Five families in which an Xp deletion is segregating and two families in wh
ich an X chromosome rearrangement including a deletion of the short arm is
segregating were ascertained for study, Normal fertility was seen in all fa
milies. Members from 5 of the 7 families manifested short stature (height <
5th centile), while normal height was present in two families. Studies of b
oth the FMR-1 and the androgen receptor loci using PCR based X-inactivation
analysis demonstrated that in all families analyzed, there is preferential
inactivation of one X chromosome, Molecular cytogenetic analysis showed th
at members of 3 of the 7 families share a common breakpoint in an approxima
te 2-3 Mb region at Xp22,12, suggesting a possible hotspot for chromatin br
eakage. Previous genotype-phenotype correlations and deletion mapping have
indicated that a gene for stature resides within the pseudoautosomal region
in Xp22.33. Our findings indicate that the loss of this region is not alwa
ys associated with short stature, suggesting that other factors may be invo
lved. (C) 2000 Wiley-Liss, Inc.