Fascinating.  Would you predict a similar mechanism for Fragile X
syndrome (with milder symptoms for females, presuming that the "fragile"
X would be the likely candidate for "deactivation" early in prenatal
development)?

Linda Tollefsrud
Professor of Psychology
University of Wisconsin - Barron County
1800 College Drive
Rice Lake, WI  54868
(715) 234-8176
[EMAIL PROTECTED]
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Saturday, March 22, 2008 10:39 AM
To: Teaching in the Psychological Sciences (TIPS)
Subject: RE:[tips] Turner/X-inactivation (was: Identical twins)

I described the phenomenon of X-inactivation in women (random 
inactivation of one of the two X-chromosomes in each somatic cell,  to 
which Linda Tollesfrud replied:

> If this is true, why do Turner's syndrome females typically have
> deficiencies in both mental and physical development?
> 

Challenging question! I think I can answer it, although it does stretch 
to the limit my little knowledge of this complex and poorly-understood 
phenomenon. But I'm going to need a lot of words. 

I assume the basis for the question is the fact that Turner  females
have 
only one X-chromosome in each cell while normal females have two,  and 
therefore Turner deficiencies are explained as due to this loss of 
genetic material. But if the newer X-inactivation hypothesis is correct 
(and it is), then for a normal female only one of the two X's is turned 
on in each cell. In that case,  both normals and Turner cases would have

the same number of working X-chromosomes, so why would Turner cases have

mental and physical deficiencies?

In answer, first note that the loss of an entire chromosome is a very 
serious matter, almost always leading to fetal death long before birth. 
The primary exception is Down syndrome, because the chromosome lost (the

21st) is the smallest, so very few genes are lost. A male equivalent to 
Turner ( YO: a Y with no X) has never been observed,  most likely
because 
the loss of the X is fatal. 

But not only is Turner syndrome (XO) viable, but the deficiencies are
not 
severe by genetic standards. Turner women do have some serious physical 
malformations and do not mature sexually, but overall IQ is usually 
normal. The mental deficiency referred to by Linda is primarily in
visuo-
spatial performance. So how can they function so well with the loss of 
one of the largest chromosomes? The X-inactivation hypothesis explains 
how.

First, more background. Males have only one X-chromosome. Females have 
two. Consequently, if both X's were active, females would have double
the 
genetic dose for each gene than males, with catastrophic result. Mother 
Nature (read: evolution) takes care of this by the development of X-
inactivation, an epigenetic mechanism.  As only one X is active in each 
female cell, females and males receive the same genetic dose.

But not so fast, chromo-breath. There are a small number of genes which 
appear _both_ on the Y-chromosome of males as well as on their X. So for

these few genes,  males do receive a double dose, and there is no 
necessity to have them inactivated in females. So they're not: they 
"escape" from X-inactivation. But Turner females have only one X. So for

these special genes, and only these, they have a deficient dose. This is

what gives rise to the problems associated with Turner syndrome. These 
problems are not inconsequential, but they are not lethal, and they
allow 
a reasonably normal life, with medical help. 

That's my version. To show that I'm not just making this up, here's an 
authoritative version, probably harder to understand than mine, but 
concise:

"Turner syndrome is caused by a reduced complement of genes that are 
typically expressed from both X chromosomes in females. Normally one X 
chromosome is randomly inactivated during the first week of life (when 
there are fewer than 200 embryonic cells); therefore, it may seem 
paradoxical that having a single X chromosome would cause clinical 
consequences. However, not all genes from the second chromosome are 
inactivated in Turner syndrome. Some genes escape X-inactivation via a 
process initiated by the X-inactivation-specific transcript (XIST) gene 
that is transcribed exclusively from the inactive genes. The loss of 
these noninactivated X genes causes the phenotypic manifestations 
characteristic of Turner syndrome, such as short stature"

>From Morgan, T. (2007). Turner Syndrome: Diagnosis and Management. 
American Family Physician. At http://www.aafp.org/afp/20070801/405.html

Stephen

-----------------------------------------------------------------
Stephen L. Black, Ph.D.          
Professor of Psychology, Emeritus   
Bishop's University      e-mail:  [EMAIL PROTECTED]
2600 College St.
Sherbrooke QC  J1M 1Z7
Canada

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