In the academic world, many genetics courses begin with classical genetics and proceed through molecular genetics, with a nod to population and quantitative genetics. In general, this book follows the same path, because each division of knowledge builds on the one before it. That said, it’s perfectly okay, and very easy, to jump around among disciplines. No matter how you take on reading this book, it provides lots of cross references to help you stay on track.
Classical genetics: Transmitting traits from generation to generation
At its heart, classical genetics is the genetics of individuals and their families. It focuses mostly on studying physical traits, or phenotypes, as a stand-in for the genes that control appearance.
Historical stuff Gregor Mendel, a humble monk and part-time scientist, founded the entire discipline of genetics. Mendel was a gardener with an insatiable curiosity to go along with his green thumb. His observations may have been simple, but his conclusions were jaw-droppingly elegant. This man had no access to technology, computers, or a pocket calculator, yet he determined, with keen accuracy, exactly how inheritance works.
Classical genetics is sometimes referred to as:
Mendelian genetics: You start a new scientific discipline, and it gets named after you. Seems fair.
Transmission genetics: This term refers to the fact that classical genetics describes how traits are passed on, or transmitted, from parents to their offspring.
No matter what you call it, classical genetics includes the study of cells and chromosomes, which we cover in Chapters 2 and 6. Cell division is the machine that drives inheritance, but you don’t have to understand combustion engines to drive a car, right? Likewise, you can dive straight into simple inheritance in Chapter 3 and work up to more complicated forms of inheritance in Chapter 4 without knowing anything whatsoever about cell division. (Mendel didn’t know anything about chromosomes and cells when he figured this whole thing out, by the way.)
The genetics of sex and reproduction are also part of classical genetics. Various combinations of genes and chromosomes (strands of DNA) determine sex, as in maleness and femaleness. But the subject of sex gets even more complicated and interesting: The environment plays a role in determining the sex of some organisms (like crocodiles and turtles), and other organisms can even change sex with a change of address. If this has piqued your interest, you can find out all the astonishing details in Chapter 6. (Of note, we use the term sex throughout this book instead of the term gender. Sex is what defines males and females from a biological perspective. A person’s gender, on the other hand, may also be influenced by social and cultural factors, and may differ from one’s biological sex.)
Classical genetics provides the framework for many subdisciplines. The study of chromosome disorders such as Down syndrome, which we cover in Chapter 13, relies on cell biology and an understanding of what happens during cell division. Genetic counseling, which we cover in Chapter 15, also relies on understanding patterns of inheritance to interpret people’s medical histories from a genetics perspective. In addition, forensics, covered in Chapter 18, uses Mendelian genetics to determine paternity and to work out who’s who with DNA fingerprinting.
Molecular genetics: DNA and the chemistry of genes
Classical genetics concentrates on studying outward appearances, while the study of actual genes falls under the heady title of molecular genetics. The area of operations for molecular genetics includes all the machinery that runs cells and manufactures the structures called for by the plans found in genes. The focus of molecular genetics includes the physical and chemical structures of the double helix, DNA, which is broken down in all its glory in Chapter 5. The messages hidden in your DNA (your genes) constitute the building instructions for your appearance and everything else about you — from how your muscles function and how your eyes blink to your blood type, your susceptibility to particular diseases, and everything in between. How that DNA (and the immense amount of information it contains) is packaged in your cells is covered in Chapter 6, which reviews the structure and function of chromosomes.
Your genes are expressed through a complex system of interactions that begins with transcription — copying DNA’s messages into a somewhat temporary form called RNA, which is short for ribonucleic acid and is covered in Chapter 9. RNA carries the DNA message through the process of translation, covered in Chapter 10, which in essence is like taking a blueprint to a factory to guide the manufacturing process. Where your genes are concerned, the factory makes the proteins (from the RNA blueprint) that get folded in complex ways to make the various components of the cells and tissues in the human body. The study of gene expression (how genes get turned on and off, which we review in Chapter 11) and how the genetic code works at the levels of DNA and RNA are considered parts of molecular genetics.
Research on the causes of cancer and the hunt for better treatments, which we address in Chapter 14, focuses on the molecular side of things because tumors result from changes in the DNA, called mutations. Chapter 12 covers mutations in detail. Gene therapy, covered in Chapter 16, and genetic engineering, covered in Chapter 19, are subdisciplines of molecular genetics.
