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一例 46,XY 卵睾性性发育障碍中基因簇的单倍体不足。

Haploinsufficiency of the Gene Cluster in a Case with 46,XY Ovotesticular Disorder of Sexual Development.

机构信息

Clinic of Medical Genetics, Aydın State Hospital, Aydın, Turkey

Clinic of Medical Genetics, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey

出版信息

Balkan Med J. 2018 May 29;35(3):272-274. doi: 10.4274/balkanmedj.2017.0378. Epub 2017 Dec 8.

DOI:10.4274/balkanmedj.2017.0378
PMID:29219112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5981126/
Abstract

BACKGROUND

Ovotesticular disorder is characterized by the presence of testicular and ovarian tissues in the same individual. Single gene mutations in and can lead to ovotesticular disorder of sexual development.

CASE REPORT

Herein, we report a 3-month-old phenotypically female baby in whom differentiated tissues of both Müllerian and Wolffian ducts were detected on pathological analysis of laparoscopic biopsy material. Chromosomal analysis observed 46,XY, der(9)t(3;9)(p25;p24) with deletion of 9p24.3p23 including the gene cluster and duplication of 3p26.3p24.3 on array comparative genomic hybridisation.

CONCLUSION

In support of previous literature, we found that haploinsufficiency of the gene cluster leads to ovotesticular disorder of sexual development. In addition, we emphasize that array comparative genomic hybridisation is an important technique in the molecular diagnosis of ovotesticular disorder of sexual.

摘要

背景

卵睾性发育障碍的特征是同一个体同时存在睾丸和卵巢组织。 和 中的单个基因突变可导致卵睾性性发育障碍。

病例报告

本研究报告了一例 3 个月大的表型女性婴儿,腹腔镜活检组织的病理分析显示存在米勒管和沃夫管的分化组织。染色体分析观察到 46,XY,der(9)t(3;9)(p25;p24),9p24.3p23 缺失包括 基因簇,3p26.3p24.3 重复。在比较基因组杂交的阵列上。

结论

支持以往的文献,我们发现 基因簇的单倍功能不足导致卵睾性性发育障碍。此外,我们强调阵列比较基因组杂交是卵睾性性发育障碍分子诊断的重要技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dbb/5981126/c26f649e3ce2/BMJ-35-272-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dbb/5981126/c26f649e3ce2/BMJ-35-272-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dbb/5981126/c26f649e3ce2/BMJ-35-272-g1.jpg

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本文引用的文献

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Partial deletion of DMRT1 causes 46,XY ovotesticular disorder of sexual development.DMRT1 部分缺失导致 46,XY 卵睾性生殖器发育障碍。
Eur J Endocrinol. 2012 Jul;167(1):119-24. doi: 10.1530/EJE-12-0136. Epub 2012 May 9.
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Excess DAX1 leads to XY ovotesticular disorder of sex development (DSD) in mice by inhibiting steroidogenic factor-1 (SF1) activation of the testis enhancer of SRY-box-9 (Sox9).过量的 DAX1 通过抑制性类固醇生成因子-1(SF1)对 SRY-框 9(Sox9)睾丸增强子的激活,导致小鼠的 XY 性器官发育障碍(DSD)。
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Long-term outcome of ovotesticular disorder of sex development: a single center experience.
卵睾性器官发育障碍的长期预后:单中心经验。
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Dmrt1, a gene related to worm and fly sexual regulators, is required for mammalian testis differentiation.Dmrt1是一种与蠕虫和果蝇性别调节因子相关的基因,是哺乳动物睾丸分化所必需的。
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