X chromosome inactivation achieves dosage equivalence for most X-linked gen
es between the two X chromosomes in females and the single X chromosome in
males. In this article the evidence for random inactivation of an X chromos
ome is reviewed, along with the exceptions that result in nonrandom inactiv
ation. Another exception to X chromosome inactivation is the presence of ge
nes that escape inactivation and are expressed from both the active and ina
ctive X chromosomes. The phenotypic consequences of such expression from th
e inactive X chromosome are discussed. The major players in the process of
inactivation are presented. Initiation of inactivation requires the functio
nal RNA, XIST, and the subsequent stable inactivation of the X chromosome r
elies upon the recruitment of many other factors, the majority of which are
generally associated with heterochromatin.