PRESENTED TO Marine Biological Library w ITH THE COMPLIMENTS OF The Williams & Wilkms Company BALTIMORE 2, MARYLAND Dick M. Hoover THIRD EDITION SEX AND INTERNAL SECRETIONS VOLUME I VOLUME I CONTRIBUTORS A. Albert David W. Bishop Kichard J. Blandau K. K. Burns A. T. Cowie John W. Everett S. J. 1 olley Thomas II. Forbes J. W. (iowen Koy O. Greep A. M. Guhl Joan G. Hampson John L. JIampson Frederick L. llisaw Frederick L. llisaw, Jr. James II. Leathem Daniel S. Lehrman Margaret Mead John W. Money Helen Padykula Dorothy Price Herbert D. Purves Ari van J'ienhoven Claude A. Villee H. (iuN Williams- Ashman (ieorge B. Wislocki William C. Young M. X. Zarrow Baltimore • 1961 THIRD EDITION SEX AND INTERNAL SECRETIONS W^i^- Edited by William C. Young, Ph.D. :^ Professor of Anatomy, University of Kansas, Lawrence Foreword by George W. Corner, M.D., D.Sc. Director Emeritus, Department of Embryology, Carnegie Institution of Washington The Williams & Wllkins Co Publication was supported in part by Public Health Service Research Grant M-464S from the National Institute of Mental Health, Public Health Service. Copyright ©, 1961 The Williams & Wilkins Company Made in the United States of America Library of Congress Catalog Card Number 60-12279 COMPOHKI) AND PRINTKD BY THE WAVrCRLV PRKSS, INC. BAL'I'IMOUFC 2, MARYLAND, U.S.A. To the Memory of Robert Mearns Yerkes pp* ■'»<^ "^ CONTENTS J oliime I Foreword. George W. Corner i^ Edgar Allen. William C. Youny xiii Preface to Third Edition x\i Preface to First Edition xxiii section a Biologic Basis of Sex 1. Cytologic and Genetic Basis of Sex. /. W. Gowen 3 2. Role of Hormones in the Differentiation of Sex. R. K. Burns 76 section b The Hypophysis and the Gonadotrophic Hormones in Relation TO Reproduction o. Morphology of the Hypophysis Related to Its Function. Herbert D. Purves . ... 161 4. Physiology of the Anterior Hypophysis in Relation to Reproduction. Roy b. Greep ' .240 section c Physiology of the Gonads and Accessory Organs 5. The Mammalian Testis. .4 . Albert 305 (). The Accessory Reproductive Glands of Mammals. Dorothy Price and H. Guy Williams- Ashman 366 7. The Mammalian Ovary. William C. Young , 449 8. The Mammalian Female Reproductive Cycle and Its Controlling Mechanisms. John W. Everett .^ 497 9. Action of Estrogen and Progesterone on the Reproductive Tract of Lower Primates. Frederick L. Hisaw and Frederick L. Hisaw, Jr 556 10. The Mammary Gland and Lactation. A. T. Cowie and S. J. Folley 590 1 1 . Some Problems of the IMetabolism and Mechanism of Action of Steroid Sex Hor- mones. Claude A . Villee 643 12. Nutritional Effects on Endocrine Secretions. James H. Leathern 666 \ olume II section d Biology of Sperm and Ova, Fertilization, Implantation, the Placenta, AND Pregnancy 13. Biology of Spermatozoa. David W. Bishop 707 14. Biology of Eggs and Implantation. Richard J. Blandau. 797 15. Histocliemistry and Electron Microscopy of the Placenta. George B. Wislocki and Helen Padykida 883 16. Gestation. M. X. Zarroiv ''^^^^ section e Physiology of Reproduction in Submammalian Vertebrates 17. Endocrinology of Reproduction in Cold-blooded Vertebrates. Thomas R. Forbes. . 1035 18. Endocrinology of Reproduction in Birds. Ari van Tienhoven 1088 vii 79220 viii CONTENTS section f Hormonal Regulation of Reproductive Behavior 19. The Hormones and Mating Behavior. William C. Yoimg 1173 20. Gonadal Hormones and Social Behavior in Infrahuman Vertebrates. .4. AI. Guhl . . 1240 21. Gonadal Hormones and Parental Behavior in Birds and Infrahuman Mammals. Daniel S. Lchrman 1268 22. Sex Hormones and Other Variables in Human Eroticism. John W. Money .... 1383 23. The Ontogenesis of Sexual Behavior in J\Ian. John L. Hampson and Joan G. Hampson 1401 24. Cultural Determinants of Sexual Behavior. Margaret Mead 1433 Index 1481 FOREWORD George W. Corner, M.D., D.Sc. DIRECTOR EMERITUS, DEPARTMENT OF EMBRYOLOGY, CARNEGIE INSTITUTION OF WASHINGTON Publication of the third edition of Sex and Internal Secretions signalizes the ac- complishment of about a half century's intensive work by investigators of many countries, among whom those of the United States have been notably active. Any such burst of discovery as this rests, of course, upon a long preceding period of more gradual progress. Taking as landmarks Reg- ner de Graaf's recognition that the "female testis" of mammals is an egg-producing organ comparable to the ovaries of birds (1672) and Leeuwenhoek's description of the spermatozoa (1674), we can trace the continuous development of knowledge about the reproductive system down to our own times. Discovery of the actual mammalian ovum by Karl Ernst von Baer in 1827 accelerated the progress of research on the origin of the germ cells, the de^'elopment and discharge of the Graafian follicle, transport and fertilization of the ovum, and implanta- tion and development of the embryo. Such studies inevitably drew attention to the cyclic aspects of reproductive function, par- ticularly from students of animal breeding and from faunal naturalists, who acquired a great deal of information about the estrous cycles of wild as well as domestic animals and those of the laboratory. The work of the English leaders in this kind of in- vestigation, Walter Heape and F. H. A. Marshall, reached fruition in the latter's well known "Physiology of Reproduction," published in 1910. At this same period (1890-1910) gynecologists, especially in Ger- many and Austria, were putting their spe- cialty on a scientific basis. Becoming aware of the current advances in knowledge of embryology and the biology of reproduction of mammals in general, they were seeking similar clues to the explanation of the human menstrual cycle, ostensibly so dif- ferent from the estrous cycle of domestic animals. European workers, notably Hitsch- mann and Adler, Robert Schroedcr, and Robert Meyer, from about 1900 to the beginning of the first World War, put to- gether from operating-room material a histo- logic description of the human cycle that became more and more clear as the em- bryologists related it to their understanding of the general mammalian cycle. The young sciences of psychology, psychiatry and an- thropology also joined the concerted attack upon the problems of sex and reproduction. Since about 1870 European psychiatrists, led by such men as von Krafft-Ebing and Forel, had been studying sex psychology, with the aim of understanding behavior of a kind that was considered abnormal or con- ducive to social difficulties such as those created by prostitution and homosexuality. The way was thus opened for psychology to investigate the biologic basis of normal sex behavior. European and American an- thropologists had begun to document and analyze the sex attitudes of primitive races and distant nations, and even of their own peoples. Nor must we forget the influence of the Women's Rights movement, with its fight against all forms of bondage of women and its emphasis on standards of sex be- havior equally applicable to both sexes. All these new sciences and new social move- ments called for better understanding of basic sex physiology, which only biologists could provide. Thus at the beginning of the 20th century and during the next decades investigation in this field became more intense. Na- turalists, animal breeders, histologists, em- bryologists and gynecologists gradually came to understand each other's problems, and began a period of rapid advance not yet ended nor even slowed down, in which scarcely a year has passed without major contributions. American zoologists were already prepared by their embryologic studies to take part FOREWORD in this exploration, and the rapid devc^lop- ment of medical research in the United States in the early part of the 20th century provided speciahsts in human embryology, pathologists, physiologists, and biochemists who were ready to join the biologists in such investigations. When in 1922 the Na- tional Research Council was called upon by influential groups centered in the American Social Hygiene Association, to bring to- gether existing knowledge and to promote research upon human sex behavior and reproduction, our nation already possessed a corps of competent investigators who rallied to the call of Robert M. Yerkes and Frank R. Lillie, forming the Committee for Research in Problems of Sex. This Com- mittee, with financial support from the Rockefeller Foundation, successfully under- took to encourage research on a wide range of problems of sex physiology and behavior. The younger readers of this book will hardly be a])le to appreciate the full sig- nificance of such an alliance between bi- ologists, psychologists, and physicians on one hand, and social philanthropists on the other. It represented a major break from the so-called Victorian attitude which in the English-speaking countries had long im- peded scientific and sociologic investigation of sexual matters and had placed taboos on open consideration of human mating and childbearing as if these essential activities were intrinsically indecent. To investigate such matters, even in the laboratory with rats and rabbits, required of American scientists, including some of the contribu- tors to the first edition of Sex and Internal Secretions, a certain degree of moral stamina. A member of the Yerkes Committee once heard himself introduced by a fellow scientist to a new ac(}uaintance as one of the men who had "made sex respectabl(\" Ccrlaiiily the prestige of lh<^ Committee and the successes of American in\'(>stigators working with and without its assistance helped to bring about a more I'ealistic attitude toward sex research, although reactions from some ciuarters to such important recent work as that of the late Alfred C. Kins(\v show that the battle is even yet not fully won. Ten years after its formation tiie Com- mittee for Reseai'ch in Problems of Sex, proud of the achievements it had helped to foster, sponsored the first edition of Sex and Internal Secretions. The information thus brought together in 1932 came largely from research in genetics, cytology, em- bryology, and endocrinology, almost ex- clusively utilizing morphologic methods of study. In contrast to the present situation as reflected in the third edition, biochemistrv of the sex glands was still in an elementary stage, having barely achieved the pre- liminary chemical identification of the ovar- ian, placental, and testicular hormones; and the psychology of sex behavior was only beginning to develop its experimental methods. The sum total was, however, a deeply impressive record of progress that drew many new workers into this fi(^ld of research. It would be difficult to ascribe priority in this achievement to any one of the biologic disciplines. Genetics and cytology had provided one of the major clues by C. E. jMcClung's discovery in 1902 of the sig- nificance of the accessory chromosome, and his brilliant conjecture that this minute fragment of protoplasm is related to the determination of sex. Coming just before an outburst of discoveries concerning the chromosomal mechanism of heredity, based largely on the fruit fly Drosophila, the concept of genetic determination of sex gave rise to an immense amount of in- vestigation and theorizing about the way in which a developing individual is caused to become either male or female. Three decades after the publication of McClung's hypoth- esis, enough information on this (luestion was in hand to fill two ci'owded chapters in the first edition of Si.r and I idcriud Secretions. The contribution of cmbryolog}' to our sul)ject goes back to the ISth and 19th centuries and in particulai' to the (h^scrip- tion of the early stages of (lc\('loi)nient of the internal reproductive system, with which the names of Kaspar Fried rich Wolff' and Johannes Aliiller are ind(>libly associated. In this field, too, a period of acliv(> in- vestigation began early in the 20tli century, with th(^ aid of improxcd methods of microt- omy and the apj^lication of pr(H'is(> histo- loiiic staininti to eiubi'vonic tissues. The FOREWORD development of the gonads and the meta- morphosis of the Wolffian and Miillerian ducts into the secondary internal reproduc- tive organs was rapidly worked out in animals of every vertebrate order, by an army of in\'estigators too numerous to mention in a short resume. The story of the first appearance of primordial germ cells and their migration through the tissues of the embryo to the newly forming gonads, adumbrated in the 1880's by the work of Semon, was confirmed and extended to several species of mammals. If in these latter creatures and in the human species, th(> complete line of descent from the fertilized ovum to the first appearance of the germ cells is till not as clear as in many lower forms, enough at least was discovered within a few decades to indicate an essential similarity in the history of the germ cells in all vertebrates. To the embryologists of Europe and America w^e owe in large part also the successful analysis of the mammalian repro- ductive cycle that has been achieved during this half century. In order to procure mammalian embryos of known age the time of ovulation and fertilization had to be related to the outward manifestations of the estrous cycle. Comparati^'e description of the cycles of the various mammals for this purpose was climaxed by the discovery, or rather rediscovery and practical application of cyclic changes in the vaginal epithelium by C. R. Stockard and G. X. Papanicolaou. The vaginal smear method, thus introduced to the experimental laboratories, made pos- sible a wide range of investigations on the physiology and biochemistry of the cycle and the ovarian hormones. As apphed to the white rat by Herbert M. Evans and J. A. Long it became a basic tool in such studies. Another influence which also greatly for- warded investigation of the ovarian cycle has already been mentioned. This was the efTort of the gynecologists and especially gynecologic pathologists to interpret cychc events in the human ovary and uterus. One of the most notable American discoveries, that of the influence of the corpus luteum in decidua formation by Leo Loeb, stemmed from his familiarity with the German studies on the human cvcle. Much of our knowledge of th(^ corpus luteum and its hormone, progesterone, was in fact won by investiga- tors who approached the problem through gynecology. Had it not b(>en for the first World War, moreover, European gynecologic experi- menters might have attained clear knowl- edge of the estrogenic hormones, for even before 1900 Emil Knauer and Josef Halban of Vienna had demonstrated in a preliminary w^ay the endocrine dominance of the ovaries over the uterus, and by 1913 various in- vestigators, notably Henri Iscovesco of Paris and Otfried Fellner of Vienna, had pre- pared crude extracts which we now know contained estrogens. It remained, however, for the American zoologist-anatomist Edgar Allen and his biochemical colleague E. A. Doisy, e(iuipped with the vaginal smear method of testing ovarian hormone action, to isolate an estrogen from the fluid of the Graafian follicles, thus starting an era of ovarian endocrinology which has ultimately resulted in clear definition and discrimina- tion of estrogens and progestins and their respective effects upon the uterus and other organs of the reproductive system. Applying this new knowledge to the complexities of the human reproductive cycle, the zoologists, embryologists, gynecologists and endocri- nologists, among them several distinguished contributors to the first edition of this work, have combined forces to work out a clear account of the endocrine basis of menstruation and the implantation of the primate embryo. The parallel story of the hormones of the testis can be read in the successive editions of Sex and Internal Secretions. Berthold's proof, published in 1849, that in fowls the testis presides over the development of the cock's comb, wattles, and spurs ultimately led to the isolation of the first known androgen in F. C. Koch's laboratory at Chicago, and thence to the development of a great body of knowledge about androgenic steroids. The more complex history of the hor- mones of the hypophysis, becoming some- what clearer in each successive edition of this work, well illustrates a main theme of this introductory essay, namely the de- pendence of scientific advance upon the FOREWORD intermingling of ideas from various fields. It is not merely by chance that among the American workers on the hypophysis two names stand out, those of a surgeon, Harvey Gushing, and a zoologist-anatomist, Philip E. Smith. The central achievement of this half century of intensive work can be summarized in one sentence. It was, first, recognition, description and explication of the reproduc- tive cycle of mammals and man; and, second, identification of the chemical sub- stances that serve to integrate the cycle and preside over gestation. Those who took part in these investigations recognized, of course, that in due time their work must be ex- tended in two directions, downward to the domain of molecular chemistry and ul- timately of ionic physics in order to un- derstand the basic nature of hormone action, and upward to the field of animal and human behavior, where sex gland hormones join with other forms of bodily and mental integration in directing the life and be- havior of the organism. Once the histologists and embryologists had identified the sex gland hormones it was inevitable that further investigation of these remarkable substances should be taken over by biochemists, as can be seen from the successive editions of this book. The chief unsolved problems now demanding atten- tion relate largely to the sites of action of the hormones and the precise molecular effects which they exert upon their target organs. Recent indications that estrogens take part in hydrogen transfer in the citric phase of carbohydrate metabolism, and that progesterone affects uterine muscle cells by altering their permeability to potassium ions, show clearly that there is hope of understanding th(^ action at molecular level of these remarkably specific and powerful substances, which were bai'ely beginning to be known when the first edition of this book appeared in 1932. As the investigators of the future leai'n exactly where the sex gland hormones exert their chemical action, and just what they do to the fundamental elements of th(> cells of their target organs, we may con- fidently expect ever-increasing knowledge even of the most complex sexual and repro- ductive activities. Running over the chapter headings of this third edition of Sex and Internal Secretions, we see indeed that al- most every author concerns himself with one or another aspect of sex and reproduction in the light of what is already known about endocrine regulation. Chapter after chapter deals with cyclic events determined by sex gland hormones. Phenomena which in the first edition could be explained only sup- positionally on a hormonal basis, for ex- ample the "free martin" state in domestic cattle, and menstruation in primates, are now much better understood. Others which seemed hardly within the scope of endo- crinology are now seen to be in some degree influenced by hormone action, and thus to call for discrimination between endocrine effects and other types of regulation such as gene action and control through the nervous system. The experimental embry- ologists, for example, seek to understand the respective effects of genes and hormones in determining the development of the internal accessory sex organs; students of animal psychology likewise are beginning to discriminate between the action of hor- mones and neuro-psychologic factors in de- termining the patterns of sex behavior. Among the subjects discussed in this book, only psychiatry and anthropology are as yet not greatly influenced by our recently acquired stores of endocrinologic informa- tion. The complex, high-level patterns of human thought and behavior with which these sciences deal are presumably far less subject to chemical regulation than to the integrative control of the nervous system as it affects learning, memory, and racial tradition. Yet when we consider the extent to which daily life and ethnic customs are bound up with the sexual and reproductive activities of mankind, we are prepared to find this edition of Sex and Internal Secre- tions not only advancing greatly beyond its predec(>ss()rs in the study of animal be- havioi-, but also looking forward, through exploi'niory chaptcn-s on psychiatric and anthi'opologic asix'cts of liuninn s(\\ Ix^- liavior, to a time when we shall more fully understand the interrelations of all the con- trolling factors even of these most complex activities, upon which the continuation and renewal of life dcp(>nd. EDGAR ALLEN 1892-1943 Soon after his untimely death, February 3, 1943, many of the important details of Edgar Allen's life were recorded by col- leagues who were close to him. Separated from these memorials, however, was Sex and Internal Secretions, understandably the most permanent and tangible memorial. It is appropriate, therefore, that in this long-delayed third edition, much of the material in those records of his life should be combined with the review of the field in which his substantive contributions and directive thought were so important. With the permission of Doctors George W. Corner and William U. Gardner, portions of their biographical sketches have been used here. A few minor errors have been corrected and supplementary information has been added when it was felt that the picture of Edgar Allen would thereby be enlarged and sharpened. For much of the latter, in- debtedness is expressed to Doctor Charles H. Danforth, a long-time friend and senior colleague at Washington University, and to Doctor J. Walter Wilson, with Allen as a graduate student at Brown University. Doctor Allen ("Ed" to his many friends, and "The Skipper" in his department at Yale) was born at Canyon City, Colorado, May 2, 1892. He was the son of a physician about whom little seems to be known. The Allen family moved to Providence when he was very young. His early training was obtained in the public schools of Providence and at Brown University. Immediately after his graduation in 1915 he started graduate study in biology. This was interrupted two years later by World War I, but was sufficient to fulfill the not too rigorous requirements for a master of arts degree. His record during this period does not seem to have been impressive and nothing that has been learned about it foreshadowed his later distinguished accomplishments. How- ever, one hitherto unrecorded experience. mentioned on one occasion to the present biographer, may have had unusual sig- nificance in the years that followed. Doctor Albert Davis