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Genotypic Sex Determination in Humans

Humans have two types of sex chromosomes: the X chromosome and the Y chromosome. The combination of these chromosomes in an individual’s karyotype determines their genotypic sex.

Human Sex Chromosome System (XX/XY)

Humans use an XX/XY system:

Autosomes (chromosomes 1–22) are the same in both sexes; only the 23rd pair (sex chromosomes) differs.

Inheritance of Sex Chromosomes

Gametes and Their Sex Chromosomes

Thus, the genetic contribution:

Punnett Scheme for Sex Determination

If we cross the parental genotypes:

Possible combinations:

Under idealized conditions, the probability for each conception is:

Real populations can show slight deviations from exactly 1:1 due to biological and environmental factors, but the mechanism is the same.

Structure and Special Features of X and Y Chromosomes

X Chromosome

Y Chromosome

Pseudoautosomal Regions (PAR)

X and Y chromosomes are largely different, but they share small homologous segments at their ends:

The SRY Gene and Testis Determination

The central genetic switch for male development in humans is the SRY gene.

Location and Function of SRY

Presence or Absence of SRY

Therefore, genotypic sex in humans is typically determined by:

Timing and Principle of Sex Determination

Early Embryonic Stage

Primary vs. Secondary Sex Characteristics

X-Linked Inheritance and Sex Determination Context

While sex determination itself depends on X/Y combination and SRY, the unequal distribution of X and Y also has consequences for inheritance patterns:

This genetic asymmetry underlies typical X-linked inheritance patterns (covered in detail in other chapters) and explains why certain traits or disorders occur more frequently in one genotypic sex than the other.

Variations in Genotypic Sex Determination

Most humans fit clearly into $46,XX$ or $46,XY$, but variations occur due to changes in chromosome number, structure, or gene location. These illustrate that genotypic sex is rooted in chromosomal and gene-level mechanisms, not only in external appearance.

Examples of Chromosomal Variants Affecting Sex Determination

(Phenotypic details and clinical features are discussed elsewhere; here the focus is on genotypic mechanisms.)

  1. Turner syndrome ($45,X$ or $45,X0$)
    • Only one X chromosome, no second sex chromosome and no Y.
    • Genotypic sex: typically classified as female because of absence of Y/SRY.
    • Shows that two sex chromosomes are not strictly required for female genotypic sex but absence of Y is critical.
  2. Klinefelter syndrome ($47,XXY$ and related variants)
    • At least one Y and at least two X chromosomes.
    • Genotypic sex: male, because SRY is present on the Y.
    • Demonstrates that the presence of Y (with SRY) overrides extra X in determining genotypic sex.
  3. $47,XYY$
    • One X, two Y chromosomes.
    • Genotypic sex: male, due to presence of Y (typically SRY-positive).
  4. $47,XXX$ (Triple X)
    • Three X chromosomes, no Y.
    • Genotypic sex: female, as Y is absent.

SRY Translocations and Discordance Between Chromosomes and Sex

Occasionally, SRY can move due to chromosomal rearrangements:

These cases show that, in humans, SRY function is more decisive for primary sex determination than the mere presence of a morphologically recognizable Y chromosome.

Summary of the Genetic Logic

  1. Fertilization:
    • Egg ($X$) + sperm ($X$ or $Y$) → $XX$ or $XY$.
  2. Chromosomal composition:
    • $XX$ → usually no Y, no SRY → ovarian pathway.
    • $XY$ → Y present, SRY usually present → testicular pathway.
  3. Genotypic sex:
    • Determined by the combination of sex chromosomes and key genes (primarily SRY).
    • Shapes the development of primary sex characteristics and underlies sex-specific patterns of inheritance for X-linked and Y-linked genes.

While later hormonal influences and environmental factors affect phenotypic sex and sexual development, genotypic sex determination in humans is ultimately a chromosomal and gene-based process, primarily governed by whether a functional SRY gene is present.

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