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Sex liability to single structural defects

J Fernando, P Arena, D W Smith

    American Journal of Diseases of Children (1960)
    |October 1, 1978
    PubMed
    Summary
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    Sex-linked genes influence many birth defects beyond sex development. This study reveals nonrandom sex predilection in 42 localized birth defects, suggesting broader genetic roles in morphogenesis.

    Area of Science:

    • Developmental Biology
    • Human Genetics
    • Teratology

    Background:

    • Congenital anomalies exhibit varying frequencies between sexes.
    • Understanding sex-specific liability aids in identifying etiological factors.

    Purpose of the Study:

    • To investigate the nonrandom sex predilection in localized defects of morphogenesis.
    • To explore potential genetic and hormonal influences on sex-specific liability.

    Main Methods:

    • Retrospective analysis of 52 cases with single, localized defects of morphogenesis.
    • Categorization of defects based on sex predilection.

    Main Results:

    • Forty-two of 52 defects (81%) demonstrated a nonrandom sex predilection.

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  • Examples include male excess in prune belly syndrome and pyloric stenosis, potentially linked to anatomical or hormonal factors.
  • The majority of sex differences suggest roles for sex chromosome genes (X and/or Y) in morphogenesis.
  • Conclusions:

    • Sex-linked genes play a significant role in morphogenesis, extending beyond the development of primary sexual structures.
    • Further research into sex chromosome influence on congenital anomalies is warranted.