Skip to main content

Sex Chromosome Aneuploidy and Anthropometry

  • Chapter
  • First Online:
Handbook of Anthropometry

Abstract

Human growth is a highly complicated process influenced by genetic, hormonal, environmental, dietary, metabolic and socioeconomic factors. Although the interaction between sex steroids and the growth hormone (GH)-IGF-axis is of major importance in regulating growth, multiple genetic factors, including genes located on the sex chromosomes play independent roles. Sex chromosome aneuploidy is the most common chromosome disorder in humans, with an incidence of 1 in 400 newborns. The most frequent type of aneuploidy involve the addition or deletion of an X or Y chromosome resulting in a 47,XXX, 45,X, 47,XXY or 47,XYY karyotype. The clinical and behavioural characteristics of these conditions are relatively well described in the literature, whereas, the addition of more than one extra sex chromosome is rare and relevant clinical information is limited. Sex chromosome aneuploidies have a high but varying impact on normal growth, and disorders of growth may be the first or only symptom of an underlying genetic disorder. Interestingly, the presence of supernumerary sex chromosomes affects growth in a dimorphic pattern indicating that genes on the X and the Y chromosome affect height in a different manner.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 749.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 949.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 949.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

E2:

Estradiol

FSH:

Follicle stimulating hormone

KS:

Klinefelter syndrome

LH:

Luteinizing hormone

IGF-I:

Insulin like growth factor I

IGFBP-3:

Insulin like growth factor binding protein 3

SDS:

Standard deviation score

SHOX:

Short stature homeobox containing gene

SRY :

Sex determining region of the Y chromosome

T:

Testosterone

References

  • Aksglaede L, Molgaard C, Skakkebaek NE, Juul A. Normal bone mineral content but unfavourable muscle/fat ratio in Klinefelter syndrome. Arch Dis Child. 2008a;93:30–4.

    Article  PubMed  CAS  Google Scholar 

  • Aksglaede L, Skakkebaek NE, Juul A. Abnormal Sex Chromosome Constitution and Longitudinal Growth: Serum Levels of Insulin-Like Growth Factor (IGF)-I, IGF Binding Protein-3, Luteinizing Hormone, and Testosterone in 109 Males with 47,XXY, 47,XYY, or Sex-Determining Region of the Y Chromosome (SRY)-Positive 46,XX Karyotypes. J Clin Endocrinol Metab. 2008b;93:169–76.

    Article  PubMed  CAS  Google Scholar 

  • Andersen E, Hutchings B, Jansen J, Nyholm M. Heights and weights of Danish children. Ugeskr Laeger. 1982;144:1760–5.

    PubMed  CAS  Google Scholar 

  • Bojesen A, Juul S, Gravholt CH. Prenatal and postnatal prevalence of Klinefelter syndrome: a national registry study. J Clin Endocrinol Metab. 2003;88:622–6.

    Article  PubMed  CAS  Google Scholar 

  • Bojesen A, Juul S, Birkebaek NH, Gravholt CH. Morbidity in Klinefelter syndrome: a Danish register study based on hospital discharge diagnoses. J Clin Endocrinol Metab. 2006a;91:1254–60.

    Article  PubMed  CAS  Google Scholar 

  • Bojesen A, Kristensen K, Birkebaek NH, Fedder J, Mosekilde L, Bennett P, Laurberg P, Frystyk J, Flyvbjerg A, Christiansen JS, Gravholt CH. The Metabolic Syndrome Is Frequent in Klinefelter’s Syndrome and Is Associated With Abdominal Obesity and Hypogonadism. Diabetes Care. 2006b;29:1591–8.

    Article  PubMed  Google Scholar 

  • Geerts M, Steyaert J, Fryns JP. The XYY syndrome: a follow-up study on 38 boys. Genet Couns. 2003;14:267–79.

    PubMed  CAS  Google Scholar 

  • Horowitz M, Wishart JM, O’Loughlin PD, Morris HA, Need AG, Nordin BE. Osteoporosis and Klinefelter’s syndrome. Clin Endocrinol (Oxf). 1992;36:113–8.

    Article  CAS  Google Scholar 

  • Jacobs PA, Strong JA. A case of human intersexuality having a possible XXY sex-determining mechanism. Nature. 1959;183:302–3.

    Article  PubMed  CAS  Google Scholar 

  • Jones KL. XXX and XXXX syndromes. In: Smith’s recognizable patterns of human malformation. 5th edition. Philadelphia: Saunders; 1997. p. 78–9.

