Novel insights in Turner syndrome
1Program in Reproductive Endocrinology and Infertility, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda.
Current Opinion in Pediatrics
|July 7, 2022
Summary
Turner syndrome, a common sex chromosome abnormality, causes multiorgan dysfunction. Recent genetic advances offer new insights into its complex genotype/phenotype correlations for improved clinical management.
Area of Science:
- Genetics
- Endocrinology
- Pediatrics
Background:
- Turner syndrome is the most common sex chromosome abnormality in females.
- Affects approximately 1/2000-1/2500 female newborns.
- Mechanisms of multiorgan dysfunction remain unclear.
Purpose of the Study:
- Highlight recent advances in Turner syndrome knowledge.
- Provide a framework for applying new data.
- Enhance foundational understanding of the condition.
Main Methods:
- Review of recent genetic testing and analysis platforms.
- Analysis of emerging genotype/phenotype correlations.
- Synthesis of current clinical and research findings.
Main Results:
- Clinical features span multiple organ systems including short stature, gonadal failure, cardiac, renal, and endocrine disorders.
- Limited genotype/phenotype correlation historically hindered accurate guidance.
- Rapid advancements in genetic analysis are accelerating understanding.
Conclusions:
- New genetic insights are crucial for understanding Turner syndrome pathophysiology.
- Improved genotype/phenotype correlations will enhance clinical management.
- This review synthesizes recent developments for a comprehensive understanding.
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