The question

How can one family instruction show up as a cleft in one person, a small lip mark in another, and no clear sign in someone else?

Why it matters: Families can inherit the same gene change and still show different features. Genetic counselors use that uncertainty to explain risk honestly instead of promising that a pedigree predicts one certain outcome.

On your WebXam

You can read an inheritance pattern and explain why one inherited change can look different across relatives.

For life

To find the cause, change one thing and watch what changes.

Principle: Same look, different cause
Try the everyday version first

Same look, different cause

A weather forecast can show that rain is more likely without guaranteeing rain at every house. Shared starting conditions can raise a chance while the final result still varies.

Do not jump to the biology yet. Treat the picture as a small system. Track its parts, follow one change at a time, and keep more than one explanation open until the picture supplies a way to separate them.

Clue 1: Orient yourself

What are the main parts, stages, or choices in this model?

Use the labels and the picture's left-to-right, near-to-far, or before-and-after order. Name only what you can point to.

Clue 2: Trace one change

What changes while the other parts stay the same?

Follow one object, stage, or path. Point to the first place where the situation changes instead of jumping to the ending.

Clue 3: Keep the cause open

What check would separate two explanations that still fit the picture?

List more than one explanation that still fits. Name the extra observation that would help you separate those possibilities.

A weather forecast showing likelihood without guaranteeing rain.
Now inspect the illustration

Work from the visible evidence. A useful answer names the part of the picture that supports it and leaves unknown causes open.

  1. 1What are the main parts, stages, or choices in this model?
  2. 2What changes while the other parts stay the same?
  3. 3What check would separate two explanations that still fit the picture?
Tier 1 check

Finish with the everyday model

Use the forecast to explain why one shared family factor can lead to different visible results across relatives.

Answer in plain words. You can finish this required check without opening either optional section below.

Ready for the real names? Optional tier 2
Craniofacial Research Track
Session 9The Molecular Cause, NovemberLens: Genetics of Disease

When a cleft runs in a family: Van der Woude

Discovery question

How can one family instruction show up as a in one person, a small lip mark in another, and no clear sign in someone else?

Same look, different cause. A family pattern can reveal a shared starting point, but the way it appears can differ from person to person.

A family counseling scene separating shared risk, test results, and uncertainty.
The same pattern with the biology names shown. Educational illustration, not a clinical photograph.
The plan

Prerequisite check

Before this page, you should know
  • Several genes are linked to clefts, including IRF6, , CDH3, MSX1, and .
  • These genes act in different steps: some are factors, one is a signal, and one helps cells stick together.
Today's new idea is only
Same look, different cause. A family pattern can reveal a shared starting point, but the way it appears can differ from person to person.
Learn first

What to learn

Goal: Read a family pattern, explain why one inherited change can look different across relatives, and separate a family clue from a final answer.

Know by the end
  • In autosomal dominant inheritance, one altered copy of the gene is enough to cause the condition.
  • Penetrance is the fraction of people with the disease-linked who actually show the trait, so a family pattern can look uneven.
  • Syndromic clefts come with other features as part of a named syndrome; non-syndromic clefts occur on their own.
  • , usually from an IRF6 , is the most common single-gene cause of clefting and often shows small lower-.
The plan

Guided notes

1

Reading the pattern

Model start: Autosomal dominant means one altered copy is enough, so an affected parent can pass the condition to a child in each pregnancy.
  • Define autosomal dominant in your own words.
  • On a simple pedigree, mark who could carry the altered IRF6 copy if it is dominant.
2

Why the family looks uneven

Model start: Penetrance is the share of people with the who show the trait, so a can have only , or no obvious sign at all.
  • Define penetrance and explain how it can make a dominant condition skip a person who still carries the gene.
  • The aunt has but no . Explain how that fits one IRF6 family.
3

Syndromic or not

Model start: A comes with other features; Van der Woude's clue is the small pits on the lower lip.
  • Write the difference between a syndromic and a non-.
  • Open the Van der Woude page and list the feature, besides the , that points toward this syndrome.
Lab day

Using the database (what to capture)

MedlinePlus
Open the tool

Plain-language explanations of a gene or condition, written for patients and families.

