An Unusual Case of Testicular Disorder in Sex Development of Arabian Mare (64,XX SRY-Negative).
Abstract: A 3-year-old Arabian mare underwent medical examinations due to the presence of abnormalities of the reproductive apparatus and stallion behavior (nervous temperament, aggressiveness, masculine attitude). During the clinical visit, an anovulvar distance shorter than normal was observed; moreover, vulvar lips were dorsally fused except for the lower neckline, showing a blind ending from which a penis-like structure protruded. The ultrasound examination revealed the presence of a cervix and corpus of a uterus, hypoplastic uterine horns, and small gonads with an echogenicity similar to a testis. Blood testosterone levels ranged from 0.4 to 0.6 ng/mL. Cytogenetic analysis showed a normal female karyotype (2n = 64,XX), while PCR amplification of SRY and ZFY genes revealed the absence of a Y chromosome. At necroscopic examination, internal genitalia arising from the genital ridge in the form of masculine type structures were found, while those deriving from the Mullerian ducts were of feminine type. In addition, an infundibular portion of the salpinx at the cranial pole of the gonads was found. This is the first case in equine species of DSD 2n = 64,XX -negative, with the simultaneous presence of male (hypoplastic testicles, epididymal portions, and a penis-like structure) and female (cervix, horn and body of a hypoplastic uterus) genital structures.
Publication Date: 2020-10-25 PubMed ID: 33113813PubMed Central: PMC7693820DOI: 10.3390/ani10111963Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Case Reports
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research paper deals with the peculiar case of an Arabian mare that showed both male and female sexual characteristics, a condition known as ‘disorder of sex development’, despite having a normal female chromosome set (64,XX) but no Y chromosome.
Background and Introduction
- The study revolves around a unique case of a 3-year-old Arabian mare exhibiting male-like behaviors such as aggressiveness and a masculine posture, despite having a female genetic makeup (64, XX chromosomes).
- In addition to behavior, the mare also had abnormal physical features such as a shorter anovulvar distance and a penis-like structure protruding from a fused vulvar lip.
- This intrigued the researchers, leading to further investigations to understand this anomaly using various diagnostic techniques.
Clinical and Cytogenetic Analysis
- The mare underwent clinical examination, which revealed physical abnormalities such as a short anovulvar distance, dorsally fused vulvar lips, and a penis-like protrusion.
- Ultrasound examination further revealed a complex internal structure that included elements of both male (testis-like gonads) and female (cervix, uterus) reproductive systems, coupled with unusually low blood testosterone levels.
- The cytogenetic analysis discovered a strictly female chromosome set (64,XX), contradicting the mare’s mixed physical features and behaviors. Moreover, PCR amplification of SRY and ZFY genes revealed the absence of a Y chromosome, which is essential for male development.
Necroscopic Examination and Findings
- Following the cytogenetic analysis, a necroscopic examination was carried out which revealed an even more complex picture. The internal genitalia had elements deriving from both male and female embryonic structures.
- The mare had a masculine developmental structure arising from the genital ridge as well as feminine structures deriving from the Mullerian ducts. An infundibular portion of the salpinx at the cranial pole of the gonads was also found.
- The mishmash of male and female characteristics observed in this case qualifies as a disorder of sex development (DSD). What makes this case peculiar is that the DSD had a negative 2n = 64,XX condition, i.e., simultaneous presence of both male and female genitals while having a female karyotype.
- This case is the first of its kind in equine species, shedding new light on DSD and its manifestation in horses.
Cite This Article
APA
Peretti V, Satué K, Ciotola F, Cristarella S, De Majo M, Biondi V, D'Anza E, Albarella S, Quartuccio M.
(2020).
An Unusual Case of Testicular Disorder in Sex Development of Arabian Mare (64,XX SRY-Negative).
Animals (Basel), 10(11), 1963.
https://doi.org/10.3390/ani10111963 Publication
Researcher Affiliations
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, via Delpino 1, 80137 Naples, Italy.
- Department of Animal Medicine and Surgery, Faculty of Veterinary Medicine, CEU-Cardenal Herrera University, 46115 Valencia, Spain.
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, via Delpino 1, 80137 Naples, Italy.
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy.
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy.
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy.
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, via Delpino 1, 80137 Naples, Italy.
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, via Delpino 1, 80137 Naples, Italy.
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 50 references
- Ali A, Derar DR, Alshahed M. Management strategies, reproductive performance and causes of infertility in sheep flocks in the central region of Saudi Arabia.. Trop Anim Health Prod 2020 Jul;52(4):1691-1697.
