The smallest dislocated microduplication of Xq27.1 harboring SOX3 gene associated with XX male phenotype

Author:

Oroz Maja1,Vičić Ana12ORCID,Požgaj Šepec Marija3,Karnaš Helena4,Stipančić Gordana35,Stipoljev Feodora16

Affiliation:

1. Cytogenetic Laboratory, Department of Obstetrics and Gynecology , Clinical Hospital “Sveti Duh” , Zagreb , Croatia

2. University of Applied Health Sciences , Zagreb , Croatia

3. Department of Pediatrics , University Hospital Center Sestre Milosrdnice , Zagreb , Croatia

4. Department of Pediatrics , General Hospital Vinkovci , Vinkovci , Croatia

5. School of Dental Medicine , University of Zagreb , Zagreb , Croatia

6. Faculty of Medicine , Josip Juraj Strossmayer University of Osijek , Osijek , Croatia

Abstract

Abstract Objectives Approximately 90% of “XX males” are positive for SRY. However, there are isolated cases of sex reversal associated to other genes in male-determining pathway. Case presentation We describe a 1.3-old patient with 46,XX karyotype, male phenotypic gender and cryptorchidism. Microarray analysis revealed a de novo 273 kb duplication in the Xq27.1 region that contains SOX3. FISH with probe specific to SOX3 confirmed a unique genomic location of this duplication, dislocated proximal to the centromere of the X chromosome. Conclusions This rare genetic condition was described in few other isolated cases that have associated SOX3 genetic rearrangements and DSD. Microarray and genome-wide-sequencing presents important part in routine diagnostics, and in delineation of other sex-determination-pathway genes in sex reversal disorders.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Pediatrics, Perinatology and Child Health

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