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Multifactorial Inheritance

What is multifactorial inheritance?

Multifactorial inheritance means that many factors (multifactorial) are involved in causing a health problem. The factors are usually both genetic and environmental, where a combination of genes from both parents, in addition to unknown environmental factors, produce the trait or condition. Multifactorial traits do recur in families, because they are partly caused by genes and shared environmental factors. The chance for a multifactorial trait or condition to happen to you depends upon how closely the family member with the trait is related to you. For example, the risk is higher if your parent or sibling has the trait or disease, than if your first cousin has the trait or disease. Family members share a certain percentage of genes in common, depending upon their relationship. For example:

Degrees of Relationship

Percentage of Genes in Common


First-Degree Relative

50 percent

parents, children, siblings

Second-Degree Relative

25 percent

aunts, uncles, nieces, nephews, grandparents

Third-Degree Relative

12.5 percent

first cousins

An example of a multifactorial trait is height. Some people may be exceptionally short or exceptionally tall, often due to an alteration (mutation) in a single gene that has a major effect on height. However, most of the time, a child's height is similar to, or somewhere in between the parents' height. Some cancers cluster in families as the result of a combination of genetic and shared environmental factors (multifactorial influences). In such cases, generally speaking, the closer in relation a family member with cancer is to you (i.e. the more genes you share in common), the higher your chance to also develop cancer. In other words, it is more significant for your personal health if one of your parents or siblings develops cancer (or other disease), than if your second cousin develops the disease.

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