Feature Article
CLINICAL FEATURES IN SHOX HAPLOINSUFFICIENCY: DIAGNOSTIC AND THERAPEUTIC IMPLICATIONS
Tsutomu Ogata, MD, PhD; Maki Fukami, MD
Department of Endocrinology and Metabolism National Research Institute for Child Health and Development Tokyo, Japan
The distal end of Xp and Yp is composed of 2.6 Mb DNA sequences that are identical between the X and the Y chromosome.
1 This particular region is named the short arm pseudoautosomal region (PAR1), where the X and the Y chromosomes
recombine during male meiosis. 1 Since Xp terminal deletions invariably result in short stature irrespective of
the breakpoints, 2 and small Yp terminal deletions lead to short stature, 3 it has been suggested that
a growth gene escaping X-inactivation resides in the PAR1, and that haploinsufficiency of the growth gene causes short
stature in both sexes as a dominant phenotype. 2
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