Abstract
Turner syndrome is the complex human phenotype associated with complete or partial monosomy X. Principle features of Turner syndrome include short stature, ovarian failure, and a variety of other anatomic and physiological abnormalities, such as webbed neck, lymphedema, cardiovascular and renal anomalies, hypertension, and autoimmune thyroid disease. We studied 28 apparently nonmosaic subjects with partial deletions of Xp, in order to map loci responsible for various components of the Turner syndrome phenotype. Subjects were carefully evaluated for the presence or absence of Turner syndrome features, and their deletions were mapped by FISH with a panel of Xp markers. Using a statistical method to examine genotype/phenotype correlations, we mapped one or more Turner syndrome traits to a critical region in Xp11.2-p22.1. These traits included short stature, ovarian failure, high-arched palate, and autoimmune thyroid disease. The results are useful for genetic counseling of individuals with partial monosomy X. Study of additional subjects should refine the localization of Turner syndrome loci and provide a rational basis for exploration of candidate genes.
Full Text
The Full Text of this article is available as a PDF (262.1 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allen R. C., Zoghbi H. Y., Moseley A. B., Rosenblatt H. M., Belmont J. W. Methylation of HpaII and HhaI sites near the polymorphic CAG repeat in the human androgen-receptor gene correlates with X chromosome inactivation. Am J Hum Genet. 1992 Dec;51(6):1229–1239. [PMC free article] [PubMed] [Google Scholar]
- Ballabio A., Bardoni B., Carrozzo R., Andria G., Bick D., Campbell L., Hamel B., Ferguson-Smith M. A., Gimelli G., Fraccaro M. Contiguous gene syndromes due to deletions in the distal short arm of the human X chromosome. Proc Natl Acad Sci U S A. 1989 Dec;86(24):10001–10005. doi: 10.1073/pnas.86.24.10001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Belmont J. W. Genetic control of X inactivation and processes leading to X-inactivation skewing. Am J Hum Genet. 1996 Jun;58(6):1101–1108. [PMC free article] [PubMed] [Google Scholar]
- Brook C. G., Gasser T., Werder E. A., Prader A., Vanderschueren-Lodewykx M. A. Height correlations between parents and mature offspring in normal subjects and in subjects with Turner's and Klinefelter's and other syndromes. Ann Hum Biol. 1977 Jan;4(1):17–22. doi: 10.1080/03014467700001911. [DOI] [PubMed] [Google Scholar]
- Burgoyne P. S., Baker T. G. Perinatal oocyte loss in XO mice and its implications for the aetiology of gonadal dysgenesis in XO women. J Reprod Fertil. 1985 Nov;75(2):633–645. doi: 10.1530/jrf.0.0750633. [DOI] [PubMed] [Google Scholar]
- Epstein C. J., Korenberg J. R., Annerén G., Antonarakis S. E., Aymé S., Courchesne E., Epstein L. B., Fowler A., Groner Y., Huret J. L. Protocols to establish genotype-phenotype correlations in Down syndrome. Am J Hum Genet. 1991 Jul;49(1):207–235. [PMC free article] [PubMed] [Google Scholar]
- FERGUSON-SMITH M. A. KARYOTYPE-PHENOTYPE CORRELATIONS IN GONADAL DYSGENESIS AND THEIR BEARING ON THE PATHOGENESIS OF MALFORMATIONS. J Med Genet. 1965 Jun;2(2):142–155. doi: 10.1136/jmg.2.2.142. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fraccaro M., Maraschio P., Pasquali F., Scappaticci S. Women heterozygous for deficiency of the (p21 leads to pter) region of the X chromosome are fertile. Hum Genet. 1977 Dec 23;39(3):283–292. doi: 10.1007/BF00295421. [DOI] [PubMed] [Google Scholar]
- Fryns J. P., Petit P., Van den Berghe H. The various phenotypes in Xp deletion. observations in eleven patients. Hum Genet. 1981;57(4):385–387. doi: 10.1007/BF00281690. [DOI] [PubMed] [Google Scholar]
