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WHAT CAUSES
          GENETIC
          CONDITIONS?

                                            PROVIDED BY AND PRINTED
                                            WITH PERMISSION BY BIOMARIN

                               Did you know there are
                               approximately 20,000 genes in
                               the human genome?

                                                              A mutation or permanent variation, in just one gene can lead to a genetic
                                                              condition. Knowing what causes a genetic condition is the first step in
                                                              understanding how ongoing research in gene therapy might enable physicians
                                                              to treat these conditions differently. No gene therapies for hemophilia A or B
                                                              have been approved for use or determined to be safe or effective.

                               Genetic Conditions Are the
                               Result of Mutations

                                                              Genetic conditions are the result of mutations, or variations, in the make-up of
                                                              a gene. These mutations are most often passed down from biological parents
                                                              but can sometimes happen spontaneously. Cystic fibrosis and hemophilia are
                                                              examples of genetic conditions.

                                                              In hemophilia A, the gene responsible for producing factor VIII is mutated. This
                                                              gene is located in the X chromosome. Males have only one X chromosome,
                                                              which means that one copy of the mutated gene is enough to cause
                                                              hemophilia, making it more common in this population.

                                                              While it is possible for females to have hemophilia, it is rare for them to
                                                              present with symptoms of the disease because the disease affects just one
                                                              X chromosome. Since females have 2 X chromosomes, both chromosomes
                                                              would need to have a mutation for them to be severely affected by the disease.
                                                              However, females who do not show signs of hemophilia are often referred to
                                                              as “carriers” because they can still pass on the mutated gene to their children,
                                                              even though they have no symptoms of the condition.

14	 DATELINE FEDERATION < www.hemophiliafed.org
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