Population genetics: Genetics of groups
Much to the chagrin of many undergrads, many aspects of genetics are surprisingly mathematical. One area in which calculations are used to describe what goes on genetically is population genetics.
Remember If you use Mendelian genetics and examine the inheritance patterns of many different individuals who have something in common, like geographic location, you can study population genetics. Population genetics is the study of the genetic diversity of a subset of a particular species (for details, you can flip ahead to Chapter 17). Basically, it’s a search for patterns that help describe the genetic signature of a particular group, such as the consequences of migration, isolation from other populations, and mating choices.
Population genetics helps scientists understand how the collective genetic diversity of a population influences the health of individuals within the population. For example, cheetahs are lanky cats; they’re the speed demons of Africa. Population genetics has revealed that all cheetahs are extremely genetically similar; in fact, they’re so similar that a skin graft from one cheetah would be accepted by any other cheetah. Because the genetic diversity of cheetahs is so low, conservation biologists fear that a disease could sweep through the population and kill off all the individuals of the species. It’s possible that no animals would be resistant to the disease, and therefore, none would survive, leading to the extinction of this amazing predator.
Evolutionary genetics is a type of population genetics that involves studying how traits change over time. We review evolutionary genetics in Chapter 17. Describing the genetics of populations from a mathematical standpoint is also critical to forensics, as explained in Chapter 18. To pinpoint the uniqueness of one DNA fingerprint, geneticists need to sample the genetic fingerprints of many individuals and decide how common or rare a particular pattern may be. Likewise, medicine uses population genetics to determine how common particular DNA changes are and to develop new medicines to treat disease (discussed in Chapter 22).
Quantitative genetics: Getting a handle on heredity
Quantitative genetics examines traits that vary in subtle ways and relates those traits to the underlying genetics of an organism. A combination of whole suites of genes and environmental factors controls characteristics like retrieving ability in dogs, egg size or number in birds, and running speed in humans. Mathematical in nature, quantitative genetics takes a rather complex statistical approach to estimate how much variation in a particular trait is due to the environment and how much is actually genetic.
One application of quantitative genetics is determining how heritable a particular trait is. This measure allows scientists to make predictions about how offspring will turn out based on characteristics of the parent organisms. Heritability gives some indication of how much a characteristic (like seed production) can change when selective breeding (or, in evolutionary time, natural selection) is applied.
Genetics as a Career
Studying genetics can lead to a variety of career opportunities, the most common of which we describe in the following sections. The daily life for someone working in genetics can include working in the lab, teaching in the classroom, or interacting with patients and their families. In this section, you’ll first discover what a typical genetics lab is like, and then get a quick rundown of a variety of career paths in the ever-expanding field of genetics.
Exploring a genetics lab
A genetics lab is a busy place. It’s full of equipment and supplies and researchers toiling away at their workstations (called lab benches, even though the bench is really just a raised, flat surface that’s conducive to working while standing up). Depending on the lab, you may see people looking very official in white lab coats or researchers dressed more casually in jeans and T-shirts. Every lab contains some or all of the following:
Disposable gloves to protect workers from chemical exposure and to protect DNA and other materials from contamination.
Pipettes (for measuring even the tiniest droplets of liquids with extreme accuracy), glassware (for liquid measurement and storage), and vials and tubes (for chemical reactions).
Electronic balances for making super-precise measurements of mass.
Chemicals and ultrapure water.
A refrigerator, a freezer, and an ultracold freezer for storing samples.
Technical stuff Repeated freezing and thawing causes DNA to break into tiny pieces, which destroys it. For that reason, freezers used in genetics labs aren’t frost-free, because the temperature inside a frost-free freezer cycles up and down to melt any ice that forms.
Centrifuges for separating substances from each other. Given that different substances have different densities, centrifuges spin at extremely high speeds to force materials to separate so that researchers can handle them individually.
Incubators for growing bacteria under controlled conditions. Researchers often use bacteria for experimental tests of how genes work.
Autoclaves for sterilizing glassware and other equipment using extreme heat and pressure to kill bacteria and viruses.
Complex pieces of equipment that are used to generate more copies of DNA fragments or to determine the sequence of segments of DNA.
Lab notebooks for recording every step of every reaction or experiment in nauseating detail. Geneticists must fully replicate (run over and over) every experiment to make sure the results are valid. The lab notebook is also a legal document that can be used in court cases, so precision and completeness are musts.
