 ISSN 1392-0146
ISSN 2029-0578 (online)
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2007 m. Nr. 3
 Sex reversal mutation analysis in a family with pure gonadal
dysgenesis of the XY female type (Swyer syndrome)
Walter JUST, Algimantas SINKUS, Annete BAUMSTARK, Rotraud KUHN, Daniel ORTMANN, Irena ANDRIUŠKEVIČIŪTĖ, Lina JURKĖNIENĖ, Loreta ŠALOMSKIENĖ
Gonadal dysgenesis with XY male-to-female sex reversal has been attributed to mutations and gene dosage differences in at least seven genes. We present a family of three sisters with a pure gonadal dysgenesis (Swyer syndrome) with an 46, XY karyotype. The sisters have a common X-chromosomal haplotype in Xp21.3-p11.3, the region of the X-chromosomal Swyer sindrome which includes NR0B1. We excluded mutations in SRY and flanking sequences, in NR0B1and its promoter, in DMRT1, WT1, SOX9, and NR5A1. Also the X-chromosomal ATRX region and the SOX3 gene were excluded by segregation analysis with polymorphic markers. We excluded a duplication of NR0B1 and a deletion of DMRT1 by gene copy dosage measurement. Since the pedigree suggests an X-chromosomal mode of inheritance, we suggest that there is either another yet unknown gene in the common interval on Xp which may cause Swyer syndrome or, more likely, that a gene in this interval is aberrantly regulated during gonad differentiation. Our data do not formally exclude another autosomal gene.
Keywords: sex determination, Swyer syndrome, gonadal dysgenesis, sex reversal
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