When you use this: Use this when a research paper is too dense, or when you need to explain a finding to Mateo's family in everyday words.
What the screen looks like
medlineplus.gov/genetics IRF6 gene 1 Plain-language gene page 2 What the gene does + linked conditions Helps the face join · cleft, VWS 3 1 Search the gene or condition. 2 Read the summary in everyday words. 3 Note the conditions it links to.
A labeled map of the screen. The circled numbers match the steps.
Step by step
  1. 1Open medlineplus.gov/genetics and search the gene or condition (IRF6).
  2. 2Read the summary written in everyday words.
  3. 3Note the conditions the gene is linked to at the bottom of the page.
Capture these fields
  • Topic: IRF6 gene
  • Plain-language summary: IRF6 helps the tissues of the face join correctly before birth.
  • Linked conditions: Van der Woude syndrome; nonsyndromic cleft
How to read it: Start here when a research paper is too dense. MedlinePlus gives you the gist in everyday words so you can go back to the harder source knowing what it is about.
Lost? About MedlinePlus Genetics
NCBI Gene
Open the tool

The full reference record for a gene: its official symbol, ID, location, and what it does.

When you use this: Use this first, when you have a gene name and need its official ID and address. It is the home base every other database points back to.
What the screen looks like
ncbi.nlm.nih.gov/gene IRF6 1 Gene record: IRF6 2 Official symbol / Gene ID / Location IRF6 · ID 3664 · 1q32.2 3 1 Type the gene symbol and search Gene. 2 Open the top human result. 3 Read symbol, Gene ID, and location at the top.
A labeled map of the screen. The circled numbers match the steps.
Step by step
  1. 1Go to ncbi.nlm.nih.gov/gene and type the gene symbol IRF6 in the search box, then press Search.
  2. 2Open the top result whose organism is Homo sapiens (human).
  3. 3At the top of the record, read three things and write them down: the official symbol, the Gene ID number, and the location ( band).
Capture these fields
  • Symbol (official gene name): IRF6
  • Gene ID (the stable number): 3664
  • Location (chromosome band): 1q32.2
  • Summary (one line on its job): A transcription factor needed for the skin-surface cells that let the lip and palate fuse.
How to read it: The symbol and Gene ID let you find the exact same gene in every other database. The location should match the band you mapped (1q32). The summary tells you the gene's job in one sentence.
Lost? NCBI Gene help manual (how to use the Gene database)

Lists DNA variants that have been reported, the condition each is linked to, and a clinical-significance call.

When you use this: Use this when you have a specific DNA change and need to know whether anyone has reported it before and whether it was called harmful.
What the screen looks like
ncbi.nlm.nih.gov/clinvar IRF6[gene] 1 Variant record: IRF6 R84C 2 Clinical significance + review status Pathogenic (multiple submitters) 3 1 Search IRF6[gene]. 2 Open one variant (e.g. R84C). 3 Read the significance and how many labs agree.
A labeled map of the screen. The circled numbers match the steps.
Step by step
  1. 1Open ncbi.nlm.nih.gov/clinvar and search IRF6[gene].
  2. 2Open one variant from the list (for example R84C).
  3. 3Read its clinical significance and the review status (how many labs agree).
Capture these fields
  • Variant name: R84C (or c.250C>T)
  • Condition: Popliteal pterygium syndrome
  • Clinical significance: Pathogenic
  • VUS vs pathogenic call: Pathogenic, not a VUS, because it recurs in many affected families
How to read it: A pathogenic call means strong evidence the variant causes disease; benign means evidence it does not; a means there is not enough evidence yet. A call can change as more families are reported, so always note the date.
Lost? ClinVar overview
Words

Vocabulary (the same words your classes use)

autosomal dominantsyndromic vs non-syndromic/JEE-noh-type//FEE-noh-type/cleft lipcleft palate
Learn first

Pick your level

Level 1, Guided

Use the sentence starters, a word bank from the vocabulary, a labeled diagram, and the exact source link.

