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Ethical Principles and Recommendations for the Medical Management of Differences of Sex Development (DSD)/Intersex in Children and Adolescents
Eur J Pediatr DOI 10.1007/s00431-009-1086-x ORIGINAL PAPER Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents Claudia Wiesemann & Susanne Ude-Koeller & Gernot H. G. Sinnecker & Ute Thyen Received: 8 March 2009 /Accepted: 9 September 2009 # The Author(s) 2009. This article is published with open access at Springerlink.com Abstract The medical management of differences of sex the working group “Bioethics and Intersex” within the development (DSD)/intersex in early childhood has been German Network DSD/Intersex, which are presented in detail. criticized by patients’ advocates as well as bioethicists from Unlike other recommendations with regard to intersex, these an ethical point of view. Some call for a moratorium of any guidelines represent a comprehensive view of the perspectives feminizing or masculinizing operations before the age of of clinicians, patients, and their families. consent except for medical emergencies. No exhaustive Conclusion The working group identified three leading ethical guidelines have been published until now. In particular, ethical principles that apply to DSD management: (1) to the role of the parents as legal representatives of the child is foster the well-being of the child and the future adult, (2) to controversial. In the article, we develop, discuss, and present uphold the rights of children and adolescents to participate ethical principles and recommendations for the medical in and/or self-determine decisions that affect them now or management of intersex/DSD in children and adolescents. later, and (3) to respect the family and parent–child We specify three basic ethical principles that have to be relationships. -
Amphibian Sex Determination and Sex Reversal
CMLS, Cell. Mol. Life Sci. 55 (1999) 901–909 1420-682X/99/070901-09 $ 1.50+0.20/0 © Birkha¨user Verlag, Basel, 1999 Amphibian sex determination and sex reversal H. Wallace*, G. M. I. Badawy and B. M. N. Wallace School of Biological Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT (UK), Fax +44 121 414 5925, e-mail: [email protected] Abstract. Amphibians employ a genetic mechanism of published studies on crested newts. These newts re- sex determination, according to all available informa- spond conventionally to temperature and hormone tion on sex chromosomes or breeding tests. Sex reversal treatment but provide anomalous results from breeding allows breeding tests to establish which sex is het- tests. It is suggested that both the evolution from tem- erogametic and provides an indication of the mecha- perature dependency to a genetic switch and from ZZ/ nism of sex determination. Cases of spontaneous and ZW to XX/XY are superimposed on a generally experimental sex reversal (by temperature, hormones or uniform mechanism of sex determination in all verte- surgery) are reviewed and illustrated by previously un- brates. Key words. Sex determination; sex reversal; temperature dependence; sex hormone; amphibia; Triturus cristatus. Genetic sex determination insight into its mechanism, by showing how it can be overridden by environmental or hormonal influences. All amphibians that have been tested possess a genetic Third, using irradiated sperm to activate eggs which are mechanism of sex determination. Examples of male then heat-shocked to arrest the second meiotic division heterogamety (XX/XY) or female heterogamety (ZZ/ and thus restore diploidy, which is equivalent to self-fer- ZW) have been found repeatedly in both anurans and tilization of a female or breeding from a neomale (fig. -
THE PHYSIOLOGY and ECOPHYSIOLOGY of EJACULATION Tropical and Subtropical Agroecosystems, Vol
