Penetrance and Expressivity
By Leos Kral
Penetrance and expresivity are two concepts that are different yet
related. They are often confused for one another. One distinguishing
characteristic is that "penetrance" is a
qualitative concept and "expressivity" is a quantitative concept.
Simply put, "penetrance" refers to whether
a phenotype is expressed for a particular genotype, and
"expressivity" refers to the degree to which a phenotype is expressed
when it is expressed. Note that expressivity is dependent on penetrance. It is not possible to measure the degree of
expression if a genotype is not expressed as a phenotype, that is, if the
genotype does not penetrate to the phenotype.
Expressivity
is not really a problem in genetic analysis as long as one is aware of it. For
example, the merle trait in Australian Shepherds displays a wide expressivity
range. Bart, my merle aussie,
at first glance looks like a black tri. However, if one looks closely, there is
a bit of merling on one side of his face, along some
of his legs, and a few grey hairs can be found in small patches in the black
coat. The merle gene in Bart would be said to display low expressivity. Bart's
dad, on the other hand, is predominantly light gray with
a random distribution of small black splotches. The merle gene in Bart's dad
would be said to display very high expressivity.
In both Bart and in Bart's dad the merle gene pentrates
to the phenotype. That is, we would say that both dogs
are merle dogs, regardless of the degree of merling.
If we were to draw a genetic pedigree of Bart and his parents and track the
inheritance of the merle trait, we would fill in both Bart's square as well as
Bart's dad's square to indicate that they are both merle. We would not care to
what degree the merle trait is expressed.
Lack
of penetrance in some individuals, on the other hand,
can pose a problem to the analysis of genetic pedigrees. When pedigrees are
analyzed to determine how a particular trait is inherited, the phenotypic
pattern in the pedigree is matched with all possible variations of hypothetical
genotypic patterns to determine which genotypic pattern could account for the
observed phenotypic pattern. Obviously, if some individuals have genes for the
expression of a particular trait but don't express that trait, then the
genotypic vs. phenotypic pattern matching will be confounded.
As an
example of how lack of penetrance in some individuals
can confound pedigree analysis, let's examine the hypothetical pedigree of the
inheritance of hairy eyeballs from the previous pedigree analysis article. The following pedigree is very
suggestive of sex linked recessive inheritance of hairy eyeballs.
Suppose
that owners of the dogs pointed to by arrows in the figure above decided to
breed those dogs (certainly not recommended). The mating resulted in the
production of 5 offspring as shown in the figure below.
Individuals
labeled "1" and "2" do not have
hairy eyeballs, but their daughter labeled as
"3" does have hairy eyeballs. At first glance, the fact that these
two individuals produced an affected daughter would seem to invalidate the
previous conclusion that hairy eyeballs is
inherited as a sex linked recessive trait. If the trait was sex linked recessive,
then it would be necessary that the father (labeled
"2") also have hairy eyeballs. (Sex linked recessive inheritance has
the following characteristic pattern: An affected daughter has to have an
affected dad.) At this point, we would have to revise our previous conclusion
of sex linked recessive inheritance to the more likely mode of autosomal recessive inheritance. (Autosomal
recessive inheritance has the following characteristic pattern: two unaffected
individuals can produce affected daughters [and sons] in addition to unaffected
daughters and sons. If the trait were sex linked recessive, then the
characteristic pattern is that two unaffected individuals can produce affected
sons but can not produce affected daughters.)
Now
suppose that the following breeding was also performed:
Affected
individuals labeled "3" and "4"
were bred (also not recommended) and produced both affected and unaffected
offspring. This is really a big problem for our analysis, because this pattern
invalidates our previous conclusion of autosomal
recessive inheritance of hairy eyeballs. Why? Because we are now faced
with two characteristic patterns ("rules of pedigree analysis") which
are contradictory:
So,
what do we do now? A trait can not be both dominant and recessive. Well, first
we must realize that the two "rules of pedigree analysis" assume that
the trait in question is 100% penetrant. That is,
that all individuals that have a genotype that should produce hairy eyeballs
actually will have hairy eyeballs. If a trait is not 100% penetrant,
then the two rules above are not absolute. For example, if the trait is 70% penetrant, that means that only 7 out of 10 individuals (on
avearge) that have the hairy eyeball genotype will
actually have hairy eyeballs. The other 3 individuals will not have hairy
eyeballs even though they have the hairy eyeball genotype. Therefore, since the
pedigree in question presents us with contradictory patterns of inheritance, it
is likely that hairy eyeballs is not 100% penetrant.
So,
to analyze pedigrees of traits that are not 100% penetrant,
we would re-examine those pedigrees and note those individuals who would have
to be genotipcally affected but are not phenotypically affected for each of the different modes of
inheritance. In the next two samples of such re-examined pedigrees, those
individuals that should have hairy eyeballs but do not are symbolized with
light gray symbols.
If
trait is sex-linked recessive:
If
trait is sex-linked dominant:
To
determine which is the actual pattern, we would have
to perform statistical likelihood analyses taking into account such factors as
different levels of penetrance, frequency of affected
individuals in outcross matings, and sex of affected
individuals in outcross matings (the last two would
have to be derived from other pedigrees not shown). Since genetic analysis is
primarily an application of probability and statistics, pedigrees must be large
enough or there must be a large enough number of different pedigrees tracing
the same trait such that the conclusions can be statistically significant.
These sample pedigrees just do not contain enough information to allow us to
make a determination of how the trait hairy eyeballs is inherited.
Note that even with a larger sample size the mode of inheritance may not
be unambiguous. For example, we may find that the mode
of inheritance is either autosomal dominant if penetrance is 30%, or autosomal recessive if penetrance
is 70%. This sort of places us in a Catch-22 because we can't determine the
degree of penetrance if dominance/recessiveness
is not known and we can't determine dominance/recessiveness
if the degree of penetrance is not known. While not
having an absolute answer may not be totally satisfying, narrowing down the
choices is really all that is required if the ultimate goal is to find the gene
responsible for the trait such that a diagnostic test can be devised.
Participation
of all aussies in the
Australian Shepherd Health Registry will ensure that a large enough resource of
genetic pedigree information will be available for future genetic analyses of
those genetic diseases that effect the Australian Shepherd.
Copyright 1998,
1999 Leos Kral. All rights reserved.