Determination of Sex and Disorders of Sex Chromosomes Flashcards

1
Q

Why is sexual reproduction advantageous?

A

speeds evolution and contributes to increased survival among species by increasing genetic variability

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2
Q

what is X chromosomal inactivation?

A

one X chromosome in females is inactivated randomly. only one X chromosome is active in all people males and females

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3
Q

what does X inactivation in females cause?

A

females are mosaic for which X is expressed (maternal or paternal)

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4
Q

what determines which X chromosome will be inactivated?

A

expression of the XIST gene on chromosome that will be inactivated

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5
Q

where is the XIST gene located?

A

on chromosome that will be inactivated, not present on active chromosome

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6
Q

what does the XIST gene produce?

A

non-coding RNA product that binds to inactive X chromosome

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7
Q

what is a Barr body?

A

inactive X chromosome

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8
Q

what does expression of XIST allow for?

A

allows for DNA methylation and histone modification to deactivate chromosome

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9
Q

when does X inactivation occur?

A

1st week of embryogenesis

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10
Q

how many genes on the X chromosome escape inactivation?

A

10-15%

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11
Q

where are the genes located on the X chromosome that escape inactivation?

A

the p arm

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12
Q

why are the genes that “escape” inactivation important?

A

because they could have greater clinical significance than those on Xq

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13
Q

what is nonrandom X inactivation?

A

if there is structural abnormality in X chromosome, that chromosome will be selected for inactivation

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14
Q

what happens to an X chromosome that has a balanced translocation with an autosome?

A

it will remain activated even though structural abnormality because doesn’t want to inactivate the autosome

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15
Q

what are the 3 steps of sex differentiation?

A
  1. genetic sex determination
  2. gonad formation
  3. internal and external reproductive organs
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16
Q

how is the genetic sex determined?

A

XX female
XY male
absence of some genes from Y chromosome initiates female phenotype

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17
Q

what gene is responsible for inducing development of the testes?

A

SRY gene (sex-determining region on Y)

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18
Q

what happens if the SRY gene is absent or not expressed?

A

female gonads form

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19
Q

where is the WT gene located and what does it do?

A

chromosome 11

directs differentiation of the mesonephros and genital ridge

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20
Q

where is the SOX9 gene located and what does it do?

A

chromosome 17

codes for transcription factors that induce differentiation of Sertoli and Leydig cells

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21
Q

what other genes does SOX9 work with?

A

SF1 and SRY

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22
Q

where is steroidogenic factor 1 (SF1) located and what does it do?

A

chromosome 9

induces differentiation of sertoli and leydig cells

23
Q

what does SRY do to SF1?

A

upregulates expression

24
Q

what X chromosome gene induces ovarian development?

25
what disorder does duplication of DAX1 lead to?
Dosage sensitive sex reversal (DSS)
26
what regulates the formation of internal and external genitalia?
testosterone and Mullerian inhibiting substance (MIS)
27
what 2 structures do both males and females have internally initially?
mesonephric and paramesonephric ducts
28
what do the testes do during internal genitalia development?
produce mullerian inhibiting substance (MIS) which causes regression of paramesonephric ducts. Testosterone then stimulates development of mesonephric duct into epididymis and ductus deferens
29
What occurs in the absence of MIS and testosterone?
mesonephric duct degenerates, paramesonephric duct becomes fallopian tubes, uterus, and upper vagina
30
What is the determining factor of the external genitalia formation?
the presence of testosterone + testosterone = penis and scrotum - testosterone = external features of vagina
31
what does the genital tubercle differentiate into?
male: glans and shaft of penis female: glans and shaft of clitoris
32
what does the definitive urogenital differentiate into?
male: penile urethra female: vestibule
33
what does the urethral fold differentiate into?
male: penis female: labia minora
34
what does the labioscrotal fold differentiate into?
male: scrotum female: labia majora
35
what disease is caused by this karyotype? 45X
Turner Syndrome | 1 in 2000-5000
36
what are the clinical characteristics of turner syndrome?
- develop of females - gonadal dysgenesis - short stature - coarctation of aorta
37
what disease is caused by this karyotype? 47 XXY
Klinefelter syndrome | 1 in 1000
38
what are the clinical characteristics of Klinefelter syndrome?
- develop as males - gonadal dysgenesis - tall stature - impulsive behavior
39
what disease is caused by this karyotype? 47 XYY
47 XYY syndrome | 1 in 900-1000
40
what are the clinical characteristics of 47 XYY syndrome?
exceptionally tall, otherwise normal males
41
what is the karyotype of intersex (true hermaphrodite)?
XX, XY mosaicism most common
42
what is are the clinical characteristics of intersex?
ovarian and testicular tissues
43
what is the karyotype of sex reversal disorder?
XX males or XY females
44
what are the clinical characteristics of sex reversal disorder?
gonadal sex is opposite of genetic sex
45
what is the karyotype for intersex (pseudohermaphroditism)?
XY males and XX females (normal karyotype)
46
what are the clinical characteristics of intersex psuedohermaphroditism?
genital sex at odds with genetic sex
47
what is testicular feminization?
there is androgen insensitivity
48
what is congenital adrenal hyperplasia?
excessive androgen production, autosomal recessive condition affecting 1 in 25000
49
what is salpha deficiency?
autosomal recessive, failure to convert testosterone to dihydrotestosterone
50
what does dihydrotestosterone do?
necessary for activation in development of external genitalia
51
what is leydig cell hypoplasia?
autosomal recessive, lack of testosterone production from defect in lutenizing hormone receptor
52
what is Smith-Lemli-Opitz syndrome?
autosomal recessive, defect in cholesterol synthesis leading to decreased testosterone synthesis
53
what is Kallman syndrome?
autosomal recessive or X-linked, gonadotropin deficiency leading to hypogenitalism in males