A Complex Language Defect with a Simple Genetic Basis
The discovery aspect of science at times seems to work in mysterious ways,
with serendipity playing an important role. For instance, I’m sure that the
researchers studying a language disorder that was passed on as a simple
Mendelian trait in one family never dreamed that their work would help in
discoveries about the evolution of linguistic abilities in humans, and yet that
appears to have happened.
The story begins with the finding of a language and motor disorder passed
on for three generations in one British family.
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This family (known as the KE
pedigree) and their disorder came to the attention of Faraneh Vargha-
Khadem, an Iranian-born neurologist at the Institute of Child Health in
London, and a group at Oxford University led by Anthony Monaco and
Simon Fisher. These researchers noted that the disorder appeared to be inher-
ited like a textbook case of a single gene, where the variant that caused the
affliction was dominant. Contrary to popular belief, most disorders that are
prevalent in the population, even those that “run in families,” do not exhibit
simple patterns of inheritance (e.g., one gene with a variant that is either
recessive or dominant). Instead of behaving like the traits Mendel studied in
peas, most traits that affect the length and quality of human life have com-
plicated patterns of inheritance. For most common disorders—coronary
heart disease, Alzheimer’s, schizophrenia, diabetes, and several others—no
one-to-one relationship exists between a genetic variant and the disease.
Possessing certain genetic variants can affect one’s propensity for acquiring a
disorder and sometimes the severity of the disease, but whether one acquires
a disease is influenced by a complex relationship of the actions of several
genes, as well as several environmental factors. For the most part, human
geneticists have nearly exhausted unraveling the causes of the “easy” cases,
such as sickle cell anemia and phenylketonuria (PKU), which do follow
simple patterns of inheritance; most remaining traits display more complex
patterns. So the defect found in the KE family is unusual in the simplicity of
its genetic basis. The apparent simplicity of the genetic basis gave the
researchers hope that they would be able to quickly pin down the gene or
genes that caused the defect. Before discussing the genetic details of this
disorder, let’s take a closer look at its manifestations.
This language defect found in the KE family, although simple in its genetic
basis, is complex in the suite of characters it affects. Individuals with the
disorder struggle with articulating words because they lack proficiency in
performing the correct movements of the mouth and face (particularly of the
upper lip) needed to produce intelligible speech. The troubles they face are not
just with making the correct muscular movements, but also with producing
these movements in the proper sequence. Affected individuals also are defi-
cient in understanding grammar and in processing language; in particular,
they have trouble breaking words down into individual sounds. In addition
to severe defects in verbal intelligence, these individuals appear to have more
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