History of the Research on Sex Determination
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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. -
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. -
Reproduction – Sexual Differentiation
Reproduction – sexual differentiation Recommended textbook for reproductive biology M.H. Johnson & B.J. Everitt, Essential Reproduction, Blackwell. Third edition (1988) or later. Topics to think about Why do many organisms have sex? Why are there two sexes (and not one, or three)? How does the difference be- tween gametes contribute to the different reproductive strategies of male and female? Are the mother and fetus working towards the same goals? When might their goals differ? How might such differ- ences lead to problems, and to sex-linked phenotypic differences? The Red Queen, by Matt Ridley (1994), is a fascinating look at these questions. Highly recommended, though has little direct bearing on your course. Genetic determinants of sex • Humans have 46 chromosomes: 22 pairs of autosomes and one pair of sex chromosomes. • The male has one X and one Y sex chromosome (the heterogametic sex). The female has two X chromosomes (ho- mogametic). • The Y chromosome is small and carries few (2) genes1 – far too few to make a testis, for example. Its function is to confer maleness on the embryo, and it does so by altering the expression of genes on other chromosomes. The criti- cal gene is on a region of the short arm of the Y chromosome and is called testis-determining factor (TDF). If this is present, the embryo will be gonadally male; if it is absent the default is for the embryo to develop as a female. • The precise mechanism by which the TDF gene causes initiates testicular development is unknown. • The X chromosome is large and carries many (>50) genes. -
Expression Levels of Mullerian-Inhibiting Substance, GATA4 and 17Α
365 Expression levels of Mullerian-inhibiting substance, GATA4 and 17-hydroxylase/17,20-lyase cytochrome P450 during embryonic gonadal development in two diverse breeds of swine S A McCoard, T H Wise and J J Ford United States Department of Agriculture, Agricultural Research Service, US Meat Animal Research Center, Clay Center, Nebraska 68933, USA (Requests for offprints should be addressed to S A McCoard who is now at Nutrition and Behaviour Group, AgResearch Limited, Private Bag 11008, Tennent Drive, Palmerston North, New Zealand; Email: [email protected]) Abstract Sexual differentiation and early embryonic/fetal gonad advancing gestation, with greater levels of MIS and development is a tightly regulated process controlled by P450c17 in testes of MS compared with WC embryos. numerous endocrine and molecular signals. These signals Organization of ovarian medullary cords and formation of ensure appropriate structural organization and subsequent egg nests was evident at similar ages in both breeds; development of gonads and accessory organs. Substantial however, a greater number of MS compared with WC differences exist in adult reproductive characteristics in embryos exhibited signs of ovarian differentiation at 30 Meishan (MS) and White Composite (WC) pig breeds. dpc. In summary, despite breed differences in MIS and This study compared the timing of embryonic sexual P450 levels in the testis, which may be related to Sertoli c17 differentiation in MS and WC pigs. Embryos/fetuses were and Leydig cell function, the timing of testicular differen- evaluated on 26, 28, 30, 35, 40 and 50 days postcoitum tiation did not differ between breeds and is unlikely to (dpc). -
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. -
Sexual Determination and Differentiation During Embryonic and Fetal Development of New Zealand Rabbit Females
Int. J. Morphol., 36(2):677-686, 2018. Sexual Determination and Differentiation During Embryonic and Fetal Development of New Zealand Rabbit Females Determinación y Diferenciación Sexual Durante el Desarrollo Embrionario y Fetal de Conejos Hembras de Nueva Zelanda Lara Carolina Mario1; Jéssica Borghesi1; Adriana Raquel de Almeida da Anunciação1; Carla Maria de Carvalho Figueiredo Miranda1; Amilton César dos Santos1; Phelipe Oliveira Favaron1; Daniela Martins dos Santos2; Daniel Conei3,4; Bélgica Vásquez5; Mariano del Sol3,6 & Maria Angélica Miglino1 MARIO, L. C.; BORGHESI, J.; DA ANUNCIAÇÃO, A. R. A.; MIRANDA, C. M. C. F.; DOS SANTOS, A. C.; FAVARON, P. O.; DOS SANTOS, D. M.; CONEI, D.; VÁSQUEZ, B.; DEL SOL, M. & MIGLINO, M. A. Sexual determination and differentiation during embryonic and fetal development of New Zealand rabbit females. Int. J. Morphol., 36(2):677-686, 2018. SUMMARY: The aim of this study was to know the embryonic and fetal development of the female rabbit genital system (Oryctolagus cuniculus), describing its main phases and the moment of sexual differentiation. Eleven pregnant New Zealand female rabbits were used in different gestational phases. The day of coitus was determined as day 0. For each stage a minimum of two animals was considered. The samples were obtained every two days from the ninth day post-coitus (dpc) until the 28th dpc. The gestational period was divided in two: animals with undifferentiated sex (group 1) and animals with differentiated sex (group 2). The ages of embryos and fetuses were estimated through the crown-rump method. Subsequently, embryos and fetuses were dissected, fixed and processed to be embedded in paraffin (Histosec). -
Genome Editing Reveals Dmrt1 As an Essential Male Sex-Determining
