A normal xy male has a son with the karyotype xyy. the likely explanation is:

The 45,X and 47,XYY chromosome complements are associated with paternal meiotic error, and the other aneuploidies are associated with nondisjunction events caused by advanced maternal age.

From: Fetal Medicine (Third Edition), 2020

Why does a normal XY male have a son with the karyotype XYY? The likely explanation is the second division nondisjuction, not the first division nondisjuction. Explain it.

Karyotypes are made from cells that are undergoing cellular division. The condensed chromosomes can be seen and counted. The chromosome banding patterns and centromere position can also be seen.

For a male to have a son with XYY phenotype he must have passed on two Y chromosomes. (only males have Y's to pass on).

The likely explanation is the...

URL of this page: //medlineplus.gov/genetics/condition/47xyy-syndrome/

47,XYY syndrome is characterized by an extra copy of the Y chromosome in each of an individual's cells. Although many people with this condition are taller than average, the chromosomal change sometimes causes no unusual physical features. Most individuals with 47,XYY syndrome have normal production of the male sex hormone testosterone and normal male sexual development, and they are usually able to father children.

47,XYY syndrome is associated with an increased risk of learning disabilities and delayed development of speech and language skills. Affected children can have delayed development of motor skills (such as sitting and walking) or weak muscle tone (hypotonia). Other signs and symptoms of this condition include hand tremors or other involuntary movements (motor tics), seizures, and asthma. Individuals with 47,XYY syndrome have an increased risk of behavioral, social, and emotional difficulties compared with their unaffected peers. These problems include attention-deficit/hyperactivity disorder (ADHD); depression; anxiety; and autism spectrum disorder, which is a group of developmental conditions that affect communication and social interaction.

Physical features related to 47,XYY syndrome can include increased belly fat, a large head (macrocephaly

), unusually large teeth (macrodontia
), flat feet (pes planus
), fifth fingers that curve inward (clinodactyly
), widely spaced eyes (ocular hypertelorism
), and abnormal side-to-side curvature of the spine (scoliosis
). These characteristics vary widely among people with this condition.

This condition occurs in about 1 in 1,000 newborns. Five to 10 children with 47,XYY syndrome are born in the United States each day. Many affected individuals are never diagnosed or not diagnosed until later in life.

People normally have 46 chromosomes in each cell. Two of the 46 chromosomes, known as X and Y, are called sex chromosomes

because they help determine whether a person will develop male or female sex characteristics. Females typically have two X chromosomes (46,XX), and males have one X chromosome and one Y chromosome (46,XY
) in each cell.

47,XYY syndrome is caused by the presence of an extra copy of the Y chromosome

in each of a male's cells. As a result of the extra Y chromosome, each cell has a total of 47 chromosomes instead of the usual 46. It is unclear why an extra copy of the Y chromosome is associated with tall stature, learning problems, and other features in some boys and men.

Some people with 47,XYY syndrome have an extra Y chromosome in only some of their cells. This phenomenon is called 46,XY/47,XYY mosaicism

.

47,XYY syndrome is not inherited. The chromosomal change occurs as a random event during the formation of sperm cells. An error in cell division called nondisjunction can result in sperm cells with an extra copy of the Y chromosome

. If one of these atypical reproductive cells contributes to the genetic makeup of a child, the child will have an extra Y chromosome in each of the body's cells.

46,XY/47,XYY mosaicism is also not inherited. It occurs as a random event during cell division

in early embryonic development. As a result, some of an affected person's cells have one X chromosome and one Y chromosome (46,XY
), and other cells have one X chromosome and two Y chromosomes (47,XYY).

