Chromosome 21
Chromosome 21 is one of the 23 pairs of chromosomes in humans. Chromosome 21 is both the smallest human autosome and chromosome, with 46.7 million base pairs representing about 1.5 percent of the total DNA in cells. Most people have two copies of chromosome 21, while those with three copies of chromosome 21 have Down syndrome.
Researchers working on the Human Genome Project announced in May 2000 that they had determined the sequence of base pairs that make up this chromosome. Chromosome 21 was the second human chromosome to be fully sequenced, after chromosome 22.
Genes
Number of genes
The following are some of the gene count estimates of human chromosome 21. Because researchers use different approaches to genome annotation, their predictions of the number of genes on each chromosome varies. Among various projects, the collaborative consensus coding sequence project takes an extremely conservative strategy. Thus CCDS's gene number prediction represents a lower bound on the total number of human protein-coding genes.| Estimated by | Protein-coding genes | Non-coding RNA genes | Pseudogenes | Source | Release date |
| CCDS | 212 | — | — | 2025-01-15 | |
| HGNC | 215 | 193 | 194 | 2025-09-26 | |
| Ensembl | 221 | 450 | 184 | 2024-05-13 | |
| UniProt | 244 | — | — | 2024-11-27 | |
| NCBI | 254 | 637 | 246 | 2025-01-19 |
Gene list
The following is a partial list of genes on human chromosome 21. For complete list, see the link in the infobox at the top of the article.In addition, the chromosome has many genes for keratin-associated protein, with symbols: KRTAP6-1, KRTAP6-2, KRTAP6-3, KRTAP7-1, KRTAP8-1, KRTAP10-1, KRTAP10-2, KRTAP10-3, KRTAP10-4, KRTAP10-5, KRTAP10-6, KRTAP10-7, KRTAP10-8, KRTAP10-9, KRTAP10-10, KRTAP10-11, KRTAP10-12, KRTAP11-1, KRTAP12-1, KRTAP12-1, KRTAP12-2, KRTAP12-3, KRTAP12-4, KRTAP13-1, KRTAP13-2, KRTAP13-3, KRTAP13-4, KRTAP15-1, KRTAP19-1, KRTAP19-2, KRTAP19-3, KRTAP19-4, KRTAP19-5, KRTAP19-6, KRTAP19-7, KRTAP19-8, KRTAP20-1, KRTAP20-2, KRTAP20-3, KRTAP20-4, KRTAP21-1, KRTAP21-2, KRTAP21-3, KRTAP22-1, KRTAP22-2, KRTAP23-1, KRTAP24-1, KRTAP25-1, KRTAP26-1, KRTAP27-1.
Diseases and disorders
The following diseases and disorders are some of those related to genes on chromosome 21:- Acute myeloid leukemia
- Alzheimer's disease
- Amyotrophic lateral sclerosis
- Atrial fibrillation, familial
- Autoimmune polyendocrine syndrome type 1
- Basal ganglia calcification
- Bartsocas–Papas syndrome
- Bethlem myopathy
- Closed angle glaucoma
- Cataract
- CHAND syndrome
- Down syndrome
- Epilepsy
- Erondu–Cymet syndrome
- Ewing sarcoma
- Galloway Mowat syndrome
- Glucocorticoid deficiency
- Hepatitis B
- Hereditary motor and sensory neuropathy
- Holocarboxylase synthetase deficiency
- Homocystinuria
- Hyperhomocysteinemia
- Hypotrichosis
- Immunodeficiency
- Inflammatory bowel disease
- Intellectual developmental disorder
- Jervell and Lange-Nielsen syndrome
- Keppen–Lubinsky syndrome
- Knobloch syndrome
- Leukocyte adhesion deficiency-1
- Majewski osteodysplastic primordial dwarfism type II
- Non-small cell lung carcinoma
- Neurodevelopmental disorder
- Nonsyndromic deafness
- Parkinson disease
- Peripheral neuropathy
- Phosphofructokinase deficiency
- Primary ciliary dyskinesia
- Primary immunodeficiency
- Primitive neuroectodermal tumor
- Prostate cancer
- Romano–Ward syndrome
- Spastic quadriplegia
- Ullrich congenital muscular dystrophy
- Unverricht–Lundborg disease, a form of progressive myoclonus epilepsy
- ZTTK syndrome
Chromosomal conditions
- Cancers: Rearrangements of genetic material between chromosome 21 and other chromosomes have been associated with several types of cancer. For example, acute lymphoblastic leukemia has been associated with a translocation between chromosomes 12 and 21. Another form of leukemia, acute myeloid leukemia, has been associated with a translocation between chromosomes 8 and 21.
- In a small percentage of cases, Down syndrome is caused by a rearrangement of chromosomal material between chromosome 21 and another chromosome. As a result, a person has the usual two copies of chromosome 21, plus extra material from chromosome 21 attached to another chromosome. These cases are called translocation Down syndrome. Researchers believe that extra copies of genes on chromosome 21 disrupt the course of normal development, causing the characteristic features of Down syndrome and the increased risk of medical problems associated with this disorder.
- Other changes in the number or structure of chromosome 21 can have a variety of effects, including intellectual disability, delayed development, and characteristic facial features. In some cases, the signs and symptoms are similar to those of Down syndrome. Changes to chromosome 21 include a missing segment of the chromosome in each cell and a circular structure called ring chromosome 21. A ring chromosome occurs when both ends of a broken chromosome are reunited.
- Duplication in amyloid precursor protein locus on chromosome 21 was found to cause early onset familial Alzheimer's disease in a French family set and a Dutch family set. Compared to Alzheimer's caused by missense mutations in APP, the frequency of the Alzheimer's caused by APP duplications is significant. All patients that have an extra copy of APP gene due to the locus duplication show Alzheimer's with severe cerebral amyloid angiopathy.
Cytogenetic band
| Chr. | Arm | Band | ISCN start | ISCN stop | Basepair start | Basepair stop | Stain | Density |
| 21 | p | 13 | 0 | 311 | gvar | |||
| 21 | p | 12 | 311 | 683 | stalk | |||
| 21 | p | 11.2 | 683 | 1056 | gvar | |||
| 21 | p | 11.1 | 1056 | 1274 | acen | |||
| 21 | q | 11.1 | 1274 | 1367 | acen | |||
| 21 | q | 11.2 | 1367 | 1584 | gneg | |||
| 21 | q | 21.1 | 1584 | 2019 | gpos | 100 | ||
| 21 | q | 21.2 | 2019 | 2144 | gneg | |||
| 21 | q | 21.3 | 2144 | 2330 | gpos | 75 | ||
| 21 | q | 22.11 | 2330 | 2485 | gneg | |||
| 21 | q | 22.12 | 2485 | 2610 | gpos | 50 | ||
| 21 | q | 22.13 | 2610 | 2703 | gneg | |||
| 21 | q | 22.2 | 2703 | 2858 | gpos | 50 | ||
| 21 | q | 22.3 | 2858 | 3200 | gneg |