45,X/46,X,idic(Yq) mosaicism: Clinical, cytogenetic, and molecular studies in four individuals

45,X/46,X,idic(Yq) mosaicism is associated with a variety of sex phenotypes, including Ullrich‐Turner syndrome (UTS), intersexuality, and complete male. It remains unclear whether the phenotypic variability results from a dilutional effect by the 45,X cell line in the primordial gonad or an abnormal...

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Veröffentlicht in:American journal of medical genetics 1998-08, Vol.78 (5), p.424-428
Hauptverfasser: Teraoka, Michio, Narahara, Koji, Yokoyama, Yuji, Tsuji, Kazushiro, Kikkawa, Kiyoshi, Ito, Satoko, Koyama, Kiyoko, Seino, Yoshiki
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container_issue 5
container_start_page 424
container_title American journal of medical genetics
container_volume 78
creator Teraoka, Michio
Narahara, Koji
Yokoyama, Yuji
Tsuji, Kazushiro
Kikkawa, Kiyoshi
Ito, Satoko
Koyama, Kiyoko
Seino, Yoshiki
description 45,X/46,X,idic(Yq) mosaicism is associated with a variety of sex phenotypes, including Ullrich‐Turner syndrome (UTS), intersexuality, and complete male. It remains unclear whether the phenotypic variability results from a dilutional effect by the 45,X cell line in the primordial gonad or an abnormality of the SRY gene (SRY). We conducted cytogenetic and molecular studies on four patients with such mosaicism, two of whom had a complete male phenotype and two who had UTS. Chromosome analyses showed that the frequency of cells carrying an idic(Yq) chromosome in peripheral blood lymphocytes and skin fibroblasts was not related to the given sex phenotype. The SRY, PABY, and ZFY genes were present in all four patients. A fluorescence in situ hybridization (FISH) study showed that both a patient with a complete male phenotype and another with UTS had duplicate copies of SRY in their idic(Yq) chromosomes, whereas a patient with UTS had a single copy of the gene. These findings suggested that the coexisting 45,X cell line is more influential on the determination of the sex phenotype in individuals with 45,X/46,X,idic(Yq) mosaicism. Am. J. Med. Genet. 78:424–428, 1998. © 1998 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1096-8628(19980806)78:5<424::AID-AJMG6>3.0.CO;2-L
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J. Med. Genet</addtitle><description>45,X/46,X,idic(Yq) mosaicism is associated with a variety of sex phenotypes, including Ullrich‐Turner syndrome (UTS), intersexuality, and complete male. It remains unclear whether the phenotypic variability results from a dilutional effect by the 45,X cell line in the primordial gonad or an abnormality of the SRY gene (SRY). We conducted cytogenetic and molecular studies on four patients with such mosaicism, two of whom had a complete male phenotype and two who had UTS. Chromosome analyses showed that the frequency of cells carrying an idic(Yq) chromosome in peripheral blood lymphocytes and skin fibroblasts was not related to the given sex phenotype. The SRY, PABY, and ZFY genes were present in all four patients. A fluorescence in situ hybridization (FISH) study showed that both a patient with a complete male phenotype and another with UTS had duplicate copies of SRY in their idic(Yq) chromosomes, whereas a patient with UTS had a single copy of the gene. These findings suggested that the coexisting 45,X cell line is more influential on the determination of the sex phenotype in individuals with 45,X/46,X,idic(Yq) mosaicism. Am. J. Med. 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A fluorescence in situ hybridization (FISH) study showed that both a patient with a complete male phenotype and another with UTS had duplicate copies of SRY in their idic(Yq) chromosomes, whereas a patient with UTS had a single copy of the gene. These findings suggested that the coexisting 45,X cell line is more influential on the determination of the sex phenotype in individuals with 45,X/46,X,idic(Yq) mosaicism. Am. J. Med. Genet. 78:424–428, 1998. © 1998 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>9714008</pmid><doi>10.1002/(SICI)1096-8628(19980806)78:5&lt;424::AID-AJMG6&gt;3.0.CO;2-L</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Cells, Cultured
Chromosome aberrations
Deleted in Azoospermia 1 Protein
DNA-Binding Proteins - genetics
Female
FISH
Gene Dosage
Humans
idic(Yq)
In Situ Hybridization, Fluorescence
Infant, Newborn
Karyotyping
Kruppel-Like Transcription Factors
Male
Medical genetics
Medical sciences
mosaicism
Mosaicism - genetics
Nuclear Proteins
PABY
Phenotype
Polymerase Chain Reaction
RNA-Binding Proteins - genetics
Sex Chromosome Aberrations - genetics
Sex Determination Processes
sex differentiation
Sex-Determining Region Y Protein
Sister Chromatid Exchange
SRY
Transcription Factors
X Chromosome - genetics
ZFY
title 45,X/46,X,idic(Yq) mosaicism: Clinical, cytogenetic, and molecular studies in four individuals
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