    Google Scholar 

  • Karlberg J, Albertsson-Wikland K, Nilsson KO, Ritzen EM, Westphal O. Growth in infancy and childhood in girls with Turner’s syndrome. Acta Paediatr Scand. 1991;80:1158–65.

    Article  PubMed  CAS  Google Scholar 

  • Klinefelter HF. Syndrome Characterized by Gynecomastia, Aspermatogenesis without A-Leydigism, and Increased Excretion of Follicle-Stimulating Hormone. EC Reifenstein, F Albright. J Clin Endocrinol. 1942;2:615–27.

    Article  CAS  Google Scholar 

  • Kübler A, Schulz G, Cordes U, Beyer J, Krause U. The influence of testosterone substitution on bone mineral density in patients with Klinefelter’s syndrome. Exp Clin Endocrinol. 1992;100:129–32.

    Article  PubMed  CAS  Google Scholar 

  • Lanfranco F, Kamischke A, Zitzmann M, Nieschlag E. Klinefelter’s syndrome. Lancet. 2004;364:273–83.

    Article  PubMed  CAS  Google Scholar 

  • Linden MG, Bender BG, Harmon RJ, Mrazek DA, Robinson A. 47,XXX: what is the prognosis? Pediatrics. 1988;82:619–30.

    PubMed  CAS  Google Scholar 

  • Munns CJ, Haase HR, Crowther LM, Hayes MT, Blaschke R, Rappold G, Glass IA, Batch JA. Expression of SHOX in human fetal and childhood growth plate. J Clin Endocrinol Metab. 2004;89:4130–5.

    Article  PubMed  CAS  Google Scholar 

  • Otter M, Schrander-Stumpel CT, Curfs LM. Triple X syndrome: a review of the literature. Eur J Hum Genet. 2010;18(3):265–71.

    Google Scholar 

  • Ottesen AM, Aksglaede L, Garn I, Tartaglia N, Tassone F, Gravholt CH, Bojesen A, Sørensen K, Jørgensen N, Rajpert-De Meyts E, Gerdes T, Lind A-M, Kjaergaard S, Juul A., Increased Number of Sex Chromosomes Affects Height in a Non Linear Fashion: A Study of 305 Patients with Sex Chromosome Aneuploidy. Am J Med Genet A. 2010;152A(5):1206–12.

    Google Scholar 

  • Paulsen CA, Gordon DL, Carpenter RW, Gandy HM, Drucker WD. Klinefelter’s syndrome and its variants: a hormonal and chromosomal study. Recent Prog. Horm Res. 1968;24:321–63.

    CAS  Google Scholar 

  • Rao E, Weiss B, Fukami M, Rump A, Niesler B, Mertz A, Muroya K, Binder G, Kirsch S,Winkelmann M, Nordsiek G, Heinrich U, Breuning MH, Ranke MB, Rosenthal A, Ogata T, Rappold GA. Pseudoautosomal deletions encompassing a novel homeobox gene cause growth failure in idiopathic short stature and Turner syndrome. Nat Genet. 1997;16:54–63.

    Article  PubMed  CAS  Google Scholar 

  • Ratcliffe SG. The sexual development of boys with the chromosome constitution 47,XXY (Klinefelter’s syndrome).Clin Endocrinol Metab. 1982;11:703–16.

    Article  PubMed  CAS  Google Scholar 

  • Ratcliffe SG. Longitudinal growth studies on children with sex chromosome abnormalities. Prog Clin Biol Res. 1985;200:301–9.

    PubMed  CAS  Google Scholar 

  • Ratcliffe S. Long-term outcome in children of sex chromosome abnormalities. Arch Dis Child. 1999;80:192–5.

    Article  PubMed  CAS  Google Scholar 

  • Ratcliffe SG, Butler GE, Jones M. Edinburgh study of growth and development of children with sex chromosome abnormalities. IV. Birth Defects Orig Artic Ser. 1990;26:1–44.

    PubMed  CAS  Google Scholar 

  • Ratcliffe SG, Pan H, McKie M. Growth during puberty in the XYY boy. Ann Hum Biol. 1992;19:579–87.

    Article  PubMed  CAS  Google Scholar 

  • Ratcliffe SG, Pan H, McKie M. The growth of XXX females: population-based studies. Ann Hum Biol. 1994;21:57–66.

    Article  PubMed  CAS  Google Scholar 

  • Robinson DO, Jacobs PA. The origin of the extra Y chromosome in males with a 47,XYY karyotype. Hum Mol Genet. 1999;8:2205–9.

