Kirchman T T, Levy M L, Lewis R A, Kanzler M H, Nelson D L, Scheuerle A E
Department of Dermatology, Stanford University Medical Center, California 94304, USA.
J Med Genet. 1995 Nov;32(11):887-90. doi: 10.1136/jmg.32.11.887.
Incontinentia pigmenti (IP) is a genodermatosis that segregates as an X linked dominant trait with male lethality. The disease has been linked to Xq28 in a number of studies. A few affected males have been documented, most of whom have a 47,XXY karyotype. We report a family with two paternally related half sisters, each affected with IP. The father is healthy, clinically normal, and has a 46,XY normal male karyotype. Linkage analysis of 12 polymorphic markers (two X linked and 10 autosomal) confirms paternity. X inactivation studies with the human androgen receptor (HUMARA) indicate that the paternal X chromosome is inactivated preferentially in each girl, implying that this chromosome carries the IP mutation, and that the father is a gonadal mosaic for the IP mutation.
色素失禁症(IP)是一种遗传性皮肤病,呈X连锁显性遗传,男性致死。多项研究已将该病与Xq28相关联。有少数患病男性的病例记录,其中大多数核型为47,XXY。我们报告了一个家族,有两个同父异母的姐妹均患色素失禁症。父亲健康,临床检查正常,核型为46,XY正常男性核型。对12个多态性标记(2个X连锁和10个常染色体)进行连锁分析证实了亲子关系。用人雄激素受体(HUMARA)进行的X染色体失活研究表明,每个女孩中父源X染色体优先失活,这意味着该染色体携带色素失禁症突变,且父亲是色素失禁症突变的性腺嵌合体。