| 
					   
						  
				 | 
				  | 
				 | 
				
					
						
							
								21.1 Genetic factors and hormones that determine gender
							 | 
							 | 
							
							
							 | 
						 
					 
					
					 
					 
					
						
							
								Genetic factors: introduction
							 | 
							 | 
							
								
							 | 
						 
					 
					 
					
						
							| 
								 In the nucleus of every cell of his or her body, a human being has 46 chromosomes. 22 chromosome pairs (numbered from 1-22) belong to the autosomes and 1 pair to the sex chromosomes or gonosomes.  They are denoted as X and Y.  A female has two X-chromosomes and a male an X and a Y-chromosome.  In a woman, one of the two X-chromosomes is inactivated in the form of heterochromatin (sex chromatin), the Barr body - diagnosis of the genetic gender is made on this basis.  This inactivation already takes place in the blastocyst stage  3  - randomly  - either on the paternal or maternal X chromosome. When a Y chromosome is present, the development takes place in the direction of manhood; if it is missing, a feminine development occurs. 
									 
									It is not the number of gonosomes that is decisive for the gender, but rather the presence or absence of the Y-chromosome, as can be seen in the following table. 
							 | 
							 | 
							
								
							 | 
						 
					 
					 
					 
					
						
							
								
									
										| Comparison table: aneuploidy and euploidy of the gonosomes | 
									 
									
										| Karyotype  | 
										
											 
												Phenotypical 
														gender 
										 | 
										Gonad | 
										Syndromes | 
										Fate | 
									 
									
										| 45, XO | 
										female | 
										Ovaries | 
										Turner's syndrome | 
										Atrophy of the ovaries in the fetus | 
									 
									
										| 45, YO | 
										   --- | 
										   --- | 
										    ---  | 
										Absence of the X -chromosome is lethal | 
									 
									
										| 46, XX | 
										female | 
										Ovaries | 
										Normal woman | 
										Normal development | 
									 
									
										| 47, XXX | 
										female | 
										Ovaries | 
										Normal fertility | 
										Normal development | 
									 
									
										| 46, XY | 
										male | 
										Testes | 
										Normal man | 
										Normal development | 
									 
									
										| 47, XXY | 
										male | 
										Testes | 
										Klinefelter's syndrome | 
										Small testes, aspermatogenesis | 
									 
									
										| 47, XYY | 
										male | 
										Testes | 
										Normal fertility | 
										Normal development | 
									 
								 
							 | 
							 | 
							
								
									
										
											
												
													| 
														 More info 
													 | 
												 
												
													| 
														 An aneuploidy (anomaly in the number of chromosomes) of the gonosomes (sex chromosomes) is not rare, whereby Klinefelter's syndrome and Turner'ssyndromes occur the most frequently. 
																Klinefelter's syndrome 
																and 
																Turner's syndrome 
													 | 
												 
											 
										 | 
									 
								 
							 | 
						 
					 
					 
					 
					
						
							| 
								 It is clear that the information encoded on the Y-chromosome is not enough to guide the formation of such a complicated organ as the testicles, but a localized gene on this chromosome, the SRY (sex determining region Y gene) operates very early in the development as a guide or "master gene".  It has a testis-determining effect on the indifferent gonads. This small gene (a single exon), which is localized on the shorter arm of the Y chromosome (Yp), gets expressed in the precursors for the supporting cells (Sertoli). It controls a whole number of further genes on the autosomes as well as on the X chromosome.  It is only through the concerted workings of this SRY-gene together with genes on other chromosomes that the development of the testicles is possible. (Diagram of the molecular factors involved in the development of the genital apparatus) 
							 | 
							 | 
							
								
									
										
											
												
													| 
														 More info 
													 | 
												 
												
													| 
														 Special case of a dissociation between the karyotype and phenotype. 
													 | 
												 
											 
										 | 
									 
								 
							 | 
						 
					 
					 
					 
					
						
					 | 
				 
					 
					 
					 
					 
					 
				 |