    Article  PubMed  CAS  Google Scholar 

  • Robinson A, Lubs HA, Nielsen J, Sorensen K. Summary of clinical findings: profiles of children with 47,XXY, 47,XXX and 47,XYY karyotypes. Birth Defects Orig Artic Ser. 1979;15:261–6.

    PubMed  CAS  Google Scholar 

  • Robinson A, Bender BG, Linden MG, Salbenblatt JA. Sex chromosome aneuploidy: the Denver Prospective Study. Birth Defects Orig Artic Ser. 1990;26:59–115.

    PubMed  CAS  Google Scholar 

  • Ross JL, Samango-Sprouse C, Lahlou N, Kowal K, Elder FF, Zinn A. Early androgen deficiency in infants and young boys with 47,XXY Klinefelter syndrome. Horm Res. 2005;64:39–45.

    Article  PubMed  CAS  Google Scholar 

  • Sherman E, Simpson JL. Sex Chromosomal Polysomies (47,XXY; 47,XYY; 47,XXX), Sex Reversed (46,XX) Males, and Disorders of the Male Reproductive Ducts. In: Genetics in obstetrics and gynecology. 2003;323–341

    Google Scholar 

  • Skakkebaek NE, Hulten M, Jacobsen P, Mikkelsen M. Quantification of human seminiferous epithelium. II. Histological studies in eight 47,XYY men. J Reprod Fertil. 1973;32:391–401.

    Article  PubMed  CAS  Google Scholar 

  • Stewart DA, Bailey JD, Netley CT, Rovet J, Park E, Cripps M, Curtis JA. Growth and development of children with X and Y chromosome aneuploidy from infancy to pubertal age: the Toronto study. Birth Defects Orig Artic Ser. 1982a;18:99–154.

    PubMed  CAS  Google Scholar 

  • Stewart DA, Netley CT, Park E. Summary of clinical findings of children with 47,XXY, 47,XYY, and 47,XXX karyotypes. Birth Defects Orig Artic Ser. 1982b;18:1–5.

    PubMed  CAS  Google Scholar 

  • Stewart DA, Bailey JD, Netley CT, Park E. Growth, development, and behavioral outcome from mid-adolescence to adulthood in subjects with chromosome aneuploidy: the Toronto Study. Birth Defects Orig Artic Ser. 1990;26:131–88.

    PubMed  CAS  Google Scholar 

  • Swerdlow AJ, Higgins CD, Schoemaker MJ, Wright AF, Jacobs PA. Mortality in patients with Klinefelter syndrome in Britain: a cohort study. J Clin Endocrinol Metab. 2005;90:6516–22.

    Article  PubMed  CAS  Google Scholar 

  • Tartaglia N, Davis S, Hench A, Nimishakavi S, Beauregard R, Reynolds A, Fenton L, Albrecht L, Ross J, Visootsak J, Hansen R, Hagerman R. A new look at XXYY syndrome: medical and psychological features. Am J Med Genet A. 2008;146A:1509–22.

    Article  PubMed  Google Scholar 

  • Varrela J. Effects of X and Y chromosomes on body size and shape. Anthropometric studies of 45,X females, 46,XY females, 46,XX males, 47,XXY males, and 47,XYY males. Proc Finn Dent Soc. 1984;80(5):1–59.

    Google Scholar 

  • Varrela J, Alvesalo L. Effects of the Y chromosome on quantitative growth: an anthropometric study of 47,XYY males. Am J Phys Anthropol. 1985;68:239–45.

    Article  PubMed  CAS  Google Scholar 

  • Vorona E, Zitzmann M, Gromoll J, Schuring AN, Nieschlag E. Clinical, endocrinological, and epigenetic features of the 46,XX male syndrome, compared with 47,XXY Klinefelter patients. J Clin Endocrinol Metab. 2007;92:3458–65.

    Article  PubMed  CAS  Google Scholar 

  • Zinn AR, Ramos P, Elder FF, Kowal K, Samango-Sprouse C, Ross JL. Androgen receptor CAGn repeat length influences phenotype of 47,XXY (Klinefelter) syndrome. J Clin Endocrinol Metab. 2005;90:5041–6.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lise Aksglaede .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Aksglaede, L., Skakkebæk, N.E., Juul, A. (2012). Sex Chromosome Aneuploidy and Anthropometry. In: Preedy, V. (eds) Handbook of Anthropometry. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1788-1_99

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-1788-1_99

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1787-4

  • Online ISBN: 978-1-4419-1788-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics