Hello Muthu,
Let's begin answering by going over some background on X chromosomes.
As you already know from your research, Turner syndrome is caused by the absence of a sex chromosome. Human cells normally have 23 pairs of chromosomes and 46 chromosomes in total. One of these pairs is the sex chromosomes, which determine whether a human is male or female. Normally, males have an X and a Y chromosome (they are XY), whereas females have two X chromosomes (they are XX). Turner syndrome is caused in females when one X chromosome is present but the other is missing entirely (or missing in some cells). Since individuals with Turner syndrome have 45 total chromosomes in each cell and only one X chromosome, Turner syndrome is also called "45,X."
Turner syndrome does not involve a carrier parent as do many other genetic disorders, and it is generally not inherited in families across multiple generations. It is more commonly caused by a random mistake when the eggs or sperm were formed and one X chromosome was lost.
How is Turner syndrome identified at the molecular level? It is often diagnosed via two widely used tests: fluorescent
in situ hybridization (called "FISH") and karyotyping. These tests can be used to identify, examine, and count the chromosomes in the cell. When used together, the tests can confirm one another's results. Additionally, a number of fetal abnormalities may suggest that a baby has Turner syndrome, including cystic hygroma. Turner syndrome can be diagnosed using these tests at any stage of a baby’s development since they show that one X chromosome is missing.
As you mentioned, X chromosome inactivation occurs in female mammals, resulting in chromosome mosaicism at the level of gene expression. Most genes on the inactivated X chromosome will not be expressed. This phenomenon is very important for maintaining X chromosome gene dosage at an acceptable level in females. Interestingly, while one X chromosome might be inactivated in one set of cells, the other might be inactivated in other cells.
An example of where X chromosome inactivation produces an observable phenotype is in tortoiseshell cats, which have a mottled black and orange coat. In cats, the primary gene for coat color has two alleles: the b allele produces an orange pigment and the B allele produces a black pigment. In heterozygous female cats, cells where the X chromosome carrying the b allele has been inactivated will produce the black pigment; cells in which the X chromosome carrying the B allele has been inactivated will express the orange pigment. The result is a female cat with black and orange patches of fur in its coat. Can you figure out why it is extremely rare to find a male tortoiseshell cat?
Now, let’s address your original question. If individuals with Turner syndrome have only one X chromosome but only one X chromosome is normally transcriptionally active in females, then why does Turner syndrome occur? The quick answer to your question is that around 15% of the genes that reside on the inactivated X chromosome in humans escape X inactivation. Notably, these genes are often referred to as “escape genes.” As a result, individuals with Turner syndrome have a deficit in the expression levels of the escape genes on their X chromosome. Presumably, this decrease in X chromosome escape gene expression is largely responsible for the symptoms that accompany Turner syndrome. Intriguingly, many of these genes are normally expressed in specific tissues. To help you learn more about these fascinating topics, we’ve provided you with a set of links to helpful below. Happy reading!
If you are interested in reading more about Turner syndrome, here are some links that might be helpful:
http://www.nlm.nih.gov/medlineplus/turnersyndrome.htmlhttp://ghr.nlm.nih.gov/condition=turnersyndromehttp://www.turnersyndrome.org/http://www.nature.com/scitable/topicpage/Chromosomal-Abnormalities-Aneuploidies-290http://www.nature.com/scitable/topicpage/Somatic-Mosaicism-and-Chromosomal-Disorders-867http://www.nature.com/scitable/topicpage/Mitosis-Meiosis-and-Inheritance-476Here are some links about how Turner syndrome and other genetic diseases are diagnosed and the reliability of these tests:
http://www.turnersyndrome.org/index.php?option=com_content&view=article&id=26:how-is-turner-syndrome-diagnosed&catid=55:faqs-general-questions&Itemid=300053http://www.nature.com/scitable/topicpage/Cytogenetic-Methods-and-Disease-Flow-Cytometry-CGH-772http://www.nature.com/scitable/topicpage/Prenatal-Screen-Detects-Fetal-Abnormalities-306http://www.turnersyndrome.org/index.php?option=com_content&view=article&id=103:how-reliable-are-the-fish-and-the-kayotype-tests&catid=55:faqs-general-questions&Itemid=300053Check out these websites to learn more about X chromosome inactivation:
http://www.nature.com/scitable/topicpage/x-chromosome-x-inactivation-323http://www.vivo.colostate.edu/hbooks/genetics/medgen/chromo/mosaics.htmlhttp://www.bio.miami.edu/dana/dox/calico.htmlhttp://users.rcn.com/jkimball.ma.ultranet/BiologyPages/S/SexChromosomes.html#x-inactivationhttp://highered.mcgraw-hill.com/sites/9834092339/student_view0/chapter13/x_inactivation.htmlFollow these links to
primary research and
review articles focused on Turner syndrome and X chromosome inactivation:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2837040/?tool=pubmedhttp://www.nature.com/nature/journal/v434/n7031/full/nature03479.htmlhttp://genesdev.cshlp.org/content/20/14/1848.full