sex determination and sex chromosomes harry ostrer, m.d. human genetics program nyu school of...
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![Page 1: Sex Determination and Sex Chromosomes Harry Ostrer, M.D. Human Genetics Program NYU School of Medicine October 18, 2006](https://reader035.vdocuments.mx/reader035/viewer/2022062804/56649d3e5503460f94a16f82/html5/thumbnails/1.jpg)
Sex Determination and Sex Chromosomes
Harry Ostrer, M.D.Human Genetics ProgramNYU School of MedicineOctober 18, 2006
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What causes sex differences?
What are sex chromosomes doing?
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Development of the Embryonic Gonad
Hindgut
Cloaca
Genital ridge
Metanephric duct
Mesonephros
Yolk sac
It starts with germ cell migration at 4 weeks
Retinoic acid in germ cell environment influences differentiation
Sertoli cell – gonocytes(Mitotic arrest)
Elsewhere – oogonia(Entry into meiosis)
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Spermatozoan
Round spermatid
Spematocyte
Spermatogonia
Peritubularmyoid cells
Vascular endothelial cell
Leydig cells
Sertoli cell
Organization of the Seminiferous Tubule and Ovarian Follicle
Follicular cells
1o Oocyte
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MüllerianDucts
WolffianDucts
MüllerianDucts
Mesonephros
Vas deferens
Uterus
Testis
WolffianDucts
+ SRY
+ MIFGonad
Wolffian duct
Urogenital sinus
Ureter
Metanephros
Seminal vesicle
Mullerian duct
Mullerian tubercle
Upper third of vagina
Epididymis
Ovary
Fallopian tube
+ testosterone
Development of male and female internal genitalia
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Common Genital Analgen
tubercle
folds
swellings
tubercle
tubercle
folds
swellings
folds
swellings
Development of Male and FemaleExternal Genitalia
+ dihydrotestosterone
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Expression Of SRY in the Developing Male Embryo
7 wks
9 wks
10 wks
12 wks
alk phos antisense sense
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Aberrant Sex Chromosome Transmission
46,XY
46,XY
47,XYY
47,XXY
69,XXY
48,XXYY
48,XXXY
49,XXXXY
Usual observation
45,X
45,X
46,XX
46,XX
47,XXX
48,XXXX
49,XXXXX
Exceptions
with gonadal dysgenesis
triploidy with gonadal dysgenesis
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Recombinational Models for Individuals with Genetic Sex Reversal
46,XX male 46,XY female
Non-homologous Recombination
SRY SRY
Y YX X
Y
SRY
Y
Unequal Recombination
X X
SRY
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Genes Involved in Male Sex Determination
WT1
Denys-Drash syndromeFrasier syndromedel(9p)
dup(X)(p21)
campomelicdysplasia
del(10q)
46,XYgonadaldysgenesis
SRY
SOX9
SF1 adrenalfailure
del(2q)
XH2alpha-thalassemiaretardation syndrome
dupWNT4A
DHH
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Hawkins, 1992 Jager, 1992
Vilain, 1992SRY I90M binding
SRY F109S - nl binding
SRY V60L binding
Schmitt - Ney, 1995
a b
SRY P125L binding SRY I90M binding
Bilbao, 1996
Hines, 1997
Barbosa, 1995
SRY 97C-T truncated proteindelSRY
SRY 609T-G missense
mosaic
mosaic
mosaic
mosaic
Known Mechanisms of Familial 46,XY Pure Gonadal Dysgenesis
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Genetic Sex Reversal46,XX True Hermaphrodite
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SRY Immunocytochemistry in Familial True Hermaphroditism
82-3951 - newborn TH 85-941 - newborn TH 97-4155 - 14 year TH
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Hypothesis: SRY-Bearing Cell Line is Responsible for Testis Development
46,XX 46,XY
47,XXY47,XXY
Chimerism: product of twozygotes
Mosaicism: non-disjunction withpost-zygotic loss
46,XX 46,XXSRY SRYY-to-X translocation with random
X chromosome inactivation
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Organization of Human Sex Chromosomes
Y
X
pseudoautosomalregions
(short arms)
sex-limitedregions
pseudoautosomal regions
(long arms)
Many genes escape inactivation
Xce – X chromosome inactivation center
Length: 153,692,391 bpGene Count: 1228
Length: 50,286,555 bpGene Count: 160
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Why is One X Chromosome Inactivated?