Mead, to whom editions 1 and 2 were inscribed, was Professor of Biology and instructor in the course in vertebrate embryology. At that time and for many years later the uteri, tubes, and ovaries of pregnant sows were collected from the local slaughterhouse and dissected by the class. Allen, probably as an assistant in the course, visited the slaughterhouse where his attention was attracted by the numerous large follicles in most of the ovaries. The curiosity thus engendered seems to have been the extent of his interest in reproductive physiology while he was at Brown, but it could have been instrumental in directing his attention to the ovary a few years later in St. Louis, and it could have prepared him to seek the sow's ovaries as a source of follicular fluid when he was desirous of obtaining large quantities of it for his first tests on spayed mice. In May, 1917, he volunteered for service in the Brown University Ambulance Unit. Later he transferred to a mobile unit of the Sanitary Corps with which he served in France. When he was discharged in Feb- ruary, 1919, he held a commission as second lieutenant. Before leaving for France in 1918 he married Marian Pfeiffer, a fellow student enrolled in Pembroke College, the Women's College in Brown University. Throughout the balance of his life she was his devoted companion. She too died as a relatively young woman and did not long survive him. • There are two daughters. For a man in his position, he lived modestly. It is easy to imagine that he valued the warmth and affection of his family and friends and his boat abo\T other luxuries he might have had. When he returned to civilian life he had EDGAR ALLEN no permanent po.sition in sight, but he must have sought the help of Mead, for during the summer of 1919 he was an investigator in the laboratory of the U. S. Fish Com- mission at Woods Hole. Doctor H. C. Bumpus, an older colleague of Mead's, had been Director of the Biological Laboratory in the Fish Commission at Woods Hole and summer appointments, paying two or three himdred dollars, were a source of help to the graduate students at Brown in that period. The summer seems to have been important, not because of any research Allen did, but because it was then that Charles Danforth, who was at Cold Spring Harbor for the summer and had heard Doctor FL E. Walter speak highly of Allen, wrote him and called his attention to the instructorship then open in Washington University School of Medicine. Danforth suggested that Allen communicate with Doctor Robert J. Terry, head of anatomy in that institution. He must have done so promptly and been accepted, with the un- derstanding that graduate study would hv continued. Danforth's recollection of his first sight of Allen is repeated: "When I returned to St. Louis in the fall and went up to the anatomy department I saw a man in the hall whose white liair and impressive bear- ing led me to suspect that he was prob- ably a distinguished alumnus returning for a visit. I soon learned, however, that this was Mr. Allen, who had been appointed instructor in anatomy and was already installed in an office on the third floor." Little time seems to have been lost in starting his work for the Ph.D., although the circumstances under which the choice of a problem was made ar(^ somewhat ohscuiv. Doctor H. H. Willier who met Allen for- the first time that sunnner (prob- ably on "stony beach") does not remembei- that he mentioned any special interest in the physiology of sex and reproduction. Danforth, who saw nuich of him from this time on, l;elie\-(>s that two cii'cunistaiices may lia\-e licen important. His oflice was on the floor with that of Doctoi' I.co Locb, always a stimulating p(M-soii, and in the animal quarters above was a colony of mice which had been developed for use in what was perhaps the first course in em- bryology to be based exclusively on mam- malian material — gametogenesis, follicular growth, ovulation, fertilization, cleavage, etc. He probably discussed problems with Loeb and he must have read the recent paper of Stockard and Papanicolaou in which changes in the vaginal epithelium in the guinea pig were correlated with the o^'arian cycle. Whether he was sensitive to the generally increasing interest in reproduc- tive phenomena or was influenced more by the fact that the mouse had been in- adequately studied and was right at hand and ready is not known. The latter pos- sibility would have been consistent with his temperament and the way he worked. On the other hand, the fact that the first of the three "purposes" stated in his thesis was "to make possible a more efficient mating for the collection of embryological material" may indicate that the larger im- portance of what he was about to start was not yet apparent to him. With the double responsibility of teach- ing and doing the research for a thesis, he must have worked incredibly long hours. But the rewards were great. The observa- tions recorded in his thesis, "The oestrous cycle in the mouse," ignited the fire that was to burn and to be spread during the remaining years of his life, and to eradicate fore\'er the diffidence which characterized him during his earlier graduate years at Brown. Briefly, he observed that large follicles were present in the proestrous and cstrous stages of the cycle, but that ovula- tion had occurred by the time of the metestrum. Regressive changes were noted in the uterus and these were analogized with menstruation in lower primates and the human female. The reference on page 111 to Hobin.son's belief that a secretion tVoni the follicle causes estrous changes rcxcals how close he was to the hypothesis that was to rccciNc gencn-al acc(>ptance only a few years latci'. It is clear, how(>\-ei', that he was not rcad^' for this simple and direct conclusion. Instead, he started by rejecting the suggestion that 1 h(^ growth stimulus EDCAR ALLEN to the genital tract comes from the corpus hiteum and then, after noting that "the follicles are the only remaining ovarian possibility," continued, "the presence of maturing ova in large follicles is the cause of the prooestrum and oestrus" and "the renewal of the ova at ovulation (or their atresia if this fails to occur) is the primary cause of the degenerative changes of the metoestrum." Except for the addition of the active role of the estrogenic substances contained in the follicular fluid, demonstrated by him- self and Edward A. Doisy less than two years later, the pattern of Allen's thought for the next 20 years was contained in his thesis — the cyclic origin of ova from the germinal epithelium, the primacy of the ovum, the growth effects of estrogens, the consequences of their withdrawal, a dis- counting (the word used in his thesis) of the importance of the hormone of the corpus luteum in the regulation of reproduc- tive phenomena. Rarely has so much of the important conceptualization of a pre-eminent scientist been "roughed in" in his thesis. Also of interest is the place of the thesis in the history of American anatomy. It was written at a time when the emphasis was shifting from structural anatomy to functional anat- omy. Rightly or wrongly, there were then, as there are now, those who feel that this trend could go too far. Allen seems to have been caught in this controversy. At all events, he must have felt compelled to enlist the help of friends at Brown, for it was the men there with their orientation toward biology who seem to ha^'e been less concerned with the amenities of the time and to have recommended that he be awarded the Ph.D. The omission of any acknowledgment to indi\4duals or to in- stitutions could have been an understandable oversight in his haste to test the action of follicular fluid on the vaginal epithelium of the mouse, or it could have been a device for avoiding any embarrassment. It is a coincidence that 15 years later in an office at Brown when a younger colleague was threatening to look into the problem of the hormonal control of mating behavior, Allen asked in his characteristically friendly way and also somewhat paternally, ". . . why don't you return to your woi-k on the epididymis?" With hurdles of the thesis and its publica- tion iK^iind him, and the conviction that the follicular fluid contains the substance he was seeking, he must have thought of injecting follicular fluid from the large follicles of the sow (he had seen them at Brown) into ovariectomized mice and ex- amining the vaginas for the sequence of changes he had described in intact mice. It is clear that the idea was not suggested to him by anything he read. As he often said jocularly, we did the work first and looked up the literature later. The published statement to this effect (J. Biol. Chem., 61: 711-727, 1924) was somewhat qualified but almost as direct, ". . .we paid but little attention to the papers of the various workers who have claimed to have demon- strated active preparations until after our own first definitely positive results were obtained." An unconventional approach, but excuseable perhaps when the hunch is as "logical" as it was to Allen. By the early spring of 1923 he had made promising preliminary tests and a few days before Charles Danforth left Palo Alto for the Anatomists' meetings in Chicago, he received an exultant telegram saying that he (Allen) had succeeded in inducing estrus in a spayed mouse by injecting follicular fluid. Others had come close to the dis- covery, but the reason they failed was that no one had had a clear-cut practical test. Danforth is the authority for saying that the ideas back of all this were Allen's, but in order to obtain a purified product of the active hormone in the liquor folliculi he was using, he enlisted the cooperation of Edward A. Doisy whose laboratory was in an adjoining building. Time has made it clear that Doisy was undoubtedly the most capable collaborator Allen could have found anywhere for this kind of research. A side of Allen that ingratiated him to all was seen at the time of the first announce- ment of the discovery of the action of follicular fluid on the vagina and is quoted EDGAR ALLEN from Danforth's letter to the present bio- grapher : "On my way to the 1923 meeting of Anatomists I went around by St. Louis and had dinner that night at the Allen home. In the evening Doisy, Allen, and I had a long and animated discussion over how their findings should be re- ported. Allen, sanguine and ebullient, was all for announcing them imme- diately at the Anatomists' meeting, even though there w^as no place for such an announcement on the program. Doisy, no less convinced of the im- portance of the findings, so far as they went, but temperamentally careful and thorough, thought any announcement should be withheld till more extensive data could be presented. Allen did not weaken, and when he was called upon at the meetings to present his paper, "Ovogenesis during sexual maturity," whic-h had been duly submitted and published in the abstracts, he by-passed that paper with only a few remarks and used the available time to tell about the effects of follicular hormone on spayed mice. I think this oral report was the first public announcement, the first published one being the AUen-Doisy paper in the Journal of the American Medical Association, September, 1923." Danforth's letter continues: "When the report was presented, I think it was received on the whole with reservation if not outright skepticism, particularly since no abstract had been published and the topic was unan- nounced and unexpected. George Corner said later that was true in his case. Someone else who was there told me of his own skepticism and said that he thought Allen, relatively unknown and with an unconventional idea, was re- garded as something of an 'upstart.' Stockard is said to have made some very caustic comments, which I don't recall. Herbert M. Evans seems to have been among the few who immediately sensed the significance of the paper. He and 1 returned to California on the same train and over and over he kept saying, '1 think Edgar (he sometimes called him Ezra) Allen has something,' or words to that effect." Cooperation with Doisy continued in a skillful chemical analysis which soon made possible the isolation and chemical identifica- tion of the estrogenic hormones. It is un- likely that this stage of the investigation would have been greatly prolonged had Allen adhered to a 9 to 5 o'clock schedule or a 40-hour wTek, but it is apparent from a letter he wTote to Doctor Carl G. Hartman that the discovery of the Allen-Doisy test for estrogens might ha\'e been delayed had he not made a midnight trip to the lab- oratory. According to Hartman, "It was Saturday night and Ed and his wife had been at the theatre. Would he or would he not make a midnight visit to the animal colony at the University in St. Louis and examine the castrated mice which had been receiving Doisy's extracts? He did and much to his delight found cornificd cells in the vaginal smears, which might not have been there if he had waited till Monday morning I" Beyond this point, most of what happened has been recorded by the earlier biographers. In 1923, and almost certainly before the importance of his work was fully appreciated, Allen was appointed Chairman of the De- partment of Anatomy in the then 2-year University of Missouri School of Medicine. He was made Associate Dean of the School of Medicine in 1929 and Dean the follow- ing year. He was happy at Columbia, "things have worked out so nicely here. . . ," he wrote Danforth, and later he began to think he "was planted definitely in Mis- souri." But April 1, 1933, he wrote, "Dean Winternitz visited Columbia day before yes- terday and asked me to go on to Yale ..." as Professor of Anatomy and Chairman of the Department of Anatomy in \hc ^'ale University School of McHlicine. The unusual extent to which his reseai'ch and lh(> i-esearch he super\is('(l in his de- partment were suggested by his thesis has been indicated. We find, theictoic, investiga- tions pertaining to the problem of oxogenesis. At a time when it was generally assumed that the female mammal possesses a full EDGAR ALLEN quota of ova when she is born, he demon- strated that new ova arise after birth and even after sexual maturity. As Doctor WilHam U. Gardner, a former student and his successor at Yale, has written, his early conviction that the ovum is "the dynamic center of the folHcle" persisted throughout his life; he left two partially completed manuscripts dealing in part with the subject. Less than a year before he died he wrote to Danforth, "I still think of the ovum as a dynamic center for mitosis and there is no reason why the fertilized ovum shouldn't be." Gardner is of the opinion that Allen's interest in ova prompted the collaboration with Doctors J. P. Pratt, Q. J. Newell and L. J. Bland that resulted in securing in 1930 the first human ova from the oviduct, and in pro- viding evidence bearing on the time of ovulation in the human female. Overshadowing these studies of the ova were, of course, Allen's many investigations on the relationship of the ovarian estrogenic hormones to the growth of tissues. His demonstration that removal of the ovaries of the rhesus monkey under appropriate circumstances is followed by a uterine bleed- ing, indistinguishable from that of normal menstruation, led to the formulation of his estrogen-deprivation theory of menstrua- tion. Although challenged and shown to be in need of modification, his statement of this theory stimulated many studies of that phenomenon which is still not under- stood. After moving to Yale, he became in- creasingly involved in investigations of the influence of steroid hormones on carcino- genesis, especially the relationship of es- trogens to malignant transformation of the uterine cervix. His interest in the growth- stimulating capacity of the ovarian hor- mones was fiu'ther indicated by his use of the mitosis-stimulating and mitosis-arrest- ing drug, colchicine, in studies on the genital tissues. During the relatively short span of his professional life, he and his collaborators published more than 140 original investiga- tions. Of these, most were under joint authorship. This is explained by the fact that he rarely worked alonc^ on a scientific problem. This may have been just as well, for his excitement and enthusiasm reached their peak in team work. In all such re- lationships, but especially when younger colleagues were involved, he gave full sup- port and generous credit. He would have been proud of the large number of th(^ latter who have since worked their way to im- portant posts in anatomy. Were he alive, he probably would still be prodding them to look into this or that problem. Although the number of articles and reviews of which Allen was author or co- author was relatively large, it was small compared with the many which can be attributed to the encouragement and en- thusiasm he inspired among his students and associates, and to the many more which his work inspired in other laboratories throughout the world. In this sense, rather than in the strictest sense of the word, he was a foremost anatomist. At the height of his career, he undertook the editing of the first edition of Sex and Internal Secretions. The editorship of the second edition was shared with Doctors Danforth and Doisy. The former was un- doubtedly over-modest in recalling the parts of the co-editors in the undertaking, but his statement is ciuoted for the information it contains. "I had helped a little with the first edition, especially with Bridges' chapter (Bridges being in Russia at the time), and in the second edition took I'e- sponsibility for Section A, as Doisy did for his group of chapters. I read the entire book in manuscript or in proof (mostly both) as I think Doisy did also, but neither of us, I feel sure, thought of ourselves as co-editors. On Jan. 4, 1939 Allen wrote, T have asked the publishers to make the book, Allen, Danforth and Doisy; as it has been team work all through.' My own reac- tion, and probably Doisy's is expressed in my reply of January 9, 'Instead of writing a long personal letter in reply to yours of January 4 I am going to send a short note by air mail protesting against your suggestion in the last ED(;AR ALLEN paragraph. It would be quite unjust and misleading for you to put Doisy's and my names in any sense coordinate with yours. . . . And to put our names in any Vnit the most subordinate posi- tion would he to give credit that is not due.' " Allen's services were not unrecognized. Three of the universities with which he was associated, Vale, Brown, and Washington University, awarded him honorary degrees. Had he lived a few months longer, he would have received an honorary doctor of law from the University of IVIissouri. In 1987 he was awarded the Legion of Honor in l-*aris where he was guest of the Fondation Singer-Polignac at a colloquium on the sexual hormones. In 1941 he was honored by the Royal College of Physicians of London when they conferred upon him the Baly Medal for researches on the female sex hormones. In the last year of his life he was president of the two national societies most closely representative of his field of work, the Association for the Study of Internal Secretions (now the Endocrine So- ciety) and the American Association of Anatomists. As Corner, Danforth and Stone wrote in their memorial for the American Associa- tion of Anatomists, "Allen was a striking figure personally, for his broad shoulders, ruddy face and snow-white hair made him conspicuous in any group. He made friends (luickly and was always the first to en- coiu'age and to admire good work by others. His boyish frankness and his good will contributed more perhaps than any other factor to the effective cordiality which has prevailed among the American workers in the physiology of reproduction." The writer of this skc^tch recalls that in any meeting Allen was always one of the first to rise to the floor with a (juestion or lo mak(> a constructive' coniineul . The Viest of the spirit of I he man that we can preserve is containe'd in \\\o form of his own words, written inforinall>- to his fri(Mid, ( harles Danfoith, with whom he coi're- sponded so fre(iuentl>' and xoluminously. A numbei- have been selected for the side of him thev will recall, the enthusiasm and imagination that enabled him to do the amount and quality of w^ork he did. November 6, 1935: "We just had a keen thing happen here. Dr. George AI. Smith returned from Europe with in- formation about a drug which prevents mitotic figures from completing divi- sion. . . . Combining this with theelin stimulation. . . ." Alay 23, year not stated: "Have been working since early morning on the slides from the monkey experiments. They are a corking good lot of evidence and I am in one of those elated, trembly, inspired sort of heavens to which new ideas always bring a fellow. If you were in reach, you would have been dragged over precipitately to my scope, or interrupted to talk things over a dozen times. ... As it is, I must run my ideas through a slow movie instead of talking you to death. . . . Growth in the vaginal wall is almost unbelievable. Growth in the cervical glands is more so. They grow so darned much that the cervix looks like a tumor and the cervical canal becomes a tor- tuous thing like the lower Mississippi." A lot of histological detail, then: "the tubes are a knockout . . . this would seem to make ciliation a growth phase of the nonciliated cells and full ciliation dependent on presence of the hormone. The mammary gland whole moimts are wonders. I am so elated as to be almost damned crazy. Am sure I'd crack one of your ribs if I could get at you." Then, "Yesterday a letter from the National Research Council giving me $800 more for monkeys. . . . Ain't it just too lucky to l)eli(n-e. . . ." And (inallw in closing one of his letters: "Well you darned tool, Allen, it will take him 10 miiuitcs to read your letter now, aren't you e\('i' going to stop writing?" About 10 years belore Allen died he sulTered a >r\r]v coi'onaiy attack, whil(> waiting foi' a train in the ,Jackson\ille, I'lorida, Lnion Station, lie lo\-ed swinuning as well as sailing and, after a sti'enuous and fatiguingxisit with Doctoi' IJobei't M. Verkes EJ)C;AR ALLEN in the heat at Orange Park, had taken time for a long swim in the breakers at Jackson- ville Beach. Miraculously he reached New Haven and recovered sufficiently to return to his work. Nothing would have kept him from it. When war was declared in 1941 he was tired, but he insisted on joining the Coast Guard Auxilliary for a weekly tour of duty on Long Island Sound, as opera- tions officer of a flotilla. It was during one of their patrols that he died of coronary occlusion. There was much that was fitting to such an end