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Title: Gonadal (ovarian) dysgenesis in 46,XX individuals: Frequency of the autosomal recessive form

Journal Article · · American Journal of Medical Genetics
;  [1];  [2]
  1. Univ. of Maryland, Baltimore, MD (United States)
  2. Univ. of Tennessee, Memphis, TN (United States); and others

Gonadal (ovarian) dysgenesis with normal chromosomes (46,XX) clearly is a heterogeneous condition. In some forms, the defect is restricted to the gonads, whereas other affected females show neurosensory hearing loss (Perrault syndrome). In another form, brothers may have germ cell aplasia. Nongenetic causes exist as well. To elucidate the proportion of XX gonadal (ovarian) dysgenesis due to autosomal recessive genes, we analyzed published (N = 17) and unpublished (N = 8) families having at least two female offspring. Analysis was restricted to cases in whom ovarian failure was documented by the presence of streak ovaries (published cases) or elevated gonadotropins (unpublished cases). We reasoned that the closer to that segregation ratio expected for an autosomal recessive trait (0.25), the lower the frequency of nongenetic forms. Segregation analysis utilized standard correction for single ascertainment, with only females included in the preliminary analysis. The segregation ratio estimate was 0.16. Our results suggest that many 46,XX females with gonadal (ovarian) dysgenesis represent a disorder segregating as an autosomal recessive trait, placing sisters of these cases at a 25% risk for this disorder. 32 refs., 2 figs., 1 tab.

OSTI ID:
478394
Journal Information:
American Journal of Medical Genetics, Vol. 63, Issue 4; Other Information: PBD: 28 Jun 1996
Country of Publication:
United States
Language:
English

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