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JMed Genet 1991; 28: 429-432 429

alleles through Lyonisation. He also Perhaps we are still paying for the
noted that mental retardation was mistake of organising the patriarchal
LETTERS TO transmitted more often from mother to society of kings and dukes."
THE EDITOR child than from father to child.
If there are genes which directly GILLIAN TURNER
determine intellectual traits, then one Department of Medical Genetics,
Prince of Wales Children's
would expect that mutations of such Hospital, Sydney,
genes would produce phenotypes NSW 2031, Australia.
showing only effects on intelligence,
Genes for intelligence on the X perhaps with secondary effects on MICHAEL W PARTINGTON
Regional Medical Genetics Unit,
chromosome behaviour and personality. If so, there Western Suburbs Hospital,
should also be no somatic changes, no Newcastle, NSW, Australia.
Some 20 years ago Robert Lehrke, a recognisable metabolic abnormalities,
psychologist from Minnesota working no other neurological signs, and no
in a state hospital for the mentally progression with age, although the 1 Lehrke R. A theory of X-linkage of
retarded, suggested that genes that effects of the mutations would be less major intellectual traits. Am J Ment
determine the major intellectual traits obvious in infancy than in childhood Deftc 1972;76:611-9.
2 Lehrke R. X-linked mental retardation
are carried on the X chromosome.' 2 when intellectual thought becomes and verbal disability. Birth Defects.
At that time Lehrke was severely evident. This is the clinical picture 1974;X: 1.
criticised on the grounds that his hypo- of non-specific mental retardation. 3 Nance WE, Engel E. One X and four
thesis was inherently improbable,3 and Clinical descriptions of autosomal hypotheses: response to Lehrke's 'A
theory of X-linkage of major intellectual
that the evidence was meagre and could dominant and recessive forms of non- traits'. Am J Ment Defic 1972;76:
be interpreted in other ways.4 5 Since specific mental retardation are rare, ill 623-5.
then more medical evidence has defined, and found mainly in older 4 Anastasi A. Four hypotheses with a
dearth of data: response to Lehrke's 'A
accumulated to support two of the publications. The X linked forms are theory of X-linkage of major intellectual
steps in Lehrke's argument. common and are now being mapped on traits'. AmJ Ment Defic 1972;76:620-2.
(1) "The well documented excess of males the X chromosome. We would like to 5 Opitz JM. On the gates of hell and a most
reawaken Lehrke's hypothesis and unusual gene. Am J Med Genet 1986;
among the mentally retarded (25-500%o)". 23: 1-20.
Two further studies6 7 have shown that suggest that the mutations that we are 6 Turner G, Turner B. X-linked mental
this male excess results from mutations now locating associated with non- retardation. J Med Genet 1974;11:
on the X chromosome, using as specific mental retardation are those 109-13.
7 Herbst DS, Miller JR. Non-specific
evidence the excess of affected brothers that have determined the higher intelli- X-linked mental retardation. The
over affected sisters and calculating gence of homo sapiens. frequency in British Columbia.
this as a gene frequency for X linked Why should intelligence be coded AmJ Med Genet 1980;7:461-9.
primarily on the X chromosome? 8 Ohno S. Sex chromosomes and sex linked
forms of mental retardation. genes. Berlin: Springer Verlag, 1967.
(2) "A review of families published at Although, as Ohno' and others have 9 Vogel F, Motulsky A. Human genetics.
that time with mental retardation showing stressed, genes on the X chromosome Berlin: Springer Verlag, 1979:529.
an X linked pattern of inheritance-which have been conserved throughout
only numbered 5, together with 5 new mammalian evolution we have to
families that he had identifed". In the suppose that, in man, additional genes
former group three were shown later to for intelligence have arisen there. Once X linked complicated spastic
have the fragile X syndrome and this they had appeared their advantage in a paraplegia, MASA syndrome, and
we now know is very common. A hunter-gatherer society would assure X linked hydrocephalus owing to
further two had specific features, one male dominance and rapid dissemina- congenital stenosis of the aqueduct
spasticity and the other obesity, and in tion throughout the group.9 In recent of Sylvius: variable expression
the remainder, as best as can be correspondence on this subject Ohno of the same mutation at Xq28
judged, the clinical description fell into philosophised: "Most mammalian
the non-specific group. As we can see species, including our own, are notice- Hereditary 'pure' spastic paraplegia is a
in this issue, this the most common
is ably sexually dimorphic. As a rule such disorder characterised by progressive
form. There are now three separate species practice the polygamous, more spasticity of the legs in otherwise
gene localisations, MRXI, MRX2, and precisely the polygynous, mating normal subjects. In the majority of
MRX3, and it seems likely that more system; after exhaustive combat families pedigree data are in accordance
loci will be defined in the future. His between adult males, only the victor with autosomal dominant inheritance,
suggestion, therefore, that X linkage gains possession of a large number of but X linked recessive transmission has
may be important, is being cemented females. Is it not ironic if the reward also been documented.' In the 'com-
by fact. of a victor has been to transmit his plicated' form the spasticity may be
Lehrke's two other arguments were intelligence only to his daughters and combined with a variety of one or more
the lesser variability and reduced never to his sons. If the main genetic symptoms, such as mental retardation,
extremes of intelligence in the female source of intelligence resides on the micro- and macrocephaly, epilepsy,
when compared with the male, X chromosome, man, at least, should and ocular symptoms.2 3
which he suggested resulted from the have organised the matriarchial society In 1974 Blanchine and Lewis4
averaging out of the effects at different with the polyandrous mating system. delineated, on the basis of clinical and
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Genes for intelligence on the X


chromosome.
G Turner and M W Partington

J Med Genet 1991 28: 429


doi: 10.1136/jmg.28.6.429

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