Book cover of Inheritance by Sharon Moalem

Sharon Moalem

Inheritance Summary

Reading time icon11 min readRating icon3.9 (1,674 ratings)

Your genes are not your destiny — the choices you make and the world around you can alter the very blueprint of your biology.

1. Genes Influence Appearance, But the Connection Works Both Ways

Our looks are deeply intertwined with our genes. For example, the color and shape of your eyes are dictated by your DNA. Certain genetic conditions can also manifest in distinct physical traits, like the close-set eyes seen in Fanconi anemia or the upward-tilted eyes typical of Down syndrome. Even rare phenomena, such as heterochromia, where each eye is a different color, arise from genetic variations.

On the flip side, analyzing DNA can reveal a lot about a person's appearance. The fascinating case of Ötzi the caveman demonstrated this. Studying his DNA allowed scientists to infer his eye color, skin tone, and even medical predispositions, such as lactose intolerance. This ability to use genetics to reconstruct someone's physical attributes highlights the powerful relationship between DNA and visible traits.

Interestingly, these genetic links can even help us understand historical populations. For Ötzi, genes pointed to his Corsican ancestry, broadening our knowledge of human migration. Genetics not only tell individual stories—they unravel collective human history.

Examples

  • Close-set eyes in Fanconi anemia patients
  • Ötzi's DNA revealing his light skin and genetic proclivities
  • Heterochromia in actress Demi Moore

2. Predicting a Child's Traits Remains a Challenge

Despite the detailed insights DNA can provide, predicting a child's traits is still highly uncertain. Passive genes, which appear inactive in one parent, can become active in their offspring. This unpredictability was illustrated by the case of Ralph, a sperm donor whose latent gene for a disorder resulted in numerous children suffering severe symptoms.

Even among identical twins with the same DNA, variations can appear. Variable genetic expressivity explains such cases. For instance, twin brothers Adam and Neil share the same genetic disorder, neurofibromatosis, yet exhibit vastly different symptoms: one is disfigured, while the other suffers memory loss and seizures.

This unpredictability extends to health risk assessments. While genetic markers might indicate a predisposition for certain illnesses, the interplay of environment and gene activation adds layers of complexity that go beyond sheer inheritance.

Examples

  • Ralph's passive gene leading to sick children
  • Adam and Neil having very different symptoms from the same disorder
  • Difficulty in predicting traits even with full parental DNA codes

3. The Concept of Sex is More Fluid Than We Once Thought

Traditional biology teaches a tidy binary: males with XY chromosomes and females with XX. However, modern genetics unveils a spectrum of sex-related gene interactions. Certain genes, like SOX, demonstrate that being biologically male or female is not just about chromosomes.

Ethan's story exemplifies this complexity. Born with two X chromosomes, he still developed male physical traits due to an unusual activation of a SOX gene. This disruption of traditional expectations challenges how we label and understand sex biologically.

By acknowledging these variations, science promotes a broader understanding of human diversity that goes beyond societal norms. The idea of fixed categories, like male and female, is replaced by a recognition of genetic variety.

Examples

  • The role of the SRY and SOX genes in sex determination
  • Ethan developing male traits despite XX chromosomes
  • Variation in sex traits like voice depth and genital shape

4. Your Genes Shape Your Ideal Diet

Genetics affect how our bodies process food, which means your meal plan might depend on your DNA. For instance, sailors with variations in the SLC23A1 gene needed less vitamin C to fend off scurvy. Similarly, your ability to metabolize caffeine is determined by the CYP1A2 gene.

This gene also interacts with nicotine, so smoking could affect how well your daily coffee wakes you up. On the flip side, some genetic conditions make seemingly healthy foods harmful. Jeff, a chef with hereditary fructose intolerance, learned this hard truth after becoming ill from a fruit-heavy diet.

Knowing how your genes influence your food metabolism can help tailor a diet that meets your body’s needs, potentially improving your wellbeing.

Examples

  • SLC23A1 gene allowing efficient Vitamin C absorption in sailors
  • CYP1A2’s role in caffeine metabolism
  • Jeff’s fructose intolerance causing health issues

5. Athletic Ability Is A Blend of Nature and Nurture

Genetics play a big role in athletic performance. Traits like height or arm span, seen in basketball players like Shaquille O’Neal and swimmer Michael Phelps, are genetically influenced. Some athletes even benefit from rare conditions—like Finnish skier Eero Mäntyranta, whose blood condition gave him extra endurance.