of his active life. No tribute could have been more appropriate than that phrased by Gardner in th(^ Edgar Allen Memorial Number of the ^'ale Journal of Biology and Medicine, "The 'Skipper' left with 'all sails filled.' " PREFACE TO THE THIRD EDITION The impact of the first two editions of Sex and Internal Secretions can never be measured, but it must be near the front for books of its kind. Few books seem to have served their purpose better and few, 20 to 25 years after their appearance, seem to be valued as greatly by those who are fortunate to possess copies. It was to be expected, therefore, that pressure would be brought to bear for the preparation of a third edition. Whether the Publisher's at- tempts to find an editor miscarried because of the character of the new order ushered in by World War II, or because discretion was considered the better part of valor may never be known. The odds favored the latter explanation because there was no direction in which a successor to Edgar Allen, Edward A. Doisy and Charles H. Danforth could go except down. Neverthe- less, there were reasons for accepting the challenge and attempting to do for the present generation of reproductive phys- iologists what Allen, Danforth and Doisy and their many colleagues did for theirs. Most of the problems to which they ad- dressed themselves had not been solved, although the need for answers was as urgent as ever, and perhaps more so. The definition of these problems had become obscured, partly by the addition of many contradictory and confusing data to the literature relating to them, and partly by the rising tide of interest in other glands of internal secretion, notably the thyroid and adrenal. Finally, new technologies had pervaded the field and there were many new data and concepts to be evaluated and Avoven into the fabric Allen and his contemporaries had created. In the preparation of the third edition little of the first two editions was to be retained except the title. Sex and Internal Secretions, and the ideals by which the authors of these editions must have been guided. Within a framework of careful scholarship, these were seen to be a resume of the solid facts that had been learned from test and retest, broadly critical discussions, enumeration of the important unsolved prob- lems, and the preparation of lists of ref- erences complete enough for the guidance of any seeker of information, whether his interest was in the extension of basic studies or the application to clinical and agricul- tural problems. Adherence to these ideals has not been easy. Even if ample allowance is made for editorial ineptitude, the period 1958 to 1961 is different from 1932 and 1939. Reviews and symposia are more nu- merous and many are in a style that is alien to the traditions of Sex and Internal Secretions. There are demands on the time of many of us which, 20 years ago, were reserved for only a few, and the volume of published reports has long since outstripped oiu- capacity properly to encompass them. Despite the difficulties and misgivings, an effort has been made to step into the void created by the lapse of the old Sex and Internal Secretions. Both similarities and differences will be noted. Relatively more space has been given over to the role of the gonadal hormones in the control of repro- ductive behavior, and relatively less to the biochemical problems of hormone synthesis, utifization, and metabolism. This "slighting" of the biochemical side, if it is to be so considered, does not reflect any lack of appreciation of the key position occupied by this discipline. It is explained, rather, by the opinion of the biochemists who were consulted that another review, just at this time, would be anticlimactic to a number of the excellent reviews which have recently been published. The chapter by Dr. Villee, therefore, is, in his words, a presentation of the general picture without being an exhaustive citation of the tremendous body of relevant literature. The suggestion made above that some of the shortcomings in this third edition are a reflection of changes in our habits of work- ing is not to be taken as an attempt to PREFACE, THIRD E])ITION excuse any errors that properly belong on the editor's doorstep. He has learned as he has gone along, but finds himself reacting very much as he usually does at the end of a lecture — if it were to be given again, parts of it would be done differently. To the contributors, there is a feeling of the deepest gratitude for the time and thought they have given to the preparation of their chapters. The editor is indebted, too, to the National Institute of Mental Health, Na- tional Institutes of Health, for a research grant, M-4648, which has taken care of a number of the costs of publication. Justifica- tion for this action is believed to have been given by the expansion of the section on the gonadal regulation of reproductive behavior. This development, in turn, would have pleased Robert M. Yerkes. He was sensitive to the need for truly scientific studies of sexual behavior, the mechanisms which par- ticipate in its expression, in the determina- tion of its character, in its regulation, and in its development. But he was equally aware of the importance of investigations that are purely physiologic, biochemical, and morphologic, and in a quiet but effective way did much to encourage many that are recorded in the first two as well as in the present edition of this book. PREFACE TO FIRST EDITION It is the purpose of this book to survey the most important recent researches in problems of sex, especially those concerned with internal secretions, in order that con- cepts already established by experimental evidence may be clearly stated and made readily available. While general principles can in many cases be stated concisely, the recent data have accumulated so rapidly that there has not yet been time for retesting and evaluating much of the evidence. This may account in some chapters for emphasis upon certain work with which contributors may have had personal contacts. Further- more, sex and reproduction show such wide ranges of variation in both the structures and functions involved that major dif- ferences, even among species of higher mam- mals, make generalizations both difficult and dangerous. This whole field has recently undergone such rapid growth that many new ciuestions have arisen to challenge the investigator's curiosity. An attempt will be made to indicate productive approaches to some of these unsolved or only partially solved problems. This book is intended for the reader with a moderate biological background, to whom the less involved technical terminology may not prove a serious handicap. It is not our intent that it should be a "popular book on sex." Instead, it is designed for those in- terested in the progress of research in problems of sex, and those who may be already engaged in investigations thereon or casting about for promising problems for investigation. Physicians who are interested in fundamentals will find much valuable recent material. In suppljnng a biological foundation for education in matters of sex, it should also attract the interest of serious students of sex function in man. Specialization in research has reached the point where any detailed authoritative sur- vey requires a group effort. Conseciuently, the editoi attempted to gather together a group of investigators whose work has es- tablished them in their respective fields. Each contributor has develop(>d his chapter in his own way and assumes full respon- sibility for the content of his section, in- cluding his discussion of the work of othei' investigators. Since it was inevitable that considerable correspondence would be involved, intro- ducing the time-transport factor, choice of the group was restricted to American investigators. Several prominent workers in this field, whom we would have desired as co-authors, have necessarily been omitted because of absence abroad or press of other work. As the Foreword indicates, this project saw its inception in a proposal by Dr. E. V. Cowdry, then Chairman of the Medical Division of the National Research Council, to the Committee for Research in the Prob- lems of Sex. In the publication of many of the contributors to this book, acknowledg- ment will be found to this Committee for support of investigations. In a sense the book will serve as a summary of some of the work accomplished under grants from this Committee. Obviously, however, it was not desirable to limit choice of contributors to investigators who had received grants from the Committee, and that consideration has not determined their choice. Instead, it is probable that the Committee in the first place chose to make grants to these men because of the promise of their work shown by their previous investigations. The editor wishes to acknowledge the support of the Committee for Research in Problems of Sex, which has made provision for the editorial expenses involved in the preparation of the manuscript. He also wishes to commend the cooperation between investigators who, even though they may be competitors in the same field, have col- laborated so well. The cooperation has been completely free from the secretive reserve sometimes encountered among investigators who may be leaders in their particular fields. The editor wishes further to acknowl- xxiv PREFACE, FIRST EDITION edge the assistance and friendly interest of Dr E. V. Cowdry, not only during the initial phases of this project, but through- out its progress and consummation. Dr. F. R. Lillie has counselled wisely in regard to titles and content of some of the sections. Valuable counsel and encouragement has also been received from several of the con- tributors. The editor also wishes to commend the contributors for their team-work ni eliminating or reducing overlaps between sections which is so necessary in the unifica- tion of interlocking material from closely related subjects. Edgar Allen University of Missouri School of Medicine Columbia, Missouri May, 1932. SECTION A Biologic Basis of Sex GENETIC AND CYTOLOGIC FOUNDATIONS FOR SEX John W. Gowen, Ph.D. Department of Genetics, Iowa State University, Ames, Iowa I. Basic Literature II. Mechanistic Interpretations op Sex A. Concept of Sex Determination B. Sex as Associated with Visible Chro- mosomal Differences C. Changing Methods of Cytogenetics D. Chromosomal Association with Sex E. Balance of Male- and Female-Deter- mining Elements in Sex Deter- mination III. Sex Genes in Drosophila A. Mutant Tjqjes B. Major Sex Genes C. Other Chromosome Group Associa- tions: Drosophila americana D. Location of Sex-determining Genes IV. Sex under Special Conditions A. Species Hybridity B. Mosaics for Sex C. Parthenogenesis in Drosophila D. Sex Influence of the Y Chromosome E. Maternal Influences on Sex Ratio F. Male-influenced Type of Female Sex Ratio " G. High Male Sex Ratio of Cienetic Origin H. Female-Male Sex Ratio Interactions V. Sex Determination in Other In- sects A. Sciara B. Apis and Habrobracon C. Bombyx VI. Sex Determination in Dioecious Plants A. Melandrium B. Rumex C. Spinacia D. Asparagus E. Humulus VII. Mating Types VIII. Environmental Modifications of Sex A. Amphibia B. Fish IX. Sex and Parthenogenesis in Birds X. Sex Determination in Mammals... A. Goat Hermaphrodites B. Sex in the Mouse 50 C. Sex and Sterility in the Cat 50 D. Deviate Sex Types in Cattle and Swine 51 E. Sex in Man: Chromosomal Basis 52 1. Nuclear chromatin, sex chro- matin 55 2. Chromosome complement and phenotype in man 5(1 3. Testicular feminization 50 4. Superfemale 57 5. Klinefelter syndrome 58 0. Turner syndrome 59 7. Hermaphrodites 59 8. XXXY + 44 autosome type 01 9. XXV + 66 autosome type 03 10. Summary of types 03 11. Types unrelated to sex 03 F. Sex Ratio in Man 65 XL References 00 I. Basic Literature In the first edition of Sex and Internal Secretions published in 1932, Bridges dis- cussed the closely prescribed problem of the genetics of sex, particularly as it was related to one species, Drosophila melanogaster. The treatment was sharply focused on the advances made, chiefly through his own re- searches, in understanding the functions of the genetic and cytologic factors operating during embryologic development which ul- timately establish the sex types. The em- phasis was on gene action through inter- chromosomal balances as they may aff"cct sex expression. The second edition of 1939 brought this material up-to-date and, at the same time, offered a much broader treat- ment by the inclusion of accumulated evi- dence on how differentiation for sex comes about in other forms. There is no substitute for a careful reading of these two presenta- BIOLOGIC BASIS OF SEX tions as background material for a present day understanding of sex determination. The current presentation makes no attempt, except in the barest outline, to repeat this early material other than in those aspects which bear on the advances that have been made since the printing of the second edi- tion. Immediately following the publication of the first edition of Sex and Internal Secre- tions there was a resurgence of interest in the problems considered in that book. The resulting research led to notable advances in available knowledge. Seven years later the second edition was published. A second wave of accomplished research appeared. In the interim of the past 21 years extensive advances have been recorded, particularly in understanding the mechanisms of sex dif- ferentiation in plants as well as in many animals. Among others, the data on Melan- drium, Asparagus, Rumex, and Spinacia have been of first importance. Further in- formation on Drosophila, Habrobracon, and Xiphophorus has notably broadened our viewpoints. Beginnings have been made to a better understanding of the conditions for sex separation in bacteria, protozoa, bees, birds, goats, mice, and man. To these spe- cific contributions may be added the basic advances in understanding the methods by which genes are transmitted from one gen- eration to the next, accomplish their actions in development, and by which chromosomes reorganize and reconstruct gene groups. The period has also been one of excellent monographic treatments on different phases of the subject. Wilson's The Cell in Devel- opment and Inheritance (1928) and earlier, Morgan's Heredity in Sex (1914), Schra- der's The Sex Chromosomes (1928) and Goldschmidt's Lymantria (1934) retain their pre-eminence. To this list have now been added the publication of extensive tabulations of chromosomes of cultivated plants by Darlington and Janaki Ammal (1945), of animal chromosomes by Makino (1951 ), and the yearly index to plant chro- mosomes beginning with 1956, compiled by a world-wide editorial group and published by the University of North Carolina Press, Chapel Hill, North Carolina. Those volumes give access to the basic chromosomal consti- tutions and their sex relations for far more species than were heretofore available. In- heritance information has been made more accessible and at the same time in more de- tail. The tabulations of mutants observed in particular species as in D. melanogaster (Morgan, Bridges, and Sturtevant, 1925; Bridges and Brehme, 1944) have been fol- lowered by those of corn, mouse, domestic fowl, rat, rabbit, guinea pig, Habrobracon, and many other animal forms, together with similar tabulations for cereals and a number of other plant species. Books of particular interest include those of Hart- mann. Die Sexualitdt (1956), White, Ani- mal Cytology and Evolution (1954), Gold- schmidt, Theoretical Genetics (1955,1, Hartmann and Bauer, Allgemeine Biologic { 1953) , and Tanaka, Genetics of Silkworms (1952), and special reviews in various vol- umes of Fortschritte der Zoologie (1 to 12) (Wiese, 1960). Basic normal development of Drosophila has been presented in con- venient book form in papers by Cooper, Sonnenblick, Poulson, Bodenstein, Ferris, Miller and Spencer, Biology of Drosophila (Demerec Ed., 1950) . Special papers hav- ing a direct bearing on the subject matter include particularly those of Pipkin (1940- 1960) in analyzing the various chromo- somes of Drosophila for sex loci, of Tanaka (1953) and Yokoyama (1959) for their studies and reviews of the genetics of silk- worms, and of Westergaard (1958) on sex determination in dioecious flowering plants. II. Mechanistic Interpretations of Sex The records of search for basic mecha- nisms involved in the determination of sex have been foremost in the writings of man from the beginning of historical record. These ideas have included all forms of mechanisms both intrinsic and extrinsic to the organism. The most constructive ad- vance, although not realized at the time, came through the recognition of cell struc- ture, chromosome maturation and the dis- crete behavior of the inheritance. Differ- ences in clu-omosome behavior were noted but not alwaj^s related to facts of broader significance. The period was one of expand- ing observations and development of ideas as they applied to species in general and FOUNDATIONS FOR SEX also to the further complications which arose with more extended study. These complications included differences not only in one chromosome pair but in several. The significance of a balance between these chromosome types as well as with the en- vironment was grasped by Goldschmidt and particularly by Bridges where his more favorable material brought out sharper contrasts in types and in the chromosome behavior. Ideas related to chromosome bal- ance as they may affect developmental processes were developed. Goldschmidt em- phasized that this balance could include factors in the cytoplasm as well as in the chromatin material. Bridges' observations on the other hand, pointed most strongly to the chromatin elements where changes in chromosome numbers were often accom- panied by sharp differentiation of new sexual types. Concepts of sex determination broadened. They came to include all the chromosomes in the haploid set, a genome, as a whole. The important concept of single chromo- some difference being all important has been replaced with that of a balance be- tween the chromosomes. It has sometimes been emphasized that it is this balance which is the most significant element in sex determination. Present day research seems to be pointing rather to even finer struc- tures than the chromosomes in that the main search is on for the particular genes within the inheritance complex which con- tribute the characteristics of sex. Bridges' work has sometimes been asserted as com- mitted to a particular type of balance in the chromosome. However, his writings 1 1932) make it clear that this balance is, in his judgment, basically due to the genes actually contained within the chromosomes rather than to the chromosomes themselves. This view is further emphasized in the second edition of Sex and Internal Secre- tions. "Sex determination in numerous forms with visible distinctions between the chromosome groups of the two sexes was at first interpreted on a 'quantitative' basis, as due to graded amounts of 'sex-chroma- tin.' But because even more species were encountered in which no visible chromo- some difference was detected, the formula- tion was changed to include also 'qualita- tive differences in sex-chromatin.' Now, sex is being reinterpreted in terms of genes, with investigation by breeding tests pene- trating to detail far beyond the reach of cytological investigation. The chromosomal differences are now treated as rough guides, and chromosomal determination is l)cing resolved into genie determination Hence the difference in sex must be put on the same basis as that of any other organ differentiation in plant or animal, for ex- ample, the difference between legs and wings in birds— both modifications of an- cestral limbs." In contrast to what some have inter- preted. Bridges was not committed to a specific chromosome balance, as for in- stance the X chromosomes to the A chro- mosomes in Drosophila, for all species. Rather he looked on that particular balance as but one mode of gene association in chromosomes that could bring about dif- ferences in gene action on development which would lead to sexual differentiation in its various forms. In that sense his ideas prepared him for, and were in conformity with, the types of sex differentiation which later became established in such forms as Melandrium and in the silkworm. In his concepts of sex determination and in his active interest in making genetics more spe- cific, there can be little doubt that his theory would include those of the present and would also be welcome as refining and more sharply defining the significance of cytologic and genetic elements important to sex differentiation. A. CONCEPT OF SEX DETERMINATION As frequently happens, observations are made often before their significance is more than dimly understood. Background infor- mation may be insufficient for the facts to become clear. This was true when a lone chromosome was discovered as a part of the maturation complex in sperm formation of Pyrrhocoris. The association of the pres- ence of this element with the idea of its be- ing the arbitrator between male and female development in certain species was not made until 10 years later. Henking (1891) observed in Pyrrhocoris 11 paired chromo- 6 BIOLOGIC BASIS OF SEX some elements and one unpaired element which after spermatocyte divisions led to sperm of two numerically different classes, one carrying 11 chromosomes plus the ac- cessory chromosome and the other carrying only the 11 chromosomes. His observations were confirmed by several other investiga- tors and in principle for other insect species over a decade following. The first sugges- tion that this chromosome behavior was re- lated to sex diiTerentiation came from McClung's (1902) observations on the "ac- cessory chromosome" of Xiphidiiim fascia- tum. It is of some interest to examine the steps l)y which these conclusions were reached. "The function exercised by the accessory chromosome is that it is the bearer of those qualities which pertain to the male or- ganisms, primary among which is the fac- ulty of producing sex cells that have the form of spermatozoa. I have been led to this belief by the favorable response which the element makes to the theoretical require- ments conceivably inherent in any struc- ture which might function as a sex determi- nant. "These requirements, I should consider, are that: (a) The element should be chro- mosomic in character and subject to the laws governing the action of such struc- tures, (b) Since it is to determine whether the germ cells are to grow into the passive, yolk-laden ova or into the minute motile spermatozoa, it should be present in all the forming cells until they are definitely es- tablished in the cycle of their development, (c) As the sexes exist normally in about (■(lual projoortions, it should be present in half the mature germ cells of the sex that bears it. (d» Such disposition of the element in the two forms of germ cells, paternal and maternal, should be made as to admit of the readiest response to the demands of en- A'ironment i-egarding tlie ])i'oportion of the sexes, (el It should show variations in structure in accordance with the vai-iations of sex potentiality observable in different species, (f) In parthenogenesis its function would be assumed by the elements of a cer- tain polar body. It is conceivable, in this regard, that another form of polar body miglit function as the non-determinant bearing germ cell." The important fact es- tablished by this reasoning was that a chro- mosome could be the visual differentiator between the fertilized eggs developing spe- cific adult sexual differences. It w^as of little consequence perhaps that for sex itself, in this species, the chromosome arrangement was misinterpreted. The validity of the rules was probed through examinations of the cells of many species by many different observers. B. SEX AS ASSOCIATED WITH VISIBLE CHROMOSOMAL DIFFERENCES Variations in the chromosome complexes contributing to sexual differentiation were soon found. Probably the most frequent type observed in animals and plants was that in which a single accessory chromo- some of the male was accompanied by, and paired with, another chromosome either of the same or of a different morphologic type. This other chromosome, as distinguished from the accessory chromosome now gen- erally called the X, was designated the Y chromosome. For different species the Y ranged in size from complete absence, to much smaller, to equal to, to larger than the X. Besides the X and Y chromosomes, the autosomal or A chromosomes, the ho- momorpluc pairs, complete the species chromosome complement. In this terminol- ogy Sperm (Y + A) + egg (X + A) = XY + 2A cells of lie determinino; tvpe Sperm (X + A) + egg (X + A ) = 2X + 2A cells of female detei'mining tyi)e Variations in numbers and sizes of chro- mosomal pairs making up the autosomal sets of different species are familiar cyto- genetic facts. These variations may extend from one pair to many chromosome pairs depending on the species. Similar variations may occur in chromosomes of eitluM- the X or Y types. The X is commonly a single chromosome but may be a compound of as many as 8 chromosomes in Aiicaris inciirva (doodricli. 