RT Book, Section A1 Pyeritz, Reed E. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. SR Print(0) ID 1166177601 T1 Genetics in Disorders of Multifactorial Causation T2 Current Medical Diagnosis and Treatment 2020 YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260455281 LK accessmedicine.mhmedical.com/content.aspx?aid=1166177601 RD 2022/05/22 AB Many disorders cluster in families but are not associated with evident chromosomal aberrations or mendelian inheritance patterns. Examples include congenital malformations such as cleft lip, pyloric stenosis, and spina bifida; coronary artery disease; type 2 diabetes mellitus; and various forms of neoplasia. They are often characterized by varying frequencies in different racial or ethnic groups, disparity in sexual predilection, and greater frequency (but less than full concordance) in monozygotic than in dizygotic twins. This inheritance pattern is called "multifactorial" to signify that multiple genes interact with various environmental agents to produce the phenotype. The familial clustering is assumed to be due to sharing of both alleles and environment.