Final answer:
1-Antitrypsin deficiency is the hereditary disease likely responsible for a young non-smoking male's emphysema, due to insufficient production of the protease inhibitor that usually protects the lungs.
Step-by-step explanation:
The hereditary disease that may be responsible for a 24-year-old male presenting with emphysema, despite having never smoked or been significantly exposed to secondhand smoke, is 1-Antitrypsin deficiency (Option B). 1-Antitrypsin deficiency is a genetic condition that impairs the body's ability to produce the protease inhibitor α1-antitrypsin, which protects the lung tissue from damage caused by enzymes such as neutrophil elastase. Without sufficient levels of α1-antitrypsin, an individual's risk of developing emphysema substantially increases, even without the risk factors of tobacco smoke exposure.