Yet genes don’t act alone. Rigorous training interacts with your DNA, leading to changes in bone density or muscle structure. For instance, Nadal’s dominant tennis arm adapts to its workload by strengthening its bones. Without the consistent effort of practice, genetic advantages often remain untapped.

These examples emphasize that talent may arise from genes, but practice and effort shape what’s possible.

Examples

  • Michael Phelps’ long arm span aiding swimming
  • Eero Mantyranta’s high red blood cell count boosting stamina
  • Nadal’s dominant arm developing stronger bones through training

6. Genes Are Not Static; Behaviors and Environments Rewrite Them

Daily actions like diet, exercise, or exposure to sunlight can alter DNA. Radiation from airplane travel or excessive alcohol intake can damage your genes, increasing cancer risks. On a more positive note, consuming spinach can introduce beneficial molecules that protect against harmful mutations.

External events, like trauma, can also leave a genetic mark. For instance, 9/11 survivors who were pregnant gave birth to babies predisposed to anxiety. Such experiences don't just last a lifetime – they can impact future generations. Mouse studies have shown trauma-induced gene changes being passed down.

These examples challenge us to think of genes as living processes rather than fixed blueprints.

Examples

  • Radiation exposure altering DNA from frequent air travel
  • Spinach as a source of DNA-protecting antioxidants
  • Babies born post-9/11 inheriting stress markers

7. Genetics Is More Than Just DNA—Epigenetics Matters

Epigenetics, the study of gene changes caused by environmental factors, reveals how genes interact with life events. Bullying, for example, can suppress the gene SERT, which affects stress responses. These interactions show the dynamic relationship between experiences and genetic expression.

Mice experiments also reveal inherited effects. Mice separated from their mothers as babies grew up to handle stress poorly, and this pattern recurred in subsequent generations. In humans, this could help explain how trauma or poverty creates generational problems.

Our environment and experiences leave lasting impressions on more than our memories—they interact with our genes in deep ways.

Examples

  • Suppressed SERT gene linked to bullying
  • Trauma in pregnant mothers affecting their children
  • Generational impact of stress in Zurich mice studies

8. Companies Are Eager to Profit From Genetics

Corporations see economic opportunities in knowing your DNA. The tobacco industry seeks genetic markers for addiction to deflect blame from their products. Similarly, some companies argue that injuries result from workers' predispositions, not workplace conditions.

Insurance companies also jump into the fray. In the U.S., they can use your genetic information to determine premiums, regardless of your current health habits. While this creates business opportunities, it also invites ethical dilemmas about privacy and fairness.

Genetic knowledge, while valuable, raises questions about how it should be used – and by whom.

Examples

  • Tobacco companies studying addiction genes
  • Railroad companies linking worker injuries to genetics
  • U.S. insurers adjusting premiums based on DNA

9. Genetic Awareness Helps Prevent Disease

Understanding your DNA can save lives. For example, mutations in the BRCA1 gene signal a high risk of breast and ovarian cancer. Angelina Jolie’s preventive mastectomy showcases how genetic knowledge helps individuals take proactive steps to avoid devastating illnesses.

Even if predisposed to certain conditions, lifestyle changes like avoiding excessive sun exposure or eating antioxidant-rich foods like spinach can mitigate risks. This combination of knowledge and action puts health outcomes partly in your hands.

Modern genetics offers tools not just for discovery but for transformation, empowering people to rewrite their health stories.

Examples

  • BRCA1 mutation leading Jolie to prevent cancer
  • Vitamin-rich diets helping prevent DNA damage
  • Sun avoidance reducing genetic mutation risks

Takeaways

  1. Find out your genetic makeup by consulting qualified doctors or testing services, and use it to guide your diet, habits, and activities.
  2. Make small daily changes, like eating antioxidant-rich foods or moderating sun exposure, to actively protect your DNA.
  3. Advocate for ethical genetic research and privacy rights to ensure your DNA information is not misused by corporations or insurers.

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