Barr Body and Hermaphroditism

SEX CHROMATIN BODY
Prof. M. Kamal
April 2008
Females are XX, males are XY

What is the consequence for females of having
two X chromosomes, while males have only
one?
Shouldnt XX females produce twice the

amount of X-linked gene products
(proteins) as XY males?
No!
Dosage Compensation
because XX females compensate by inactivating

one of their X chromosomes to make a single
dosage of X-linked genes.
Measure the expression of X-linked genes revealed:
The level of mRNA or protein for various

X-linked genes (like autosomal genes)
are similar between males and females
Example Factor VIII
How is the dosage for X-linked genes adjusted to be

equivalent in males and females?
X Inactivation
- one X chromosome in each female cell is inactivated
- inactivation is a random process
Some cells - turn off paternal X
Some cells - turn off maternal X
Bottom line: X-inactivation balances (compensates)
dosage of X-linked genes between male and
female cells
In 1961 Mary Francis Lyon - British geneticist

- studied color coat in mice
- knew that coat color was X-linked
Lyon concluded :
Male mice - hemizygous
- have to be uniform color because they only
have one allele
Female mice - both alleles had to be active, but
apparently not in the same cell
Barr Body
Inactivated X
chromosome can be
seen in females cells
as the Barr body Murray Barr
(1949)
X-inactivation reveals alleles in cats heterozygous for the

fur color gene
Genotype is Xyellow/Xblack
Yellow patches: black allele is inactive
Black patches: yellow allele is inactive
Xyellow/Xblack
Xyellow/Xblack
Barr Bodies are Inactivated X

Chromosomes in Females
Normal male,
Turner female
Normal female,
Klinefelter male
# Barr bodies=
N-1 rule
Summary: Lyons Hypothesis

- Only one X chromosome is active in somatic cells
- Inactivated X can be either the maternal or paternal
chromosome
- Inactivation occurs early in embryonic development
- Inactivation is permanent in all daughter cells of
somatic cells
- Random inactivation makes male and female cells
equivalent for X-linked genes
- Exception - germ line cells both X remain active
-Females are mosaics constructed of two different cell
types
Anhidrotic ectodermal dysplasia
Advantage of X-inactivation for females?

-Usually protects against deleterious recessive Xlinked genes
- However, female heterozygotes can express an Xlinked recessive trait
- color blindness
- anhidrotic ectodermal dysplasia
- hemophilia
Manifesting heterozygote
A carrier of an X-linked trait who expresses the
phenotype of the trait.
A higher proportion of normal X chromosomes if
inactivated in a given individual, may result in appearance
of symptoms of disease in various degrees.
Ornithine transcarbamylase deficiency (an enzyme
deficiency resulting in high blood levels of ammonia and
impaired urea formation),...
Severe disease in males who inherit the mutant X
chromosome).
However, can also affect females who are manifesting
heterozygotes presenting with severe disease during
infancy or later in life during times of metabolic stress
for instance, during viral...
Barr body contd

Many of the genes on X escape inactivation eg. MIC-2
Genes inactivated are DMD, G 6PD, HPRT etc.
Molecular basis of X- inactivation: X- inactive specific

transcript gene XIST X 13.
Inconsistencies between syndromes and

X inactivation
If normal XX female has one X inactivated, why is a X
Turner female not normal?
Similarly, if XXY male has one X inactivated, why does
he have Klinefelter syndrome?
Perhaps not complete inactivation

Or inactivation does not happen immediately,
Then some overexpression of X-linked genes
HERMAPHRODITISM
What determines maleness and femaleness?

Two kinds of sex determination.
1. Environmental sex determination
2. Genotypic sex determination
XX normal female
XY normal male
Sex chromosomes determine gender.

Human males are the
heterogametic sex with
two different sex
chromosomes, (XY).
Human females are
the homogametic
sex (XX).
Genetic sex in humans

XX
X
XXX
- normal female
- female phenotype infertile (Turners)
- normal female (triplo-X)
- the X chromosome relates to the female phenotype
- minimum of XX for normal female
XY
XXY
XXXXY
Y
- normal male
- normal male usually fertile (Klinefelters)
- severe Klinefelters syndrome
- male phenotype
- monosomy Y - embryonic lethal
Y - chromosome directs male phenotype

minimum XY genotype necessary for a male
What is so different between the X and Y

chromosomes?
X
Y
- over 1000 genes identified

- 330 genes identified, many are inactive
What is it about the Y chromosome that causes the

indifferent gonad to begin developing into a testis?
Genes on the Y chromosome

There are three classes of genes
on the Y.
Genes shared with X
chromosome define the
pseudoautosomal regions (PAR)
Genes similar to X chromosome
genes are X-Y homologs
Genes unique to the Y including
SRY gene
What is SRY?
SRY (Sex-determining Region Y) is a sex-determining
gene on the Y chromosome in humans
SRY starts male development by
- turning on testis-determining genes
- turning off ovary-determining genes
Phenotypic males that were XX - sterile
Phenotypic females who were XY - - turners
syndrome
TDF testis determining factor
Summary of TDF
1. Initiates the process that directs the indifferent gonads
toward testis development
2. Activates Sertoli cells to produce Mullerian inhibiting
hormone, causing Mullerian duct degeneration
3. Stimulates Leydig cells to secrete testosterone, which
then directs development of the Wolffian ducts towards
epidiymides, vas deferens and seminal
vesicles
- Testosterone conversion to dihydrotestosterone
(DHT) - directs development of the urethra,
prostate gland and penis
What happens in XX?