- Dash S, Chakravarty AK, Singh A, Upadhyay A, Singh M, Yousuf S. Effect of heat stress on reproductive performances of dairy cattle and buffaloes: A review.. Vet World 2016 Mar;9(3):235-44.
- Prete CD, Ciani F, Tafuri S, Pasolini MP, Valle GD, Palumbo V, Abbondante L, Calamo A, Barbato V, Gualtieri R, Talevi R, Cocchia N. Effect of superoxide dismutase, catalase, and glutathione peroxidase supplementation in the extender on chilled semen of fertile and hypofertile dogs.. J Vet Sci 2018 Sep 30;19(5):667-675.
- Tafuri S, Cocchia N, Vassetti A, Carotenuto D, Esposito L, Maruccio L, Avallone L, Ciani F. Lepidium meyenii (Maca) in male reproduction.. Nat Prod Res 2021 Nov;35(22):4550-4559.
- Tafuri S, Cocchia N, Carotenuto D, Vassetti A, Staropoli A, Mastellone V, Peretti V, Ciotola F, Albarella S, Del Prete C, Palumbo V, Esposito L, Vinale F, Ciani F. Chemical Analysis of Lepidium meyenii (Maca) and Its Effects on Redox Status and on Reproductive Biology in Stallions (†).. Molecules 2019 May 23;24(10).
- Bugno M, Klukowska J, Słota E, Tischner M, Switoński M. A sporadic case of the sex-reversed mare (64,XY; SRY-negative): molecular and cytogenetic studies of the Y chromosome.. Theriogenology 2003 Apr 1;59(7):1597-603.
- Lear TL, McGee RB. Disorders of sexual development in the domestic horse, Equus caballus.. Sex Dev 2012;6(1-3):61-71.
- Albarella S, Ciotola F, D'Anza E, Coletta A, Zicarelli L, Peretti V. Congenital Malformations in River Buffalo (Bubalus bubalis).. Animals (Basel) 2017 Feb 10;7(2).
- De Lorenzi L, Arrighi S, Rossi E, Grignani P, Previderè C, Bonacina S, Cremonesi F, Parma P. XY (SRY-positive) Ovarian Disorder of Sex Development in Cattle.. Sex Dev 2018;12(4):196-203.
- Albarella S, D'Anza E, Galdiero G, Esposito L, De Biase D, Paciello O, Ciotola F, Peretti V. Cytogenetic Analyses in Ewes with Congenital Abnormalities of the Genital Apparatus.. Animals (Basel) 2019 Oct 10;9(10).
- Vaiman D, Koutita O, Oustry A, Elsen JM, Manfredi E, Fellous M, Cribiu EP. Genetic mapping of the autosomal region involved in XX sex-reversal and horn development in goats.. Mamm Genome 1996 Feb;7(2):133-7.
- Pailhoux E, Popescu PC, Parma P, Boscher J, Legault C, Molteni L, Fellous M, Cotinot C. Genetic analysis of 38XX males with genital ambiguities and true hermaphrodites in pigs.. Anim Genet 1994 Oct;25(5):299-305.
- Krzemińska P, D'Anza E, Ciotola F, Paciello O, Restucci B, Peretti V, Albarella S, Switonski M. Polymorphisms of MAMLD1, SRD5A2, and AR Candidate Genes in Seven Dogs (78,XY; SRY-Positive) Affected by Hypospadias or Cryptorchidism.. Sex Dev 2019;13(2):92-98.
- De Lorenzi L, Banco B, Previderè C, Bonacina S, Romagnoli S, Grieco V, Parma P. Testicular XX (SRY-Negative) Disorder of Sex Development in Cat.. Sex Dev 2017;11(4):210-216.
- D’Ovidio D, Melidone R, Rossi G, Albarella S, Noviello E, Fioretti A, Meomartino L. Multiple Congenital Malformations in a Ferret (Mustela putorius furo). J. Exot. Pet. Med. 2015;24:92–97.
- Villagómez DA, Lear TL, Chenier T, Lee S, McGee RB, Cahill J, Foster RA, Reyes E, St John E, King WA. Equine disorders of sexual development in 17 mares including XX, SRY-negative, XY, SRY-negative and XY, SRY-positive genotypes.. Sex Dev 2011;5(1):16-25.
- Albarella S, De Lorenzi L, Catone G, Magi G.E, Petrucci L, Vullo C, D’Anza E, Parma P, Raudsepp T, Ciotola F. Diagnosis of XX/XY Blood Cell Chimerism at a Low Percentage in Horses. J. Equine Veter. Sci. 2018;69:129–135.
