Down syndrome is caused by the presence of an extra chromosome 21. It is neither dominant nor recessive as it results from an error in chromosome translation. The amyloid precursor protein gene on chromosome 21 may cause Down syndrome by interfering with cell signaling and leading to cell death. People with Down syndrome have distinct physical features like a flattened face and webbed fingers or toes. Treatments focus on managing any related health issues and providing early intervention programs. Life expectancy is around 50 years on average.