Down's Syndrome (Trisomy 21): Cause, Karyotype and Symptoms

Biology · Principles of Inheritance and Variation · NEET

Down's syndrome happens when a person has one extra copy of chromosome 21. So they have three copies of chromosome 21 instead of two. This is called trisomy 21, and the total chromosome number becomes 47 instead of 46. Memory hook: "Down = Down syndrome, and 2+1 = 21" — trisomy of chromosome 21.
Down's Syndrome = Trisomy of Chromosome 21Normal (46)Down's syndrome (47)Pair 212 copiesChromosome 213 copies (extra)non-disjunctionin meiosisExtra chromosome 21 (autosome) 47 total Down's syndrome
In Down's syndrome, non-disjunction during meiosis gives an extra copy of chromosome 21 (an autosome), so the person has three copies of chromosome 21 (trisomy 21) and 47 chromosomes in total instead of 46.

Your doubts, answered

Is Down's syndrome trisomy of chromosome 21 or 23?

It is trisomy of chromosome 21, NOT 23. The affected person has three copies of chromosome number 21 instead of the normal two copies. The number 23 sometimes confuses students because humans have 23 pairs of chromosomes in total, but Down's syndrome affects only pair number 21. Remember: Down's = chromosome 21.

How many chromosomes does a person with Down's syndrome have, 46 or 47?

A person with Down's syndrome has 47 chromosomes, not the normal 46. Normal humans have 46 chromosomes (23 pairs). Because one extra copy of chromosome 21 is present, the total goes up by one to 47. This is why it is called trisomy (tri = three copies of chromosome 21).

Is Down's syndrome caused by an extra chromosome or a missing chromosome?

It is caused by an EXTRA chromosome, not a missing one. There is an additional (extra) copy of chromosome 21. This is the opposite of Turner's syndrome, where one X chromosome is missing (45, X0). A very common NEET trap swaps these two — do not mix them up. Extra chromosome 21 = Down's; missing X = Turner's.

Is chromosome 21 an autosome or a sex chromosome?

Chromosome 21 is an autosome (a body chromosome), not a sex chromosome. So Down's syndrome is caused by autosomal non-disjunction. This is different from Klinefelter's (extra X, a sex chromosome) and Turner's (missing X, a sex chromosome), which involve sex chromosomes. Because it is an autosome, Down's syndrome affects both boys and girls equally.

What causes the extra chromosome 21 in Down's syndrome?

The extra chromosome comes from non-disjunction. Non-disjunction means the two copies of chromosome 21 fail to separate properly during meiosis (gamete formation). So one gamete (egg or sperm) ends up with an extra chromosome 21. When this gamete joins a normal one at fertilisation, the child gets three copies of chromosome 21. This is called aneuploidy (gain or loss of a chromosome).

Who first described Down's syndrome and in which year?

Down's syndrome was first described by Langdon Down in the year 1866. NEET has directly asked this fact, and it is also used as a trap in Klinefelter's questions (where option A wrongly says Klinefelter's was described by Landon Down). Remember: Langdon Down, 1866, chromosome 21.

What are the main symptoms of Down's syndrome?

Key NCERT features: the person is short statured with a small round head, a furrowed tongue and a partially open mouth. The palm is broad with a characteristic (single) palm crease. There is also physical, psychomotor and mental development that is delayed (retarded). NEET has asked directly about the broad palm with single palm crease.

⚠️ The NEET trap
Down's syndrome is caused by an extra sex chromosome or by a missing chromosome, and the extra one is chromosome 23.
Down's syndrome is caused by an EXTRA copy of chromosome 21 (an autosome), giving trisomy 21 and a total of 47 chromosomes. It arises from autosomal non-disjunction during meiosis.
🧠 ReNEET 2026 gave the statement 'Down's syndrome is caused by the absence of one of the X-chromosomes' — this is FALSE. Down's = extra chromosome 21 (gain), NOT a missing X. The missing-X case is Turner's syndrome.

Real NEET questions

2017

A disease caused by an autosomal primary non-disjunction is

A · Down's syndrome
B · Klinefelter's syndrome
C · Turner's syndrome
D · Sickle cell anemia
Solution: Primary non-disjunction is the failure of chromosomes to separate during meiosis, producing aneuploidy. Down's syndrome arises from non-disjunction of an autosome (chromosome 21), giving trisomy 21. Klinefelter's and Turner's involve SEX-chromosome non-disjunction, and sickle-cell anaemia is a single-gene point mutation, not non-disjunction. NCERT Class XII, Ch 4: 'Down's Syndrome: The cause of this genetic disorder is the presence of an additional copy of the chromosome number 21 (trisomy of 21).'
2023

Broad palm with single palm crease is visible in a person suffering from

A · Down's syndrome
B · Turner's syndrome
C · Klinefelter's syndrome
D · Thalassemia
Solution: A broad palm with a single (characteristic) transverse palm crease is a classic feature of Down's syndrome (trisomy of chromosome 21), along with short stature, small round head, furrowed tongue and partially open mouth. Turner's, Klinefelter's and thalassemia do not present this palm crease. NCERT Class XII, Ch 4: 'The affected individual is short statured with small round head, furrowed tongue and partially open mouth. Palm is broad with characteristic palm crease.'
2026

Statement I: Down's syndrome is caused by the absence of one of the X-chromosomes. Statement II: Turner's syndrome is caused by the presence of an additional copy of the chromosomes. Choose the correct answer:

A · Both Statement I and Statement II are correct
B · Both Statement I and Statement II are incorrect
C · Statement I is correct but Statement II is incorrect
D · Statement I is incorrect but Statement II is correct
Solution: The two statements have the causes swapped. Down's syndrome is caused by an ADDITIONAL copy of chromosome 21 (trisomy 21), NOT by a missing X. Turner's syndrome is caused by the ABSENCE of one X-chromosome (45, X0), NOT by an extra chromosome. So both statements are incorrect.

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Frequently asked

What is the karyotype of Down's syndrome?

The karyotype has 47 chromosomes with three copies of chromosome 21. It is often written as 47, and specifically as trisomy 21. The extra chromosome 21 is the only change; all other chromosome pairs are normal.

Is Down's syndrome a Mendelian disorder or a chromosomal disorder?

It is a chromosomal disorder, not a Mendelian (single-gene) disorder. It is caused by a whole extra chromosome (aneuploidy from non-disjunction), not by a change in one gene. This makes it different from haemophilia or sickle-cell anaemia, which are single-gene disorders.

Can Down's syndrome be detected before birth?

Yes. It can be detected before birth by amniocentesis, a test that studies fetal cells and substances in the amniotic fluid. NEET has noted that amniocentesis can detect Down syndrome (but cannot detect a structural defect like cleft palate).

Does Down's syndrome affect boys and girls equally?

Yes, because chromosome 21 is an autosome (not a sex chromosome), Down's syndrome can occur in both males and females equally. This is unlike Klinefelter's and Turner's, which involve sex chromosomes and affect one sex.

Why is it called trisomy 21?

'Tri' means three and 'somy' refers to chromosome copies. So trisomy 21 means three copies of chromosome number 21 instead of the normal two. This single extra chromosome causes all the features of Down's syndrome.