Heterozygote advantage, also known as balancing selection, arises
when there is a survival (selective) advantage for hybrids (heterozygotes) as
compared to that of either homozygous recessive genotype or homozygous dominant
genotype. Some diseases are lethal only in the homozygous state. If an allele
is lethal, then why would it not disappear from a population totally? In the
example of cystic fibrosis, heterozygotes may be more resistant to
life-threatening dehydration caused by diseases such as cholera, which is
accompanied by massive diarrhea. In cholera, caused by the lethal bacterium Vibrio
cholera, the bacteria produce a toxin that causes considerable loss of
water, dehydration, and death within a short time. Another example of
heterozygote advantage is the high frequency of heterozygotes for sickle cell
anemia in Africa (and increased resistance to malaria).
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