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Human Genetic Variation

developed under a contract from the

National Institutes of Health

U.S. Department of Health and Human Services

National Institutes of Health

National Human Genome Research Institute

Center for Curriculum Development

5415 Mark Dabling Boulevard

Colorado Springs, CO 80918

BSCS Development Team

Videodiscovery, Inc. Administrative Staff

Joseph D. McInerney, Co-Principal Investigator

D. Joseph Clark, President

Lynda B. Micikas, Co-Project Director

Shaun Taylor, Vice President for Product Development

April L. Gardner, Visiting Scholar

National Institutes of Health

Diane Gionfriddo, Research Assistant

Bruce Fuchs, Office of Science Education (OSE)

Joy L. Hainley, Research Assistant

Karina Boehm, National Human Genome Research

Judy L. Rasmussen, Senior Executive Assistant

Institute (NHGRI)

Barbara C. Resch, Editor

Vence Bonham, NHGRI

Janie Mefford Shaklee, Evaluator

Larry Brody, NHGRI

Lydia E. Walsh, Research Assistant

Lisa Brooks, NHGRI

Anne Westbrook, Science Educator

Carla Easter, NIGRI

Videodiscovery, Inc. Development Team

Barbara Fuller, NHGRI

D. Joseph Clark, Co-Principal Investigator

Kathy Hudson, NHGRI

Shaun Taylor, Co-Project Director

Cynthia Allen, OSE

Michael Bade, Multimedia Producer

William Mowczko, OSE

Dave Christiansen, Animator

Gloria Seelman, OSE

Greg Humes, Assistant Multimedia Producer

Lisa Strauss, OSE

Lucy Flynn Zucotti, Photo Researcher

David Vannier, OSE

Advisory Committee

Field-Test Teachers

Ken Andrews, Colorado College, Colorado Springs, Colorado

Todd Bennethum, Thunder Ridge High School,

Kenneth Bingman, Shawnee Mission West High School,

Highlands Ranch, Colorado

Shawnee Mission, Kansas

Brenda Chenier, Eastern High School, Washington, DC

Julian Davies, University of British Columbia, Vancouver,

Birgit Musheno, Desert Vista High School, Phoenix, Arizona

BC, Canada

Sandra Sundlof, Wheaton High School, Wheaton, Maryland

Lynn B. Jorde, Eccles Institute of Human Genetics,

Patricia Zeck, Northwestern High School, Kokomo, Indiana

Salt Lake City, Utah

Photo Credits

Elmer Kellmann, Parkway Central High School,

Figure 1: Corel Corporation; Figure 3: Jean Claude Revy/

Chesterfield, Missouri

Phototake NYC

Mark A. Rothstein, University of Houston Law Center,

Houston, Texas

This material is based on work supported by the National

Carl W. Pierce, Consultant, Hermann, Missouri

Institutes of Health under Contract No. 263-97-C-0073.

Kelly A. Weiler, Garfield Heights High School, Garfield

Any opinions, findings, conclusions, or recommendations

Heights, Ohio

expressed in this publication are those of the authors and

Raymond L. White, Huntsman Cancer Institute, Salt Lake

do not necessarily reflect the views of the funding agency.

City, Utah

Aimee L. Wonderlick, Northwestern University Medical

Third printing, 2011. Copyright © 1999 by BSCS and

School, Chicago, Illinois

Videodiscovery, Inc. All rights reserved. You have the

permission of BSCS and Videodiscovery, Inc. to reproduce

Writing Team

items in this module (including the software) for your

Mary Ann Cutter, University of Colorado—Colorado Springs

classroom use. The copyright on this module, however,

Edward Drexler, Pius XI High School, Milwaukee, Wisconsin

does not cover reproduction of these items for any other

Robert Fineman, Washington State Department of Health,

use. For permissions and other rights under this copyright,

Seattle, Washington

please contact BSCS, 5415 Mark Dabling Blvd., Colorado

Jenny Sigstedt, Consultant, Steamboat Springs, Colorado

Springs, CO 80918-3842.

Design and Layout

Revised September 2011

Angela Barnes, Finer Points Productions

NIH Publication No. 11-4647

Kyle McKibbon, Graphic Prints, Inc.

