It has been proposed that all live born females with Turner
syndrome carry a cell line containing
two sex chromosomes, which may be present at a low level of mosaicism
(Hook & Warburton, 1983;
Hassold et al. 1985; 1988; Connor & Loughlin, 1989). If
the second sex chromosome is a Y, these
patients are at risk of developing gonadoblastoma. In this study, 50
patients found to have a 45,X
karyotype by conventional cytogenetic analysis, were screened by the polymerase
chain reaction
(PCR), for the presence of Y chromosome sequences. Two patients were
positive for six of the eight
Y chromosome loci tested and additional cytogenetic analysis confirmed
the presence of a marker
chromosome, in 8% and 3% of cells respectively. Fluorescence
in situ hybridization (FISH) was used
to confirm that the markers were of Y chromosome origin and helped to
elucidate their structure. In
addition, four other patients were found to have a Y chromosome by initial
routine cytogenetic
analysis. FISH, in conjunction with PCR, elucidated the structure of
the Y chromosomes. This study
illustrates the value of using a combination of cytogenetic and
molecular techniques, to identify Y
chromosome sequences in Turner syndrome.