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Role of the X Chromosome in Social Behavioural Dysfunction and Autism-like Behaviour

Article Title: Role of the X Chromosome in Social Behavioural Dysfunction and Autism-like Behaviour

Authors: Sophie van Rijn, Hanna Swaab, Marit Bierman, Rita Zijlstra

Date of Publication: January 2010

“Social cognitive competence appears to be a good predictor of social behaviour and adaptation. Individual variance in social cognitive competence is, for a substantial part, attributable to genetic factors. Deficits in social behaviour are seen in populations such as those with autism-spectrum disorders, and although social (dys)functioning may be similar at the level of behavioural phenotypes, it may substantially differ with regard to the underlying cognitive and genetic pathways. In this review study it is argued that there is a need to study the neurocognitive and behavioural phenotypes in more homogeneous genetic groups. This enables us to identify aetiological pathways to psychopathology. In both Turner syndrome (45, XO) and Klinefelter syndrome (47, XXY), basic social-cue processing deficits are observed, which may contribute to difficulties in social intuition and hence in coping with social situations. The study of these two syndromes opens up opportunities to study the influence of the X chromosome on brain behaviour developmental trajectories of social functioning and psychopathology in heterogeneous populations.”

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The authors have presented at AXYS Families’ Conferences and participated in AXYS Scientific Conferences.

2018-09-09T10:11:00-04:00Categories: All Variations|

Structural and Functional Neuroimaging in Klinefelter (47,XXY) Syndrome

Article Title: Structural and functional neuroimaging in Klinefelter (47,XXY) syndrome: a review of the literature and preliminary results from a functional magnetic resonance imaging study of language

Authors: K. Steinman, J. Ross, S. Lai, A. Reiss, F. Hoeft

Date of Publication: December 15, 2009

Highly technical article that looks at various research studies associated with neurobiology and neuroimaging of 47,XXY brains. Could be a useful article for discussions with medical professionals interested in the underlying neuroanatomy involved with XXY. Also could be helpful for situations involving the legal system where it is important for the court to understand the neurobiological differences that can be present in XXY.

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2018-07-14T10:59:30-04:00Categories: 47,XXY (Klinefelter)|

Cognitive Phenotype in Klinefelter Syndrome (XXY)

Article Title: The Cognitive Phenotype in Klinefelter Syndrome: A Review of the Literature Including Genetic and Hormonal Factors

Authors: Nicole Tartaglia, Richard Boada, Jennifer Janusz, Christa Hutaff-Lee

Date of Publication: December 15, 2009

“Klinefelter syndrome (KS) or 47,XXY occurs in 1 in 650 males. Individuals with KS often present with physical characteristics including tall stature, hypogonadism, and fertility problems. In addition to medical findings, the presence of the extra X chromosome can lead to characteristic cognitive and language deficits of varying severity. While a small, but significant downward shift in mean overall IQ has been reported, the general cognitive abilities of patients with KS are not typically the intellectual disability range. Most studies support that males with KS have an increased risk of language disorders and reading disabilities.Results of other studies investigating the relationship between verbal and nonverbal/spatial cognitive abilities have been mixed, with differing results based on the age and ascertainment method of the cohort studied. Executive function deficits have been identified in children and adults with KS, however, the research in this area is limited and further investigation of the neuropsychological profile is needed. In this article, we review the strengths and weaknesses of previous cognitive and neuropsychological studies in males with KS in childhood and adulthood, provide historical perspective of these studies, and review what is known about how hormonal and genetic factors influence cognitive features in 47,XXY/KS.”

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2018-09-25T11:57:16-04:00Categories: 47,XXY (Klinefelter)|

Original Klinefelter Article from 1942

Article Title: Syndrome Characterized by Gynecomastia, Aspermatogenesis without A-Leydigism, and Increased Excretion of Follicle-Stimulating Hormone1

Authors: Harry F. Klinefelter, Edward C. Reifenstein, Fuller Albright

Date of Publication: 1942

This is the abstract from the original medical journal article published by Harry Klinefelter in 1942 that described the Klinefelter Syndrome (not to be confused with 47,XXY).

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2018-07-14T11:40:05-04:00Categories: 47,XXY (Klinefelter)|

Psychosocial Impact of Klinefelter Syndrome

Article Title: The psychosocial impact of Klinefelter syndrome and factors influencing quality of life

Authors: Amy S. Herlihy, BSc, Robert I. McLachlan, MD, PhD, Lynn Gillam, MA, PhD, Megan L. Cock, BSc, PhD, Veronica Collins, MSc, PhD, and Jane L. Halliday, BSc, PhD

Date of Publication: July 2011

“This is the first quantitative study to show Klinefelter syndrome has a significant personal impact. Men diagnosed with Klinefelter syndrome later in life reported similar difficulties as those at younger ages, suggesting that they would benefit from early detection and intervention. Understanding factors influencing this can assist in providing adequate services to individuals with Klinefelter syndrome, their partners, families, and the health professionals caring for them.”

