Testis determining factor
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Testis-determining factor (TDF) is a general term for the gene (or product thereof) that results in maleness in humans and some other species.
Certain genes cause chemical reactions that result in the development of testes. Embryos are gonadally identical, regardless of genetic sex, until a certain point in development; then the testis-determining factor causes male sex organs to develop, while lack of this factor will cause the embryo to develop as physically female.
The TDF factor is encoded by the SRY gene located in the Y chromosome. It is a DNA binding protein, that enhances other transmission factors, or is a transcription factor itself. Its expression directly or indirectly causes the development of primary sex chords, which will later develop to seminiferous tubules. These chords form in the central part of the undifferentiated-yet gonad, turning it into a testis. The testis then starts secreting testosterone and the Mullerian Inhibiting Substance.
Older texts discuss the role of the HY antigen in the control of testicular development, but this was later disproven.
Role in disease
The TDF gene has some interesting implications. The genetic recombination of Crossing over can cause the gene to be transferred on to the X chromosome. In this case, the X chromosome will initiate testis development, so regardless of whether the person has a Y chromosome, the person will turn into a boy. Though everything else will be developed as if it were a girl (other sex related alleles), the apparent sex will be male (a syndrome known as XX male syndrome).
Conversely, such a cross-over event also can result in a Y chromosome that is missing its TDF, replaced with the corresponding sequence from the end of the X chromosome. Individuals who inherit this Y chromosome will develop as females, despite having the normal male chromosomal set of one X and one Y. However, the lack of two X-chromosomes gives complications to such females, called Turner syndrome.
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