  • Jacob's syndrome
  • XYY karyotype
  • XYY syndrome
  • YY syndrome

  • Bardsley MZ, Kowal K, Levy C, Gosek A, Ayari N, Tartaglia N, Lahlou N, Winder B, Grimes S, Ross JL. 47,XYY syndrome: clinical phenotype and timing of ascertainment. J Pediatr. 2013 Oct;163(4):1085-94. doi: 10.1016/j.jpeds.2013.05.037. Epub 2013 Jun 27. Citation on PubMed or Free article on PubMed Central
  • Geerts M, Steyaert J, Fryns JP. The XYY syndrome: a follow-up study on 38 boys. Genet Couns. 2003;14(3):267-79. Citation on PubMed
  • Lalatta F, Folliero E, Cavallari U, Di Segni M, Gentilin B, Fogliani R, Quagliarini D, Vizziello P, Monti F, Gargantini L. Early manifestations in a cohort of children prenatally diagnosed with 47,XYY. Role of multidisciplinary counseling for parental guidance and prevention of aggressive behavior. Ital J Pediatr. 2012 Oct 3;38:52. doi: 10.1186/1824-7288-38-52. Citation on PubMed or Free article on PubMed Central
  • Robinson DO, Jacobs PA. The origin of the extra Y chromosome in males with a 47,XYY karyotype. Hum Mol Genet. 1999 Nov;8(12):2205-9. Citation on PubMed
  • Ross JL, Roeltgen DP, Kushner H, Zinn AR, Reiss A, Bardsley MZ, McCauley E, Tartaglia N. Behavioral and social phenotypes in boys with 47,XYY syndrome or 47,XXY Klinefelter syndrome. Pediatrics. 2012 Apr;129(4):769-78. doi: 10.1542/peds.2011-0719. Epub 2012 Mar 12. Citation on PubMed or Free article on PubMed Central
  • Tartaglia NR, Wilson R, Miller JS, Rafalko J, Cordeiro L, Davis S, Hessl D, Ross J. Autism Spectrum Disorder in Males with Sex Chromosome Aneuploidy: XXY/Klinefelter Syndrome, XYY, and XXYY. J Dev Behav Pediatr. 2017 Apr;38(3):197-207. doi: 10.1097/DBP.0000000000000429. Citation on PubMed or Free article on PubMed Central

Learn how to cite this page

What is XYY syndrome?

Most people have 46 chromosomes in each cell. In males, this typically includes one X chromosome and one Y chromosome (XY). XYY syndrome is a genetic condition that occurs when a male has an extra copy of the Y chromosome in each of their cells (XYY). Sometimes, this mutation is only present in some cells. Males with XYY syndrome have 47 chromosomes because of the extra Y chromosome.

This condition is also sometimes called Jacob’s syndrome, XYY karyotype, or YY syndrome. According to the National Institutes of Health, XYY syndrome occurs in 1 out of every 1,000 boys.

For the most part, people with XYY syndrome live typical lives. Some may be taller than average and face learning difficulties or speech problems. They may also grow up with minor physical differences, such as weaker muscle tone. Besides these complications, though, males with XYY syndrome don’t usually have any distinguishing physical features, and they have normal sexual development.

XYY syndrome is the result of a random mix-up, or mutation, during the creation of a male’s genetic code. Most cases of XYY syndrome are not inherited. Researchers don’t believe that there’s any genetic predisposition to it. That is, men with XYY syndrome are not more or less likely than other men to have children with XYY syndrome. The random error can occur during the formation of sperm or at different times during the formation of an embryo. In the latter case, a male may have some cells that are not affected. This means that some cells may have XY genotype while others have XYY genotype.

The signs and symptoms of XYY syndrome differ from person to person and age to age.

Symptoms in a baby who has XYY syndrome can include:

  • hypotonia (weak muscle tone)
  • delayed motor skill development, such as with walking or crawling
  • delayed or difficult speech

Symptoms in a young child or teenager with XYY syndrome can include:

  • an autism diagnosis
  • attention difficulties
  • delayed motor skill development, such as with writing
  • delayed or difficult speech
  • emotional or behavioral issues
  • hand trembling or involuntary muscle movements
  • hypotonia (weak muscle tone)
  • learning disabilities
  • taller-than-average height

In adults, infertility is a possible symptom of XYY syndrome.

XYY syndrome may remain undiscovered and undiagnosed until adulthood. That’s when fertility problems such decreased sperm counts alert doctors to a possible condition.

Genetic disorders can be diagnosed with a chromosome analysis. If your doctor can’t find another explanation for symptoms that may indicate XYY syndrome, they may ask you to undergo a chromosome analysis to check for XYY syndrome.

XYY syndrome can’t be cured. But treatments can help reduce its symptoms and effects, especially if it’s diagnosed early. People with XYY syndrome can work with healthcare providers to address any symptoms they may have, such as speech and learning problems. As they get older, they may want to work with a reproductive specialist to address any infertility concerns.

The following treatment options may help address some of the most common effects of XYY syndrome.

Speech therapy: People with XYY syndrome may have speech or motor skill disabilities. Healthcare professionals can help treat these issues. They can also provide plans for future improvements.

Physical or occupational therapy: Some younger people with XYY syndrome have delayed motor skill development. They may also have difficulty with muscle strength. Physical therapists and occupational therapists can help people overcome these issues.

Educational therapy: Some people with XYY syndrome have learning disabilities. If your child has this syndrome, talk with their teacher, principal, and special education coordinators. Arrange a schedule that’s best suited to your child’s needs. Outside tutors and educational instruction may be necessary.

People with XYY syndrome can — and very often do — live completely normal lives with the condition. In fact, XYY syndrome can remain undiagnosed throughout a person’s lifetime. If it is diagnosed, however, individuals with XYY syndrome can find the help they might need.

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