- Blaschko SD, Cunha GR, Baskin LS. Molecular mechanisms of external genitalia development.. Differentiation 2012 Oct;84(3):261-8.
- Pujar S, Meyers-Wallen VN. Sequence variations in equine candidate genes For XX and XY inherited disorders of sexual development.. Reprod Domest Anim 2012 Oct;47(5):827-34.
- Mäkinen A, Hasegawa T, Mäkilä M, Katila T. Infertility in two mares with XY and XXX sex chromosomes.. Equine Vet J 1999 Jul;31(4):346-9.
- Kuiper H, Distl O. [Intersexuality in horses].. Dtsch Tierarztl Wochenschr 2007 Feb;114(2):50-6.
- Peer M, Neuhauser S, Klaus C, Kuiper H, Gruber A.D, Distl O, Lischer C, Handler J. Laparoscopic Gonadectomy in Two Intersex Warmblood Horses. J. Equine Veter. Sci. 2012;32:117–122.
- Pieńkowska-Schelling A, Becker D, Bracher V, Pineroli B, Schelling C. [Cytogenetical and molecular analyses in a horse with SRY-negative sex reversal].. Schweiz Arch Tierheilkd 2014 Jul;156(7):341-4.
- Raudsepp T, Durkin K, Lear TL, Das PJ, Avila F, Kachroo P, Chowdhary BP. Molecular heterogeneity of XY sex reversal in horses.. Anim Genet 2010 Dec;41 Suppl 2:41-52.
- Switonski M, Chmurzynska A, Szczerbal I, Lipczynski A, Yang F, Nowicka-Posłuszna A. Sex reversal syndrome (64,XY; SRY-positive) in a mare demonstrating masculine behaviour.. J Anim Breed Genet 2005 Apr;122 Suppl 1:60-3.
- Eggers S, Ohnesorg T, Sinclair A. Genetic regulation of mammalian gonad development.. Nat Rev Endocrinol 2014 Nov;10(11):673-83.
- Parma P, Radi O, Vidal V, Chaboissier MC, Dellambra E, Valentini S, Guerra L, Schedl A, Camerino G. R-spondin1 is essential in sex determination, skin differentiation and malignancy.. Nat Genet 2006 Nov;38(11):1304-9.
- Bodvarsdottir S.K, Imsland F, Thorisson B, Steinarsdottir M, Eyfjord J.E. 64,XX, SRY-, and ZFY-Negative Icelandic Horse Likely to Be True Hermaphrodite. J. Equine Veter. Sci. 2009;29:734–738.
- Jaszczak K, Sysa P, Sacharczuk M, Parada R, Romanowicz K, Kawka M, Jarmuż W. SRY-negative, 64, XX sex reversal in a Konik Polski horse: A case report. Anim. Sci. Papers Rep. 2010;28:381–388.
- Vaughan L, Schofield W, Ennis S. SRY-negative XX sex reversal in a pony: a case report.. Theriogenology 2001 Mar 15;55(5):1051-7.
- Moreno-Millán M, Demyda S.E, Saleno D.R. Sex Chromosomes Abnormalities in Purebred Spanish Horses with Reproductive Problems: Cases Report. Bullet. UASMV Vet. Med. 2012;69:1–7.
- Buoen LC, Zhang TQ, Weber AF, Ruth GR. SRY-negative, XX intersex horses: the need for pedigree studies to examine the mode of inheritance of the condition.. Equine Vet J 2000 Jan;32(1):78-81.
- Ciotola F, Albarella S, Pasolini MP, Auletta L, Esposito L, Iannuzzi L, Peretti V. Molecular and cytogenetic studies in a case of XX SRY-negative sex reversal in an Arabian horse.. Sex Dev 2012;6(1-3):104-7.
- Torres A, Silva JF, Bernardes N, Sales Luís J, Lopes da Costa L. 64, XX, SRY-negative, testicular DSD syndrome in a Lusitano horse.. Reprod Domest Anim 2013 Jun;48(3):e33-7.
- Iannuzzi L, Di Meo G, Perucatti A, Incarnato D, Peretti V, Ciotola F, Barbieri V. An improved characterization of horse (Equus caballus, 2n = 64) chromosomes by using replicating G and R banding patterns. Caryologia 2003;56:205–211.
- Vilar J.M, Batista M, Carrillo J.M, Rubio M, Sopena J, Álamo D. Histological, cytogenetic and endocrine evaluation in twenty-five unilateral cryptorchid horses. J. Appl. Anim. Res. 2017;46:441–444.
