Disorders of Sex Development

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Questions and Answers

What is the primary focus when classifying disorders of sex development?

  • Using descriptive terms based on the observed characteristics. (correct)
  • Avoiding any reference to the karyotype to prevent confusion.
  • Prioritizing chromosomal abnormalities over phenotypic traits.
  • Referring to the karyotype of the individual.

A mosaic individual with a disorder of sex development has:

  • Uniform cell populations with identical genetic material.
  • Cell populations derived from two separate individuals after fusion of zygotes.
  • A complete absence of cell division due to mitotic errors.
  • Different cell populations originating from the same individual. (correct)

Polled Intersex Syndrome (PIS) in goats is related to which genetic condition?

  • Dominance of the horned gene.
  • Homozygosity for the polled gene. (correct)
  • Heterozygosity of the polled gene.
  • Recessive inheritance of the intersex gene.

What is a key characteristic of Freemartinism in cattle?

<p>Infertile female born co-twin to a male. (A)</p> Signup and view all the answers

In goats affected by Polled Intersex Syndrome, what is typically observed regarding the presence of SRY gene?

<p>The SRY gene is absent, despite the presence of male characteristics. (D)</p> Signup and view all the answers

The term 'freemartin' is derived from:

<p>Historical practices related to infertile animals slaughtered at a specific time. (B)</p> Signup and view all the answers

What is the primary effect of AMH (Anti-Müllerian Hormone) in Freemartinism?

<p>Prevents or decreases the growth of the paramesonephric ducts in the affected female. (A)</p> Signup and view all the answers

What vascular event primarily contributes to the development of Freemartinism?

<p>Fusion of allantochorionic membranes leading to vascular anastomoses. (A)</p> Signup and view all the answers

In dogs with Persistent Mullerian Duct Syndrome (PMDS), what inheritance pattern is typically observed?

<p>Autosomal recessive with expression limited to XY males. (C)</p> Signup and view all the answers

Which diagnostic method involves identifying a specific fragment from the Y-chromosome?

<p>DNA Analysis AMX/Y. (A)</p> Signup and view all the answers

What is the significance of the absence of PISRT1 and FOXL2 genes in goats?

<p>It is associated with the development of Polled Intersex Syndrome. (A)</p> Signup and view all the answers

Why is consideration of karyotype useful, but unnecessary references to karyotype should be avoided?

<p>It's useful for classification, but descriptive terms should be used wherever possible. (D)</p> Signup and view all the answers

What is the most common chromosomal sex in goats affected by Polled Intersex Syndrome (PIS)?

<p>XX (A)</p> Signup and view all the answers

What is the typical presentation of intersexes in the context of Polled Intersex Syndrome (PIS)?

<p>Both male and female phenotypic traits, female early, male-like later (puberty). (C)</p> Signup and view all the answers

Which cellular process can lead to mosaicism in individuals with disorders of sex development (DSDs)?

<p>Mitotic errors during early embryonic development. (B)</p> Signup and view all the answers

In freemartin diagnosis, what vaginal length measurement would indicate the presence of Freemartinism in a calf up to 30 days old?

<p>5-8 cm (A)</p> Signup and view all the answers

What is the primary reason that a higher proportion of chimeric males might be culled compared to non-chimeric males?

<p>Poor fertility. (A)</p> Signup and view all the answers

What is the role of the Sertoli cells in the development of Freemartinism?

<p>They secrete AMH, which inhibits the development of the paramesonephric ducts in the female fetus. (D)</p> Signup and view all the answers

How would you classify an individual with cell populations from different individuals and the fusion of two zygotes?

<p>Chimera (B)</p> Signup and view all the answers

Which hormone is the main driver of the testis development?

<p>MIS -- Müilerian Inhibiting Substance (D)</p> Signup and view all the answers

What effect does Freemartinism have on a female in cattle?

<p>It leads to an infertile female born co-twin. (A)</p> Signup and view all the answers

What can clinical signs tell someone about animal infertility?

<p>Clinical signs provide supporting evidence, but more data is necessary. (B)</p> Signup and view all the answers

What does the AMX/Y Diagnostic test search for?

<p>217 bp fragment from Y Chromosome. (D)</p> Signup and view all the answers

Which cattle abnormality presents itself in males only?

<p>Persistent Mullerian Duct Syndrome (B)</p> Signup and view all the answers

What vascular even leads to Freemartinism in cattle?

<p>Fusion of Allantochorionic membranes (B)</p> Signup and view all the answers

Where do researchers believe Polled and PIS Genes come from?

<p>Chromosome 1 (D)</p> Signup and view all the answers

Which of the following is NOT a key attribute of freemartinism?

<p>Testicular degeneration (A)</p> Signup and view all the answers

If you examined a set of newborn calves, whose parents have histories of Freemartinism, which radioimmunoasssay would confirm Freemartinism?

<p>Radioimmunoassay in newborn calves up to 2 weeks old, high levels (&gt;700 ng/ml). Females &lt; 120 ng/ml (B)</p> Signup and view all the answers

Flashcards

What are DSD's?

Disorders of sex development, based on human DSD's with 46 chromosomes.

What is a Chimera?

Cell populations from different individuals; possibly a fusion of two zygotes.

What is a Mosaic?

Different cell populations, but from the same individual, may be caused by mitotic errors.

What is Persistent Mullerian Duct Syndrome (PMDS)?

A syndrome where Mullerian ducts fail to regress; Reported in Miniature Schnauzers

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What is Goat Polled Intersex?

Genetic female with male genitalia, with the absence of sry gene

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Which goats are predisposed to Polled Intersex?