Please contact the NIH Office of Science

BSCS Administrative Staff

Education with questions about this supplement

Timothy H. Goldsmith, Chairman, Board of Directors

at supplements@science.education.nih.gov.

Joseph D. McInerney, Director

Michael J. Dougherty, Associate Director

Contents

Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v About the National Institutes of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi About the National Human Genome Research Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii About Biological Sciences Curriculum Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii Introduction to Human Genetic Variation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Implementing the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

What Are the Goals of the Module? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

What Are the Science Concepts and How Are They Organized? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

How Does the Module Correlate with the National Science Education Standards? . . . . . . . . . . . . . . . .4

How Does the BSCS 5E Instructional Model Promote Active, Collaborative, Inquiry-Based Learning? 4

The BSCS 5E Instructional Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Engage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Explore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Explain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Elaborate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Evaluate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

What’s the Evidence for the Effectiveness of the BSCS 5E Instructional Model? . . . . . . . . . . . . . . . .11

How Does the Module Support Ongoing Assessment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

How Can Controversial Topics Be Handled in the Classroom? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Using the Student Lessons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Format of the Lessons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Timeline for Teaching the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Using the Web Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Hardware and Software Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Getting the Most out of the Web Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Collaborative Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Web Activities for People with Disabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Understanding Human Genetic Variation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

How Do Scientists Study Human Genetic Variation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

How Much Genetic Variation Exists among Humans? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

What Is the Significance of Human Genetic Variation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

How Is Our Understanding of Human Genetic Variation Affecting Medicine? . . . . . . . . . . . . . . . . . .23

Genetics, Ethics, and Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

iii

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Additional Resources for Teachers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Student Lessons

Lesson 1— Alike, But Not the Same . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Lesson 2— The Meaning of Genetic Variation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Lesson 3— Molecular Medicine Comes of Age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Lesson 4— Are You Susceptible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97

Lesson 5— Making Decisions in the Face of Uncertainty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107

Masters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

iv

Foreword

This curriculum supplement, from the NIH

develop problem-solving strategies and critical-

Curriculum Supplement Series, brings cutting-edge

thinking skills.

medical science and basic research discoveries

from the laboratories of the National Institutes

Each of our curriculum supplements comes with a

of Health (NIH) into classrooms. As the largest

complete set of materials for teachers, including

medical research institution in the United States,

extensive background and resource information,

NIH plays a vital role in the health of all Americans

detailed lesson plans, masters for student worksheets,

and seeks to foster interest in research, science,

and a Web site with videos, interactive activities,

and medicine-related careers for future generations.

updates, and corrections (as needed). The

NIH’s Office of Science Education is dedicated to

supplements are distributed at no cost to educators

promoting scientific literacy and the knowledge and

across the United States upon request. They may

skills we need to secure a healthy future for all.

be copied for classroom use but may not be sold.

We designed this curriculum supplement to

We welcome your comments. For a complete

complement existing life science curricula at

list of curriculum supplements and ordering

both the state and local levels and to be consistent

information, or to submit feedback, please visit

with the National Science Education Standards.1 It

http://science.education.nih.gov or write to

was developed and tested by a team of teachers,

scientists, medical experts, and other professionals

Curriculum Supplement Series

with relevant subject-area expertise from institutes

Office of Science Education

and medical schools across the country,

National Institutes of Health

representatives from the National Human Genome

6100 Executive Boulevard, Suite 3E01

Research Institute, and curriculum design experts

Bethesda, MD 20892-7520

from Biological Sciences Curriculum Study (BSCS)

and Videodiscovery, Inc. The authors incorporated

We appreciate the valuable contributions of

real scientific data and actual case studies into

the talented staff at BSCS and Videodiscovery,

classroom activities. A three-year development

Inc. We are also grateful to the NIH scientists,

process included geographically dispersed field

advisors, and all other participating professionals

tests by teachers and students. For the 2011

for their work and dedication. Finally, we thank

(third) printing, key sections of the supplement

the teachers and students who participated in

were updated, but the Student Lessons remain

focus groups and field tests to ensure that these

basically the same.

materials are both engaging and effective.

