In order for males to be contracted with OTC deficiency, all they need is a copy of the non-functional genes from their mothers. Females with a copy of the non-functional gene may express symptoms related to the condition. There is a possibility of having more than one child which has the condition when either one or both of the parents possess the non-functional gene.
There are cases whereby OTC deficiency do not get inherited by any of their children at all. This is due to the OTC gene either being deficient or missing.
References:
http://aidanselephants.co.uk/about-us/about-otc-deficiency/
Pictures:
http://aidanselephants.co.uk/about-us/about-otc-deficiency/
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