Literature DB >> 19464849

Autoimmunity and Klinefelter's syndrome: when men have two X chromosomes.

Amr H Sawalha1, John B Harley, R Hal Scofield.   

Abstract

Similar to other autoimmune diseases, systemic lupus erythematosus (SLE) predominately affects women. Recent reports demonstrate excess Klinefelter's among men with SLE and a possible under-representation of Turner's syndrome among women with SLE as well as a case report of a 46,XX boy with SLE. These data suggest that risk of SLE is related to a gene dose effect for the X chromosome. Such an effect could be mediated by abnormal inactivation of genes on the X chromosome as has been demonstrated for CD40L, or by genetic polymorphism as has been demonstrated for Xq28. On the other hand, a gene dose effect could also be mediated by a gene without an SLE-associated polymorphism in that a gene that avoids X inactivation will have a higher level of expression in persons with two X chromosomes.

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Year:  2009        PMID: 19464849      PMCID: PMC2885450          DOI: 10.1016/j.jaut.2009.03.006

Source DB:  PubMed          Journal:  J Autoimmun        ISSN: 0896-8411            Impact factor:   7.094


  51 in total

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  53 in total

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Journal:  Nat Rev Rheumatol       Date:  2011-02-01       Impact factor: 20.543

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