1916). The Y mav be lacking FOUNDATIONS FOR SEX entirely in some species or may be redupli- cated in others. Males which form two types of sperm are often called heterozygous for sex, although the term digametic may be better, whereas the females are homoga- metic. In other species the females show the chromosomal differences whereas the males are uniformly homogametic. These types are principally known in the Lepidoptera, more primitive Trichoptera, Amphibia, some species of Pisces, and Aves. The single accessory chromosome is present in the fe- males whereas the males have two. It may l)e unpaired or be with another chromosome of different morphology and size. The sex types may be symbolized by designating the accessory chromosome by Z and its mate W as a means of separating possible differences between them and the X and Y chromosomes. The significance of these dif- ferences is not clearly established with the consequence that some investigators prefer to substitute the XY designation for the fe- males and the XX condition for the males of these species. The zygotic formulae are: Sperm ZA + egg ZA = 2Z + 2A male Sperm ZA + egg WA = ZW + 2A female A third major chromosomal arrangement accompanying sex differentiation came to light as a result of Dzierzon's 1845 discov- ery of parthenogenesis in bees. Chromoso- mal and genetic studies have shown both Apis and Habrobracon of the Hymenoptera to be haploid, N, for each germinal cell in the male complex and diploid, 2N, in the fe- male. N may stand for any number of chro- mosomes, as 16 for Apis or 10 for Habro- bracon. The same chromosomal pattern characterizes, so far as known, the other genera of Hymenoptera. Haploidy vs. dip- loidy is viewed as the most obvious feature predicting differentiation toward the given sex type even though, as in Habrobracon, there is evidence for a particular chromo- some of the N set carrying a locus for sex differentiating genes. The zygotic sex for- mulations are: No sperm + egg N = N male Sperm N + egg N = 2X female In development, as in some other species oi widely diverse origins, chromosome pol- yploidy may take place causing the soma cells to differ from the germ cells in their chromosome coniponents. The common phenotype for plants and lower animals has differentiated sex organs which are combined in the same individual. Plant species seldom depend on any but hermaphroditic types for their reproduc- tion. Lewis' (1942) tabulation for British flora had but 8 per cent of all species de- pend on other than this form of reproduc- tion. Those that had perfected dioecious systems were not all alike in the system adopted, although species with XY + 2A males and XX + 2A females were in high frequency. Dioecious reproduction was rarely the system common to a whole genus. Recent and multiple origins of dioe- cious types are indicated by the irregular distribution of species with bisexual repro- duction within the different genera and families. Methods for preventing inbreed- ing have taken other channels as self- sterility genes reminiscent of fertility or sex alleles found in the older bacteria and protozoa. Animals of the lower phyla are those which are most frequently hermaph- roditic. Within hermaphroditic species chromosomal distinctions are ordinarily ab- sent. The higher forms with sex and chro- mosome differences, on the other hand, may show reversion to the hermaphroditic con- dition from the dioecious or bisexual states. Other less common cytogenetic controls of sex development have become recognized and better understood. Discussion of their gene and chromosomal arrangements will be considered when these cases arise. The al)ove types will be sufficient to furnish a basis for interpreting the newer data. C. CHANGING METHODS OF CYTOGENETICS The earlier studies of sex determination depended on the natural arrangements of chromosomes found in different species and on occasional chromosomal rearrangements occurring as relatively rare aberrant types. Further development of genetics has in- creased the tools for these studies. Mutant genes have been shown to control chromo- some pairing in segregation (Gowen and Gowen, 1922; Gowen, 1928; Beadle, 1930). BIOLOGIC BASIS OF SEX Different drugs such as chloralhydrate and particularly colchicine and various forms of radiant ^energy have made it possible to create new types by doubling the chromo- somes, by chromosome rearrangement and by changing the chromosome number. Bet- ter genetic tester stocks of known composi- tion have been organized, which together with a more exact understanding of the in- heritance structure of the species have made for more critical studies. Techniques, which have improved chromosome differen- tiation and structural analysis through bet- ter methods, better dyes, tracers to mark chromosome behavior (Taylor, 1957), and the use of hypotonic solutions in the study of cells (Hsu, 1952), have removed doubts that were created by the earlier technical difficulties. Instrumentation has improved for the measurement, physically and chemi- cally, of cell components. D. CHROMOSOMAL ASSOCIATION WITH SEX The first genetic linkage groups were as- sociated with the sex chromosomes and were soon shown to follow the patterns of the different chromosome sets observed within the different species. In man, hemo- philia inheritance was observed to follow that which was presumed for the X chro- mosome. Barring in birds and wing-color pattern in Lepidoptera on the other hand were found to follow the chromosomal pat- terns of their species where the male was ZZ and the female Z or ZW for the sex chro- mosomes. The utility of these methods was further probed by Bridges' observations that when chromosome behavior in Dro- sophila resulted in sperm or eggs carrying uncxjx'cted chroiiiosomc combinations there followed ('(nmlly unexpected phcnotypes in the progeny. The cliaractei'istics of these unexpected progeny, in turn, I'ollowt'd those expected if genes for them were carried m the sex chromosomes. The use of these link- age groups as tracers, both as they natu- rally occur and as they may be reorganized through the treatment effects of such agents as radiant energy, open the possibility ol assigning sex effects to, not only chromo- somes, but also to particular i-laces within the chromosomes. Both polyploids and aneuploids, as oc- curring naturally and as marked by tracer genes, give insight into sex differentiation and its dependence on chromosome inherit- ance behavior. True polyploids in a species are formed as a consequence of multiplying the entire genome. The possible types may have a single set of chromosomes and genes in their nuclei (haploid ) , 2 sets (diploid) , 3 (triploid), 4 (tetraploid), and so on, rep- resenting the genomes 1. 2. 3. 4. to whatever level is compatible with life. Multiplying the genomes within the nucleus often in- creases cell size but seldom gives the or- ganism overtly different sex characteris- tics.i Aneuploids, on the other hand, give quite different results, the result being de- pendent upon the particular chromosome that may be multiplied. Particular tri- somies in maize, wheat, and spinach, for example, are distinguishable by marked differences in phcnotypic appearance that is not attributable to cell size but rather to abrupt deviations in particular charac- teristics. The genes in the particular tri- somic set are unbalanced against those of the rest of the diploid sets within the or- ganism. Their phenotypes express these differences. E. BALANCE OF MALE AND FEMALE DETERMINING ELEMENTS IN SEX DETERMINATION The foundations for the basic theory that sex determination rests on quantitative re- lationships of two genes or sets of genes localized in separate chromosomes rests largely on tlie work of Morgan, Bridges and Sturtevant, 1910, with Drosophila and the breeding work of Goldschmidt, 1911, with Lymantria. The work of Goldschmidt soon gave extensive descriptions of diploid inter- sexuality in L]imantria dispar. The details of this work scarcely net'd review because they have \)vvn repealed several times and have been smnmarized recently in Gold- schnu(h's Theoretical Genetics (1955). Fioui (hildschmidt's viewpoint, ''the basic point was that definite conditions between the sexes, that is, interscxuality, could be pro.lnced at will l)y proper genetic combina- , tions (crosses of subspecies of L. dispar) • The notable exception of the Hynienoptera will I )c discussed later. FOUNDATIONS FOR SEX without any change in the mechanism of the sex chromosomes, and this in a typical quantitative series from the female through all intergrades to the male, and from the male through all intergrades to the female, with sex reversal in both directions at the end point. The consequence was: (1) the old assumption that each sex contains the potentiality of the other sex was proved to be the result of the presence of both kinds of genetic sex determiners in either sex; (2j the existence of a quantitative relation, later termed 'balance' (though it is actually an imbalance), between the two types of sex determiners decides sexuality, that is femaleness, maleness, or any grade of inter- sexuality; (3) one of the two types of sex determiners (male ones in female hetero- gamety, female ones in male heterogam- ety) is located within the X-chromo- somes, the other one, outside of them; (4) as a consequence of this, the same deter- miners of one sex are faced by either one or two portions of those of the other sex in the X-chromosomes; (5) the balance system works so that two doses in the X-chromosomes are epistatic to the deter- miners outside the X, but one dose is hypo- static; (6j intermediate dosage (or po- tency) conditions in favor of one or the other of the two sets of determiners result, according to their amount, in females, males, intersexes, or sex-reversal individuals in either direction; (7) the action of these determiners in the two sexes can be under- stood in terms of the kinetics of the reac- tions controlled by the sex determiners, namely, by the attainment of a threshold of final determination by one or the other chain of reaction in early development; while in intersexuality the primary deter- mination, owing to the 1X-2X mechanism, is overtaken sooner or later — meaning in higher or lower intersexuality — by the op- posite one, so that sexual determination finishes with the other sex after this turning point. The last point is, of course, a problem of genie action." Bridges developed his idea of "genie bal- ance" as a consequence of his observations on chromosomal nondisjunction, particu- larly as it illustrated the loss or gain of a fourth chromosome in modifving nonsexual characters. The similarities and contrasts of this view from that of Goldschmidt are indicated by the following quotation (Bridges, 1932) : "From the cytological re- lations seen in the normal sexes, in the in- tersexes, and in the supersexes, it is plain that these forms are based upon a quanti- tative relation between qualitatively differ- ent agents — the chromosomes. However, the chromosomes presumably act only by virtue of the fact that each is a definite collection of genes which are themselves specifically and qualitatively different from one another. There are two slightly differ- ent ways of formulating this relation, one of which, followed by Goldschmidt, places primary emphasis upon the quantitative aspect of individual genes. The other view, followed by the Drosophila workers, em- phasizes the cooperation of all genes which are themselves qualitatively different from one another and which act together in a quantitative relation or ratio. Goldschmidt developed his idea through work with the sex relations in Lymantria and has sought to extend it to ordinary characters. The other formulation, known as 'genie balance,' was developed from the ordinary genetic relations found in characters. Both are crystallizations of fundamental ideas with which the earlier literature was fairly saturated and no great claim to distinctive originality should be ventured for either or denied for one only. Both are physiological as well as genetic — that is, they are formu- lations of the action of genes, not merely statements of the genie constitutions of in- dividuals nor merely studies of the way genes act. The physiological side has been emphasized by Goldschmidt and the ge- netic side by Drosophila workers. But Goldschmidt's tendency to represent the view of genie balance as without, or even as in opposition to, such physiological for- mulation is groundless — as groundless as would be the reciprocal contention that Goldschmidt's theory is only one of 'pheno- genetics.' "A common element in the foundation of both formulations is that if a gene is repre- sented more than once in a genotype the phenotypic effect is expected to be different, though roughly in the same direction as be- 10 BIOLOGIC BASIS OF SEX fore and roughly proportional to the quan- titative change in the genie constitution." Since the sexually different types ob- served by Bridges were accompanied by whole chromosomal differences, he could point to losses or gains of autosomes, with an internal preponderance of genes tending to develop male organs, as balanced by genes of the X chromosomes tending in the direction of producing female organs or of suppressing alternative male organs. The net effect of the X chromosome favoring fe- maleness, and of the set of autosomes fa- voring maleness, terminates in the devel- opment of male or female, according to the ratio of these determiners in the whole genotype. The effect of the X chromosome goes on the basis of whole numbers 1, 2, 3, 4, as does the similar variation in the sets of autosomes. Goldschmidt, since he was dealing with TABLE LI Chromosomal numbers and kinds for the different recognized sex types of Drosophila Type Superfemale . . . Triploid meta- female Female* Female Female Female Female Female Female P'emale Female Female Intersex* Intersex Intersex Male Male Male Male Male* Supermale Chromosomes X Y A 3 2 4 3 4 4 3 3 3 1 3 3 2 3 2 2 2 1 2 2 2 + vS 2 2 2 + yL 2 2 2 2 1 1 3 4 2 3 2 1 3 2 1 2 2 2 3 2 4 3 X/A Balance 1.5 L3 LO LO LO LO LO 1.0 LO LO LO LO .75 . ()7 .()7 .50 .50 .50 .50 .50 .33 * These forms are cited by Bridges from his own observations, from L. V. Morgan (1925) and from Sturtevant (unpublished). As yet but limited studies of these forms, which must be rare, have been published. Fourth chromosomes generally, but not always, equal mimber of the other indi- vidual chromosome gn)U])s. males and females of the diploid type, took a corresponding view for the Z chromo- somes of his moths with this difference. Since the Drosophila chromosome pattern is XY + 2A for the males as contrasted to 2X + 2A for the females and the pattern for Lymantria is ZZ -|- 2A for the males and ZW + 2A for the females, it was neces- sary to use a relation which was reciprocal to that of Drosophila; the male determining element or elements were assigned to the Z chromosomes. Lymantria has a rather large number of different races found in different geographic locations. Within any one of these races this formulation apparently suf- ficed. However, from crosses between races it was soon observed that the progeny showed ranges in sexuality all the way from phenotypic males to phenotypic females al- though these females were actually genetic males. To Goldschmidt, this variation indi- cated different potencies of the male-deter- mining element. Similar differences were at- tributed to the female element which he had first assigned to the cytoplasm but for which he later favored a W chromosome location. In applying this postulate of discrete chromosome contributions to sex according to their number, Bridges made the further assumption that female-producing genes l)redominate in the X and are scattered through it in more or less random fashion as are the genes affecting so-called somatic characteristics as wing shape or bristle pat- tern. The quantitative relations for the dif- ferent chromosomal types, together with their descriptions, are indicated in Table 1.1. In the formulation of Table 1.1, the X and Y chromosomes are counted separately, whereas a set of A chromosomes (auto- somes), is allowed a value of but one even though comjiosed of a 2nd, a 3rd, and a 4th chromosome for the haploid genome. The dii)loid set of autosomes is given a weight of two, and so on. From these data Bridges observed that the presence or ab- sence of a Y chromosome did not affect the sex types. The X chromosomes and auto- somes were, however, important. He held that their importance stood as the ratio of thcii' prcsuiiK'd iM'oducts to each other. The FOUNDATIONS FOR SKX 11 ratio is 1 for the perfect female and 0.5 for the perfect male. Between these values in- tersexual conditions develop. Beyond the value 1, development is overbalanced by- excess female genes resulting in the super- female. Values less than 0.5 create a de- ficiency in the female elements or excess of male elements and a supermale results. Schrader and Sturtevant (1923) proposed another system. Instead of the ratio of X clu-omosomes to autosomes, they suggested that a straight difference between the prod- ucts of the female determining elements of the sex chromosomes and the male effects of the autosomes causes the sex changes. ]3ridges criticized this system on the basis of the fact that progressive polyploidy did not change the sex type or ratio between the X and autosomes, whereas the numerical difference between them would be progres- sively increased. While keeping the X/A ratio as descriptive of the ultimate effects of the genes in these chromosomes, he modi- fied their proposed weight from 1 : 1 for X:A to 1 for the X and 0.80 for the A. All formulations for explaining sexual differences are beset with a lack of an un- biased quantitative scale by which these differences can be measured. The estimates of the changes in sexuality are left to the insight of the observer. It seems reasonable to suppose that the quantitative relations between the male and female sex determin- ing elements should have intermediate values when the specimens under observa- tion show a mixture of organs of either sex. This agrees with Bridges' considerations of this problem. It is not so clear, however, that the so-called supersexes^ really are what the names may connote to many readers. The superfemales, with their three X chromosomes and two sets of autosomes, are quite inviable; small in size, wings re- duced and irregularly cut on the margins, ovaries developed to only the early pupal stage, and reproductive tracts much re- duced in size.^ The supermales with one X - Recently termed metafemales bj' Stern (1959b). '^ Further development of the ovaries is able to take place in normal XX + 2A hosts. Larval XXX + 2A ovaries transplanted into fes/fes hosts IM-oduce eggs in the recipient host which on fer- tilization are capable of developing into adult ima- goes. These imagoes show that there is a low per- chromosomc and three sets of autosomes are described as resembling males but are sterile. The wings arc somewhat spread and bristles less in size. They are late emerging and poorly viable. Neither type can be re- ferred to as superior to normal female or normal male in anatomic develoi)ment or physiologic functioning. A new type, re- cently described by Frost (1960j, empha- sizes this difficulty. Females, called triploid metafemales, Table 1.1 had 4X chromosomes and 3 second, 3 third, and 2 fourth auto- somes. Viability was greater than superfe- males but still low. Fertility was about 10 per cent. Progeny per female about 10. The flies were like triploids in bristles, eye and wing cells large, sex combs absent. They showed characteristics of superfemales in rough eyes, narrow wings without inner margins, and smaller body build. The dis- tribution of these different Drosophila sex types (Table 1.1) showed that optimal development comes when the X/A values are 1.0 and 0.5. Any deviation away from these values tends to make the sex system less rather than more efficient. In normal Drosophila sex differences are probably expressed in every cell making up their bodies. These differences are made visible to us only under special conditions. In adult organ differentiation, the sexual differences are manifest through such things as the body size of the males being about three-fourths that of the females, differences in coloration of the tergites, the appearance of sex combs, the development of the gonads into ovaries and testes, and the formation of a secondary reproductive system composed of several glands and ducts. The origin of these last elements is of particular interest. The ovaries can be distinguished from the testes as early as the second instar through their size and position within the fat body. They are lo- cated about two-thirds the larval length back from the mouth parts. The sex combs, on the other hand, take their origin from imaginal discs which are located in the head region, possibly one-third back from the mouth parts. The secondary reproduc- centage of crossing over and high nondisjunction rate in the XXX + 2A ovaries and a high mortality rate in the offspring (Beadle and Ephrussi, 1937). 