Evidence map›Paper›PMID 41029434›Full record

ArticleMolecular cytogenetics2025

Genetic analysis of an asymptomatic female with a large Xp deletion revealed insights into the X chromosome inactivation pattern: a case report.

Li-Jun Zhang, Wen-Lan Liu, Shu-Yi Shao, Yong Xu, Lu Zhou

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Article in Molecular cytogenetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Li-Jun ZhangThe Center for Medical Genetics, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028, Guangdong Province, China.
Wen-Lan LiuThe Center for Medical Genetics, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028, Guangdong Province, China.
Shu-Yi ShaoReproductive medical center, Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, Guangdong, China.
Yong XuThe Center for Medical Genetics, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028, Guangdong Province, China.
Lu ZhouThe Center for Medical Genetics, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518028, Guangdong Province, China. lulu9813@hotmail.com.

Funding

Guangdong Medical Science and Technology Research Fund B2025261Sanming Project of Medicine in Shenzhen SZSM202311005Shenzhen Key Laboratory of Maternal and Child Health and Diseases ZDSYS20230626091559006Shenzhen Science and Technology Innovation Committee JCYJ20220530155202006Shenzhen Science and Technology Program JCYJ20240813115015019
6 · The paper itself

Abstract

backgroundX-linked disorders caused by skewed X chromosome inactivation (XCI) result in phenotypic heterogeneity, which is rarely reported. XCI testing is not widely used in clinical cases, making risk assessment for carriers of X-linked unbalanced structural abnormalities challenging. CASE PRESENTATION: We present genetic data from an asymptomatic female with a de novo 6.31 Mb deletion on Xp11.23-p11.22, identified through CMA-array analysis. The deletion includes 101 OMIM genes, 11 haplo-insufficient (HI) genes, and 4 escape genes. An androgen receptor (AR) methylation assay showed a 100% skewed XCI pattern silencing the abnormal X-chromosome. RNA-seq analysis revealed up-regulation of escape genes within the deletion at the transcriptional level. The absence of a severe clinical phenotype, aside from infertility, in this female was most likely attributed to the extremely skewed XCI and the compensatory up-regulation of XCI escape genes.

conclusionsOur data indicate that XCI can modify the phenotype in female carriers of heterozygous X-linked deletion and provide valuable information about the analysis of XCI pattern in risk assessment of this kind cases, especially precious fetuses.

Indexed as

Genetic counsellingInfertilitySkewed X-inactivation

Identifiers

PMID41029434
PMCPMC12487153

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