Tropical and Subtropical Agroecosystems E-ISSN: 1870-0462 [email protected] Universidad Autónoma de Yucatán México Lucio, R. A.; Cruz, Y.; Pichardo, A. I.; Fuentes-Morales, M. R.; Fuentes-Farias, A.L.; Molina-Cerón, M. L.; Gutiérrez-Ospina, G. THE PHYSIOLOGY AND ECOPHYSIOLOGY OF EJACULATION Tropical and Subtropical Agroecosystems, vol. 15, núm. 1, 2012, pp. S113-S127 Universidad Autónoma de Yucatán Mérida, Yucatán, México Available in: http://www.redalyc.org/articulo.oa?id=93924484010 How to cite Complete issue Scientific Information System More information about this article Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Journal's homepage in redalyc.org Non-profit academic project, developed under the open access initiative Tropical and Subtropical Agroecosystems, 15 (2012) SUP 1: S113 – S127 REVIEW [REVISIÓN] THE PHYSIOLOGY AND ECOPHYSIOLOGY OF EJACULATION [FISIOLOGÍA Y ECOFISIOLOGÍA DE LA EYACULACIÓN] R. A. Lucio1*, Y. Cruz1, A. I. Pichardo2, M. R. Fuentes-Morales1, A.L. Fuentes-Farias3, M. L. Molina-Cerón2 and G. Gutiérrez-Ospina2 1Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala, Tlaxcala-Puebla km 1.5 s/n, Loma Xicotencatl, 90062, Tlaxcala, Tlax., México. 2Depto. Biología Celular y Fisiología, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Ciudad Universitaria, 04510, México, D.F., México. 3Laboratorio de Ecofisiologia Animal, Departamento de Fisiologia, Instituto de Investigaciones sobre los Recursos Naturales, Universidad Michoacana de San Nicolás de Hidalgo, Av. San Juanito Itzicuaro s/n, Colonia Nueva Esperanza 58337, Morelia, Mich., México * Corresponding author ABSTRACT RESUMEN Different studies dealing with ejaculation view this Diferentes estudios enfocados en la eyaculación, process as a part of the male copulatory behavior. -
History of the Research on Sex Determination
Review Article ISSN: 2574 -1241 DOI: 10.26717/BJSTR.2020.25.004194 History of The Research on Sex Determination Jacek Z Kubiak1,2, Malgorzata Kloc3-5 and Rafal P Piprek6* 1UnivRennes, CNRS, UMR 6290, IGDR, Cell Cycle Group, F-35000 Rennes, France 2Military Institute of Hygiene and Epidemiology, ZMRiBK, Warsaw, Poland 3The Houston Methodist Research Institute, USA 4Department of Surgery, The Houston Methodist Hospital, USA 5University of Texas, MD Anderson Cancer Center, USA 6Department of Comparative Anatomy, Institute of Zoology and Biomedical Research, Jagiellonian University, Poland *Corresponding author: Rafał P Piprek, Department of Comparative Anatomy, Institute of Zoology and Biomedical Research, Jagiellonian University, Poland ARTICLE INFO Abstract Received: Published: January 28, 2020 Since the beginning of the humanity, people were fascinated by sex and intrigued by February 06, 2020 how the differences between sexes are determined. Ancient philosophers and middle Citation: age scholars proposed numerous fantastic explanations for the origin of sex differences in people and animals. However, only the development of the modern scientific methods Jacek Z Kubiak, Malgorzata Kloc, allowed us to find, on the scientific ground, the right answers to these questions. In this Rafal P Piprek. History of The Research on review article, we describe the history of these discoveries, and which major discoveries allowed the understanding of the origin of sex and molecular and cellular basis of the Sex Determination. Biomed J Sci & Tech Res -
Disorders of Sexual Differentiation: a Study on the Incidence and Types of Female Pseudo Hermaphrodites J.Radhika *1, C.Bhuvaneswari 2, Arudyuti Chowdhury 3
International Journal of Integrative Medical Sciences, Int J Intg Med Sci 2016, Vol 3(12):455-60. ISSN 2394 - 4137 DOI: http://dx.doi.org/10.16965/ijims.2016.156 Original Research Article Disorders of Sexual Differentiation: A study on the Incidence and Types of Female Pseudo Hermaphrodites J.Radhika *1, C.Bhuvaneswari 2, Arudyuti Chowdhury 3. *1 Associate Professor, Department of Anatomy, SRM Medical College Hospital & Research Centre, SRM University, Kattankulathur, India. 2 Assistant Professor, Department of Anatomy, SRM Medical College Hospital & Research Centre, SRM University, Kattankulathur, India. 3 Professor, Prasad Institute of Medical Sciences, Lucknow, India. ABSTRACT Aim: The present study was done to find out the prevalence of disorders of sexual development in our population and the genetic and environmental factors in the causation of disorders. Primarily, the study focused on the incidence and types of Female Pseudo Hermaphrodites. Materials and Methods: The present study included 300 cases over a period of 3 years in the Institute of Obstetrics and Gynaecology, Egmore. Of these 300 cases, 29.3% were identified as Female pseudo hermaphrodite by examining the external and internal genitalia and through Karyotypes, ultrasound and hormonal assay. Results and Conclusion: The increased incidence of Female Pseudo hermaphrodite was found to be due to avoidable factors except for a few cases. This highlights the importance of early diagnosis for assigning appropriate gender without causing much social and emotional problems. KEY WORDS: Ambiguous Genitalia, Female Pseudo Hermaphrodite, Masculinization Of External Genitalia, Karyotype. Address for correspondence: Dr.J.Radhika, M.D, Ph.D, Associate Professor, Department of Anatomy, SRM Medical College Hospital & Research Centre, SRM University, Kattankulathur, India. -