12 BIOLOGIC BASIS OF SEX tive system for both the males and females takes its origin from a disc at the posterior extremity of the larvae. The testes or ovaries are only brought together with the secondary reproductive tracts during late development in the pupae, whereas the sex combs retain their separate development. The striking action of chromosome balance in sex determination is that all of these organs and others are jointly affected and simultaneously develop directly into either the male or female sexual types. Of these characteristics, the sex combs are particu- larly trustworthy indices of maleness. In the male, these combs are heavily sclero- tized and pigmented. They have 9 to 13 rather blunt teeth on their margins. The normal females lack these sex combs en- tirely. The intersexes have well developed combs, whereas the triploid females and superfemales lack them. This all-or-none situation resembles that observed in the rest of the block of sexually differentiating characteristics found in normal males or females, save that in the intersexes develop- ment may result in the organs of either sex appearing in the primary or secondary re- productive systems. The all-or-none char- acter of the sex combs may, however, be bridged in that the appearance of certain mutations leads to the production of these combs in all of the different sexual types. The combs differ in size, in thickness and length of the teeth, and their number. The sex combs meet the conditions of a quanti- tative character which may be counted or measured in unbiased units. Thus in the case of sex combs, it is possible to obtain quantitative information on the effects of clu'omosomal changes on the expression of this form of sexuality. TABLE L2 Mean sex conih teeth for flies having (lijj'erent X and A chromosome numbers and heteroziiqons for the Hr gene Sex Type Chromosome Mean Sex Genotype Comb Teeth Males X + 2A 11.4 Intersex XX + 3A 9.1 Female XX + 2A ().9 Superfemale .... XXX + 2A 5.0 Triploid female. XXX + 3A 4.8 Two gene mutations in D. melanogaster have aided in this search. The first is the dominant gene, Hr, which causes the male reproductive tract to be added to that of the female when this gene is heterozygous (Gowen, 1942 j . The extensive effects of this gene on the whole sex determining system have been described by Gowen (1942, 1947) and Fung and Gowen (1957a). The second gene is that of Sturtevant's (1945) trans- former, tra, which operates on the female phenotype to convert it to that which cor- responds to the male in having sex combs, full male reproductive system including testes, while still leaving the female charac- teristic body size. These genes are located in the third chromosome of D. melanogaster. Crosses between them show allelomorphic effects. Combinations of these genes in con- junction with different chromosomal ar- rangements make possible a series of differ- ent sex types which are distinguishable from ordinary males and females (Gowen and Fung, 1957). As some of these types bear sex combs, a quantitative character is furnished in the variation of the sex comb teeth which may be used as an impersonal measure of departure of these types from ordinary males or females. The groups hav- ing particular interest are those carrying the Hr gene in heterozygous condition with the X and A chromosomes having various numbers. The mean numbers of sex comb teeth for these various groups are shown in Table 1.2. Analysis of these data for the contribu- tions made by the sex chromosomes and autosomes to the numbers of teeth found on the sex combs of these different genotypes shows the following relation. Sex combs == 12.82 - 3.42 X + 0.89 A From this equation it is seen that the X chromosome has four times as much effect on lowering the number of teeth on the sex combs as a set of autosomes. The direction of effect is, as would be expected, increasing the number of X chromosomes tends toward making the individual more female-like in that the sex combs become smaller and less l)ronounced. Increasing the number of au- tosome sets on the other hand tends to push the indiviihial toward the male type with FOUNDATIONS FOR SEX 13 larger sex combs. Some 95 per cent of the variation in sex comb teeth has been ac- counted for by this equation. The above equation results when the ef- fect of the sex chromosomes and autosomes is considered as operating on a simple addi- tive basis. It is interesting to consider these effects on the basis of the ratio of sex chro- mosomes to autosomes as utilized by Bridges. As is customary, the male geno- type is given a weight of 0.50, the intersex 0.67, the female 1.00, the superfemale 1.50, and the triploid female 1.00. With these values the data on the sex combs are fitted by the equation Sex combs = 13.40 - 6.38 X/A The fit of this equation to these data shows control of less of the variation in the sex comb teeth. Only 76 per cent of the variation is accounted for by these methods whereas 95 per cent is accounted for when the effects of the X and A chromosomes are considered as additive. If it is agreed that the condition of the sex combs is a good unbiased measure of the degree of sexuality of the Drosophila, it follows that it would be more probable that the genes in the X chromosomes oper- ate additively with those of the autosomes. III. Sex Genes in Drosophila A. MUT.\XT TYPES Bridges' concept of sex determination turned on the action of sex genes located more or less fortuitously throughout the inheritance complex of the species. In Dro- sophila it happens that the major female determining genes seem to be located in the X chromosome and the male determining genes in the autosomes, whereas the Y chromosome seems essentially empty of sex genes. In support of this concept limited data are cited on specific genes affecting the reproductive system or its secondarily differentiated elements and two cases where genes affected the primary reproductive system as a whole. During the interim be- tween 1938 and the present, the numbers of these genes and the breadth of their known effects have been notably increased. Again the genes as a whole affect every phase of sexuality, morphology, fertility, and physiology. Single genes may occa- sionally alter both sexes or may frequently affect only male or only female phenotypes. Single genes may appear to influence two or more distinct characteristics observable in the developing flies, although this multi- ple phenotypic expression may go back to a gene action which is controlling a single event in development. Genes affecting the structural development of either male or female organs frequently are accompanied by sterility of various degrees. A very large category of genes is known only through its effects on sterility of either or both sexes. Experience has shown that when properly analyzed anatomic changes are probably basic to the sterility. In this sense genes for sterility should be considered genes for sex characters. Berg (1937) fur- nished data on the relative frequency of sterility mutations in the X chromosome as against those in the autosomes. 12.3 per cent mutations in which the males were sterile were found in the X chromosome against 4.5 per cent found in the second chromosome. These results show that the X chromosome has many gene loci occu- pied by genes capable of mutating to ste- rility genes which affect males. Sterility is also common for the females but requires more testing. The loci for these genes are widely distributed both within and among the chromosomes. Genes affecting sex morphology are found in all Drosophila chromosomes. Of 17 which have been recently studied; 6 were in the 1st chromosome, 5 in the 2nd, 5 in the 3rd, and 1 in the 4th. Insofar as can be determined these genes are no different than those affecting other morphologic traits. They may be dominant, they may be re- cessive, and a limited number of them may show partial dominance. They affect a vari- ety of sex characteristics and do not always involve sterility of one or the other sex. The loci occupied by these sex genes may have several alleles, some of which may lead to sterility, others not. Most affect characters like size and development of the ovaries, the characteristics of the eggs, duct development, spermathecae, ventral recep- tacles, parovaria, paragonia, sex combs, po- sition of genitalia, and so on. 14 BIOLOGIC BASIS OF SEX Altlioiigh Drosophila is the leader in fur- nishing types for analyses of the inherit- ance basis for sexuality, it is well known that similar conditions exist in other forms of life. B. MAJOR SEX GENES Major sex genes affecting the dichotomy of the sexes have appeared among the ob- served mutational types. Sturtevant (1920a, 1921 j in Drosophila simulans isolated a gene in its second chromosome which when homozygous could convert diploid females into intersexuals and render XY males sterile. Phenotypically these intersexuals were female-like in that they lacked sex combs and had 7 dorsal abdominal tergites, ovipositor of abnormal form, 2 sperma- thecae, and lacked the penis. They were male-like in having first genital tergite al- though abnormal in form, lateral anal plates, claspers, black pigmented tip to the abdomen. The gonads were rudimentary. The gene was recessive and, as expected, showed no effect on D. simulans X D. mel- anogaster hybrids. In 1934 a new intersexual type was ob- served by Lebedeff in D. virilis. Intensive study of this type showed that it depended on a fairly complex inheritance. A 3rd chro- mosome recessive gene ix™ at 101.5 con- verted the XX females into sterile males, showing only one noticeable female charac- teristic, the presence of a rudimentary 5th stcrnite. Sterility could be accounted for, even though the internal genitalia were completely male, by the small size of the testes and the degeneration of the germ cells largely at the spermatocyte stage. Ob- servable effects of this gene appeared only in females, XX + 2A. Genetic modifiers were isolated which acted on the ix"yix'" complex. Other gcnotyi)es were derived through recombinations of these genes. The resulting phenotypes showed a greater vari- ation of the male-female mosaics. One of these types was sterile but fully hermaph- roditic having a complete set of external and internal genitalia of both male and fe- male. Genetically, this type was homo- zygous for the ix'" gene but in addition luid both a previously found dominant scmisu})- pressor and also a second semisuppressor. Another line having the ix'" gene homozy- gous had a full set of male organs but there were rudimentary ovaries attached to the testes. This line showed the dominant semi- suppressor as the restraining element on the developmental pattern of the ix'" gene. An- other type was separable in that it was still more female-like, yet had male external genitalia and rudimentary testes. This type was the result of the homozygous ix'" genes operating in conjunction with 3 different semisuppressors. Extensive embryologic studies were interpreted as indicating that gonads, ducts, and genitalia had started as in females with the XX constitution. Shortly thereafter male organs appeared as new outgrowths from the same imaginal disc. The development of the two sets of organs was then simultaneous but still de- pended on the gene pools present in the particular strain. Another intersexual type appeared in D. pseudoobscura as a mutation, presumed due to a single dominant gene (Dobzhansky and Spassky, 1941). In a series of cultures having "sex ratio," two cultures gave 234 females, 7 males, and 266 intersexes. The females' progeny transmitted only the nor- mal condition to their Fs progeny. The males were sterile presumably because they lacked a Y chromosome. The intersexes were also sterile so that further study of the genetic condition became impossible. The evidence, however, is interpreted as showing that the intersexes were trans- formed females which had inherited a domi- nant gene governing this condition. The intersexes were characterized by two sets of more or less complete genital ducts and external genitalia but only one pair of gon- ads. One set of ducts and genitalia was al- most always more female-like and the other more male-like. Sex combs were pres- ent, the distal comb had 2 to 4, and the proximal 4 to 6 teeth, compared with the normal male number of 4 to 7 on the distal and 6 to 9 on the proximal comb. Body de- velo{)ment was more like that of the female. Cytologic examination showed two of the intersexes had (wo ()\-aries each. One of these two had a rudimentary testis. The chroinosoiiu' complement was 2X + 2A. A dominant gene which causes intersex- iiality in diploid females of D. virilis was estal")lished by Briles. Stone (1942) located FOUNDATIONS FOR SEX 15 this gene in the second chromosome. Price ( 1949j placed the gene within the second chromosome near the locus of "brick" by inducing crossing over in males by expos- ing them to x-rays. Newby (1942) exten- sively studied the embryologic sequence in development of the organs of these inter- sexual types. The Ix^ gene did not affect the males, XY 4- 2A, but did change the fe- males XX + 2A into intersexes when it was in the heterozygous condition. The intersex- uals had 9 tergites; the first 6 were like those in the normal female and the last 3 were small and irregularly formed. There were 6 sternites, the first 5 being normal, but the 6th malformed. Anal valves were lateral as in the male but a third small valve was also present at the ventral side of the anus. The plates forming the claspers were of irregular pattern and found ventral to the anus. The vaginal plates were often extruded into a genital knob and were be- low the claspers. The knob occasionally be- came heavily pigmented. The internal or- gans ranged from nearly female through those which were of hermaphroditic type containing representative organs of both sexes to individuals almost wholly male. Newby concluded that intersexuality ex- presses itself as a response to the develop- mental pressures of both sexes, not as de- velopment in the one direction followed by a change. Gowen in 1940 established a stock carry- ing the dominant gene Hr which had ap- l)eared as a mutant in one of his cultures of D. melanogaster. This gene affected diploid females of XX + 2A type but not the males of XY -I- 2A constitution. In the presence of the Hr gene the diploid phenotype of the females changed into a sterile type with male secondary reproductive system associ- ated with the female counterpart. The first 6 segments were complete with 6 spiracles. The 7th was small with spiracle. The 8th was small but without spiracle. Sternite forming rudimentary ovipositor was usu- ally protruded. Ninth and 10th segments resembled those of males with large tergal plates. Claspers were abnormal and had a pair of small plates flanking the anus ma- joi-ly in vertical position. Organs formed, although sometimes modified or missing, included: sex combs of 6.9 long slender teeth, gonads distinguishable from those of the ordinary male or female in the 3rd and possibly the 2nd instar, genital ducts male and/or female, male accessory gland, penis deformed, sperm pump, vas deferens, sper- matheca, ventral receptacle often displaced, and occasionally parovaria. The primary gonads were often abnormal ovaries but in rarer instances bore a crude resemblance to testicular tissue. The yellow of the testes was frequently present as material clinging to the ovary. Superfemales with one dose of the Hr gene had sex combs and developed parts of both the male and female external and in- ternal reproductive systems. Sex combs had an average of 5 long and slender teeth. Ab- dominal segment 8 developed as in the fe- male, and formed the vaginal plate. The latter was abnormal in shape, ordinarily becoming a sclerotic protuberance. Seg- ments 9 and 10 developed more as in the male but were incomplete and abnormal. The genital arch did not develop but the inner lobe of tergite 9 showed irregular and abnormal growth as for the claspers. Seg- ment 10 developed, as in the males, into longitudinal plates flanking the anus. The internal genitalia were underdeveloped but consisted of mixtures of male and female organs. Gonads were rudimentary but gen- erally consisted of a pair of ovaries with small traces of yellow pigmentation. The triploid fly with one dose of the Hr gene was largely female with developed ducts, ovaries and eggs, but was sterile. The male characteristics were small sex combs and dark abdominal plates. In superfe- males, sex combs were present and teeth were intermediate between those of the dip- loid female and triploid female. The gene showed a dosage effect in triploids which was less than that observed in diploids and was in relation to the relative balance of the gene with its normal alleles, 1:2 for the triploid and 1 : 1 for the diploid. The developmental effects of Hr as well as the pigment producing potentialities of testes, ovaries and hermaphroditic gonads have been discussed by Fung and Gowen (1957a, b). Hr has been shown to be allelomorphic to a recessive gene, tra, described by Sturte- vant (1945) and known to be located in the 16 BIOLOGIC BASIS OF SEX 3rd chromosome. The location of this allele, tra, is at 44 to 45 or between the genes scar- let and clipped. When homozygous the gene transformed diploid females into sterile males. Heterozygotes showed no detectable differences from normal females of XX con- stitution. Males XY homozygous for tra or heterozygous for it were indistinguish- able from normal males. The homozygotes XX, tra/tra were female in body size, but otherwise were nearly male in appearance. They had fully developed sex combs, male colored abdomens, normal male abdominal tergites, anal plates, external genitalia, genital ducts, sperm pumps, paragonia, and showed the usual rotation of the genital and anal segments through 360 degrees. They mated with females readily and normally. The testes, however, although normal in color, elongated, curved, and attached to the ducts were of small size. Testis size was never that found in normal brothers. The addition of a single Y or two Y's did not alter fertility. The triploid females 3X + 3A homozy- gous for tra, had large bodies, ommatidia and wing cells. They resembled the diploid homozygous tra individuals in having male external genitalia, well developed ejacula- tory ducts, sperm pumps, and accessory glands, testes elongated but narrower than those of normal males, and sex combs aver- aging about 9.6 teeth. They mated with fe- males but were completely sterile. Triploids with one or two doses of tra were like wild type triploids in having no sex combs and being female throughout. In- tersexes having one or two doses of tra were similar to intersexes having only wild type genes in the locus. Sturtevant obtained one superfemale which was homozygous for tra. It had male genitalia and sex combs with only about half the normal number of teeth. This in- dividual argues for a greater balance to- ward the female side of sexual development than either the diploid or triploid females previously discussed. The evidence is, how- ever, contradictory to that furnished by the Hr gene as indicated earlier. A combination of two or more genes, Beaded and various Minutes, having well known phcnotypic effects, has sometimes produced phenotypes which have been in- terpreted as peculiar, low grade types of intersexuality in males (Goldschmidt, 1948, 1949 and 1951). The data showed that the Beaded cytoplasm favors the low grade intersexual male whereas the Minute cyto- plasm favors the reduced male with the hetcrozygote being intermediate. Just how far these types may be related to the other types strongly affected by specific genes is a matter of question, having at least other interpretations (Sturtevant, 1949). In 1950, Milani trapped an inseminated female of D. subobscura w^iich segregated intersexual progenies. Spurway and Hal- dane (1954) studied these intersexual types. A recessive guiding development to- ward these intersexes was located on the 5th chromosome of subobscura. When present it caused the XX homozygous females, ix/ix + 2A, to have sex combs on both the first and second tarsal joints. The numbers of teeth making up the sex combs w^ere re- duced as also were the sizes of the teeth. The illustration in Spurway and Haldane's (1954) paper indicates that the number of teeth was 7 on the first tarsal joint and 5 on the second joint, whereas the sex combs of the males had 11 teeth on the first joint and 9 on the second. A series of changes were observed in the genital plates which graded from those resembling true females to those approaching the male type. C. OTHER CHROMOSOME GROUP ASSOCIATIONS I DROSOPHILA AMERICANA I), aniericana has 4 chromosomes in the female genome and 5 chromosomes in the male genome. As compared with D. virilis the X chromosome is fused with the 4th chromosome and the 2nd chromosome is fused with the 3rd, the 5th and 6th chromo- somes are free in the female, whereas in the male genome the Y chromosome, 4th, 5th and 6th chromosomes are free and the 2nd and 3rd fused. Stalker (1942) has shown that the three female genomes are balanced and lead to triploid females as they do in D. melanogaster. D. aniericana triploids differ from their diploid sisters in having bigger ommatidia, larger wing cells and somewhat larger bodies. When these trip- loids are bred to diploid males they give FOUNDATIONS FOR SEX 17 rise to 6 chromosomally different types of offspring: diploid males, diploid females, triploid females, intersexes, females carry- ing a Y and a male limited 4th chromosome hut otherwise diploid, and tetraploid fe- males. All intersexes cytologically show a Y and a 4th chromosome present. Intersexes without the Y are presumed also