The McCune-Albright syndrome: a lethal gene surviving by mosaicism.

Abstract:

:In the McCune-Albright syndrome, fibrous dysplasia of bones and various forms of endocrine dysfunction are associated with multiple pigmented skin lesions. Examination of a 4-year-old female patient and comparison with photographs published in the literature revealed that the cutaneous pigmentation is arranged in a systematized pattern following the lines of Blaschko. Apparently, this pattern visualizes the dorso-ventral outgrowth of two different populations of cells during early embryogenesis. As all cases of the syndrome are sporadic, it is postulated that the disease is caused by an autosomal "dominant" lethal gene, leading to loss of the zygote in utero. Cells bearing the mutation can only survive when they are intermingled with normal cells. The mosaic may arise either from a gametic half chromatid mutation, or from an early somatic mutation. This concept offers an explanation for the scattered asymmetric distribution of bone lesions, and for the observation that the endocrinopathy may be either of central or peripheral origin, according to the random distribution of the mutant population of cells.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Happle R

doi

10.1111/j.1399-0004.1986.tb01261.x

subject

Has Abstract

pub_date

1986-04-01 00:00:00

pages

321-4

issue

4

eissn

0009-9163

issn

1399-0004

journal_volume

29

pub_type

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