- Y chromosome ( SRY region;TDF gene) is not present.
- no TDF to tell it to form testis
- gonadal tissue develops towards ovary formation
- In the absence of testosterone Wolffian duct system
degenerates
- In absence of MIH Mullerian ducts continue to
develop towards fallopian tubes, uterus, and
upper
vagina.
Summary of sex determination

At fertilization - have genotypic sex determination
At 6-7 weeks - have gonadal sex determination
- if TDF present - male gonad development
- if TDF absence - female gonad development
TDF - Referred to a the master switch
How do we go from gonadal sex to phenotypic sex?
Levels of sexual identity

Level
Events
Timing
Chromosomal
/genetic sex
XY=male
XX=female
Fertilization
Gonadal sex
Undifferentiated structures
becomes testis or ovary
9-16 weeks post

fertilization
Phenotypic sex
Internal and external

reproductive structures
8 weeks post
fertilization to
puberty
Gender identity
Strong feelings of being

male or female develop
Development to
childhood
Effect of castration and testosterone on adult male and

female behavior
What is an abnormal sexual phenotypes?

There is an inconsistency between the
observed genetic sex, gonadal sex and sexual
differentiation
Abnormal sexual phenotypes result from mutations

in genes involved in sexual development.
SRY gene
Normal female development
Anti-Mullerian hormone
gene
Testosterone gene
Mullerian ducts persist in male
DHT converting enzyme
External structures lack signal

and develop as female,
internal structures are male.
Early development as female

Masculinization at puberty
Abnormal Development
Hermaphroditism
True hermaphrodism:
possessing both male and female sexual anatomy
example: one ovary, one testis, vaginal opening and
penis
Pseudohermaphrodism:
ovaries or testes, but not both
if ovaries, then male external sexual anatomy
if testes, then female external sexual anatomy
TRUE HERMAFHRODITISM
Very rare
Have both TESTICULAR and OVARIAN
tissue.
Internal & External sex organs variable
Sex hormones also variable
Majority XX, some XY some XX/ XY
PSEUDO HERMAPHRODITISM
Have gonad of one sex i.e. testis OR ovary
Ambiguous genetalia
Various cause (cytogenetic, mendelian,
Teratoganic)
MALE PSEUDO HERMAPHRODITISM
Hetergenous group. genetically as well as clinically

TESTICULAR FEMINZATION
X Linked disorder
genetic males (XY) with a female phenotype
- gonadal sex correct - gonads differentiate to testis
- produce MIH females duct system has degenerated
produce testosterone and DHT
No uterus, Fallopian tube or ovary
TESTIS intrabdominal or in inguinal canal

Breast develop at puberty, sparse pubic / axillary hair
child appears to be a girl
- raised as girls
- at puberty, genetically driven male phenotype
emerges from an apparent female
phenotype
-DEFECT is absence of androgen receptors.
- gene that encodes the androgen receptor defective

- can't bind testosterone
- X-linked trait
- development proceeds as if no testosterone is
present
- Wolffian ducts degenerated into an
indifferent female plan
-Unlike 5- reductase deficiency
- cant respond to the androgen surge at puberty
- puberty have breast development, but no
menstruation
FEMALE PSEDOHERMAPHRODITISM
CONGENITAL ADRENAL
NYPERPLASIA (Adrenogenital
synd.)
Several genetic & clinical forms, all
are AR
Block in a specific step in cortisol
biosynthesis
Increased ACTH secretion
Hyperplasia of adrenal gland
Masculinization of female fetus
CONGENITAL ADRENAL
NYPERPLASIA
Most common form is 21 hydroxylase deficiency
Results in 3 different clinical presentations:
- Salt losing
- Simple virilizing
- Late onset virilization
Diagnostic dues Absence of testis in scrotum
- Presence of a uterus
- Elevated 17- ketosteroid.

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SEX CHROMATIN BODY

Females are XX, males are XY

Shouldnt XX females produce twice the

because XX females compensate by inactivating

The level of mRNA or protein for various

How is the dosage for X-linked genes adjusted to be

In 1961 Mary Francis Lyon - British geneticist

X-inactivation reveals alleles in cats heterozygous for the

Barr Bodies are Inactivated X

Summary: Lyons Hypothesis

Anhidrotic ectodermal dysplasia

Advantage of X-inactivation for females?

Barr body contd

Molecular basis of X- inactivation: X- inactive specific

Inconsistencies between syndromes and

Perhaps not complete inactivation

What determines maleness and femaleness?

Sex chromosomes determine gender.

Genetic sex in humans

Y - chromosome directs male phenotype

What is so different between the X and Y

- over 1000 genes identified

What is it about the Y chromosome that causes the

Genes on the Y chromosome

What happens in XX?

Summary of sex determination

Levels of sexual identity

9-16 weeks post

Internal and external

Strong feelings of being

Effect of castration and testosterone on adult male and

What is an abnormal sexual phenotypes?

Abnormal sexual phenotypes result from mutations

Normal female development

Mullerian ducts persist in male

DHT converting enzyme

External structures lack signal

Early development as female

MALE PSEUDO HERMAPHRODITISM

Hetergenous group. genetically as well as clinically

No uterus, Fallopian tube or ovary

TESTIS intrabdominal or in inguinal canal

- gene that encodes the androgen receptor defective

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