- Goldman B., Polani P. E., Daker M. G., Angell R. R. Clinical and cytogenetic aspects of X-chromosome deletions. Clin Genet. 1982 Jan;21(1):36–52. doi: 10.1111/j.1399-0004.1982.tb02077.x. [DOI] [PubMed] [Google Scholar]
- Hamill P. V., Drizd T. A., Johnson C. L., Reed R. B., Roche A. F., Moore W. M. Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr. 1979 Mar;32(3):607–629. doi: 10.1093/ajcn/32.3.607. [DOI] [PubMed] [Google Scholar]
- Jacobs P. A., Betts P. R., Cockwell A. E., Crolla J. A., Mackenzie M. J., Robinson D. O., Youings S. A. A cytogenetic and molecular reappraisal of a series of patients with Turner's syndrome. Ann Hum Genet. 1990 Jul;54(Pt 3):209–223. doi: 10.1111/j.1469-1809.1990.tb00379.x. [DOI] [PubMed] [Google Scholar]
- Kalousek D., Schiffrin A., Berguer A. M., Spier P., Guyda H., Colle E. Partial short arm deletions of the X chromosome and spontaneous pubertal development in girls with short stature. J Pediatr. 1979 Jun;94(6):891–894. doi: 10.1016/s0022-3476(79)80208-5. [DOI] [PubMed] [Google Scholar]
- Korenberg J. R., Chen X. N., Schipper R., Sun Z., Gonsky R., Gerwehr S., Carpenter N., Daumer C., Dignan P., Disteche C. Down syndrome phenotypes: the consequences of chromosomal imbalance. Proc Natl Acad Sci U S A. 1994 May 24;91(11):4997–5001. doi: 10.1073/pnas.91.11.4997. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Krauss C. M., Turksoy R. N., Atkins L., McLaughlin C., Brown L. G., Page D. C. Familial premature ovarian failure due to an interstitial deletion of the long arm of the X chromosome. N Engl J Med. 1987 Jul 16;317(3):125–131. doi: 10.1056/NEJM198707163170301. [DOI] [PubMed] [Google Scholar]
- LYON M. F. Gene action in the X-chromosome of the mouse (Mus musculus L.). Nature. 1961 Apr 22;190:372–373. doi: 10.1038/190372a0. [DOI] [PubMed] [Google Scholar]
- Lahn B. T., Page D. C. Functional coherence of the human Y chromosome. Science. 1997 Oct 24;278(5338):675–680. doi: 10.1126/science.278.5338.675. [DOI] [PubMed] [Google Scholar]
- Lander E. S., Schork N. J. Genetic dissection of complex traits. Science. 1994 Sep 30;265(5181):2037–2048. doi: 10.1126/science.8091226. [DOI] [PubMed] [Google Scholar]
- Lippe B. Turner syndrome. Endocrinol Metab Clin North Am. 1991 Mar;20(1):121–152. [PubMed] [Google Scholar]
- Luoh S. W., Bain P. A., Polakiewicz R. D., Goodheart M. L., Gardner H., Jaenisch R., Page D. C. Zfx mutation results in small animal size and reduced germ cell number in male and female mice. Development. 1997 Jun;124(11):2275–2284. doi: 10.1242/dev.124.11.2275. [DOI] [PubMed] [Google Scholar]
- Massa G., Vanderschueren-Lodeweyckx M., Fryns J. P. Deletion of the short arm of the X chromosome: a hereditary form of Turner syndrome. Eur J Pediatr. 1992 Dec;151(12):893–894. doi: 10.1007/BF01954124. [DOI] [PubMed] [Google Scholar]
- Mathur A., Stekol L., Schatz D., MacLaren N. K., Scott M. L., Lippe B. The parental origin of the single X chromosome in Turner syndrome: lack of correlation with parental age or clinical phenotype. Am J Hum Genet. 1991 Apr;48(4):682–686. [PMC free article] [PubMed] [Google Scholar]
- Migeon B. R. Non-random X chromosome inactivation in mammalian cells. Cytogenet Cell Genet. 1998;80(1-4):142–148. doi: 10.1159/000014971. [DOI] [PubMed] [Google Scholar]
- Miyabara S., Nakayama M., Suzumori K., Yonemitsu N., Sugihara H. Developmental analysis of cardiovascular system of 45,X fetuses with cystic hygroma. Am J Med Genet. 1997 Jan 20;68(2):135–141. doi: 10.1002/(sici)1096-8628(19970120)68:2<135::aid-ajmg3>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
- Miyabara S., Sugihara H., Maehara N., Shouno H., Tasaki H., Yoshida K., Saito N., Kayama F., Ibara S., Suzumori K. Significance of cardiovascular malformations in cystic hygroma: a new interpretation of the pathogenesis. Am J Med Genet. 1989 Dec;34(4):489–501. doi: 10.1002/ajmg.1320340408. [DOI] [PubMed] [Google Scholar]
