In humans that are XX/XO mosaics, the phenotype is highly variable, ranging from females who have classic Turner syndrome symptoms to females who are essentially normal. Likewise, XY/XO mosaics have phenotypes that range from Turner syndrome females to essentially normal males. How can the wide range of phenotypes be explained for these sex-chromosome mosaics?
Table of contents
- 1. Introduction to Genetics51m
- 2. Mendel's Laws of Inheritance3h 37m
- 3. Extensions to Mendelian Inheritance2h 41m
- 4. Genetic Mapping and Linkage2h 28m
- 5. Genetics of Bacteria and Viruses1h 21m
- 6. Chromosomal Variation1h 48m
- 7. DNA and Chromosome Structure56m
- 8. DNA Replication1h 10m
- 9. Mitosis and Meiosis1h 34m
- 10. Transcription1h 0m
- 11. Translation58m
- 12. Gene Regulation in Prokaryotes1h 19m
- 13. Gene Regulation in Eukaryotes44m
- 14. Genetic Control of Development44m
- 15. Genomes and Genomics1h 50m
- 16. Transposable Elements47m
- 17. Mutation, Repair, and Recombination1h 6m
- 18. Molecular Genetic Tools19m
- 19. Cancer Genetics29m
- 20. Quantitative Genetics1h 26m
- 21. Population Genetics50m
- 22. Evolutionary Genetics29m
6. Chromosomal Variation
Chromosomal Mutations: Aneuploidy
Problem 27c
Textbook Question
A boy with Klinefelter syndrome (47,XXY) is born to a mother who is phenotypically normal and a father who has the X-linked skin condition called anhidrotic ectodermal dysplasia. The mother's skin is completely normal with no signs of the skin abnormality. In contrast, her son has patches of normal skin and patches of abnormal skin. Using the appropriate genetic terminology, explain the son's skin phenotype.

1
Klinefelter syndrome (47,XXY) occurs when a male has an extra X chromosome, resulting in a karyotype of 47 chromosomes instead of the typical 46. This means the boy inherited one X chromosome from his mother, one X chromosome from his father, and a Y chromosome from his father.
Anhidrotic ectodermal dysplasia is an X-linked condition, meaning the gene responsible for the condition is located on the X chromosome. Since males typically have only one X chromosome, they either express the condition (if they inherit the affected X) or do not (if they inherit a normal X).
In this case, the boy has two X chromosomes due to Klinefelter syndrome. One X chromosome came from his mother (normal) and the other X chromosome came from his father (carrying the mutation for anhidrotic ectodermal dysplasia).
The patches of normal and abnormal skin in the boy are due to X-inactivation, a process in which one of the two X chromosomes in each cell is randomly inactivated during early embryonic development. This leads to a mosaic pattern where some cells express the genes from the maternal X chromosome (normal skin) and others express the genes from the paternal X chromosome (abnormal skin).
This phenomenon is called mosaicism, and it explains why the boy has patches of normal skin (where the paternal X chromosome is inactivated) and patches of abnormal skin (where the maternal X chromosome is inactivated).

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Key Concepts
Here are the essential concepts you must grasp in order to answer the question correctly.
Klinefelter Syndrome
Klinefelter syndrome is a genetic condition in males characterized by the presence of an extra X chromosome, resulting in a 47,XXY karyotype. This condition can lead to various physical and developmental features, including reduced testosterone levels, infertility, and sometimes, skin abnormalities. Understanding Klinefelter syndrome is crucial for analyzing the genetic background of the boy in the question.
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Human Sex Chromosomes
X-linked Inheritance
X-linked inheritance refers to the pattern of inheritance for genes located on the X chromosome. Conditions that are X-linked, such as anhidrotic ectodermal dysplasia, can manifest in males who have only one X chromosome. In this case, the boy's skin phenotype is influenced by the X-linked condition inherited from his father, which affects the development of sweat glands and can lead to patches of abnormal skin.
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X-Inactivation
Phenotype
Phenotype refers to the observable physical and physiological traits of an organism, which result from the interaction of its genotype with the environment. In the context of the boy's skin phenotype, it describes the visible patches of normal and abnormal skin. This variation can be attributed to the combination of his Klinefelter syndrome and the X-linked condition inherited from his father, leading to a mosaic pattern of skin expression.
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Mutations and Phenotypes
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