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Sex Ratio Among the Offspring of BRCA Mutation Carriers
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To the Editor: It is possible that improper heterochromatinization of X chromosomes in XY bodies of male heterozygous BRCA1 carriers may lead such male sperm cells to be less viable, given that products of the BRCA1 gene are presumed to play a role in this process.1 Thus, male heterozygous carriers would be expected to have a greater proportion of female offspring. Indeed, de la Hoya et al2 reported an excess of females among the offspring of BRCA1 mutation carriers but no such sex-ratio distortion affects the offspring of BRCA2 carriers. However, these results might have reflected an ascertainment bias of carriers through affected females.3 Because penetrance is higher at younger ages in BRCA1 than in BRCA2 female carriers,4 this bias could be stronger in BRCA1 than in BRCA2-associated families.
Selection bias among male BRCA1 and BRCA2 mutation carriers may arise because men with daughters are more likely to be . . . [Full Text of this Article] Methods
Jean Feunteun, PhD
feunteun@igr.fr
Agnès Chompret, MD;
Anne Helbling-Leclerc, PhD
Institut Gustave-Roussy Villejuif, France
Dominique Stoppa-Lyonnet, MD, PhD;
Muriel Belotti, PhD
Institut Curie Paris, France
Catherine Noguès, MD
Centre René Huguenin Saint-Cloud, France
Catherine Bonaïti-Pellié, MD, PhD
INSERM U535 Villejuif, France
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