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26 Cards in this Set

  • Front
  • Back
Define the terms:

a. Barr bodies
b. Pseudoautosomal region
c. Sex determining region
a. The Barr body represents an inactive X chromosome. The number of Barrbodies corresponds to the number of X chromosomes minus one.

b. pseudoautosomal regions - on the tip of the short arm and long arm

c. SRY gene (sex determining region of the Y chromosome)
Define the terms:

d. X-inactivation
e. Lyonization
f. Clone
d. X-inactivation - the X chromosome is made genetically inactive

e. Lyonization - The process by which all X chromosomes in excess of one are made genetically inactive and heterochromatic.

f. A clone is a cell line derived by mitosis from a single ancestral diploid cell
Four key features of x-inactivation
1. Embryonic timing - occurs during the blastocyst stage

2. The inactivation of one X chromosome is a random process - females are a mix or “mosaic” of information from maternal and paternal genes

3. Clonal stability - Once an X chromosome is inactivated, it remains inactive in all progeny cells, thus demonstrating clonal stability

4. X-Chromosome regions subject to inactivation - it was previously thought that the entire complement of genes on the inactive X were "silenced". Not so.
X-inactivation center
(XIC) Several individuals who had deletions of this region had changes in their X-inactivation capabilities, implying that a gene controlling inactivation was located at this site.
X-Inactive Specific Transcript gene.

What does it do and how does it do it?
XIST gene causes inactivation. The gene is expressed from the inactive X and localizes to the inactive X chromosome.

Inactivation is thought to spread cis (on the same chromosome as the gene is expressed)
Translocations between the X-chromosome and an autosome can result in ...
The inactivation has the potential (which is thought to be dependent on the underlying DNA repeat sequences present) to extend to the autosomal regions/genes thereby resulting in the functioning of only one dose of a gene that should be expressed in two doses
Exceptions to Randomness of X-inactivation
If a translocation occurs between an X chromosome and an autosome, the normal X chromosome is preferentially inactivated

Thus the inactivation does not spread into the autosome resulting in an unbalanced complement
Incidence of Sex Chromosome Abnormalities for Male and Female
Male 1/400:

Klinefelter (47, XXY) = XYY > Other X or Y abnormalities > 48, XXYY, 49, XXXYY, mosaics > XX males > 48 XXXY (Klinefelters)

Female: 1/650

Trisomy X > other chromosome abnormalities > Turner > angrogen insensitivity
Klinefelter Syndrome (47,XXY)
Findings include: male or female?

-Tall eunuchoid (appears to lack characteristics indicating male virility) habitus
-Intellectual development fairgood (usually less than sibs)
-Frequent gynecomastia (excessive development of the breasts in males)
-Small testes in adolescents and adults
XYY
Finding include:

-Tall stature
-Intellectual development normal-mod. impaired
-Acne common
-Frequent hypogonadism; undescended testes
-Ascertained in prison populations with frequency that exceeds expectation
Turner syndrome (45,X)
Findings include:

-Small stature
-Intellectual development good (may be below siblings)
-Perceptive hearing loss
-Frequent pigmented nevi
-Narrow maxilla and small mandible
-Low posterior hairline; webbed in 50% of patients
-Shield shaped chest with widely spaced nipples
-Cardiovascular anomalies in 35%
-Lymphedema
-Short fourth and fifth metacarpals
-Short fifth finger with clinodactyly
-Ovarian dysgenesis with infertility
Cytogenetic Heterogeneity in Turner syndrome
In addition to monosomy X (58%), other chromosomal anomalies are also seen in cases with Turner syndrome, including: isochromosome Xq (16%), deletions of X (3%), mosaicism (14%), ring (X) chromosome (5%), or other anomalies (4%).

Females who have Turner syndrome due to a structural chromosome abnormality that
results in a deletion of the XIST gene (especially ring chromosomes) have a more severe phenotype, including mental retardation.
Trisomy X (47,XXX)
Findings include:

-Above average height
-Possible learning disabilities
Individuals having 4 or more sex chromosomes (48,XXXX; 49,XXXXX; 48,XXXY; 49,XYYY; 49,XXXXY)
Tend to have increased severity of symptoms, with both growth and mental deficiencies being present.
Define sex determination
Sex determination refers to the process(es) which determine what sex an embryo will become.
Sexual differentiation
Sexual differentiation refers to the actual cellular and morphogenetic changes that take place that distinguish one sex from the other. Differentiation takes place after the sex is determined.
Barr Bodies
The Barr body, as seen in female cells, represents an inactive X chromosome and is an area of dark stain. The number of Barr bodies corresponds to the number of X chromosomes minus one.
Pseudoautosomal region of the sex chromosomes
Alleles located in the short region (near the telomeres) of human X and Y chromosome at which meiotic pairing occurs, pseudoautosomal alleles undergo reciprocal exchange by crossing over and therefore do not show strict sex-linked inheritance.
Possible Mechanism (s) for Etiology of XX Male/XY Female Phenotype
(1) a male with two X chromosomes that appear normal using microscopy, but that contain Y specific sequences

(2) a female with an X and a Y chromosome that appear normal using microscopy, but that contain no Y specific sex determining sequences.
Regions on the Y Chromosome that play a role in Sex Determination and Differentiation
-Yp pseudoautosomal region
-Yq pseudoautosomal region
-DAZ genes
-USP9Y (by the centromere)
Sexual Differentiation:

-SOX9. Localized to 17q
Target for SRY and is an important early factor in the sex determination cascade. Mutations of this gene, resulting in a condition called camptomelic dysplasia [autosomal dominant]) results in chromosomal males (46,XY) being a phenotypic female
Sexual Differentiation:

-DAX1. Localized to Xp

What does it do?
Interact with SRY. Duplications of this gene (or region of Xp) result in a chromosomal male (46,XY) being a phenotypic female.
Other genetic changes that have been ID'ed to play a role in the process of sex differentiation.
-WT1 (Wilms tumor gene)

-deletions of 9p.
Embryology of the Reproductive System

Rates of sexual differentiation vs sex determination
Abnormalities of sexual differentiation are more common than those of sex determination.

Also, The primordial gonad develops into an ovary when no Y chromosome is present. Testicular development occurs if a Y chromosome is present.
Camptomelic Dysplasia

Abnormality of sexual differentiation
-Rare, autosomal dominant, mutation of SOX9 gene.

-Phenotypic female, with a male XY chromosomal complement

-large head, a short trunk, thickened, bowed limbs (especially the femurs and tibia), hip dislocations and abnormalities; a bellshaped chest; and a narrowed trachea (which can lead to respiratory distress).

-Remember the x-ray showed in class
Androgen insensitivity syndrome (also called testicular feminization)

Sexual Differentiation
-defect in the androgen receptor results in failure of response to testosterone

-XY individual develops externally as a female

-sparse pubic hair and absence of axillary hair

-testes are present (in abdomen or inguinal canal) and are sometimes mistaken for a hernia