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性染色体异常的流行病学。

The epidemiology of sex chromosome abnormalities.

机构信息

Department of Clinical Genetics, Aarhus University Hospital, Aarhus, Denmark.

Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.

出版信息

Am J Med Genet C Semin Med Genet. 2020 Jun;184(2):202-215. doi: 10.1002/ajmg.c.31805. Epub 2020 Jun 7.

DOI:10.1002/ajmg.c.31805
PMID:32506765
Abstract

Sex chromosome abnormalities (SCAs) are characterized by gain or loss of entire sex chromosomes or parts of sex chromosomes with the best-known syndromes being Turner syndrome, Klinefelter syndrome, 47,XXX syndrome, and 47,XYY syndrome. Since these syndromes were first described more than 60 years ago, several papers have reported on diseases and health related problems, neurocognitive deficits, and social challenges among affected persons. However, the generally increased comorbidity burden with specific comorbidity patterns within and across syndromes as well as early death of affected persons was not recognized until the last couple of decades, where population-based epidemiological studies were undertaken. Moreover, these epidemiological studies provided knowledge of an association between SCAs and a negatively reduced socioeconomic status in terms of education, income, retirement, cohabitation with a partner and parenthood. This review is on the aspects of epidemiology in Turner, Klinefelter, 47,XXX and 47,XYY syndrome.

摘要

性染色体异常(SCAs)的特征是整条性染色体或性染色体部分的获得或缺失,最著名的综合征有特纳综合征、克氏综合征、XXX 三体综合征和 XYY 三体综合征。自这些综合征首次被描述以来已经超过 60 年,有几篇论文报道了患病者的疾病和健康相关问题、神经认知缺陷和社会挑战。然而,直到过去几十年,随着对综合征内和综合征间特定合并症模式以及患病者的早逝的进一步研究,人们才认识到普遍增加的合并症负担。此外,这些流行病学研究还提供了有关 SCAs 与教育、收入、退休、与伴侣同居和生育等方面的社会经济地位负相关的知识。本综述主要关注特纳综合征、克氏综合征、XXX 三体综合征和 XYY 三体综合征的流行病学方面。

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1
The epidemiology of sex chromosome abnormalities.性染色体异常的流行病学。
Am J Med Genet C Semin Med Genet. 2020 Jun;184(2):202-215. doi: 10.1002/ajmg.c.31805. Epub 2020 Jun 7.
2
Only a minority of sex chromosome abnormalities are detected by a national prenatal screening program for Down syndrome.仅有少数性染色体异常可通过国家唐氏综合征产前筛查计划检测到。
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Changes in the cohort composition of turner syndrome and severe non-diagnosis of Klinefelter, 47,XXX and 47,XYY syndrome: a nationwide cohort study.特纳综合征队列构成的变化及克氏综合征、47,XXX 和 47,XYY 综合征的严重漏诊:一项全国性队列研究。
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引用本文的文献

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Performance and clinical implications of non-invasive prenatal testing for rare chromosomal abnormalities: a retrospective study of 94,125 cases.罕见染色体异常无创产前检测的性能及临床意义:94125例回顾性研究
Front Mol Biosci. 2025 Aug 20;12:1645223. doi: 10.3389/fmolb.2025.1645223. eCollection 2025.
2
Global burden and health inequalities of sex chromosomal DSDs (1990-2021): a GBD 2021 analysis.性染色体发育异常(1990 - 2021年)的全球负担与健康不平等:全球疾病负担研究2021分析
Int Urol Nephrol. 2025 Jul 23. doi: 10.1007/s11255-025-04677-x.
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Incidental finding of maternal sex chromosome aneuploidy from DMD carrier screening and single-nucleotide polymorphism (SNP)-based prenatal cell-free DNA screening.
在杜氏肌营养不良症(DMD)携带者筛查和基于单核苷酸多态性(SNP)的产前游离DNA筛查中偶然发现母体性染色体非整倍体。
J Genet Couns. 2025 Jun;34(3):e70050. doi: 10.1002/jgc4.70050.
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Karyotyping with amniotic fluid in 6,572 pregnant women and pregnancy outcomes--A single-center retrospective study.6572例孕妇羊水染色体核型分析与妊娠结局——一项单中心回顾性研究
PLoS One. 2025 May 20;20(5):e0324744. doi: 10.1371/journal.pone.0324744. eCollection 2025.
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X and Y gene dosage effects are primary contributors to human sexual dimorphism: The case of height.X和Y基因剂量效应是人类性别二态性的主要影响因素:以身高为例。
Proc Natl Acad Sci U S A. 2025 Jun 3;122(22):e2503039122. doi: 10.1073/pnas.2503039122. Epub 2025 May 19.
6
Epidemiological analysis of turner syndrome in children aged 0-14 years: global, regional, and national perspectives (1990-2021).0-14岁儿童特纳综合征的流行病学分析:全球、区域和国家视角(1990-2021年)
Front Endocrinol (Lausanne). 2025 Apr 30;16:1552300. doi: 10.3389/fendo.2025.1552300. eCollection 2025.
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Might Thyroid Function in Patients with Turner Syndrome Have a Significant Impact on Their Muscle Strength?特纳综合征患者的甲状腺功能会对其肌肉力量产生重大影响吗?
Int J Mol Sci. 2025 Apr 13;26(8):3679. doi: 10.3390/ijms26083679.
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Elevated Liver Enzymes in Turner Syndrome: The Role of Low-grade Inflammation and Hormonal Imbalances.特纳综合征中的肝酶升高:低度炎症和激素失衡的作用
J Endocr Soc. 2025 Apr 7;9(6):bvaf059. doi: 10.1210/jendso/bvaf059. eCollection 2025 Jun.
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