CausesXist (X-inactive specific transcript) expressed from and binds to inactive X chromosome
Methylation of specific cytidine residues
Late replication
EffectsDosage compensation between the sexes
mCpG
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X-Linked Inheritance
Unaffected parent Carrier parent
possible germ cells(egg or sperm)
possible gametes
offspring statusCarrierdaughter
YX XX
Normaldaughter
25% 25%25%25%
Normalson
Affectedson
Examples:Color blindnessHemophiliaDuchenne muscular dystrophyHypophosphatemic rickets
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Girl with Duchenne Muscular Dystrophy
Delays in sitting and standing Waddling gait Difficulty climbing Rapidly progressive Wheelchair bound by 12 yearsCardiomyopathy after age 18 Survival up to third decade
DMD dystrophin stainingDystrophin staining
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Factors Influencing Expression of X-Linked Phenotypes in Females
45,X chromosomalconstitution
Homozygosity for mutant allele
Skewed X chromosome inactivation
Selection againstcells expressing wild-type gene
M
M MM M
MWT MWT
MWT WT M
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Aberrant Sex Chromosome Transmission
46,XY
46,XY
47,XYY
47,XXY
69,XXY
48,XXYY
48,XXXY
49,XXXXY
Usual observation
45,X
45,X
46,XX
46,XX
47,XXX
48,XXXX
49,XXXXX
Exceptions
with gonadal dysgenesis
triploidy with gonadal dysgenesis
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Turner syndrome
Most commonly 45,XShort statureWebbed neckShield chestGonadal dysgenesisCoarctation of the aortaKidney malformationHypothyroidismSensorineural hearing loss
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Important Structural Abnormalities of the X Chromosome
Isodicentric Xq chromosome --> Turner syndrome
ring(X) with deletion Xce --> mental retardationand other phenotypic features*
dup(X)(p21) --> overexpression of DSS and gonadal dysgenesis in 46,XY individuals*
*no X chromosome inactivation
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Aberrant Sex Chromosome Transmission
46,XY
46,XY
47,XYY
47,XXY
69,XXY
48,XXYY
48,XXXY
49,XXXXY
Usual observation
45,X
45,X
46,XX
46,XX
47,XXX
48,XXXX
49,XXXXX
Exceptions
with gonadal dysgenesis
triploidy with gonadal dysgenesis
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Klinefelter syndrome
Most commonly 47,XXY with random X inactivation
Hypogonadism (small testes, azoospermia/oligospermia)
Hyalinization of seminiferous tubules
Gynecomastia at late puberty
Psychosocial problems
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Triploidy syndrome
69,XXY or 69,XXX
Dysmorphic
Prematurity
Partial mole of the placenta
Gonadal dysgnesis, if XXY
Die in the early neonatal period
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Y Chromosome
p11.3
p11.2
p11.1
q11.1
q11.21
q11.22
q11.23
q12 Map of the Human Y Chromosome
0 kb pseudoautosomal boundary
SRY
10
20
30
sex-limited region
XG
pseudoautosomal region
Boundary of XX males
Genes Genetic Functions
RBM2
SMCYRBMRBM1, RBM2DAZSPGYRBM
GCY2
TS
GBYTS
GCY1AZFa
AZFb
AZFc
CSF2RAIL3RAANT3ASMTXE7MIC2RMIC2XG
SRYZFYRPS4YRBM1TSPY (major)AMELYTSPY (minor)
XGPYRBMKALRBM1RBM2STSp
Disorders SRY gonadal dysgenesis DAZ azospermia
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Sex Chromosome Expression in Germ Cells
SpermX and Y inactive during meiosisSome genes reactivated following meiosis
OocytesX chromosome reactivation during oogenesisDeletion of specific regions --> gonadaldysgenesis
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Sex Determination and Sex ChromosomesConclusions
Sex chromosomes play an important role in sex determination
Gene dosage is important with both overexpression and underexpression leading to abnormalities
Both sex chromosomes may be subject to inactivation during the course of their life cycle X Y