Computers packed with software for analyzing results and for connecting via the Internet to vast databases packed with genetic information. To get the addresses of some useful websites, see the sidebar, "Great genetics websites to explore," which is located toward the end of this chapter.
Researchers in the lab use the various pieces of equipment and supplies from the preceding list to conduct experiments and run chemical reactions. Some of the common activities that occur in the genetics lab include:
Separating DNA from the rest of a cell’s contents.
Mixing chemicals that are used in reactions and experiments designed to analyze DNA samples.
Growing special strains of bacteria and viruses to aid in examining short stretches of DNA.
Using DNA sequencing to learn the order of bases that compose a DNA strand.
Setting up polymerase chain reactions, or PCR, a powerful process that allows scientists to analyze even very tiny amounts of DNA.
Analyzing the results of DNA sequencing by comparing sequences from many different organisms (you can find this information in a massive, publicly available database — https://www.ncbi.nlm.nih.gov/genbank/).
Comparing DNA fingerprints from several individuals to identify perpetrators or to assign paternity.
Holding weekly or daily meetings where everyone in the lab comes together to discuss results or plan new experiments.
Sorting through jobs in genetics
Whole teams of people contribute to the study of genetics. The following are just a few job descriptions for you to mull over if you’re considering a career in genetics. For many of these jobs, you need a graduate degree or other training beyond college. So first, we discuss what it is like to be a graduate student studying genetics or someone who has just finished graduate school and is getting additional training before hitting the workforce. You should know, however, that even though these positions are considered part of your education, they really are like full-time jobs. (Or more than full-time in most cases!)
Graduate student and post-doc
At most universities, genetics labs are full of graduate students (often called, simply, grad students) working on either master’s degrees or PhDs. In some labs, these students may be carrying out their own, independent research. On the other hand, many labs focus their work on a specific problem, like some specialized approach to studying cancer, and every student in that sort of lab works on some aspect of what his or her professor studies. Graduate students do a lot of the same things that lab techs do (see the following section), as well as design experiments, carry out those experiments, analyze the results, and then work to figure out what the results mean. Then, the graduate student writes a long document (called a thesis or dissertation) to describe what was done, what it means, and how it fits in with other people’s research on the subject. While working in the lab, graduate students take classes and are subjected to grueling exams (trust us on the grueling part).
All graduate students must hold a bachelor’s degree. Performance on the standardized GRE (Graduate Record Exam) determines eligibility for admission to graduate programs and may be used for selection for fellowships and awards.
Tip If you’re going to be staring down the GRE in the near future, you may want to get a leg up by checking out GRE For Dummies with Online Practice, 9th Edition, by Ron Woldoff (Wiley).
In general, it takes two or three years to earn a master’s degree. A doctorate (denoted by PhD) usually requires anywhere from four to seven years of education beyond the bachelor’s level.
After graduating with a PhD, a geneticist-in-training may need to get more experience before hitting the job market. Positions that provide such experience are collectively referred to as post-docs (post-doctoral fellowships). A person holding a post-doc position is usually much more independent than a grad student when it comes to research. The post-doc often works to learn new techniques or to acquire a specialty before moving on to a position as a professor or a research scientist.
Lab tech
Lab technicians, often called lab techs, handle most of the day-to-day work in the lab. However, the exact tasks a lab tech performs may depend on the type of laboratory and what daily activities are necessary for the lab to run smoothly. In general, lab techs mix chemicals for everyone else in the lab to use in experiments. Techs may also prepare other types of materials such as bacterial cultures, yeast cultures, or other biological samples. In addition, techs are usually responsible for keeping all the necessary supplies straight and washing the glassware — not a glamorous job but a necessary one, because labs use tons of glass beakers and flasks that need to be cleaned. When it comes to actual experiments, the responsibilities of a lab technician may vary, often with the experience of the lab tech.
The educational background needed to be a lab tech varies with the amount of responsibility a particular position demands. Most lab techs have a minimum of a bachelor’s degree in biology or some related field and need some background in microbiology to understand and carry out the techniques of handling bacteria safely and without contaminating cultures. All lab techs must be good record-keepers, because every single activity in the lab must be documented in writing.
Research scientist
Research scientists often work in private industries, designing experiments and directing the activities of lab techs. All sorts of industries employ research scientists, including:
Pharmaceutical companies, which use research scientists to conduct investigations on how drugs affect gene expression and to develop new treatments, such as gene therapy.
