Extremely skewed X-chromosome inactivation patterns in women with recurrent spontaneous abortion
Akyerli, C. B.
Australian and New Zealand Journal of Obstetrics and Gynaecology
Wiley-Blackwell Publishing Asia
384 - 387
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Background: The role of extremely skewed X-chromosome inactivation (XCI) has been questioned in the pathogenesis of recurrent spontaneous abortion (RSA) but the results obtained were conflicting. Aims: We therefore investigated the XCI patterns in peripheral blood DNA obtained from 80 patients who had RSA and 160 age-matched controls. Methods: Pregnancy history, age, karyotype, and disease information was collected from all subjects. The methylation status of a highly polymorphic cytosine-adenine-guanine repeat in the androgen-receptor (AR) gene was determined by use of methylation-sensitive restriction enzyme HpaII and polymerase chain reaction. Results: Skewed XCI (> 8 5% skewing) was observed in 13 of the 62 patients informative for the AR polymorphism (20.9%), and eight of the 124 informative controls (6.4%) (P = 0.0069; χ 2 test). More importantly, extremely skewed XCI, defined as > 90% inactivation of one allele, was present in 11 (17.7%) patients, and in only two controls (P = 0.0002; χ 2 test). Conclusions: These results support the interpretation that disturbances in XCI mosaicism may be involved in the pathogenesis of RSA.
Major clinical study
Polymerase chain reaction
Sex chromosome mosaicism
X chromosome inactivation
X Chromosome Inactivation
Published Version (Please cite this version)http://dx.doi.org/10.1111/j.1479-828X.2006.00622.x
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