Abstract.Mutations in the sex-determining gene SR Y previously identified occur in the 46, XY females. In this study, we investigated whether the SR Y mutation participates in the onset of XY sex reversal. Genomic deoxyribonucleic acids (DNA) from five XY sex-reversed females were analyzed for mutations in SR Y using polymerasechain reaction (PCR) amplification and subsequent DNA sequencing.One of the 46, XY females suffered a novel missense mutation at position 306 of SR Y gene, wherein cytosine was replaced by adenine (CGC-~AGC), resulting in a substitution of serine for arginine at amino acid position 76 of SR Y protein. This mutation was located in Helix I of the high-mobility-group (HMG) domain.No other mutations were found in the remaining regions of the gene. Analysis of the SR Y gene in her father revealed that he carried the identical mutation version. This substitution introduces a large basic for a small polar uncharged amino acid residue in the HMG box. The fact that the father transmits the mutant SR Y copy to his offspring implies that SR Y mutations do not always occur in association with sex reversal, even when the ionic environment is altered. tional significance [l, 3]. The etiology of 46, XY sex-reversed females is the subject of considerable debate. Two established mechanisms include deletion of SR Y from the Y chromosome during meiotic recombination with X and inactivating mutations in the SR Y gene [1][2][3]6]. About 10-15% of the cases of 46, XY female are accounted for by these inactivating mutations [7][8][9][10][11][12][13]. To date more than 30 mutations have been reported in SR Y, each mutation being unique, and most of them clustered in the DNA-binding HMG domain [1][2][3]. All of the mutations previously described are in association with XY sex reversal, with two exceptions [14,15]. We have now identified an additional missense mutation in the HMG box of SR Y in one out of four XY sex-reversed females. The nucleotide substitution leads to replacement of arginine at position 76 with serine, introducing a large basic for a small polar uncharged residue in the HMG domain. The mutant SR Y is interestingly shared by her father.