Given what we know, we can confirm that an extra copy of chromosome 1, 2, 3, 4, or 5 results in more severe abnormalities than an extra copy of chromosome 21 due to the contents of each chromosome.
This has to do with the content of the chromosomes.
More specifically, the amount of content.
The first 5 chromosomes contain about 7% of the entire human genome each on average.
This means that any duplication of these chromosomes will affect a very wide variety of genes essential to human development.
Therefore, given that the first 5 chromosomes contain an added total of about 35% of the entire humane genome, we can confirm that extra copies of these chromosomes would interfere with just about every aspect of human development, thus making for very severe abnormalities.
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