Sexual Differentiation of the Vertebrate Nervous System
T HE S EXUAL B RAIN REVIEW Sexual differentiation of the vertebrate nervous system John A Morris, Cynthia L Jordan & S Marc Breedlove Understanding the mechanisms that give rise to sex differences in the behavior of nonhuman animals may contribute to the understanding of sex differences in humans. In vertebrate model systems, a single factor—the steroid hormone testosterone— accounts for most, and perhaps all, of the known sex differences in neural structure and behavior. Here we review some of the events triggered by testosterone that masculinize the developing and adult nervous system, promote male behaviors and suppress female behaviors. Testosterone often sculpts the developing nervous system by inhibiting or exacerbating cell death and/or by modulating the formation and elimination of synapses. Experience, too, can interact with testosterone to enhance or diminish its effects on the central nervous system. However, more work is needed to uncover the particular cells and specific genes on which http://www.nature.com/natureneuroscience testosterone acts to initiate these events. The steps leading to masculinization of the body are remarkably con- Apoptosis and sexual dimorphism in the nervous system sistent across mammals: the paternally contributed Y chromosome Lesions of the entire preoptic area (POA) in the anterior hypothala- contains the sex-determining region of the Y (Sry) gene, which mus eliminate virtually all male copulatory behaviors3,whereas induces the undifferentiated gonads to form as testes (rather than lesions restricted to the sexually dimorphic nucleus of the POA (SDN- ovaries). The testes then secrete hormones to masculinize the rest of POA) have more modest effects, slowing acquisition of copulatory the body. -
Drosophila Melanogaster”
| PRIMER More than Meets the Eye: A Primer for “Timing of Locomotor Recovery from Anoxia Modulated by the white Gene in Drosophila melanogaster” Bradley M. Hersh1 Department of Biology, Allegheny College, Meadville, Pennsylvania 16335 ORCID ID: 0000-0003-2098-4417 (B.M.H.) SUMMARY A single gene might have several functions within an organism, and so mutational loss of that gene has multiple effects across different physiological systems in the organism. Though the white gene in Drosophila melanogaster was identified originally for its effect on fly eye color, an article by Xiao and Robertson in the June 2016 issue of GENETICS describes a function for the white gene in the response of Drosophila to oxygen deprivation. This Primer article provides background information on the white gene, the phenomenon of pleiotropy, and the molecular and genetic approaches used in the study to demonstrate a new behavioral function for the white gene. KEYWORDS education; Drosophila; pleiotropy; behavior TABLE OF CONTENTS Abstract 1369 Molecular Nature of the white Gene 1370 The Challenge of Pleiotropy 1370 Tissue-Specific Expression and RNA Interference (RNAi) 1371 Understanding the Experimental Details 1372 Establishing a behavioral phenotype 1372 Introgression: eliminating the trivial 1372 Dosage and position effect: complicating the story 1373 Molecular tricks: dissecting function and location of action 1373 Suggestions for Classroom Use 1374 Questions for Discussion 1374 HE white gene was the first Drosophila melanogaster the first attached-X and ring-X chromosome variants), is re- Tmutant discovered by Thomas Hunt Morgan in 1910, ported to have exclaimed “Oh, I do hope the white-eyed flyis following an exhaustive search for variant forms of the fly still alive” from her hospital bed after having just delivered (Morgan 1910). -
123 Author's Personal Copy