www.nature.com/scientificreports OPEN Genome editing reveals dmrt1 as an essential male sex-determining gene in Chinese tongue sole Received: 13 October 2016 Accepted: 06 January 2017 (Cynoglossus semilaevis) Published: 16 February 2017 Zhongkai Cui1,2,3,*, Yun Liu4,5,*, Wenwen Wang1, Qian Wang1, Ning Zhang1, Fan Lin1, Na Wang1,2, Changwei Shao1,2, Zhongdian Dong1, Yangzhen Li1,2, Yingming Yang1, Mengzhu Hu1, Hailong Li1, Fengtao Gao1, Zhanfei Wei1, Liang Meng1, Yang Liu1,2, Min Wei1,2, Ying Zhu1,2, Hua Guo1,2, Christopher H. K. Cheng4,5,†, Manfred Schartl6,7,† & Songlin Chen1,2,† Chinese tongue sole is a marine fish with ZW sex determination. Genome sequencing suggested that the Z-linked dmrt1 is a putative male determination gene, but direct genetic evidence is still lacking. Here we show that TALEN of dmrt1 efficiently induced mutations of this gene. The ZZdmrt1 mutant fish developed ovary-like testis, and the spermatogenesis was disrupted. The female-related genes foxl2 and cyp19a1a were significantly increased in the gonad of the ZZdmrt1 mutant. Conversely, the male-related genes Sox9a and Amh were significantly decreased. Thedmrt1 deficient ZZ fish grew much faster than ZZ male control. Notably, we obtained an intersex ZW fish with a testis on one side and an ovary on the other side. This fish was chimeric for admrt1 mutation in the ovary, and wild-type dmrt1 in the testis. Our data provide the first functional evidence thatdmrt1 is a male determining gene in tongue sole. Sex-determining (SD) genes are located on the sex chromosomes to initiate a series of signaling pathways of sex related events to induce the development of bipotential primordial gonads into testes or ovaries. -
Health and Wellbeing of People with Intersex Variations Information and Resource Paper
Health and wellbeing of people with intersex variations Information and resource paper The Victorian Government acknowledges Victorian Aboriginal people as the First Peoples and Traditional Owners and Custodians of the land and water on which we rely. We acknowledge and respect that Aboriginal communities are steeped in traditions and customs built on a disciplined social and cultural order that has sustained 60,000 years of existence. We acknowledge the significant disruptions to social and cultural order and the ongoing hurt caused by colonisation. We acknowledge the ongoing leadership role of Aboriginal communities in addressing and preventing family violence and will continue to work in collaboration with First Peoples to eliminate family violence from all communities. Family Violence Support If you have experienced violence or sexual assault and require immediate or ongoing assistance, contact 1800 RESPECT (1800 737 732) to talk to a counsellor from the National Sexual Assault and Domestic Violence hotline. For confidential support and information, contact Safe Steps’ 24/7 family violence response line on 1800 015 188. If you are concerned for your safety or that of someone else, please contact the police in your state or territory, or call 000 for emergency assistance. To receive this publication in an accessible format, email the Diversity unit <[email protected]> Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, Department of Health and Human Services, March 2019 Victorian Department of Health and Human Services (2018) Health and wellbeing of people with intersex variations: information and resource paper. Initially prepared by T. -
1 Evolution of Sexual Development and Sexual Dimorphism in Insects 1
1 Evolution of sexual development and sexual dimorphism in insects 2 3 Ben R. Hopkins1* & Artyom Kopp1 4 5 1. Department of Evolution and Ecology, University of California – Davis, Davis, USA 6 7 * Corresponding author 8 9 Corresponding author email: [email protected] 10 11 12 13 14 Abstract 15 Most animal species consist of two distinct sexes. At the morphological, physiological, and 16 behavioural levels the differences between males and females are numerous and dramatic, yet 17 at the genomic level they are often slight or absent. This disconnect is overcome because simple 18 genetic differences or environmental signals are able to direct the sex-specific expression of a 19 shared genome. A canonical picture of how this process works in insects emerged from decades 20 of work on Drosophila. But recent years have seen an explosion of molecular-genetic and 21 developmental work on a broad range of insects. Drawing these studies together, we describe 22 the evolution of sexual dimorphism from a comparative perspective and argue that insect sex 23 determination and differentiation systems are composites of rapidly evolving and highly 24 conserved elements. 25 1 26 Introduction 27 Anisogamy is the definitive sex difference. The bimodality in gamete size it describes 28 represents the starting point of a cascade of evolutionary pressures that have generated 29 remarkable divergence in the morphology, physiology, and behaviour of the sexes [1]. But 30 sexual dimorphism presents a paradox: how can a genome largely shared between the sexes 31 give rise to such different forms? A powerful resolution is via sex-specific expression of shared 32 genes. -
Sex and the Developing Brain
CHAPTER 10 Sex and the Developing Brain Jaclyn M. Schwarz University of Delaware, Department of Psychological and Brain Sciences, Newark, DE, USA 1 INTRODUCTION Our sex, whether male or female, is one of the most important defining factors of our- selves because it influences our lives in so many different ways. Our sex is determined at the earliest moment of conception via a process of random chance that almost belies the importance it has on our physiology and behavior. From the moment a mother finds out that she is expecting a new baby, the first question every family member and friend asks is, “Is it a boy or a girl?” The answer to that simple question dictates the name of the baby, the clothes he/she wears, the toys he/she receives, and the expectations that family and friends have for many aspects of the baby’s future personality from child- hood into adolescence. And yet early in development, it is just a fetus, and its sex is not defined by the external social factors that many of us associate with being either a “boy” or a “girl.” Instead, the sex of the developing fetus is determined by the individual sex chromosomes found in each and every one of its cells, and the hormones that the de- veloping gonads produce. From the moment of conception, those sex chromosomes and hormones differentiate the developing body, brain, and future behavior of the develop- ing baby. The sex of an individual also influences many aspects of our health and disease from the earliest moments of fetal development, and many of these “programming” effects on health and disease are maintained throughout life.