Mainly dairy goats (Saanen, Toggenburg, Alpine) show both male and female traits. Chromosomal sex is XX

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What causes Polled Intersex Syndrome (PIS) genes?

Causes polled intersex in goats, related to homozygosity for polled gene. Absence of PISRT1 and FOXL2 genes

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What is Freemartinism?

Infertile female born co-twin to a male, occurring in approximately 90% of cattle.

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What happens in Freemartinism?

Fusion of allantochorionic membranes, vascular anastomoses, mixing of cells, notably WBC's and hormones

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Are AMH levels important in development?

In Freemartinism, the male embryo develops first, AMH prevents growth of paramesonephric ducts

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How to diagnose Freemartinism?

Freemartin diagnosis includes history (twins >90%), infertility, no palpable reproductive tract, and PCR for Y chromosome.

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Name examples of 46,XY DSD

Klinefelter syndrome and variants, includes complete gonadal dysgenesis (Swyer syndrome), partial gonadal dysgenesis, gonadal regression, Ovotesticular DSD

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What is 45,X DSD?

Turner syndrome, which includes complete gonadal dysgenesis (Swyer syndrome)

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Study Notes

Disorders of Sex(ual) Development

  • Intersex refers to ambiguous genitalia.

Learning Objectives

  • Understand the polled intersex syndrome in goats
  • Understand the aetiology, diagnosis, and effects of Freemartinism in cattle

Disorders of Sex Development

  • Based on human DSDs having 46 chromosomes.

Revised Nomenclature for DSD

  • Karyotype classification should be avoided in favor of descriptive terms like "androgen insensitivity syndrome."
  • AMH is Anti-Mullerian Hormone
  • CAIS is Complete Androgen Insensitivity Syndrome
  • DSD is Disorders of Sex Development
  • MURCS is Mullerian, Renal, Cervicothoracic Somite Abnormalities
  • PAIS is Partial Androgen Insensitivity Syndrome
  • POR is Cytochrome P450 oxidoreductase.

Chimera vs Mosaic

  • Chimera involves cell populations from different individuals, possibly from the fusion of two zygotes
  • Mosaic involves different cell populations from the same individual, possibly with mitotic errors

Inherited Disorders in Sexual Development

  • Further details can be found in Table 1.

Persistent Mullerian Duct Syndrome (PMDS)

  • An example of a DSD
  • Mullerian ducts fail to regress.
  • Affected miniature schnauzers can have oviducts, uterine horns, uterine body, cervix, and cranial vagina
  • Also posses male internal and external genitalia
  • Approximately 50% are cryptorchid
  • In miniature schnauzers it is inherited as a simple autosomal recessive trait with expression limited to XY males
  • Affected embryos produce MIS throughout the critical period for Mullerian duct regression

Goat Polled Intersex

  • Characterized as a 'sex reversed' female without the SRY gene.
  • Mainly observed in Saanen goats.
  • Wide variety in presentation, including feminization.

Genetics of Goat Polled Intersex

  • Polled (P) is dominant (Chromosome 1).
  • Intersex condition is related to homozygosity for the polled gene
  • A horned male must be homozygous pp.
  • Offspring will have at least one 'p' allele
  • Features a 60XX karyotype ('male') without the SRY gene.
  • Testes are invariably present.
  • Both male and female genitalia are observed.
  • AMH is produced from Sertoli cells
  • Limited development of the uterus.
  • Polled and PIS genes are close on chromosome 1.
  • Absence of PISRT1 and FOXL2 genes is noted.
  • Freemartinism occurs in goats (and sheep.).
  • Mainly observed in dairy goats like Saanen, Toggenburg, and Alpine breeds.
  • Intersexes display both male and female phenotypic traits.
  • XX chromosomal sex.
  • There is wide phenotypic expression: normal male to normal female.
  • Influenced by PISRT1 and FOXL2 genes.

Freemartinism in Cattle Definition

  • Infertility in a female born co-twin to a male
  • Occurs in approximately 90% of cattle twin pregnancies with both a male and female fetus
  • Can occur in other species as well.
  • Derivation of the name: Frei = barren, Mart = an animal killed at Martinmas

Historical Context

  • The condition was reported by John Hunter in 1779.
  • Etiology was discovered in the early 1900s.

Pathophysiology

  • Fusion of allantochorionic membranes.
  • Vascular anastomoses leading to mixing of vascular content.
  • Mixing of cells
  • Mixing of hormones, especially AMH.
  • Male embryo develops prior to the female.
  • AMH secreted by the Sertoli cells prevents/decreases the growth of the paramesonephric ducts.
  • Mullerian duct and gonads are not developed.
  • Genital swelling is normal
  • Vulva and vestibule are small

Fertility

  • Male fertility is also likely affected.
  • Testicular degeneration occurs histologically.
  • Higher proportion of chimeras were culled because of poor fertility than normal controls

Diagnosis

  • Includes history of being a twin (>90% of cases).
  • Clinical signs include infertility
  • Lack of a palpable cranial reproductive tract.
  • Laboratory diagnostics include: PCR for Y chromosome, karyotype (XX/XY requires sufficient lymphocyte exam).

Prevalence

  • 2 heifer/4cows= 50%= same as singles

Other Species

  • Ovine (sheep)
  • Caprine
  • Cervidae (deer)
  • Porcine (pigs)
  • Equine (horses)
  • Camelids
  • Humans

Disorders of Sex Development Summary

  • Freemartinism in cattle involves an infertile heifer born co-twin to a male
  • Polled Intersex in goats involves a polled genetic female with male genitalia

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