w^ithout male limited 4th chromosomes and would be expected to be inviable or very weak. No supermales or superfemales, that w^ould correspond with those found in D. melano- gaster, were observed so are presumed to l)e inviable due to unbalance for the 4th chromosomes. Among 948 progeny of trip- loid females X diploid males there were 9 individuals that were phenotypically abnor- mal females. They had slightly spread, ven- trally curved wings with slightly enlarged wing cells. In 8 of the 9 the first section of the costal vein was shortened so that no junction was made with the first vein at the distal costal break. Heads were large with rough eyes, thoraxes shortened, legs fre- (luently malformed, and abdomens small with unusually wide 7th sternites. Genitalia were apparently normal with well devel- oped ovaries. This type carries three doses of any genes contained in the 4th chromo- some to two doses of the genes in the other chromosomes. Its phenotype represents a trisomic condition. The sex characteristics of the flies ob- served in D. americana seem to follow the same patterns as those of D. melanogaster as judged by the numbers of the X chromo- somes and autosomes. A Y chromosome in the intersex was not observed to affect sex expression. The intersexes could be grouped into six classes ranging from extreme male type to the most female type. The male type showed largely male organs, courted females, and had motile but nonfunctional sperm. The most female type had nearly normal ovipositor plates, well developed uterus, ventral receptacle, spermathecae and oviducts. At least one gonad showed egg strings, although a small patch of orange-red tissue was present at the tip. Two types of chromosomes were observed in the nuclei of these extreme female type intersexes; those like the chromosomes in any normal diploid cells and some which were so swollen as to be almost unrecog- nizable. Such swollen chromosomes were not found in the other classes of intersexes or in diploid or triploid individuals. They are suggestive of some noted by Metz (1959) in Sciara. Most of the intersexes were of the male type, 45 per cent, with de- creasing numbers for each of the other five classes until those in the most female class constituted only about 4 per cent of the total. D. LOCATION OF SEX-DETERMINING GENES The problems of isolating and determin- ing the modes of action of the factors nor- mally operating in sex determination have received extensive study since they were reviewed by Bridges in 1939: Patterson, Stone and Bedichek (19371, Patterson (1938), Burdette (1940), Pipkin (1940- 1942, 1947, 1959), Poulson (1940), Stone (1942), Dobzhansky and Holz (1943), Crow (1946), and Goldschmidt (1955). From his work on Lymantria dispar, Gold- schmidt concluded that sexual differentia- tion was controlled by a major male factor, M in the Z chromosome and a factor F directing development toward the female and at first assumed to be in the cytoplasm but later considered to be in the W chromo- some. The heterogametic female of this species would then be FM and the male be MM. In considering this problem, Gold- schmidt attempted to distinguish between the sex determiners responsible for the F/M balance and modifiers affecting special de- velopmental processes (Goldschmidt, 1955). At the other extreme Bridges' study of trip- loids led him to consider that sex in Droso- phila was determined by the interaction of a number of female tendency genes found largely in the X chromosome and of genes having male bias located largely in the au- tosomes. These numerous genes were con- sidered as being distributed throughout the whole inheritance complex. Search for the more exact locations of these genes within the different chromosomes of Drosophila has largely taken the form of determining the variation in sex types as induced by the addition or deletion of various pieces of the different chromosomes to either the normal male, normal female, or triploid complexes. 18 BIOLOGIC BASIS OF SEX The sections of the chromosomes added were derived from previous translocations generally to the 4th chromosome and were of varying lengths determined through cy- tologic and genetic study. Summaries of these comparisons are found particularly in the papers of Pipkin (1940, 1947, 1959). In their search for a major female sex factor in the X chromosome, Patterson, Stone and Bedichek (1937), Patterson (1938), Pipkin (1940), and Crow (1946) finally were un- able to show that any single female sex de- terminer, located in the sex chromosome, was of primary importance to sex. Evidence for multiplicity of genes with a bias toward female determination was found by Dob- zhansky and Schultz (1934) and by Pipkin (1940). They were able to transform dip- loid intersexes into weakly functioning hy- potriploid females by the addition of long fragments of the X chromosome to the 2X + 3A intersex complement. Short sec- tions of the X chromosome in some cases shifted the sex type in the female direction. Pipkin found that additions of short X chromosome sections, to the 2X -|- 3A chro- mosome sets, although covering in succes- sion the entire X chromosome, were insuffi- cient to make the flies other than of the intersexual type. Longer and longer frag- ments from either the left or right end of the X chromosome caused a qualitatively progressive shift toward femaleness. Weakly functional hypotriploid females re- sulted when either right- or left-hand sec- tions of two translocations with t-lz (17) and Iz-v (W13) breaks were present in the 2X + 3A chromosome complement. These duplication intersexes possessed 1 or 2 sex comb teeth when reared at 22 °C. and up to 5 well developed teeth when reared at 18°C. These facts give support to the multiple sex gene theory of Bridges or at least that quantitative differences in sex potencies exist within the X chromosome. This con- clusion was further strengthened by the hy- pointersexes lacking a short portion of one of their two X chromosomes although pos- sessing three of each autosome, inasmuch as these types were shifted strongly in the male direction. These studies of the X cliro- mosonie show that several parts of this chi-omosomc are concerned witli female dif- ferentiation and that the effects are irregu- larly additive. Similar search of the autosome II and III for genes of male potency showed that small shifts in the male direction were found in hyperintersexes for several short regions of chromosome III but for none of chromosome II (Pipkin, 1959, 1960). Tl^ree slightly different right-hand end regions of chromosome III produced the largest shifts in the male direction in hyperintersexes, but no increase in number of sex comb teeth. These changes were comparable with those produced in the female direction by the addition of very short sections of the X-chromosome to the 2X + 3A intersex complement. On the other hand, none of the seven different hypointersexes lacking a short section of the 3rd chromosome from the 2X + 3A complement showed a shift in the female direction. This is rather surpris- ing as hypointersexes for two short regions in the X chromosome were shown by Pip- kin (1940) to shift the sex type in the male direction as was to be expected. From these results Pipkin (1959) derives the conclu- sion that 3rd chromosome aneuploids as well as those of the 2nd chromosome and X chromosome support the deduction that dosage changes of portions of the X chro- mosome are more powerful than dosage changes of portions of either of the large autosomes in affecting sex balance. This view receives further support through changes of size and number of sex comb teeth as observed in the chromosomal types carrying the gene Hr and reviewed earlier. Influence of the Y chromosome on sexual differentiation has generally been ruled out as XO nondisjunctional flies are male al- though they are sterile (Bridges. 1922). Similarly Dobzhansky and Schultz (1934) ruled out the Y chromosome as an effective influence on sex types of triploid intersexes of D. melanogaster since the mean sex type of Y -(- 2X 4- 3A intersexes did not differ significantly from the sex tyyies of siblings 2X + 3A. " The steps taken in the studies of chro- mosome IV are of interest. Dobzhansky and Bridges in 1928 concluded that the 4th chromosomes i^lay no part in sex determina- tion in D. melanogaster. The evidence was FOUNDATIONS FOR SEX 19 of two kinds. Triploid females were out- crossed separately to males of two diploid stocks. The triploid daughters from these crosses were again crossed to males like their fathers. This repeated outcrossing to the different stocks resulted in a shift in the grade of the intersexes in both cases, in one case to a very high proportion of ex- treme male-like intersexes and in the other to nearly as high a proportion of extreme female-type intersexes. These results were interpreted as showing that the grade of development of the sexual characters was dependent on genetic modifiers. The second experimental test consisted of subjecting a triploid stock to selection toward a line which produced a high proportion of ex- treme male type intersexes and to another line which would have a high proportion of extreme female type intersexes, each being much higher than the original stock. The l)rocedure established a line with a high proportion of extreme male type and an- other line which was not so extreme in its proportions but was definitely higher in fe- male type intersexes than the original stock. Again these results w'ere interpreted as in- dicating the selection of modifying genes of unknown positions within the inheritance complexes. This evidence had been preceded by Bridges' (1921) discussion in which he wrote "the fourth-chromosome seems to have a disproportionately large share of the total male-producing genes; for there are indications that triplo-fourth intersexes are predominately of the 'male-type', while the dijjlo-fourth intersexes are mainly 'female- type'." In 1932, Bridges concluded for Dro- sophila intersexes that, in spite of the fa- vorable genetic checks, in repeated and varied tests, it has been impossible to state with any assurance whether the 4th chro- mosome is or is not a large factor in the variability encountered. In our own work a stock of attached X triploids has for many years consistently produced only male type intersexes. This is in contrast to what we frequently see within other lines of triploids as made up utilizing the cIIIG gene (Gowen and Gowen, 1922). Lines established from these triploids or- dinarily have three intersexual types: male, intermediate, and female. These lines, how- ever, may be subjected to selection in both directions. In our experience, male intersex lines are established rapidly and remain relatively permanent. On the other hand, female intersex lines take many more gen- erations and are less stable. These lines have been extensively examined for their 4th chromosome constitutions (Fung and Gowen, 1960). The male intersex lines sel- dom show more than two 4th chromosomes. On the other hand, the female intersex lines rarely show two 4th chromosomes but gen- erally have more than three, the number sometimes going as high as four. More tests are needed but the evidence would seem to indicate that the fourth chromosome does have sex genes. These genes, contrary to the first notion of Bridges, are more frequently of the female determining type than of the male determining type. This would make the 4th chromosome like the X in that it carries an excess of female influencing genes and is not like the rest of the autosomes which have an excess of male determining genes. These observations are of particular interest in view of Krivshenko's (1959) pa- per. In this investigation on D. busckii, cy- tologic and genetic evidence was presented for the homology of a short euchromatic element of the X and Y chromosome with each other and also with the 4th chromo- some or microchromosome of D. melano- gaster. This conclusion is based on (1) ob- served somatic pairing of the X and Y of D. busckii by their proximal ends in gan- glion cells and the conjugation of the short euchromatic elements of these chromosomes at their centromeric regions in the salivary gland cells; (2) the presence in the short Y chromosomal element of normal allelo- morphs to four different mutant genes of the short X chromosomal element; (3) the presence in the short element of the D. busckii X chromosome of chromosome IV mutants: Cubitus interruptus. Cell and shaven of D. melanogaster. These consider- ations furnish proof for the homology of this X chromosomal element with the 4th chromosome of Drosophila. These observations of Krivshenko sup- port our findings that the 4th chromosome of D. melanogaster has an excess of female 20 BIOLOGIC BASIS OF SEX determining functions. It would further show that autosomes may behave differ- ently with regard to their sex-determining properties according to the chance distribu- tion of sex genes which happen to fall within them as they do in Rumex (Yama- moto, 1938j. The finding that the chromo- some IV has a bias toward female tenden- cies further strengthens Bridges' multiple sex gene theory and weakens the theory of an all-or-none action of the whole X chro- IV. Sex under Special Conditions A. SPECIES HYBRIDITY Hybrid progeny coming from species crosses are apt to represent but a very few of the possible genotypes of the total num- ber that conceivably could come from the gene pool. The hybrid phenotypes may dis- play three kinds of characteristics. The common set is that derived from genes in either or both parents through ordinary meiotic segregations and dominance. The second set shows intermediate develop- ment of the characters found in the two parent species. The third set of characters that complete the animal is new to those observed in either parent species. These new characters may be the loss of a few dorso- central and scutellar bristles, broken or missing cross veins, or abnormal bands in the abdomen as in D. simulans x D. melano- gaster hybrids (Sturtevant, 1920b), extra antigenic substances as found in dove hy- brids (Irwin and Cole, 1936), or more nu- merous characteristics as in the mule. Fre- quent among these new characteristics is sterility. The sterility may extend to either or both sexes and affect the secondary sex ratios. As Sturtevant (1920b) points out, crosses between the domestic cow and male bison give male offspring with humps de- rived from the bison which are so large as to prevent their being born alive. The fe- male hybrids lack these humps and are con- se(iuently born normally. The abnormal sex ratio observed at time of birth is due to causes external to the hybrid itself and at- tributable to the structure of the mothers. A comparable case was found during the study of female sterility in interspecies hy- brids of Drosophila pseudoobscura in which Mampell (1941) showed that in the hybrids of certain strains, the females produced no or few offspring because of interspecies le- thal genes connected with a maternal effect. Comparable cases as well as those depend- ent on other mechanisms are known for other groups. The progeny may also be al- tered to give new sex types, generally inter- sexes. These intersexes often replace either the male or the female sex group. However, despite their apparent relation, the changes in the sex ratio and the appearance of in- tersexes can have different causes. D. sim- vlans X D. melanogaster hybrids emphasize that there may be no relation between the peculiar hybrid sex ratios and the intersexes since extreme differences in sex ratio occur but no intersexual types. Species, however, may have natural dif- ferences in the sex potencies of their X chromosomes and/or their autosomes. In crosses between D. repleta and D. neo- repleta involving a sex-linked recessive white-eyed mutant type of D. repleta Stur- tevant (1946) obtained about 15 per cent fertile matings in 500 mass cultures, a total of 532 females to 635 males. All progeny as expected were wild type in character. The males, however, had long narrow testes and were totally sterile, a condition later shown to be due to a gene in the X chromosome located near the white locus. Females sug- gested intersexuality in having three anal plates instead of the usual two. Mating of Fi hybrid females to white D. repleta males gave 9 per cent fertility, the 179 offspring being distributed as 70 wild type females, 9 white females, 42 wild type males, and 58 white males, although the expectation for the classes was equality. Evidence indicates that some of the 9 white females were in- tersexes as were possibly some of the white males. The wild-type males again had the long narrow testes and sterility of the Fi male progeny. Wild type females were mod- erately fertile. By continued backcrossing to 1). repleta males having white or white- singed, a female line was picked up which continued to have the unusual sex ratios but had more fertility. It was presumed that the D. neorepleta gene responsible for the unusual ratios was originally associated with MHotlier gene that decreased fertility FOUNDATIONS FOR SEX 21 in females largely of D. repleta constitution and that the foundation female for the more fertile line came as a result of a cross- over between an infertility gene and that responsible for the unusual sex ratios. Con- tinued back crosses of females of this line to white D. repleta males have been made. Out of 33 fertile cultures, 16 gave approxi- mately equal ratios of wild-type and white females, wild-type and white males; and 17 gave 472 wild-type females, 5 white fe- males, 63 white intersexes, 482 wild-type males, and 339 white males. The white fe- males presumably represented crossovers between the loci of white and the critical gene in the X derived from D. neorepleta. The intersexes were of extreme type with gonads very small (rudimentary ovaries in those cases where they were found at all). External genitalia were missing or of ab- normal male type. Other somatic character- istics included weakness which prevents emergence and accounts for the loss of about 88 per cent of the flies expected in that class. The intersexual condition was suggested as being caused by an autosomal dominant gene derived from D. neorepleta which so conditions the eggs before meiosis that two D. repleta X chromosomes result in the development of intersexes rather than females. The action of this gene occurs before meiosis and may in fact be absent from the intersexes themselves. This was confirmed by crosses of white brothers of the intersexes to pure D. repleta females when the offspring were normal for both sexes; but when these Fi daughters were mated to D. repleta males only intersexes and males resulted. This last cross further showed that although this gene was derived from D. neorepleta in D. neorepleta cyto- plasm, the D. neorepleta cytoplasm was not necessary for the intersexes to result. The case also has an important bearing on the location of the sex-determining factors, for in this cross the characteristics were only secondarily governed by the cytoplasm through earlier determination by genes of the mothers' nuclei. Significant parallels are found between the autosomal gene of D. neorepleta and the third chromosome Ne gene of D. mela- nogaster (Gowen and Nelson, 1942) de- scribed in the section on high male sex ratio. The D. neorepleta gene caused the cytoplasms of the eggs laid by mothers carrying it to become more male potent. The female potencies of two X chromosome D. repleta zygotes were unable to balance these male elements. Many died late in de- velopment. Those able to emerge became intersexes. The Ne gene also sensitizes the cytoplasms of all eggs of mothers carrying it causing any 2X + 2A, 3X + 3A, 3X + 2A or 2X -h 3A intersexes of female type to die in the eggs at 10 to 15 hours whereas males XY + 2A and male-type intersexes live. Other mechanisms for causing sex and sex ratio changes are known, i.e., Cole and Hollander (1950), but few are as well worked out as that of D. repleta x D. neo- repleta. New mechanisms will certainly be found for the opportunities for genetic anal- ysis of sex in hybrids are many. B. MOSAICS FOR SEX Recent genetic work has emphasized the fact that individual D. melanogaster may be composed of cells of more than one genie or chromosome constitution. The main type of sex mosaic is the gynandromorph com- posed of cells of female constitution on one side, XX + 2A, and male, X + 2A on the other, the loss of the X chromosome coming at an early cleavage (Morgan and Bridges, 1919; L. V. Morgan, 1929; Bridges, 1939). The mosaic areas are large since the cells of each type may be in nearly equal numbers. At the other extreme Stern (1936) has shown that phenotypic mosaics may de- velop as a consequence of the somatic chro- mosome pairs crossing over at late stages in embryologic development. Special genes, Minutes, materially increase the frequen- cies of these crossovers. The proportion of the body occupied by the cross-over type cells is small because crossing over takes place so late in development. Recently another agent in the form of a ring chromosome has been discovered which greatly increases the production of sex mo- saics. Some ring chromosomes are relatively stable whereas others are quite unstable, the instability depending to some extent on aging of the eggs and environmental factors (Hannah, 1955). The instability is manifest 22 BIOLOGIC BASIS OF SEX by frequent gynandromorphs, XO males, and dominant lethals among the rod and ring zygotes. It has been suggested that the instability is due to heterochromatic ele- ments. Hinton (1959) has observed the chromosome behavior of these types in Feulgen mounts of whole eggs that were in cleavages 3 to 8. He found strikingly ab- normal chromosome behavior in these cleaving nuclei. For some cell divisions chromosome reproduction was interpreted as being through chromatid-type breakage fusion bridge cycles. As a result of this be- havior mosaics are formed which are inter- mediate between those of the half gynan- dromorphs and those which occur much later because of somatic crossing over. In terms of volume of cells included, the ab- normal types may include only a few cells of the total organism, a fair proportion of the cells, or a full half of the whole body. These unstable ring chromosome mosaics may be a part of the secondary reproduc- tive system or for that matter any other region of the body. When the mosaic cells are incorporated in the region of sex organ differentiation male or female type organs or parts of organs may develop as governed by the cell nuclei being X, XX or some frac- tion thereof. Gynandromor|)lis appear sporadically and rarely in many species but in some in- stances genes which activate mechanisms for their formation are known. In the pres- ence of recessive homozygous claret in the eggs of D. siniulans, gynandromorphs con- stitute a noticeable percentage of the emerging adults. The gene nearly always operates on the X received from the mother causing it to be eliminated from the cell. The resulting gynandromorphs are similar to those of D. melanogaster. The fact that the claret gene should affect the X and a particular X chromosome is suggestive of the manner in which given chromosomes arc eliminated in Sciara. Other types of sex mosaics will be found in the descriptions of other species, i)articularly in the Hyme- noptci'a. C. PARTHENO(iENESIS IN DROSOPHILA Parthenogenesis is of interest as it changes the sex ratios in families and brings to light new sex types and novel methods for their development (Stalker, 1954), A survey of 28 species of Drosophila showed a low rate of parthenogenesis in 23 species. Adult progeny were obtained for only 3 species. For D. 