The affected gene is called IKBKAP When mutated, it encodes a defective version of a protein called IKAP While it's clear that lack of IKAP can cause familial dysautonomia, the normal function of the protein is unknown, Gusella says.
If both,parents harbor the IKBKAP mutation, which is recessive, a child has a 1 in 4 chance of having the condition and a 50 percent chance of being a carrier of the defect.
On occasion, physicians come across a second, milder form of familial dysautonomia This apparently stems from inheriting an even rarer mutation in IKBKAP from one parent and the more common mutation from the other.