Max A, Grabiec A, Sacharczuk M, Sysa P, Jurka P, Krzyżewska A
Department of Small Animal Diseases, Warsaw University of Life Sciences, Warsaw, Poland.
Reprod Domest Anim. 2012 Feb;47(1):e7-e11. doi: 10.1111/j.1439-0531.2011.01834.x. Epub 2011 Jul 18.
Because of an apparent sexual ambiguity (enlarged clitoris), a 1-year-old mongrel dog was presented to the clinic. A positive result on a GnRH stimulation test revealed the existence of functional testicular tissue. A midline laparotomy was performed, and gonads resembling testes were resected along with the adherent parts of the uterine horns. Microscopic examination confirmed that the sampled gonads were testes. Cross-sections of the head and tail of the epididymis revealed their typical structures. All layers of the uterine wall were well-developed. The lumen was stellar, covered by columnar cylindrical epithelium, although locally some epithelial cells had changed in height from columnar to flat. The uterine glands were distributed in functional layer of endometrium in a non-uniform way. Cytogenetic analysis based on the evaluation of metaphase plates of blood lymphocytes showed a female karyotype, 78,XX. PCR amplification of the SRY gene was negative in the studied mongrel dog. This canine disorder may be genetically heterogeneous, potentially with a different mutation in different breeds. An autosomal recessive inheritance for the XX male is suggested in such cases. The present case of sex reversal syndrome concerns a non-purebred dog. In mongrels, it is definitely less likely for the defect to be inherited because of a recessive disorder. According to the recently proposed nomenclature, the described case should be classified as 78,XX testicular DSD syndrome.
由于存在明显的性征模糊(阴蒂增大),一只1岁的杂种犬被送至诊所。促性腺激素释放激素(GnRH)刺激试验结果呈阳性,表明存在功能性睾丸组织。进行了中线剖腹术,切除了类似睾丸的性腺以及子宫角的附着部分。显微镜检查证实所取性腺为睾丸。附睾头和尾的横切面显示出其典型结构。子宫壁各层均发育良好。管腔呈星形,由柱状上皮覆盖,不过局部有些上皮细胞高度从柱状变为扁平状。子宫腺不均匀地分布于子宫内膜功能层。基于血液淋巴细胞中期板评估的细胞遗传学分析显示为雌性核型,78,XX。在所研究的杂种犬中,SRY基因的聚合酶链反应(PCR)扩增结果为阴性。这种犬类疾病可能在遗传上具有异质性,不同品种可能存在不同突变。此类情况下提示XX男性为常染色体隐性遗传。本性别反转综合征病例涉及一只非纯种犬。在杂种犬中,由于隐性疾病,该缺陷遗传的可能性肯定较小。根据最近提出的命名法,所描述的病例应归类为78,XX睾丸性发育障碍(DSD)综合征。