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2018-09-28T14:10:53-04:00Categories: 47,XXY (Klinefelter)|

Postnatal screening for XXY (Klinefelter Syndrome)

Article Title: Postnatal screening for Klinefelter syndrome: is there a rationale?

Authors: Amy S. Herlihy, Lynn Gillam, Jane L. Halliday, Robert I. McLachlan

Date of Publication: December 27, 2010

“Diagnosis of Klinefelter syndrome (KS) allows for timely beneficial interventions across the lifespan. Most cases currently remain undiagnosed because of low awareness of KS amongst health professionals, the hesitancy of men to seek medical attention and its variable clinical presentation. Given these barriers, population-based genetic screening provides an approach to comprehensive and early detection. We examine current evidence regarding risks and benefits of diagnosing KS at different ages.”

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2018-09-28T11:36:23-04:00Categories: 47,XXY (Klinefelter)|

Assessing the Risks and Benefits of Diagnosing Genetic Conditions through Population Screening

Article Title: Assessing the risks and benefits of diagnosing genetic conditions with variable phenotypes through population screening: Klinefelter syndrome as an example

Authors: Amy Simone Herlihy, Jane Halliday, Rob I. McLachlan, Megan Cock, Lynn Gillam

Date of Publication: March 29. 2010

Abstract:

Consideration of postnatal population-based genetic screening programs is becoming increasingly common. Assessing the medical and psychosocial impacts of this can be particularly complex for genetic conditions with variable phenotypes, especially when outcomes may be more related to quality of life rather than reducing physical morbidity and mortality. In this article, we present a framework for assessing these impacts, by comparing diagnosis and non-diagnosis at different age points. We use the example of Klinefelter syndrome, a common yet frequently under-diagnosed genetic condition for which interventions are available. This framework can be used to supplement established screening guidelines and inform decision-making.

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2018-07-14T13:54:47-04:00Categories: 47,XXY (Klinefelter)|

Prevalence of Klinefelter Syndrome (XXY) in Australia

Article Title: The prevalence and diagnosis rates of Klinefelter syndrome: an Australian comparison

Authors: Amy S. Herlihy, Jane L. Halliday, Megan L. Cock, Robert I. McLachlan

Date of Publication: January 3, 2011

“A mean prevalence for KS of 152 per 100,000 male births was estimated from newborn screening programs in the 1960s and 1970s in several countries, including Denmark, the United States, Canada, Japan,and the United Kingdom. Despite this high frequency, and features such as small testicles in adulthood, it has been estimated that less than 10% of the estimated number of affected fetuses are detected prenatally, and only 26% of live-born cases are diagnosed postnatally. A birth prevalence for KS of 153 per 100 000 males in Denmark has been estimated using population information and adjusting the prenatal prevalence for maternal age, as KS is an incidental finding of prenatal karyotype tests that are more commonly performed in older mothers. Comparison with postnatal diagnoses confirmed that only 25% of KS cases are detected. The low diagnosis rate suggests most males with KS will not receive potentially beneficial treatments, especially androgen therapy. Most adult diagnoses occur during fertility assessment, beyond the ideal point for intervention. Detection in childhood and timely intervention may be essential for optimal medical and psychosocial outcomes in adulthood.”

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2018-09-28T11:40:20-04:00Categories: 47,XXY (Klinefelter)|

Social Function in Multiple X and Y Conditions

Article Title: Social Function in Multiple X and Y Chromosome Disorders: XXY, XYY, XXYY, XXXY

Authors: Jeannie Visootsak, John M. Graham, Jr.

Date of Publication: September 2, 2009

Abstract:

Klinefelter syndrome (47,XXY) was initially described in the context of its endocrinologic and physical features; however, subsequent studies have revealed specific impairments in verbal skills and social functioning. Males with sex chromosomal aneuploidies are known to have variability in their developmental profile with the majority presenting with expressive language deficits. As a consequence of language delays, they have an increased likelihood of language-based learning disabilities and social-emotional problems that may persist through adulthood. Studies on males with 47,XXY have revealed unique behavioral and social profiles with possible vulnerability to autistic traits. The prevalence of males with more than one extra sex chromosome (e.g., 48,XXYY and 48,XXXY) and an additional Y (e.g., 47,XYY) is less common, but it is important to understand their social functioning as it provides insight into treatment implications.

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2018-07-14T14:01:58-04:00Categories: All Variations|
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