The inheritance pattern of ALD (Adrenoleukodystrophy) is a recessive X-linked trait. This means that the gene responsible for the disorder is located on the X chromosome, and that it is expressed only when two copies of the gene are present (one from each parent).
In males, the inheritance pattern of ALD is straightforward. If a male has one copy of the gene, he will develop ALD. This is because males only have one X chromosome, and so they will always express a mutated gene if they have one copy.
In females, the inheritance pattern is less straightforward, as females have two X chromosomes. If a female has one copy of the mutated gene, she will be a carrier of the disorder but not necessarily develop ALD. In order for the female to develop the disorder, she must inherit a mutated copy of the gene from both parents.
In cases where a female inherits one mutated gene and one normal gene, the normal gene will usually suppress the mutated gene, and the female will not express the disorder. However, in some cases, the mutated gene can still be expressed, resulting in female carriers who show clinical features of ALD.
In summary, the inheritance pattern of ALD is a recessive X-linked trait. This means that males will always express the mutated gene if they have one copy, while females will only express the mutated gene if they inherit two copies, one from each parent. There is also a small chance that female carriers will express the mutated gene, even if they only inherit one copy.