'parthenogenetica the origi- nal rate was 8 in 10,000 whereas that for D. polymorpha was 1 in 19,000. These rates could be increased by selection of higher rate parents: 151 and 70 per 10,000 unfer- tilized eggs of the first and second species respectively. D. parthenogenetica diploid virgins pro- duced diploid and triploid daughters as well as rare XO sterile diploid males. Triploid virgins produced diploid and triploid fe- males and large numbers, 40 per cent, of sterile XO diploid males. Diploid virgins heterozygous for sex-linked recessive garnet produced homozygous and heterozygous diploid females as well as +/+/g and + /'g/g triploid females. No homozygous wild-type or homozygous garnet triploid fe- males or garnet mosaics were found. Dip- loid females crossed to fertile diploid males produced few if any polyploid progeny or jjrimary X chromosome exceptional types. Of the unfertilized eggs from diploid virgins which started development, 80 per cent died in late embryonic or early larval stages. The i)arthenogenesis in diploid females de- pended on two normal meiotic divisions fol- lowed by fusion of two of the derived hap- loid nuclei to form diploid progeny, or the fusion of three such nuclei to form triploitl progeny. In the triploid virgins similar fu- sions of the maturation nuclei may produce diploid and triploid females but the large number of dii)loid XO sterile males were picsunicd to be the result of cleavage with- out prior nuclear fusion. Such cleavages without fusion in eggs of dijiloid virgins would lead to the production of haploid embryos. They were presumed i-esponsible for the large early larval and embryonic single sex locus. In principle at least, the honey bee could have the Habrobracon scheme of sex de- termination. Rothenbuhler (1958) has re- cently collected the researches which test this possibility. Tests of the multiple allele hypothesis as applied to the honey bee were made by Mackensen (1951, 1955) who in- terpreted evidence for inviable progeny pro- duced by mating of closely related individ- uals as proof that this species as well as Habrobracon juglandis follows the multiple allelic system. The discovery of male tissue of bii)arental origin in mosaic bees from re- lated i)arents was considered as further evi- dence for the multiple allelic theory of sex determination (Rothenbuhler, 1957). Most recent cytologic evidence supports the concept that there are 16 chromosomes in the gonadal cells of the male and 32 in those of the female (Sanderson and Hall, 1948, 1951; Ris and Kerr, 1952; Hachinohe and Onishi, 1952; Wolf, 1960». Hachinohe and Onishi (1952) found 16 chromosomes as characteristic of the meiosis in the drone. Wolf observed a nucleus in both bud and spermatocyte of the only maturation (equa- tional) division. The greatest progress has been made in understanding the mechanisms of sex mosai- cism in the Hymenoptera species. These mosaics, although ordinarily of rather rare occurrence, have a direct bearing on sex determination and development. In Apis, iiolyspermy furnishes the customary basis for their formation. One sperm fertilizes the haploid egg nucleus and another sperm, which has entered the egg instead of degen- erating as it ordinarily does, enters into mitotic cleavage and eventually forms is- lands of haploid cells of paternal origin among the diploid cells derived from the fertilized egg (Rothenbuhler, Gowen and Park, 1952). Evidence showing that genetic influences affect the sperm nucleus toward stimulating its independent cleavage is found to exist in Apis material (Rothen- buhler, 1955, 1958). Tliousands of gynan- dromorphs have been observed in Apis, all but a small number of which have been pro- duced in this manner. This method of initi- ating sex mosaics also exists for Habrobra- con (Whiting, 1943b) but is rather rare. In Habrobracon the frequent mode has a different origin. The gynandromorph is formed from the cleavage products of the normal fertilization of the egg nucleus com- bined with those of a remaining nuclear product of oogonial meiosis. Under these conditions the female tissue is 2N of bi- parental origin and the male tissue is N of maternal origin (Whiting, 1935, 1943b). This type is less frequent in Apis but one specimen has been described by Mackensen (1951). A number of other ways in which sex mosaics may occur are occasionally ex- pressed in these species. Three different kinds of male tissue have been observed in individual honey bee mosaics produced by doubly mated queens — haploid male tissue from one father, haploid male tissue from the other genetically different father, and diploid male tissue of maternal-paternal origin. In other cases, the diploid, biparental tissue was female and associated with two kinds of male tissue (Rothenbuhler, 1957, 1958) . Cases where the haploid portions of the sex mosaics are of two different origins, one paternal and the other maternal, while the female portion is representative of the fertilized egg, are known in Habrobracon (Whiting, 1943b). Similarly, Taber (1955) observed females which were mosaics for two genetically different tissues and which he accounted for as the result of binucleate eggs fertilized by two sperm. Mosaic drones of yet another type were observed by Tucker (1958) as progeny of unmated queens. They were interpreted as the cleav- age products from two of the separate nu- clei formed in meiosis. These cases represent a number of the possible types that arise through meiotic or cleavage disfunctions under particular environmental or heredi- tary conditions. Tucker (1958) studied the method by which impaternate workers were formed from the eggs of unmated queens. For this purpose he used genetic markers, red, char- treuse, ivory, and cordovan. Observations 34 BIOLOGIC BASIS OF SEX Avore nuult' i)ii 237 workers from hotcrozy- gous mothers. For the chartreuse loeus. 12 to 20 per cent were homozygous, for x\w i\ory locus 1.8 per cent, and (he cordovan locus on lesser numbers per t-ent. An egg which is destined to become an automictic worker, a gynandromorph with somatic male tissue or a mosaic male, is retained within the queen for an unusually long time during which meiosis is suspended in anaphase 1. Normal reorientation of first division spindle is i)ossibly inhibited by this aging so that after the egg is laid meiosis II occurs with two second division spindles on sejia- rate axes as Goldschmidt conjectured for rarely fertile rudimentary Drosophila (19")7i. Two polar l)odies and two egg prontich^i are formed. The polar bodies take no fiu'ther part in develoinnent. In most of the unusual eggs the two egg pronuclei unite to form a diploid cleavage nucleus which develops into a female. Rarely the two egg pronuclei develop separately as two haploid cleavage nuclei to form a mosaic male. Two unlike haploid cleavage nuclei, one descending from each of the two sec- ondary oocytes after at least one cleavage di\ision. unite to form a dijiloid cleavage nucleus which develops together with the remaintler of the haploid cleavage nuclei to produce a gynandromorph with mosaic male tissues. The male and female tissues within these unusual gynandromor[ihs or female types were identical with normal drone or normal female tissues so were probably haploid and diploid resiiectively. Genetic segregation observed within the mothers of automictic workers allows the estimation of the distance between the locus of the gene and its centromere. "With random recombination and "central union" Tucker estimates this distance for the chartreuse locus to centromere as 28.8 units and for the ivory to its centromere 3.6 units. Four lines of bees of diverse origin all showed a low percentage of automictic or gynandro- morphic types produced from queens in each line. Various chance environmental condi- tions apparently influence the rate of pro- duction of these types. However, there were some females in two of the lines with higher frequencies inciicating that innate factors may have significant eft'ects on their fre- quencies. Observations on Drosophila spe- cies — I), porthenogeuetica (Stalker, 1956b), I). ))ia)njabeirai (INIurdy and Carson, 1959) and D. nielanogaster (Goldschmidt, 1957) — strongly suppt)i-t this A-iew. The [irohleni of si'x determination in Hal)- rol)i'acon presently stands as a function of multii)le alleles in one locus, the heterozy- gotes being female and the azygotes and homozygotes male. The occasionally diploid males are regularly produced from fertilized eggs in two allele crosses after inbreeding. These diploid males are of low viability and are nearly sterile. Their few daughters are triploids, their sperm being dijiloid. Apis probably follows the same scheme, as a few cases of mosaics with diploid male tis- sue are known and close inbreeding results in a sufficient number of deaths in the egg to account for diploid males which might be formed. ^lormoniella (Whiting, 1958), how- ever, shows that this scheme for sex determi- nation does not hold for all Hymenoptera. In this form diploid males may occur through some form of mutation. They may then develop from unfertilized eggs laid by triploid females. In contrast to Habrobra- con the dijiloid males are highly viable and fertile. Their sperm are diploid and their numerous daughters triploid. Virgin triploid females produce 6 kinds of males, 3 haploid and 3 dij^loid. Similarly ]\Ielittobia has still a different and as yet unexplained form of sex determination. Haploid eggs develop into males. After mating many eggs are laid which develop into nearly 97+ per cent fe- males. The method of reproduction is close inbreeding but no dijiloid males or "bad" eggs are formed. The prol)lem of the sex determining mechanism remains open (Schmieder and Whitiuii, 1947). The silkworm, Bomby.r mori, differs from Drosophila, Lymantria and the species thus far discussed in having a single region in the ^^' chromosome (Hasimoto, 1933; Tazima, 1941, 1952) occupied by a factor or factors of high female potency. The strong female potency has thus far been connnon to all races. The chromosome patterns of the sexes are like those of Abraxas and Lyman- tria: males ZZ + 2A and females ZwV 2A. The diploid chromosome number is 56 in both sexes. Extensive, well executed studies FOUNDATIONS FOR SEX 35 liave revealed no W chruniosome loci for genes expressed as morphologic traits. From radiation-treated material it has been pos- sible to pick up a translocation of chromo- some II to the W chromosome as well as a cross-over from chromosome Z. This chro- mosome together with tests of hypoploids and hyperploids have materially aided in understanding how the normal chromosome complexes determine sex. The sex types re- sulting from different chromosome arrange- ments have been summarized by Yokoyama 1 1959) and are presented in Table 1.3. Whenever the W chromosome was ab- sent a male resulted. Extra Z or A chromo- somes did not influence the result. Similarly with a W chromosome in the fertilized egg a female developed. Again extra Z or A chromosomes did not influence the result. A full Z chromosome was essential to sur- vival. Hypoploids deficient for different amounts of the Z chromosome in the pres- ence of a normal W chromosome all died without regard to the portion deleted. Hy- perploids for the Z chromosome, on the other hand, when accompanied with a W chromo- some all lived and showed no abnormal sex- ual cliaracteristics. Parthenogenesis led to the pioduction of both sexes, although the males were more numerous than the fe- males. Diploidy was necessary for the em- l)ryo to go beyond the blastoderm stage. Triploid and tetraploid cells were often found. High temperature treatments led to merogony (Hasimoto, 1929, 1934). The ex- ceptional males were homozygous for a sex- linked recessive gene and were explained by assuming that the egg nuclei were in- activated by the high temperature and the exceptional males developed from the union of two sperm nuclei. This conclusion was supported by cytologically observed l)olyspermy (Kawaguchi, 1928) and by cytologic observation of the union of two sperm nuclei by Sato ( 1942 ) . Binucleate eggs were also believed to occur, which when fertilized by different sperm may each con- struct half of the future body. This type of mosaicism was influenced by heredity iGoldschmidt and Katsuki, i927, 1928, 1931 ). Polar body fertilization was also be- lieved to occur, one side of the embryo orig- inating from the ordinary fertilized egg nu- cleus and the other side from the union of TABLE 1.:^ Sex in Bombyx iitori (Summarized by T. Yokoyama, 1959.) Sex Chromosome Types and Numbers W z A Male W II.W.ZL w w WW WW zz zz zzz z z zz zzz zz zz AA Male Male Female Female Female Female Female Female AAA AAA AA AA AAA AAAA AAA AAAA nuclei of two of the polar bodies. Similarly, dispermic merogony was noted following the formation of one part of the body from the fertilization nucleus, the other part from the union of two sperm nuclei, the result being a gynandromorph or mosaic. VI. Sex Determination in Dioecious Plants \. MELAXDRUM t LYCHNIS] Over the last 20 years studies on several species of dioecious plants have made not- able advances in unclerstanding the mecha- nisms by which sex is determined. Melandrium album has been shown to have the same chromosome arrangement as Drosophila. The male has an X and Y plus 22 autosomes, whereas the female has XX plus 22 autosomes. Sex-linked inheritance is known for genes borne in the X chromo- somes as well as for genes born in the Y chromosome. The X and Y chromosomes are larger than any of the autosomes with the Y chromosome about 1.6 times that of the X in the materials studied by Warmke ( 1946) . Separate male and female plants are characteristic of the species. By use of colchicine and other methods, Warmke and Blakeslee (1939), Warmke (1946), and Westergaard (1940) have made various l^olyploid types from which they could de- rive other new X, Y and A chromosome combinations from which information was obtained on the location of the sex deter- mining elements. The Y chromosome carries the male determining elements, the X chro- 36 BIOLOGIC BASIS OF SEX mosome the female determining elements. The guiding force of the elements in the Y chromosome during development is suffi- cient to override the female tendencies of several X chromosomes. Data derived by each of these investigators are shown in Table 1.4. From these data Warmke (1946) con- cluded that the balances between the X and the Y chromosomes essentially determined sex with the autosomes of relatively little importance. Where no Y chromosomes were present but the numbers of X chromosomes ranged from 1 to 5, only females were ob- served, even though the autosomes varied in number from two to four sets. When a Y chromosome was present the individual was of the male type unless the Y was balanced by at least 3 X chromosomes when an occa- sional hermaphroditic blossom was formed. TABLE L4 Numhers of X, Y, chromosomes and A, autosome sets and the sex of the various Melandrium plants (Data from H. E. Warmke, 1946; and M. Westergaard, 1953.) Ratio Chromosome Warmlce Westergaard Constitution X/A 4A 5X Female 1.3 4A 4X Female 1.0 Female 4A 3X Female 0.8 4A 2X Female 0.5 3A 3X Female 1.0 Female 3A 2X Female 0.7 Female 2A 3X Female 1.5 2A 2X Female 1.0 Female Bisexual* X/Y 4A 4X Y 4.0 Male 4A 3X Y Malet 3.0 Male 4A 2X Y Malet 2.0 Male 4A X Y Male 1.0 3A 3X Y Malet 3.0 3A 2X Y Malet 2.0 Male 3A X Y Male 1.0 2A 2X Y Malet 2.0 2A X Y Male 1.0 Male 4A 4X YY Malet 2.0 4A 3X YY Male 1.5 4A 2X YY Male 1.0 Male 2A X YY Male 0.5 * Occasional staminate but never carpellate blossom. t Occasional licrina])hr(i(lit ic blossom. When 4 X chromosomes were present to- gether with a Y, the plants were hermaphro- ditic but occasionally had a male blossom. Two Y chromosomes almost doubled the male effect. Two Y chromosomes balanced 4 X chromosomes to give a majority of male plants. Only an occasional plant showed an hermaphroditic blossom. Autosomal sex effects, if present, were only observed when plants had 4 sets and 3 or 4 X chromosomes balanced by a Y chromosome. Warmke used the ratio of the numbers of X to Y chromo- somes as a scale against which to measure clianges from complete male to hermaphro- ditic types. No mention is made of quanti- tative measures of the sex character changes with increasing X chromosome dosages. This is of interest since in many forms changes in chromosome balance are accom- panied by changes of phenotype which are unrelated to sex. That such phenotypic changes do accompany changes in autosomal balance in Melandrium are proven, how- ever, by further observations of Warmke in 4 trisomic types coming from crosses of triploids by diploids. Of 36 such trisomies analyzed, 5 or 6 of them were of different growth habits and morphologic types. These differences did not affect the sex patterns since all were females. Warmke and Blakes- lee in 1940 observed an almost complete array of chromosome types from 25 to 48 in progeny derived from crosses of 3N x 3N, 4N X 3N, and 3N x 4N. Out of about 200 plants studied, only 4 were found to show indications of hermaphroditism. These types were 2XY and 3XY. As noted from the table, even the euploid plants would occa- sionally be expected to have an hermaphro- ditic blossom. Of the 200 plants, all with a Y (XY, 2XY, 3XY) were males and all plants without the Y (2X, 3X, 4X) were females. In an 8-year period up to 1946. Warmke was able to observe only one male trisomic. From these facts he concluded that the autosomes are unimportant in the sex determining mechanism utilized by this species. In their crosses they were unsuc- cessful in getting a 5XY plant, the point at which the female factor influence of the X chromosomes might be expected to nearly equal or slightly surpass that of the single Y. From the j^hysiologic side the obscrva- FOUNDATIONS FOR SEX 37 tion of Strassburger in 1900, as quoted by both Warmke and Westergaard, that the fungus Ustilago violacea when it infects Melandrium will cause diseased plants to produce mature blossoms with well devel- oped stamens (filled with fungus spores) as well as fertile pistils, shows that these fe- males have the potentialities of both male and female development. The case suggests that sex hormone-like substances may be produced by the fungus which acting on the developing Melandrium sex structures cause sex reversions. Should this be true, Melandrium cells would have a parallel with those of fish where sex hormones incor- |)orated in the developing organism in suf- ficient quantities can cause the soma to develop a phenotype opposite to that ex- pected of their chromosomal type. For other aspects see Burn's chapter and Young's chapter on hormones. Westergaard's studies (1940) with Euro- pean strains of Melandrium were in prog- ress at the same time as those of Warmke and Blakeslee. In their broad aspects both sets of data are concordant in showing the l^rimary role of elements found within the Y chromosome in determining the male sex and of elements in the X chromosomes for the female sex. Examination of Table 1.4 shows that the strain used by Westergaard has a Y chromosome containing elements of greater male sex potentialities than the strain used by Warmke. A similar difference appeared in the sex potencies of the autosomes of European strains. Instead of obtaining essentially only male and female plants in crosses in- volving aneuploid types, Westergaard ob- tained from 3N females (3A + 3X) x 3N males (3A + 2XY) 10 plants which were more or less hermaphroditic, 21 females, and 15 males. Studies of the offspring of these hermaphrodites through several generations showed that their sex expression required effects by both the X chromosomes and cer- tain autosome combinations which under special conditions counterbalanced the fe- male suppressor in the Y chromosome. In- creasing the X chromosomes from 1 to 4 increased the hermaphrodites from to 100 per cent in the presence of a Y chromosome. However, in euploids these types would be all males. The significance of the autosomes is further shown by the fact that among 205 aneuploid 3XY plants, 72 were males and 133 were hermaphrodites. As pointed out for Drosophila, quanti- tative studies on the effects of sex chromo- somes and autosomes in Melandrium are handicapped by not having a suitable scale for the evaluation of the different sex types. The data presented by Westergaard and by Warmke make this difficulty become partic- ularly evident. In the interest of quantizing the X, Y, and A chromosome on sex the author has assigned a value of 1 for the male type, 3 for the female type, and 2 when the types are said to be hermaphro- ditic. When the types are mixed, as for ex- ample, in the data of Warmke where he says a particular type is male with a few blos- soms, the type is assigned a value of 1.05 or 1.10, depending on the numbers of these blossoms. His bisexual type which comes as a consequence of Y, 4X and 4A chromo- some arrangement is given a value of 2, al- though possibly the value should be some- what higher as it may well be that the fully bisexuals are further along in the scale to- ward female development than the hermaph- roditic types. The data are treated on the additive scale both as between chromosomal types and within chromosomal type. This is apparently unfair if we examine the work of Westergaard in which it looks as if par- ticular autosomes rather than autosomes in general make a contribution to sex determi- nation. The results, when these methods are used, are as follows: Westergaard in Tables 1 to 5 of his 1948 paper gives information on sex types with a determination of the numbers of their different kinds of chromosomes. Analysis of these data by least square methods shows that the