The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome

Turner syndrome (TS) is a chromosomal disorder that is caused by a missing or structurally abnormal second sex chromosome. Subjects with TS are at an increased risk of developing intrauterine growth retardation, low birth weight, short stature, congenital heart diseases, infertility, obesity, dyslip...

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Main Authors: Francisco Álvarez-Nava, Marisol Soto-Quintana
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Developmental Biology
Subjects:
Online Access:https://www.mdpi.com/2221-3759/10/2/16
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author Francisco Álvarez-Nava
Marisol Soto-Quintana
author_facet Francisco Álvarez-Nava
Marisol Soto-Quintana
author_sort Francisco Álvarez-Nava
collection DOAJ
description Turner syndrome (TS) is a chromosomal disorder that is caused by a missing or structurally abnormal second sex chromosome. Subjects with TS are at an increased risk of developing intrauterine growth retardation, low birth weight, short stature, congenital heart diseases, infertility, obesity, dyslipidemia, hypertension, insulin resistance, type 2 diabetes mellitus, metabolic syndrome, and cardiovascular diseases (stroke and myocardial infarction). The underlying pathogenetic mechanism of TS is unknown. The assumption that X chromosome-linked gene haploinsufficiency is associated with the TS phenotype is questioned since such genes have not been identified. Thus, other pathogenic mechanisms have been suggested to explain this phenotype. Morphogenesis encompasses a series of events that includes cell division, the production of migratory precursors and their progeny, differentiation, programmed cell death, and integration into organs and systems. The precise control of the growth and differentiation of cells is essential for normal development. The cell cycle frequency and the number of proliferating cells are essential in cell growth. 45,X cells have a failure to proliferate at a normal rate, leading to a decreased cell number in a given tissue during organogenesis. A convergence of data indicates an association between a prolonged cell cycle and the phenotypical features in Turner syndrome. This review aims to examine old and new findings concerning the relationship between a prolonged cell cycle and TS phenotype. These studies reveal a diversity of phenotypic features in TS that could be explained by reduced cell proliferation. The implications of this hypothesis for our understanding of the TS phenotype and its pathogenesis are discussed. It is not surprising that 45,X monosomy leads to cellular growth pathway dysregulation with profound deleterious effects on both embryonic and later stages of development. The prolonged cell cycle could represent the beginning of the pathogenesis of TS, leading to a series of phenotypic consequences in embryonic/fetal, neonatal, pediatric, adolescence, and adulthood life.
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spelling doaj.art-f08f6fd94f034b379004d260588e5ce42023-11-23T17:18:51ZengMDPI AGJournal of Developmental Biology2221-37592022-05-011021610.3390/jdb10020016The Hypothesis of the Prolonged Cell Cycle in Turner SyndromeFrancisco Álvarez-Nava0Marisol Soto-Quintana1Biological Sciences School, Faculty of Biological Sciences, Central University of Ecuador, Quito 170113, EcuadorGenetic Research Institute, University of Zulia, Maracaibo 4001, VenezuelaTurner syndrome (TS) is a chromosomal disorder that is caused by a missing or structurally abnormal second sex chromosome. Subjects with TS are at an increased risk of developing intrauterine growth retardation, low birth weight, short stature, congenital heart diseases, infertility, obesity, dyslipidemia, hypertension, insulin resistance, type 2 diabetes mellitus, metabolic syndrome, and cardiovascular diseases (stroke and myocardial infarction). The underlying pathogenetic mechanism of TS is unknown. The assumption that X chromosome-linked gene haploinsufficiency is associated with the TS phenotype is questioned since such genes have not been identified. Thus, other pathogenic mechanisms have been suggested to explain this phenotype. Morphogenesis encompasses a series of events that includes cell division, the production of migratory precursors and their progeny, differentiation, programmed cell death, and integration into organs and systems. The precise control of the growth and differentiation of cells is essential for normal development. The cell cycle frequency and the number of proliferating cells are essential in cell growth. 45,X cells have a failure to proliferate at a normal rate, leading to a decreased cell number in a given tissue during organogenesis. A convergence of data indicates an association between a prolonged cell cycle and the phenotypical features in Turner syndrome. This review aims to examine old and new findings concerning the relationship between a prolonged cell cycle and TS phenotype. These studies reveal a diversity of phenotypic features in TS that could be explained by reduced cell proliferation. The implications of this hypothesis for our understanding of the TS phenotype and its pathogenesis are discussed. It is not surprising that 45,X monosomy leads to cellular growth pathway dysregulation with profound deleterious effects on both embryonic and later stages of development. The prolonged cell cycle could represent the beginning of the pathogenesis of TS, leading to a series of phenotypic consequences in embryonic/fetal, neonatal, pediatric, adolescence, and adulthood life.https://www.mdpi.com/2221-3759/10/2/16cell proliferationcongenital heart diseaseembryonic lethalityfolliculogenesisneuropsychological profileprolonged cell cycle
spellingShingle Francisco Álvarez-Nava
Marisol Soto-Quintana
The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
Journal of Developmental Biology
cell proliferation
congenital heart disease
embryonic lethality
folliculogenesis
neuropsychological profile
prolonged cell cycle
title The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
title_full The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
title_fullStr The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
title_full_unstemmed The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
title_short The Hypothesis of the Prolonged Cell Cycle in Turner Syndrome
title_sort hypothesis of the prolonged cell cycle in turner syndrome
topic cell proliferation
congenital heart disease
embryonic lethality
folliculogenesis
neuropsychological profile
prolonged cell cycle
url https://www.mdpi.com/2221-3759/10/2/16
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