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dkysh t1_j50ssc6 wrote

If we were bacteria, yeah, sure. But we are extremely complicated multicellular organisms. A whole genome trisomy screws up the balance of gene expression to such an extreme that most trisomies are simply lethal and never observed (they end up in miscarriage).

A gene fusion is a less drastic event, where 2 chromosomes happen to be connected, but the genetic load is identical.

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