- Han SH, Yang BC, Ko MS, Oh HS, Lee SS. Length difference between equine ZFX and ZFY genes and its application for molecular sex determination.. J Assist Reprod Genet 2010 Dec;27(12):725-8.
- Kent MG, Shoffner RN, Hunter A, Elliston KO, Schroder W, Tolley E, Wachtel SS. XY sex reversal syndrome in the mare: clinical and behavioral studies, H-Y phenotype.. Hum Genet 1988 Aug;79(4):321-8.
- Meyers-Wallen VN, Hurtgen J, Schlafer D, Tulleners E, Cleland WR, Ruth GR, Acland GM. Sry-negative XX true hermaphroditism in a Pasa Fino horse.. Equine Vet J 1997 Sep;29(5):404-8.
- Bannasch D, Rinaldo C, Millon L, Latson K, Spangler T, Hubberty S, Galuppo L, Lowenstine L. SRY negative 64,XX intersex phenotype in an American saddlebred horse.. Vet J 2007 Mar;173(2):437-9.
- Li TF, Wu QY, Zhang C, Li WW, Zhou Q, Jiang WJ, Cui YX, Xia XY, Shi YC. 46,XX testicular disorder of sexual development with SRY-negative caused by some unidentified mechanisms: a case report and review of the literature.. BMC Urol 2014 Dec 22;14:104.
- Rossi E, Radi O, De Lorenzi L, Vetro A, Groppetti D, Bigliardi E, Luvoni GC, Rota A, Camerino G, Zuffardi O, Parma P. Sox9 duplications are a relevant cause of Sry-negative XX sex reversal dogs.. PLoS One 2014;9(7):e101244.
- Xiao B, Ji X, Xing Y, Chen YW, Tao J. A rare case of 46, XX SRY-negative male with approximately 74-kb duplication in a region upstream of SOX9.. Eur J Med Genet 2013 Dec;56(12):695-8.
- Benko S, Gordon CT, Mallet D, Sreenivasan R, Thauvin-Robinet C, Brendehaug A, Thomas S, Bruland O, David M, Nicolino M, Labalme A, Sanlaville D, Callier P, Malan V, Huet F, Molven A, Dijoud F, Munnich A, Faivre L, Amiel J, Harley V, Houge G, Morel Y, Lyonnet S. Disruption of a long distance regulatory region upstream of SOX9 in isolated disorders of sex development.. J Med Genet 2011 Dec;48(12):825-30.
- Albarella S, Lorenzi L, Rossi E, Prisco F, Riccardi MG, Restucci B, Ciotola F, Parma P. Analysis of XX SRY-Negative Sex Reversal Dogs.. Animals (Basel) 2020 Sep 16;10(9).
- Sukumaran A, Desmangles JC, Gartner LA, Buchlis J. Duplication of dosage sensitive sex reversal area in a 46, XY patient with normal sex determining region of Y causing complete sex reversal.. J Pediatr Endocrinol Metab 2013;26(7-8):775-9.
- Mizuno K, Kojima Y, Kamisawa H, Moritoki Y, Nishio H, Kohri K, Hayashi Y. Gene expression profile during testicular development in patients with SRY-negative 46,XX testicular disorder of sex development.. Urology 2013 Dec;82(6):1453.e1-7.
- Moalem S, Babul-Hirji R, Stavropolous DJ, Wherrett D, Bägli DJ, Thomas P, Chitayat D. XX male sex reversal with genital abnormalities associated with a de novo SOX3 gene duplication.. Am J Med Genet A 2012 Jul;158A(7):1759-64.
- Polanco JC, Wilhelm D, Davidson TL, Knight D, Koopman P. Sox10 gain-of-function causes XX sex reversal in mice: implications for human 22q-linked disorders of sex development.. Hum Mol Genet 2010 Feb 1;19(3):506-16.
- Jeays-Ward K, Dandonneau M, Swain A. Wnt4 is required for proper male as well as female sexual development.. Dev Biol 2004 Dec 15;276(2):431-40.
Citations
This article has been cited 2 times.- Bugno-Poniewierska M, Raudsepp T. Horse Clinical Cytogenetics: Recurrent Themes and Novel Findings. Animals (Basel) 2021 Mar 16;11(3).
- Li Y, Shi J, Yang Y, Ruan D, Wu J, Lin D, Liao Z, Hong X, Zhou F, Liu L, Yang J, Yang M, Zheng E, Wu Z, Cai G, Zhang Z. Genome-Wide Association Study Reveals Genetic Mechanisms Underlying Intersex and Aproctia in Large White Pigs. Animals (Basel) 2025 Apr 10;15(8).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists