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This flipped case study tells the story of Joyce, a biology student who notices the development of some unusual symptoms (foot slapping and slurred speech) in her mother. In an effort to understand the cause, Joyce views a documentary-style trigger video (created by the case author) that suggests to Joyce that her mom may in fact have amyotrophic lateral sclerosis or ALS. The rest of the case walks Joyce through understanding how normal neurons compare to neurons in ALS patients and how that might affect muscle function. The case explores the link between genes, particularly SOD-1, to the formation of malformed proteins and its potential role in the development of ALS. The case concludes with a discussion of drug development and highlights the timeline and costs associated with drug discovery as Joyce becomes concerned about the lack of drugs in the pipeline for ALS, which her mother is ultimately diagnosed with. The case is appropriate for a number of classes including general biology, biotechnology, anatomy and physiology, upper level-cell biology, or any human health and disease-related course.

The external environment's effects upon genes can influence disease, and some of these effects can be inherited in humans. Studies investigating how environmental factors impact the genetics of an individual's offspring are difficult to design. However, in certain parts of the world in which social systems are highly centralized, environmental information that might have influenced families can be obtained. For example, Swedish scientists recently conducted investigations examining whether nutrition affected the death rate associated with cardiovascular disease and diabetes and whether these effects were passed from parents to their children and grandchildren (Kaati et al., 2002). These researchers estimated how much access individuals had to food by examining records of annual harvests and food prices in Sweden across three generations of families, starting as far back as the 1890s. These researchers found that if a father did not have enough food available to him during a critical period in his development just before puberty, his sons were less likely to die from cardiovascular disease. Remarkably, death related to diabetes increased for children if food was plentiful during this critical period for the paternal grandfather, but it decreased when excess food was available to the father. These findings suggest that diet can cause changes to genes that are passed down though generations by the males in a family, and that these alterations can affect susceptibility to certain diseases. But what are these changes, and how are they remembered? The answers to questions such as these lie in the concept of epigenetics.

Many of the following lessons were developed by Geneticist-Educator Network of Alliances (GENA) teams and have been further adapted by ASHG for use in high school (or advanced middle school) life sciences classrooms. These are identified by GENA cohort in the database. However, we have expanded the database to also include lessons developed through other ASHG programs, such as the High School Workshop. All lessons are intended to follow the BSCS's 5E instructional model (Bybee, RW, et al., 2006).

This directed case study in PowerPoint format focusses on the London Underground Mosquito, Culex molestus, and its potential relationship to the common mosquito, Culex pipiens, in order to explore the topics of evolution, reproductive isolation, and speciation. As the story unfolds, the case mirrors the process of science. The students receive some initial data and observations collected by Byrne and Nichols in London. Based on these observations, the students then form a hypothesis and design an experiment. Finally, they receive more data collected by Becker et al. and draw conclusions.

Deep-sea mystery solved: astonishing larval transformation and extreme sexual dimorphism unite three fish families by Johnson, et al. (2009)* published in Biology Letters, Royal Society. The deep sea fishes at the heart of the investigation and this activity were historically classified into three families or clades based on the obvious morphological differences between the members of each group. 

"Reading and understanding scientific literature can be a daunting task for students in introductory science courses. This decision/dilemma case study helps ease them into the process by using a short scientific article with a simple experimental design that compares two types of ACL (anterior cruciate ligament) surgery, autograft and allograft. The case tells the story of Todd, a martial artist who recently tore his ACL in competition. With the help of the article, Todd discusses the potential surgical options provided by his doctor with his friend, Sam, a medical student. The case has the added value of demonstrating how one can use scientific literature to make informed healthcare decisions based on clinical evidence. Please note that the required article (Kane et al., Knee Surgery, Sports Traumatology, Arthroscopy 24(11): 3627-33) is not provided with this case; prior to assigning this material, instructors should confirm that students can access the article, since access may vary by institution."

curricular unit on genetic testing