Author's personal copy Synthese DOI 10.1007/s11229-012-0147-2 Models of data and theoretical hypotheses: a case-study in classical genetics Marion Vorms Received: 17 July 2011 / Accepted: 13 October 2011 © Springer Science+Business Media B.V. 2012 Abstract Linkage (or genetic) maps are graphs, which are intended to represent the linear ordering of genes on the chromosomes. They are constructed on the basis of statistical data concerning the transmission of genes. The invention of this technique in 1913 was driven by Morgan’s group’s adoption of a set of hypotheses concerning the physical mechanism of heredity. These hypotheses were themselves grounded in Morgan’s defense of the chromosome theory of heredity, according to which chro- mosomes are the physical basis of genes. In this paper, I analyze the 1919 debate between William Castle and Morgan’s group, about the construction of genetic maps. The official issue of the debate concerns the arrangement of genes on chromosomes. However, the disputants tend to carry out the discussions about how one should model the data in order to draw predictions concerning the transmission of genes; the debate does not bear on the data themselves, nor does it focus on the hypotheses explaining these data. The main criteria that are appealed to by the protagonists are simplicity and predictive efficacy. However, I show that both parties’ assessments of the simplicity and predictive efficacy of different ways of modeling the data themselves depend on background theoretical positions. I aim at clarifying how preference for a given model and theoretical commitments articulate. -
Female and Male Gametogenesis 3 Nina Desai , Jennifer Ludgin , Rakesh Sharma , Raj Kumar Anirudh , and Ashok Agarwal
Female and Male Gametogenesis 3 Nina Desai , Jennifer Ludgin , Rakesh Sharma , Raj Kumar Anirudh , and Ashok Agarwal intimately part of the endocrine responsibility of the ovary. Introduction If there are no gametes, then hormone production is drastically curtailed. Depletion of oocytes implies depletion of the major Oogenesis is an area that has long been of interest in medicine, hormones of the ovary. In the male this is not the case. as well as biology, economics, sociology, and public policy. Androgen production will proceed normally without a single Almost four centuries ago, the English physician William spermatozoa in the testes. Harvey (1578–1657) wrote ex ovo omnia —“all that is alive This chapter presents basic aspects of human ovarian comes from the egg.” follicle growth, oogenesis, and some of the regulatory mech- During a women’s reproductive life span only 300–400 of anisms involved [ 1 ] , as well as some of the basic structural the nearly 1–2 million oocytes present in her ovaries at birth morphology of the testes and the process of development to are ovulated. The process of oogenesis begins with migra- obtain mature spermatozoa. tory primordial germ cells (PGCs). It results in the produc- tion of meiotically competent oocytes containing the correct genetic material, proteins, mRNA transcripts, and organ- Structure of the Ovary elles that are necessary to create a viable embryo. This is a tightly controlled process involving not only ovarian para- The ovary, which contains the germ cells, is the main repro- crine factors but also signaling from gonadotropins secreted ductive organ in the female. -
Calvin Bridges' Experiments on Nondisjunction As Evidence for The
Published on The Embryo Project Encyclopedia (https://embryo.asu.edu) Calvin Bridges’ Experiments on Nondisjunction as Evidence for the Chromosome Theory of Heredity (1913-1916) [1] By: Gleason, Kevin Keywords: Thomas Hunt Morgan [2] Drosophila [3] From 1913 to 1916, Calvin Bridges performed experiments that indicatedg enes [5] are found on chromosomes. His experiments were a part of his doctoral thesis advised by Thomas Hunt Morgan [6] in New York, New York. In his experiments, Bridges studied Drosophila [7], the common fruit fly, and by doing so showed that a process called nondisjunction caused chromosomes, under some circumstances, to fail to separate when forming sperm [8] and egg [9] cells. Nondisjunction, as described by Bridges, caused sperm [8] or egg [9] cells to contain abnormal amounts of chromosomes. In some cases, that caused the offspring produced by the sperm [8] or eggs to display traits that they would typically not have. His research on nondisjunction provided evidence that chromosomes carry genetic traits, including those that determine the sex of an organism. At the beginning of the twentieth century, other researchers were starting to establish the role that chromosomes play in heredity. In 1910, Morgan provided some evidence that genes [5], or the material factors that were thought to control heredity, are located on the chromosome. While Morgan was mating Drosophila [10], which typically had red eyes, Morgan found that one of the offspring flies had white eyes. He proceeded to mate the white-eyed fly with other flies, and he observed a generation of offspring in which only some of the male offspring, but only the male offspring, had white eyes. -