- Ogata T., Goodfellow P., Petit C., Aya M., Matsuo N. Short stature in a girl with a terminal Xp deletion distal to DXYS15: localisation of a growth gene(s) in the pseudoautosomal region. J Med Genet. 1992 Jul;29(7):455–459. [PMC free article] [PubMed] [Google Scholar]
- Ogata T., Matsuo N. Turner syndrome and female sex chromosome aberrations: deduction of the principal factors involved in the development of clinical features. Hum Genet. 1995 Jun;95(6):607–629. doi: 10.1007/BF00209476. [DOI] [PubMed] [Google Scholar]
- Ogata T., Petit C., Rappold G., Matsuo N., Matsumoto T., Goodfellow P. Chromosomal localisation of a pseudoautosomal growth gene(s). J Med Genet. 1992 Sep;29(9):624–628. doi: 10.1136/jmg.29.9.624. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Page D. C., Mosher R., Simpson E. M., Fisher E. M., Mardon G., Pollack J., McGillivray B., de la Chapelle A., Brown L. G. The sex-determining region of the human Y chromosome encodes a finger protein. Cell. 1987 Dec 24;51(6):1091–1104. doi: 10.1016/0092-8674(87)90595-2. [DOI] [PubMed] [Google Scholar]
- Rao E., Weiss B., Fukami M., Rump A., Niesler B., Mertz A., Muroya K., Binder G., Kirsch S., Winkelmann M. Pseudoautosomal deletions encompassing a novel homeobox gene cause growth failure in idiopathic short stature and Turner syndrome. Nat Genet. 1997 May;16(1):54–63. doi: 10.1038/ng0597-54. [DOI] [PubMed] [Google Scholar]
- Rappold G. A. The pseudoautosomal regions of the human sex chromosomes. Hum Genet. 1993 Oct;92(4):315–324. doi: 10.1007/BF01247327. [DOI] [PubMed] [Google Scholar]
- Schaefer L., Ferrero G. B., Grillo A., Bassi M. T., Roth E. J., Wapenaar M. C., van Ommen G. J., Mohandas T. K., Rocchi M., Zoghbi H. Y. A high resolution deletion map of human chromosome Xp22. Nat Genet. 1993 Jul;4(3):272–279. doi: 10.1038/ng0793-272. [DOI] [PubMed] [Google Scholar]
- Skuse D. H., James R. S., Bishop D. V., Coppin B., Dalton P., Aamodt-Leeper G., Bacarese-Hamilton M., Creswell C., McGurk R., Jacobs P. A. Evidence from Turner's syndrome of an imprinted X-linked locus affecting cognitive function. Nature. 1997 Jun 12;387(6634):705–708. doi: 10.1038/42706. [DOI] [PubMed] [Google Scholar]
- Speed R. M. Oocyte development in XO foetuses of man and mouse: the possible role of heterologous X-chromosome pairing in germ cell survival. Chromosoma. 1986;94(2):115–124. doi: 10.1007/BF00286989. [DOI] [PubMed] [Google Scholar]
- Tanner J. M., Goldstein H., Whitehouse R. H. Standards for children's height at ages 2-9 years allowing for heights of parents. Arch Dis Child. 1970 Dec;45(244):755–762. doi: 10.1136/adc.45.244.755. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Temtamy S. A., Ghali I., Salam M. A., Hussein F. H., Ezz E. H., Salah N. Karyotype/phenotype correlation in females with short stature. Clin Genet. 1992 Mar;41(3):147–151. doi: 10.1111/j.1399-0004.1992.tb03652.x. [DOI] [PubMed] [Google Scholar]
- Wolff D. J., Miller A. P., Van Dyke D. L., Schwartz S., Willard H. F. Molecular definition of breakpoints associated with human Xq isochromosomes: implications for mechanisms of formation. Am J Hum Genet. 1996 Jan;58(1):154–160. [PMC free article] [PubMed] [Google Scholar]
- Zehetner G., Lehrach H. The Reference Library System--sharing biological material and experimental data. Nature. 1994 Feb 3;367(6462):489–491. doi: 10.1038/367489a0. [DOI] [PubMed] [Google Scholar]
- Zinn A. R., Page D. C., Fisher E. M. Turner syndrome: the case of the missing sex chromosome. Trends Genet. 1993 Mar;9(3):90–93. doi: 10.1016/0168-9525(93)90230-f. [DOI] [PubMed] [Google Scholar]