Forensics labs, which use research scientists to analyze DNA found at crime scenes and to compare DNA fingerprints.
Companies that analyze information generated by genome projects (human and others).
Companies that support the work of other genetics labs by designing and marketing products used in research, such as kits used to extract DNA or run DNA fingerprints.
A research scientist usually holds a master’s degree or a PhD. With only a bachelor’s degree, several years of experience as a lab tech may suffice. Research scientists need to be able to design experiments and analyze results using statistics. Good record-keeping and strong communication skills (especially in writing) are musts. Most research scientists also need to be capable of managing and supervising people. In addition, financial responsibilities may include keeping up with expenditures, ordering equipment and supplies, and wrangling salaries of other personnel.
College or university professor
Professors do everything that research scientists do with the added responsibilities of teaching courses, writing proposals to get funds to support research, and writing papers on their research results for publication in reputable, peer-reviewed journals. Professors also supervise the lab techs, graduate students, and post-docs who work in their labs, which entails designing research projects and then ensuring that the projects are done correctly in the right amount of time (and under budget!).
Small schools may require a professor to teach as many as three courses every semester. Upper-tier institutions (think Big Ten or Ivy League) may require only one course of instruction per year (although they are likely expected to spend more time on research, publishing findings, and obtaining grant funding). Genetics professors teach the basics as well as advanced and specialty courses like population genetics or evolutionary genetics.
To qualify for a professorship, universities require a minimum of a PhD, and most require additional post-doctoral experience. Job candidates must have already published research results to demonstrate the ability to do relevant research. Most universities also look for evidence that the professor-to-be will be successful at getting grants, which means the candidate must usually land a grant before getting a job.
Clinical laboratory director
Clinical laboratory directors run the laboratories that perform genetic testing for patients. These laboratories must receive special certifications that ensure that the tests they perform are accurate and the results can be used for clinical decision-making (certification that is not needed in research laboratories). The responsibilities of a clinical laboratory director include analyzing and interpreting test results for patients, as well as supervising all laboratory operations. In addition, they must have strong communication skills and be able to interact with clinicians, laboratory staff, and patients.
Clinical laboratory directors generally have a doctoral degree (a PhD in genetics or a related field, or a medical degree) and have successfully completed a postdoctoral fellowship in a clinical genetics laboratory. They also need to take and pass a board examination in their area of expertise.
Clinical geneticist
Clinical geneticists work with patients who have or are at-risk for genetic conditions. Their role generally includes the diagnosis of genetic disorders, as well as the management and treatment. They can see patients of any age (from before birth until late in life) and in a variety of settings (such as in-patients in the hospital, out-patients in a specialty clinic, or in a private doctor’s office). They evaluate patients using physical examinations, laboratory tests, and other medical evaluations (such as ultrasounds, X-rays, or magnetic resonance imaging [MRI]). They also evaluate the need for genetic testing and determine which test is the most appropriate for each patient and, potentially, any at-risk family members. Clinical geneticists are also trained to counsel patients and their families about their risks related to any heritable conditions running through the family. They typically work as part of a heathcare team, alongside genetic counselors, nurses, and clinic managers. In addition, they often participate in the training of medical students, medical genetics residents or fellows, and genetic counseling graduate students.
Clinical geneticists are physicians who have completed a residency in medical genetics, generally after having received training in pediatrics, obstetrics and gynecology, maternal and fetal medicine, or internal medicine. In addition, to become a board-certified clinical geneticist, a physician needs to take and pass an extensive examination covering everything they might need to know about genetics. Clinical geneticists can then work in a practice that sees patients referred for a wide range of reasons, or they can focus on specific areas like prenatal genetics, metabolic genetics, neurogenetics, or cancer genetics.
Genetic counselor
Genetic counselors are healthcare professionals with training in both genetics and psychology. Although they can work in a variety of settings, genetic counselors generally work as part of a healthcare team to help patients who have a personal or family history of a genetic condition, or individuals who may have a higher risk of having a child with a genetic condition based on genetic testing. Key parts of a genetic counselor’s job are to collect and analyze medical histories, obtain and interpret family histories, and help individuals make decisions that are best for themselves and their families. The genetic counselor usually works directly with the patient to assemble all their personal and family medical histories into a family tree and then looks for patterns to determine which traits or conditions may be hereditary. Genetic counselors can also calculate the likelihood that any given family member may have for conditions running in the family. They are trained to conduct careful and thorough interviews to make sure that no information is missed or left out.
