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Female-to-male sex reversal associated with unique Xp21.2 deletion disrupting genomic regulatory architecture of the dosage-sensitive sex reversal region

8 May, 17 | by hqqu

During the early stages of embryo growth, the SRY gene located on the Y chromosome triggers male sexual development. Typically, embryos with two X chromosomes develop into females. We report a child with two X chromosomes who had male appearing genitalia (female-to-male sex reversal) due to a deletion of a small X chromosome segment controlling testis determination. Our study shows how gene dosage and disrupted gene regulation can switch gonadal development to activate male differentiation in the absence of the Y chromosome. This case provides new insight into the genetic causes of disorders of sexual development in humans. (By Dr. Svetlana A. Yatsenko, )

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