The Changing Face of Turner Syndrome

Turner syndrome (TS) is a condition in females missing the second sex chromosome (45,X) or parts thereof. It is considered a rare genetic condition and is associated with a wide range of clinical stigmata, such as short stature, ovarian dysgenesis, delayed puberty and infertility, congenital malform...

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Veröffentlicht in:Endocrine reviews 2023-01, Vol.44 (1), p.33-69
Hauptverfasser: Gravholt, Claus H, Viuff, Mette, Just, Jesper, Sandahl, Kristian, Brun, Sara, van der Velden, Janielle, Andersen, Niels H, Skakkebaek, Anne
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container_end_page 69
container_issue 1
container_start_page 33
container_title Endocrine reviews
container_volume 44
creator Gravholt, Claus H
Viuff, Mette
Just, Jesper
Sandahl, Kristian
Brun, Sara
van der Velden, Janielle
Andersen, Niels H
Skakkebaek, Anne
description Turner syndrome (TS) is a condition in females missing the second sex chromosome (45,X) or parts thereof. It is considered a rare genetic condition and is associated with a wide range of clinical stigmata, such as short stature, ovarian dysgenesis, delayed puberty and infertility, congenital malformations, endocrine disorders, including a range of autoimmune conditions and type 2 diabetes, and neurocognitive deficits. Morbidity and mortality are clearly increased compared with the general population and the average age at diagnosis is quite delayed. During recent years it has become clear that a multidisciplinary approach is necessary toward the patient with TS. A number of clinical advances has been implemented, and these are reviewed. Our understanding of the genomic architecture of TS is advancing rapidly, and these latest developments are reviewed and discussed. Several candidate genes, genomic pathways and mechanisms, including an altered transcriptome and epigenome, are also presented. Graphical Abstract Graphical Abstract
doi_str_mv 10.1210/endrev/bnac016
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It is considered a rare genetic condition and is associated with a wide range of clinical stigmata, such as short stature, ovarian dysgenesis, delayed puberty and infertility, congenital malformations, endocrine disorders, including a range of autoimmune conditions and type 2 diabetes, and neurocognitive deficits. Morbidity and mortality are clearly increased compared with the general population and the average age at diagnosis is quite delayed. During recent years it has become clear that a multidisciplinary approach is necessary toward the patient with TS. A number of clinical advances has been implemented, and these are reviewed. Our understanding of the genomic architecture of TS is advancing rapidly, and these latest developments are reviewed and discussed. Several candidate genes, genomic pathways and mechanisms, including an altered transcriptome and epigenome, are also presented. 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Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2023 Oxford University Press</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. 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subjects Cognition
Congenital defects
Congenital heart disease
Denmark
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Endocrine disorders
Endocrine System Diseases
Epidemiology
Female
Genetic aspects
Genetic disorders
Genomics
Health aspects
Hormone therapy
Hormones, Sex
Humans
Infertility
Morbidity
Mortality
Puberty
Sex chromosomes
Transcriptomes
Turner syndrome
Turner Syndrome - complications
Turner Syndrome - diagnosis
Turner Syndrome - genetics
Turner's syndrome
Type 2 diabetes
title The Changing Face of Turner Syndrome
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