title: An abnormal terminal X-Y interchange accounts for most but not all cases of human XX maleness.
abstract: To determine if human XX maleness results from an abnormal chromosomal X-Y interchange, we studied the inheritance of the paternal pseudoautosomal region in nine patients. Those six patients in whom Y-specific DNA was found (Y(+)) inherited the entire pseudoautosomal region from the paternal Y chromosome and lost that of the paternal X chromosome. Moreover, in three Y(+) cases, we observed the deletion of a paternal Xp locus tightly linked to the pseudoautosomal region. These results definitively show that an abnormal and terminal X-Y interchange during paternal meiosis causes Y(+)XX maleness. In contrast, no abnormal X-Y interchange was observed in any of the three Y(-) cases analyzed, suggesting that maleness can occur in the absence of any Y-specific DNA.
mesh_terms: D000483:Alleles; D002874:Chromosome Mapping; D005260:Female; D006801:Humans; D006822:Hybrid Cells; D008297:Male; D012150:Polymorphism, Restriction Fragment Length; D012729:Sex Chromosome Aberrations / Q000235:genetics*; D012854:Sister Chromatid Exchange; D014178:Translocation, Genetic; D014960:X Chromosome