Genetics

  1. Both haemophilia A and B follow an X-linked recessive pattern of inheritance.
  2. Therefore females who are carriers have a 50% risk of passing the mutation on to their sons (who would then be affected with the condition) and daughters (who would then be carriers)
  3. Haemophilia A is caused by low or absent factor VIII.
  4. Haemophilia B is caused by low or absent factor IX.
  5. The factor VIII and factor IX genes are found on the X chromosome, very close to each another.
  6. A large number of different mutations occur in these genes and unrelated families with haemophilia A or B generally have different mutations.
  7. Different mutations in the factor VIII or factor IX genes have been identified that cause differing severity of haemophilia A or B respectively.
  8. The inheritance pattern may appear to look autosomal dominant in some families as up to 10% of women who are carriers can have mild bleeding symptoms.