Abstract
Two sisters phenotypically normal females, presenting with tumor abdominal mass with histopathological findings of teratoma and gonadoblastoma associated to 46,XY male-to-female sex reversal syndrome, secondary to a duplication in DAX-1, possibly inherited of maternal gonadal mosaicism. Copy number variation and functional effects of the duplication were done by MLPA multiplex ligation-dependent probe amplification and real time PCR. DAX-1, also known as dosage sensitive sex reversal gene (DSS), is considered the most likely candidate gene involved in XY gonadal dysgenesis when overexpressed. The excess of DAX-1 gene disturbs testicular development by down regulation of SF-1, WT1, and SOX9. This is the first report of 46,XY sex reversal in two siblings who have a maternally inherited duplication of DAX-1 associated with reduced levels of expression of downstream genes as SOX9-SF1.
| Original language | English |
|---|---|
| Pages (from-to) | 2971-2978 |
| Number of pages | 8 |
| Journal | Molecular Biology Reports |
| Volume | 46 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 2019 |
Keywords
- DAX-1
- DSD
- Disorders of sex development
- Gonadoblastoma
- Sex reversal syndrome
- Simple gonadal dysgenesis
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