Genetic counselors usually hold a master’s degree, although some also have a doctoral degree in a related field. Training includes courses in genetics (including clinical, molecular, and population) and psychology, as well as many hours working with patients to hone interview and analysis skills (under the close supervision of experienced professionals, of course). The position requires excellent record-keeping skills and strict attention to detail. Genetic counselors also need to be good at interacting with all kinds of people, including research scientists and physicians. And the ability to communicate very well, both in writing and verbally, is a must. Like medical geneticists, board certification is necessary and requires passing an extensive examination that includes all aspects of genetics and genetic counseling. A genetic counseling license is also required in order to practice as a genetic counselor in certain states.
Remember One of the most essential skills of a genetic counselor is the ability to be nonjudgmental and nondirective. The counselor must be able to analyze a family history without bias or prejudice, inform the patient of his or her options, and help the patient make decisions without directing him or her to a particular course of action. Furthermore, the counselor must keep all information about his or her patients confidential, sharing information only with authorized personnel such as the person’s own physician in order to protect the patient’s privacy.
Genetic counseling assistant
A relatively new position in the field of genetics is that of a genetic counseling assistant. Genetic counseling assistants work alongside genetic counselors and help them with a variety of tasks. They may interact with patients, helping to obtain all the information necessary for a clinical visit, such as previous medical records and a patient’s family medical history. They also perform office-related tasks, such as scheduling patients, gathering and organizing medical forms, and filling out paperwork. Genetic counseling assistants often have a bachelor’s degree in a science- or medical-related field, and many are pursuing (or plan to pursue) a master’s degree in genetic counseling.
tip GREAT GENETICS WEBSITES TO EXPLORE
The Internet is an unparalleled source of information about genetics. With just a few mouse clicks, you can find the latest discoveries and attend the best courses ever offered on the subject. Here’s a quick sample.
To see a great video that explains genetics and gives it a human face, check out Cracking the Code of Life
: https://www.pbs.org/wgbh/nova/genome/program.html.
New discoveries are unveiled every day. To stay current, log on to www.sciencedaily.com/news/plants_animals/genetics/ and https://www.sciencenews.org/topic/genetics.
For students, http://learn.genetics.utah.edu/ can't be beat. From the basics of heredity to virtual labs to cloning, it’s all there in easy-to-grasp animations and language.
Want to get all the details about genes and diseases? The Genetics Home Reference provides straightforward explanations on numerous topics: https://ghr.nlm.nih.gov/. You could also start at https://www.ncbi.nlm.nih.gov/books/NBK22183/ for a review of the basics. More advanced (and greatly detailed) information is available at Online Mendelian Inheritance in Man (OMIM): www.ncbi.nlm.nih.gov/omim/.
If you’re interested in a career in genetics, the American Society for Human Genetics is ready to help: https://www.ashg.org/education/career_flowchart.shtml.
Chapter 2
Basic Cell Biology
IN THIS CHAPTER
Bullet Getting to know the cell
Bullet Understanding the basics of chromosomes, DNA, and genes
Bullet Exploring simple cell division
Bullet Appreciating the complexities of meiosis
Genetics and the study of how cells work are closely related. The process of passing genetic material from one generation to the next depends completely on how cells grow and divide. To reproduce, a simple organism such as bacteria or yeast simply copies its DNA (through a process called replication, which is covered later in Chapter 7) and splits in two. But organisms that reproduce sexually go through a complicated dance that includes mixing and matching strands of DNA (a process called recombination) and then halving the amount of DNA for special sex cells, allowing completely new genetic combinations for their offspring. These amazing processes are part of what makes you unique.
In this chapter, we provide a brief introduction to cell structure, DNA, and chromosomes. In addition, you need to be familiar with the processes of mitosis (cell division) and meiosis (the production of sex cells) to appreciate how genetics works. So come inside your cell and let us introduce you to the basics. Later in this book, we will spend more time on the details of DNA and chromosomes, since these topics lay the groundwork for all things in genetics.
Looking Around Your Cell
There are two basic kinds of organisms, distinguished by whether or not they have a nucleus (a compartment filled with DNA surrounded by a membrane):
Prokaryotes: Organisms whose cells lack a nucleus and therefore have DNA floating loosely in the liquid center of the cell.
Eukaryotes: Organisms that have a well-defined nucleus to house and protect the DNA.
The basic