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Genetic significance of skewed X-chromosome inactivation in premature ovarian failure

โœ Scribed by Sato, Kazuyo ;Uehara, Shigeki ;Hashiyada, Masaki ;Nabeshima, Hiroshi ;Sugawara, Jun-ichi ;Terada, Yukihiro ;Yaegashi, Nobuo ;Okamura, Kunihiro


Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
124 KB
Volume
130A
Category
Article
ISSN
0148-7299

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โœฆ Synopsis


Abstract

To determine the relationship between premature ovarian failure (POF) and skewed Xโ€chromosome inactivation (XCI), karyotype, and XCI status in 43 patients with POF (group I) and 43 ageโ€matched control women with regular menstrual cycles (group II) were evaluated. Evaluation of XCI status was based on the CAG triplet repeat polymorphism assay in the androgen receptor gene after sodium bisulfite treatment of DNA samples, and XCI patterns were classified as random (XCIโ€‰<โ€‰70% skewing) or skewed (โ‰ฅ70%). Furthermore, skewed XCI was classified under three different thresholds (โ‰ฅ70, โ‰ฅ80, or โ‰ฅ90%). Karyotyping by Gโ€banding and fluorescence in situ hybridization (FISH) on peripheral blood lymphocytes showed that one patient in group I had a deletion of Xq22, and another was 47,XXX. The frequency of lowโ€level 45,X/46,XX mosaicism was nearly equal in both groups. In women without any Xโ€chromosomal aberrations, the incidence of skewed XCI in group I was significantly higher than in group II on all threshold levels. Furthermore, extremely skewed XCI (โ‰ฅ90%) was observed only in group I. These results indicate that POF may be caused by some underlying genetic disorders, which may induce skewed XCI. ยฉ 2004 Wileyโ€Liss, Inc.


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## Abstract Since only 20% of female fragile X premutation carriers develop premature ovarian failure (POF, i.e., amenorrhea before age of 40 years), and since X chromosome inactivation (XCI) determines the phenotypic severity of full mutation women, we reasoned that the development of POF in fragi