Alfred Henry Sturtevant (1891–1970) [1]
Published on The Embryo Project Encyclopedia (https://embryo.asu.edu) Alfred Henry Sturtevant (1891–1970) [1] By: Gleason, Kevin Keywords: Thomas Hunt Morgan [2] Drosophila [3] Alfred Henry Sturtevant studied heredity in fruit flies in the US throughout the twentieth century. From 1910 to 1928, Sturtevant worked in Thomas Hunt Morgan’s research lab in New York City, New York. Sturtevant, Morgan, and other researchers established that chromosomes play a role in the inheritance of traits. In 1913, as an undergraduate, Sturtevant created one of the earliest genetic maps of a fruit fly chromosome, which showed the relative positions of genes [4] along the chromosome. At the California Institute of Technology [5] in Pasadena, California, he later created one of the firstf ate maps [6], which tracks embryonic cells throughout their development into an adult organism. Sturtevant’s contributions helped scientists explain genetic and cellular processes that affect early organismal development. Sturtevant was born 21 November 1891 in Jacksonville, Illinois, to Harriet Evelyn Morse and Alfred Henry Sturtevant. Sturtevant was the youngest of six children. During Sturtevant’s early childhood, his father taught mathematics at Illinois College in Jacksonville. However, his father left that job to pursue farming, eventually relocating seven-year-old Sturtevant and his family to Mobile, Alabama. In Mobile, Sturtevant attended a single room schoolhouse until he entered a public high school. In 1908, Sturtevant entered Columbia University [7] in New York City, New York. As a sophomore, Sturtevant took an introductory biology course taught by Morgan, who was researching how organisms transfer observable characteristics, such as eye color, to their offspring. -
Multiple Congenital Genitourinary Anomalies in a Polled Goat
Multiple Congenital Genitourinary Anomalies in a Polled Goat WILLIAM W. KING, DVM, PHD, DIPLOMATE, ACLAM,1,2* MELVIN E. YOUNG,1 AND M. EUGENE FOX, DVM3 A 1-day-old, Toggenburg/Nubian crossbred goat of polled parentage was referred for necropsy because of a large (diameter, 5 cm) bladder-like mass protruding from the perineal midline and difficult urination. Differential diagnoses included cutaneous cyst, ectopic urinary bladder, and urethral diverticulum/dilatation. Several genitourinary aberrations were noted. A second, smaller (diameter, 1 cm), more distal cystic structure was adjacent to an ambiguous prepuce. Testicles were discovered within a con- stricted, subcutaneous space near the inguinal canals. A rudimentary penis was located dorsal to the penile urethra with no appreciable urethral process. A tiny external urethral orifice was discerned only after liquid was injected into the lumen of the cystic structures, confirming their identity as urethral dilatations. The dilatations were separated by a constricting band of fibrous tissue. No other significant findings were detected. This case illustrates a combination of congenital anomalies including bilateral cryptorchidism with scrotal absence, segmental urethral hypoplasia, and urethral dilatation, most likely associated with the intersex condition seen in polled breeds. The continued production and use of small ruminants as animal models demands the prompt recognition of congenital anomalies. This case also exemplifies the precautions required when breeding goats with polled ancestry. The domestic goat (Capra hircus) has historically served and Nubian/Toggenburg sire. The owner reported that the doe had continues to play an important role in biomedical research (1). completed a normal gestation period on a diet of natural grass/ Many small breeds are available, facilitating common labora- alfalfa hay and water.