ABSTRACT
Translocations involving the X and Y chromosomes are often associated with anomalies
of gonadal development. Transfer of Yp sequences, including the testis-determining
SRY gene, to the terminal portion of the short arm of the X chromosome is associated
with 46,XX maleness and in rare cases 46,XX true hermaphroditism. Three classes of
XX males have been defined on the basis of the extent of Y material transferred to
the X chromosome. In one class, the transfer of material involves aberrant recombination
between two highly homologous genes, PKRX and PKRY, and there is evidence to suggest that this interchange is influenced by the Y chromosome
background. Other types of X-Y translocations associated with anomalies of sex differentiation
include Xp-Yq translocations, which result in a functional disomy of Xp sequences
including the DSS locus and are associated with 46,XY complete or partial gonadal
dysgenesis. In rare cases Yp-Xq translocations have been described in association
with 46,XX maleness.
KEYWORD
Y chromosome - translocation - X chromosome - sex determination