D2.1.10—Down syndrome
Down syndrome usually results when non-disjunction produces a gamete with an extra chromosome 21, causing trisomy after fertilization occurs in reproduction.
- Syllabus
- First assessment 2025
- Objective
- D2.1.10
- Level
- HL
Down syndrome usually results when non-disjunction produces a gamete with an extra chromosome 21, causing trisomy after fertilization occurs in reproduction.

Coverage 2013–2024 · Updated 16 Jul 2026
A homologous pair can fail to separate in meiosis I, or sister chromatids can fail to separate in meiosis II. This failure is non-disjunction.
Both copies move to one pole while the opposite pole receives none. Later division therefore cannot give every gamete the standard chromosome number.
The affected meiosis produces gametes with an extra chromosome (n + 1) and/or a missing chromosome (n − 1), depending on when the error occurred.
After fusion with a normal haploid gamete, an n + 1 gamete can produce a trisomic zygote; an n − 1 gamete can produce a monosomic zygote.
Non-disjunction can create too many or too few chromosomes. It is not defined only by an extra chromosome.
chromosome 21 non-disjunction during gamete formation → gamete receives two copies of chromosome 21 → fertilization by a normal gamete adds one more copy → zygote has three copies of chromosome 21
The resulting trisomy 21 gives the zygote 47 chromosomes rather than the usual 46 and can cause Down syndrome.
The developmental effects vary among individuals because an extra chromosome changes the dosage of many genes, not just one gene.
Down syndrome is a chromosome-number condition. It is not caused by a point mutation within chromosome 21.
| Event | What changes | Main consequence |
|---|---|---|
| replication before meiosis | each chromosome gains a sister chromatid | DNA prepared for two divisions |
| meiosis I | homologous chromosomes separate | chromosome number is halved |
| meiosis II | sister chromatids separate | four haploid products can form |
| non-disjunction | one required separation fails | aneuploid gametes may form |
Variation is layered: crossing over recombines alleles within chromosomes, random orientation assort homologues independently, and random fertilization combines two independently produced gametes.
When explaining any meiotic outcome, name the stage, the chromosome object that should separate, the chromosome number before and after, and whether the result changes number, allele combination or both.
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Describe how non-disjunction can cause Down syndrome.