Mutations in the Y linked testis determining gene SRY cause 46,XY sex
reversal. However, only about 15% of cases of 46,XY sex reversal are a
ccounted for by mutations in SRY. In this study we have investigated t
he possibility that mutations affecting the expression of SRY might ca
use some of the cases of sex reversal in which the coding sequence of
SRY is normal. We have screened 2 kb of DNA immediately 5' to the SRY
coding sequence in 49 subjects with varying degrees of 46,XY sex rever
sal. Two variant bases were identified, one of which was determined to
be a polymorphism and the other is unique, but familial.