Skewed X inactivation and survival: a 13-year follow-up study of elderly twins and singletons.


Journal Article

In mammalian females, one of the two X chromosomes is inactivated in early embryonic life. Females are therefore mosaics for two cell populations, one with the maternal and one with the paternal X as the active X chromosome. A skewed X inactivation is a marked deviation from a 50:50 ratio. In populations of women past 55-60 years of age, an increased degree of skewing (DS) is found. Here the association between age-related skewing and mortality is analyzed in a 13-year follow-up study of 500 women from three cohorts (73-100 years of age at intake). Women with low DS had significantly higher mortality than the majority of women who had a more skewed DS (hazard ratio: 1.30; 95% CI: 1.04-1.64). The association between X inactivation and mortality was replicated in dizygotic twin pairs for which the co-twin with the lowest DS also had a statistically significant tendency to die first in the twin pairs with the highest intra-pair differences in DS (proportion: 0.71; 95% CI: 0.52-0.86). Both results suggest that lower DS is associated with higher mortality. We therefore propose that age-related skewing may be partly due to a population selection with lower mortality among those with higher DS.

Full Text

Duke Authors

Cited Authors

  • Mengel-From, J; Thinggaard, M; Christiansen, L; Vaupel, JW; Orstavik, KH; Christensen, K

Published Date

  • March 2012

Published In

Volume / Issue

  • 20 / 3

Start / End Page

  • 361 - 364

PubMed ID

  • 22146940

Pubmed Central ID

  • 22146940

Electronic International Standard Serial Number (EISSN)

  • 1476-5438

International Standard Serial Number (ISSN)

  • 1018-4813

Digital Object Identifier (DOI)

  • 10.1038/ejhg.2011.215


  • eng