The curriculum supplements enable teachers

I hope you find our series a valuable addition

to facilitate learning and stimulate student

to your classroom and wish you a productive

interest by applying scientific concepts to

school year.

real-life scenarios. Design elements include a

conceptual flow of lessons based on the BSCS

Bruce A. Fuchs, Ph.D.

5E Instructional Model (page 3), cutting-edge

Director

science content, and built-in assessment tools.

Office of Science Education

Activities promote active and collaborative

National Institutes of Health

learning and are inquiry-based to help students

supplements@science.education.nih.gov

________________________

1 The National Academy of Sciences released the National Science Education Standards in 1996, outlining what all citizens should understand about science by the time they graduate from high school. The Standards encourages teachers to select major science concepts or themes that empower students to use information to solve problems rather than stressing memorization of unrelated information.

v

About the National Institutes of Health

Founded in 1887, NIH is the federal focal point

and clinical investigators, as well as the myriad

for health research in the United States. Today,

professionals in the many allied disciplines who

NIH is one of the agencies within the Department

support the research enterprise. These efforts

of Health and Human Services. Its mission is

also help educate people about scientific results

science in pursuit of fundamental knowledge

so that they can make informed decisions about

about the nature and behavior of living systems

their own—and the public’s—health.

and the application of that knowledge to extend

healthy life and reduce the burdens of illness

This curriculum supplement is one such education

and disability. NIH works toward meeting the

effort. It is a collaboration among the National

mission by providing leadership, direction, and

Human Genome Research Institute, the NIH

grant support to programs designed to improve

Office of Science Education, Biological Sciences

the health of the nation through research.

Curriculum Study, and Videodiscovery, Inc.

NIH’s education programs contribute to ensuring

For more about NIH, visit http://www.nih.gov.

the continued supply of well-trained basic research

vi

About the National Human Genome

Research Institute

The National Human Genome Research Institute

should be able to determine his or her risk

(NHGRI) is leading the international effort to

for disease through genetic tests. If the tests

identify and characterize the estimated 20,000

indicate increased susceptibility to a disease, the

to 25,000 genes that orchestrate a single cell’s

individual will be able to obtain counseling on

development into a human infant and then into

how to reduce that risk—perhaps by periodic

an adult, and that govern whether that individual

medical check-ups, a special diet and other

will be susceptible to diseases such as muscular

lifestyle changes, as well as drugs tailored to

dystrophy, cancer, Alzheimer disease, high blood

his or her genetic profile. Treatment of disease

pressure, and obesity.

will also likely include gene therapies to replace,

compensate for, or repair the genes that play a

Part of the National Institutes of Health, the

role in the disease.

Federal government’s biomedical research arm,

NHGRI set the year 2005 as its deadline for

In addition to genetics research, NHGRI sponsors

completing the DNA sequence of the human

research exploring the potential ethical, legal,

genome, our genetic blueprint. On April 14 of

and social consequences of the anticipated

2003, NHGRI, the Department of Energy,

genetics revolution in medicine. By focusing now

and their partners around the world announced

on preventing the potential misuses of genetic

the successful completion of the Human

information in insurance and employment,

Genome Project.

NHGRI is helping ensure that genetic information

will be used as it was intended: to promote

Completing the sequence of the human genome

human health and save lives.

and deciphering its functions are the first step

toward “molecular medicine,” the revolutionary

For more information about the National Human

approach to diagnosis and treatment that will

Genome Research Institute, visit its Web site at

create targeted, individualized health care

http://www.genome.gov.

in the early 21st century. Then, each person

vii

About Biological Sciences Curriculum Study

Headquartered in Colorado Springs, Colorado,

The BSCS mission is to transform science

BSCS was founded in 1958 as a curriculum study

teaching and learning through research

committed to an evidence- and inquiry-based

and development that strengthens learning

approach to science education. BSCS instructional

environments and inspires a global community

materials and professional development services

of scientifically literate citizens. BSCS is a

are based on current research about teaching and

501(c)(3) nonprofit organization.

learning for all science classrooms, kindergarten

through college.

For more information, please visit

http://www.bscs.org.

BSCS’s materials are extensively field-tested in

diverse settings across the country and evaluated

for proven effectiveness. The BSCS 5E Instructional

Model and inquiry are hallmarks of its materials,

placing students at the center of their learning.

viii

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