Level 2, Collaborative

Complete a partly blank model or table and explain it.

Level 3, Independent

Make a claim from a new example or an unfamiliar entry in the same database.

The plan

Work as a research team

Team roles
  • Manager: keeps the group moving
  • Recorder: writes the shared model or table
  • Evidence checker: verifies each claim against the source
  • Reporter: explains the group's reasoning
Process reflection
  • What evidence changed your thinking today?
  • What did your group disagree about, and how did you resolve it?
  • What question is still unresolved?
Check yourself

Demonstration of learning

By the end of this session, submit ONE of: a labeled diagram with a 2-sentence explanation; a claim, evidence, reasoning paragraph; a completed data table from a real database; or a one-question exit ticket using today's vocabulary.

Meets standard if your explanation correctly connects structure, timing, gene or protein function, or evidence source to Mateo's case: Read a family pattern, explain why one inherited change can look different across relatives, and separate a family clue from a final answer.
How this is graded (rubric)
For: Read a family pattern, explain why one inherited change can look different across relatives, and separate a family clue from a final answer.
CriterionProficientDevelopingBeginning
CompleteEvery required part of the artifact is present and filled in.Most parts are present, but one is missing or left blank.Several parts are missing.
AccurateThe science and data are correct and match the evidence.Mostly correct, with a small factual slip.Key science or data is wrong.
Scientific reasoning (CER)States a claim, backs it with specific evidence, and explains the reasoning.Has a claim and evidence, but the reasoning is thin or missing.Gives an answer with no evidence or reasoning.
Professional communicationClear, organized, and labeled the way a clinician or scientist would write it.Readable but disorganized or missing labels.Hard to follow.
SubmittedTurned in through the route named under Submit here and confirmed.Turned in, but in the wrong place or unconfirmed.Not turned in.
How the model answer scores against this rubric
  • CompleteProficient: Nothing is left blank: the model fills every part of "Read a family pattern, explain why one inherited change can look different across relatives, and separate a family clue from a final answer.".
  • AccurateProficient: Every number and claim matches the case evidence.
  • Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
  • Professional communicationProficient: It is organized and labeled like a real chart note.
  • SubmittedProficient: It would be attached to your class form or handed in, and confirmed.
Go deeper Optional tier 3

Everything required is above. Open this section only if you want the research reading and source trail.

Student reading

The idea in plain English

How can one family instruction show up as a in one person, a small lip mark in another, and no clear sign in someone else?

A weather forecast can show that rain is more likely without guaranteeing rain at every house. Shared starting conditions can raise a chance while the final result still varies.

Same look, different cause. A family pattern can reveal a shared starting point, but the way it appears can differ from person to person.

  • In autosomal dominant inheritance, one altered copy of the gene is enough to cause the condition.
  • Penetrance is the fraction of people with the disease-linked who actually show the trait, so a family pattern can look uneven.
  • Syndromic clefts come with other features as part of a named syndrome; non-syndromic clefts occur on their own.
  • , usually from an IRF6 , is the most common single-gene cause of clefting and often shows small lower-.

This lesson reading is written from the vetted sources in the advanced citation trail below.

Explore

Reading the Research

Everything you need for today is on this page. These links are optional.

What to read
Read the short plain-language explanation written for this lesson. Plain-language reading for this session
Why this source matters
This explanation gives you the background for today's idea without making you decode a research paper: Same look, different cause. A family pattern can reveal a shared starting point, but the way it appears can differ from person to person.
Reading moves
  1. Skim the title and abstract first to get the gist.
  2. Circle the one sentence that states the main claim.
  3. Box the evidence the authors give for that claim.
  4. Mark one sentence that confuses you, and move on.
Stop point
Stop after the final 'Use it now' section. The research citations are available separately for advanced readers.
Your output
Write one claim-evidence sentence: state the main idea, then name the example or evidence that supports it.
Explore

Research citation trail (advanced)

These records and papers document the science. They are not assigned student reading. Use the plain-language lesson reading above unless your teacher asks you to inspect an original source.