sex type may be predicted from the equation Sex type = - 1.37 Y + 0.10 X + 0.01 A + 2.34 This equation fits the data fairly well con- sidering that the correlation between the variables and the sex type is 0.87. This analysis again shows that the Y chromo- some has a strong effect toward maleness. The X chromosomes are next in importance 38 BIOLOGIC BASIS OF SEX with an effect of each X only about 1/13 that of the Y and in the direction of female- ness, the autosomes have one tenth the effect of the X chromosomes but they too have a composite effect toward femaleness. It is to be remembered that the Y chromosome variation is limited to 2 chromosomes whereas the X chromosomes may total 4, and the autosomes may range from 22 up to 42, so that the total effect of the auto- somes is definitely more than their single effects. These data are for aneuploids. Ex- amining Westergaard's data for 1953 for the euploids and assigning the value of 1.5 for the type observed when there was one Y chromosome, four X, and four sets of auto- somes, we have the following equation: Sex value = -1.29 Y + 0.10 X - 0.01 (autosome sets) + 2.53 In these data, as distinct from those above, the autosomes are treated as sets of auto- somes since they are direct multiples of each other so the value of the individual auto- some is but 1/11 that given in the equation. This equation shows no pronounced dif- ference from that when the aneuploids were utilized. The Y chromosomes have slightly less effect toward the male side. The X chromosomes have practically identical ef- fects but there has been a shift in direction of the autosomal effects on sex, although the value is small. The constants are sub- ject to fairly large variations arising through chance. In Table 10 of Westergaard's 1948 paper he presented data on the chromosome con- stitution and sex in the aneuploids which carried a Y chromosome. These data are of particular interest as the plants are counted for the i)roi)ortions of those which are male to those which are hermaphroditic. The plants with a Y chromosome plus an X are all males. Those which have either one, two or three Y chi'omosomes balanced by two X chromosomes have 89 per cent males. The plants with three X chromosomes and one oi- two Y's have 36 p(T cent males and those which have one or two ^■ chroiiiosoincs and four X chromosomes have no males. The woik iiiv()l\-cd in getting these data is, of course, large indeed and is definitely handicapped by the diiiicuHies in obtaining certain types. Thus the XXYYY and the 4X + 2Y types depend only on one plant. There are eight observations but the fitting of the data for the X and Y constitutions eliminates three degrees of freedom from that number so that statistically the obser- vations are few. The data do have the ad- vantage that the sex differences can be measured on an independent quantitative scale. The equation coming from the results is: Percentage of males = 13.2 Y - 36.4 X + 134.4 These results show that the Y chromosome increases the proportion of males and the X chromosome increases the proportion of intersexes. The data are not comparable with those analyzed earlier as these data are describing simply the ratio between the males and intersexes, instead of the rela- tions betw'een the males, intersexes, and fe- males. The equation fits the observations rather well, as indicated by the fact that the correlation between the X's and Y's and the percentages of males is 0.98, but there are large uncertainties. As a contrast to these data we have those presented by Warmke (1946) in his Tables 2 and 3. These data give the numbers of X and Y chromosomes found within the plants but not the numbers of autosomes, the auto- somes being considered as 2, 3, and 4 gen- omes. Analyzing these data in the same manner as those of Westergaard's Table 1, we find that the Sex type = -1.05 Y + 0.22 X -0.04 A -f2.25 As indicated for Westergaard's data, the A effect is now in terms of the diploid type e(iualing 2, the trijiloid 3, and the tetra- l)loid 4. The Y chromosome has a i)ronounccd ef- fect toward maleness, the effect l)eing some- W'hat less in Warmke's data than that of Westergaard's. The X chromosomes on the other hand, have nearly twice the female infhience in Warmke's data that they do in the phiiits grown by Westergaartl. A differ- ence in sign exists for the effect of the A rhi'oinosnnie genom(\s as well as a difference in [\\v (|uantitati\'e effect. Th(^ values for FOUNDATIONS FOR SEX 39 both sets of data are small and toward the male side. As Westergaard points out, the strains used by these investigators are of different geographic origins. The evolution- ary history of the two strains may have a bearing on the lesser Y and greater X ef- fects on the sex of the American types. Chromosome changes seem to have occurred in the strains before the studies of Warmke and Westergaard and will be discussed. The location of the sex determiners has been studied by both investigators utilizing techniques by which the Y chromosome be- comes broken at different places. These breakages may occur naturally and at fairly high rates in individuals which are Y + 2X + 2A. These facts suggest that the break- age of the Y chromosome occurs in meiosis since the breakage comes in selfed individ- uals of highly inbred stocks where heterozy- gosity is not to be expected, in the Y chromosome which has no homologue thus does not synapse, and in the second meiotic
  • eriments with fowl pox it has been shown that the number of eggs developing parthenogenetically increases considerably following vaccination. The factors leading to parthenogenesis are considered to be the genetic characteristics of the strain of birds and the presence of an activating agent or agents in the blood stream of the hens. The parthenogenetic forms are of particu- lar interest to the problem of sex determina- tion. The females should l)e producing two types of oocytes Z -I- A and W -h A of which presumably the Z + A alone survive since the embryos capable of being sexed are all males. The embryos are also diploids. The 2Z -I- 2A could be derived from a fusion of the Z -H A polav body nuclei as noted earlier or possibly chromosome doubling coming later in the early cleavage. A ge- netic element seems partially to control the parthenogenetic process. Chromosome dou- bling would lead to cells with identical pairs of chromosomes. The gene would be homo- zygous. Inbreeding of poultry leads to a con- tinning and rai^id loss in the vialiility of FOUNDATIONS FOR SEX 49 most strains of chickens. A greater loss would be expected for truly homozygous chickens or poults as birds are known for the large numbers of sublethal genes they carry. In fact, it is surprising that any sur- vive to the adult stage. The doubling of the W and A type would result in individuals lacking the Z chromo- some. From what was observed in Amphibia and fish the WW + 2A, individual if it survived, would be expected to be female. Since this type has not as yet been detected it may be inferred that it is inviable be- cause of loss of certain essential genes in the Z chromosome. X. Sex Determination in Mammals A. GOAT HERMAPHRODITES Goat hermaphroditism as reported by As- dell (1936), Eaton (1943, 1945) and Kondo (1952, 1955a, b) is of particular interest when comjjared with human hermaphrodit- ism as observed by Overzier (1955) and of testicular feminization as reported by Ja- cobs, Baikie, Court Brown, Forrest, Roy, Stewart and Lennox (1959) and others. In each species the phenotypic range in sex- ual development extended from nearly per- fect female to nearly perfect male, with the most frequent class as an intermediate. Ex- ternal appearance of each was partially cor- related with internal structure. When inter- nal female structures as the INIiillerian ducts were present, the external appearance was more female-like. When the male structures AVolffian ducts were developed, the external api^earance was more male-like. The pres- ence of the dual systems within certain of these hermaphroditic types indicates, as in Drosophila, that there is independence of development of each system without a so- called turning point calling for differentia- tion of the female sex followed by that of the male sex or vice versa. In goats the hermaphroditic types were traced to the action of a recessive autosomal gene (Eaton, 1945; Kondo, 1952, 1955a, b). This gene apparently acts only on the fe- male zygote. In homozygous condition the eml)ryos bearing them develop simultane- ously toward the male as well as toward the female types. This development resembles closely that of the Hr gene in Drosophila, because, although Hr is dominant and the one in goats is recessive, they both operate only on the female type and both tend to develop jointly both male and female sys- tems in sexual development. One jarring note comes in relating the cytologic basis for sex determination in goats with that for the intersexes. The sex ratios for the different crosses clearly place the hermaphrodites as genetic females ex- pected to have the XX chromosome con- stitution. The XX constitution would then also agree with that found for human hermaphrodites as discussed later in this paper. Makino (1950) has shown for one case of the intersexual goat that its sex chromosomes were of the male type. Ma- kino's excellent studies with other species made this observation of particular signifi- cance as it was contrary to the other mor- phologic and genetic evidence on these hermaphrodites. The implications were fully realized by Makino when the cytologic ob- servations were made so that as far as pos- sible the observations should be critical on this point. However, there are several sources of cell variation that suggest the desirability of further checks. The chromo- some number of the goat is large, normal mitoses rarely appear in the gonads of the intersexes, and the chromosomes of the goat's spermatogenesis are so small as to make difficult details of structure or identi- fication. Some of the difficulties possibly could be avoided by making tissue cultures and determining the somatic chromosome numbers of their cells. Kondo (1955b) has shown that under the breeding conditions of Japan when the sire was heterozygous, the percentage of inter- sexes actually approached the expected value 7.3 per cent. When the sires were homozygous recessive individual matings showed 14.6 per cent hermaphrodites as was expected. Continued mating of homozygotes should show 25 per cent of the total kids hermaphrodites, or the equivalent of 50 per cent of the female progeny. Hermaphroditism in goats has a further advantage in that the locus is apparently linked closely to the horned or polled condi- tion. The horned condition, in consequence, becomes a valuable indicator marking the presence of the hermaphroditic factor in the 50 BIOLOGIC BASIS OF SEX otherwise indistinguishable male types. With these characteristics the goat types have remarkable advantages over other species for the solution of problems of hermaphroditism. The gene for goat hermaphroditism has even more interest when it is contrasted with that of another gene, tra, discovered by Sturtevant (1945). Tra is recessive wdth no distinguishable heterozygous effect. In the homozygous state it converts the zygotic female into a form with completely male genitalia and internal reproductive tract with no evidence of the female sexual repro- ductive system. The gene effects in Dro- sophila are more extreme than those in goats but are concordant in showing that there are loci in the autosomes which may be occupied by recessive genes having direct effects on phenotypic development of the genotypic female. This evidence indicates the significance of these genes rather than the happenstance of their being in the autosome, X or Y chromosome. B. SEX IN THE MOUSE The mouse has the XY + 38 A chromo- somal arrangement for the males and XX + 38 A for the females. Similar karyotype pat- terns have been reviewed for some Amphibia and fish. Other Amphibia and fish may have their karyotypes reversed as both forms are found in nature or observed in breeding studies. Similar reversals may be made ex- perimentally in the phenotypes even though the genotypes remain unaltered. Birds show the sex differentiating arrangement of ZW for the females and ZZ for the males. Par- thenogenesis seems to lead to males of ZZ type in domestic fowl and turkeys. In an evolutionary sense the mammals could have originated from and perpetuated either of the major karyotype sex arrangements. Mice and men are alike in that the X has female-determining properties and the Y male potencies. How much part the genes in the autosomes have in sex develojoment is not yet clear. Welshons and Russell (1959) have shown that mice of the presumed X() constitution are females and arc fertile. They have 39 as the modal number of chromosomes found in their bone marrow cells, wiiereas the genetically proven XX types have 40 cln'omosomcs. X ('hroinosoinc- linked genes' behavior substantiate the chromosomal constitutions of XO and XX as females and XY as males. These results are further supported by the breeding behavior of the X-linked recessive gene, scurfy (Russell, Russell and Gower,. 1959). This gene is lethal to the hemizygous males before breeding. The genetics of the scurfy females have been analyzed by trans- planting the ovaries to normal recipient fe- males and obtaining offspring from them. In the scurfy stock the XO type occurred as 0.9 per cent of the progeny. The YO progeny w^ere not identified and probably die pre- maturely. Nondisjunction of the X and Y chromosomes in the males could result in sperm carrying neither X nor Y chromo- somes. These sperm on fertilization of the X egg would give an XO + 2A type individ- ual. Because the result is a female, this would support the Y chromosome as of male potency. The mouse arrangement may then be expected to be like Melandrium in which a well worked out series of types is known. Sex ratio in mice is strain dependent over what has thus far proven to be a 10 to 15 per cent range. Weir (1958) has shown that for two strains of mice established by select- ing for low and high pH, the sex ratio figures were 33 and 53 per cent for artificially in- seminated mice and 41 and 52 per cent for natural matings of these respective strains. The differential pH values for the bloods of the low line were 7.498 ± 0.006 and for the high line 7.557 ± 0.007 as of the sixth generation of selection. The parents with the more alkaline bloods tended to have greater percentages of males in their prog- enies. These results direct attention to the genotype dependent phenotypic factor which may be of some importance for variations in sex ratios. C. SEX AND STERILITY IN THE CAT The tortoiseshell male cat has long inter- ested geneticists because it has seemed that by theory it should not be. However, nature has wonderful ways of circumventing best laid hypotheses, sometimes when they are fals(\ sometimes when they have not been probed dee])ly enough. The yellow gene for coat color in cats is sex-linked. This gene operates on an autosomal background of ^(■lu's for black oi' tabby. Tlu^ females may FOUNDATIONS FOR SEX 51 be phenotypically orange as the double dose, 0/0, covers up the effects of the other coat color genes; or tortoiseshell, 0/+; or black or tabby, +/+. The males may be orange, '0/, black or tabby, +/, and the type unex- pected tortoise. The tortoiseshell males are timid, keep away from other males, and are generally sterile. Testes are of much reduced size and solid consistency. Exceptionally, tortoiseshell males may mate and offspring presumed from the matings may be born. Active study of these males commenced as early as 1904. Komai (1952) has offered a unified hypothesis for their origin. Komai and Ishihara (1956) have contributed added information and a review of the literature to which the reader is referred. The cat has 38 chromosomes including an X-Y pair for the males. The tortoise males agree in having this arrangement (Ishihara, 1956) , the X being 3 or 4 times the length of the Y in all cytologic preparations from Japanese cats. Komai (1952) visualizes the cat X chromosomes as composed of a pairing segment containing the kinetochore and gene loci among which is that for the orange gene and a differential segment, not found in the Y chromosome, containing the factor-com- plex for femaleness. The Y chromosome is visualized as having a segment containing the kinetochore and capable of pairing with the X chromosome. This segment may cross over with the X so that it may acquire the locus for orange or its wild type. The Y chromosome is viewed as containing two differential segments. The one carrying the factor complex for maleness is located to correspond with the X differential segment carrying the female sex factor. The second Y differential segment is at the other end of the chromosome and contains the male fertility complex. The tortoiseshell sterile males are interpreted as caused by a Y chromosome crossing over with the X chromosome to in- corporate the male segment and the gene in the resulting Y chromosome but with the loss of the male fertility segment. The gam- ete carrying this modified Y fertilizing an egg with a normal X chromosome containing the wild type instead of the gene develops into the sterile tortoiseshell male. The data show that the probability of these events oc- curring is small. Komai records as reliable ■65 tortoiseshell male cats where the inci- dence of the O gene in the whole population of Japanese cats is 25 to 40 per cent. Of the 65, 3 were apparently fertile. These cases and the few others found in the literature are regarded as caused by those rare occasions when the Y chromosome incorporates the gene but retains the male fertility complex as might occur in double crossing over. The hypothesized factor locations and crossing over arrangements also may explain the un- expected black females which are known to occur in some matings. Although not men- tioned, black males and orange males show- ing the same sterility features as the sterile tortoiseshell males should also be found in the cat poi)ulation. If found they would further strengthen the hypotheses. It is difficult to understand why, even with its low initial frequency, the fertile tortoise- shell male would not establish itself in the Japanese cat population, inasmuch as they are so admired and sought after by all the people if any tortoiseshell males became as fertile as the tortoiseshell male "lucifer" (Bamber and Herdman, 1932) known to have sired 56 kittens. Ishihara's work (1956) seems to close the door on another attractive hypothesis to ex- plain the origin of these unexpected cat types. Tortoiseshell male reproductive or- gans include small, firm testes showing re- duced spermatogonial development. To- gether with the interaction of the gene with the wild type allele they suggest the human types XXY + 2A which may arise from nondisjunction. However, the chromo- some type is shown to be XY -f- 2A = 38 which is fatal to this hypothesis. It is of interest that Komai in 1952 postu- lated the male complex and fertility factors in the Y chromosome of a mammal. The case has a further parallel in the plant Melan- drium in that the work of both Westergaard (1946) and Warmke (1946) indicated the Y chromosomes of this plant to contain such factor complexes although in differing ar- rangements. D. DEVIATE SEX TYPES IN CATTLE AND SWINE As a caution in the mushrooming of cyto- logic interjiretations of sex development, at- tention may be directed to the freemartin types known particularly from the work of 52 BIOLOGIC BASIS OF SEX Keller and Tandler (1916), Lillie (1917), and the researches stimulated by their ob- servations on cattle twins. The freemartin in cattle develops in the same uterus with its twin male. The blood circulations anasto- mose so that blood and the products it con- tains are common to both fetuses during de- velopment. The development of the female twin is intersexual, presumably because of substances contributed by the male twin to the common blood during uterine growth. The freemartin intersexuality may be graded into perfectly functioning fertile females to types with external female genitalia and typically male sex cords except germ cells are absent, vasa efferentia, and elements of the vasa deferentia. The conditions are simi- lar to those discussed for amphibia, fish, and rabbits in which early sex development passes through neutral stages during which it may be directed toward one sex or the other by the right environmental stimuli. Intersexes in swine have been interpreted as owing to similar causes (Hughes, 1929; Andersson, 1956) although the resulting phenotypes may not be quite as extreme. The resulting intersexes for both cattle and swine presumably are not caused by chromo- somal misbehavior but to the right environ- mental stimuli operating on suitable gene backgrounds. The observations of Johnston, Zeller and Cantwell (1958) on 25 intersexual pigs all from one breeding group of York- shires suggest significant inheritance effects. The intersexes were of two types, "male pseudohermaphrodites" and "true hermaph- rodites," but there was some intergrading of their phenotypes suggesting that they may be the products of like causes. Common or- gans between the two groups included uteri, vulvae, vaginae, testes, epididymis, and penis or enlarged clitori. The "true hermaph- rodites" were separated on the basis of no prostates, bulbo-urethral glands, or seminal vesicles as well as having testes or ovotestes with ovaries. A similar case was described by Hammond (1912) but, as in one of the above cases, the supposed ovaries when sec- tioned seemed to be lymphatic tissue. Favor- able nerve tissue^ from 6 of the Yorkshire pigs was examined foi- nuclear chromatin. The cases were found chromatin positive. Phenotypically these cases also have paral- l(>ls in mice and man. E. .SEX-iN man: chromosomal basis A surprise even to its discoverers, Tjio and Levan (1956), came with the observa- tion that the somatic number of chromo- somes in cultures of human tissue was 46 rather than the previously supposed 48. Search for the true number has been going on for more than half a century. In early investigations the numbers reported varied widely. Difficulties of proper fixation and spreading of the chromosomes of human cells accounted for most of this variation and the numerous erroneous interpretations. Among the observations that of de Wini- warter (1912) was of particular interest in showing the chromosome number as 46 autosomes plus one sex chromosome with the Y being absent. This number was also found later by de Winiwarter and Oguma (1926). Observations by Painter (1921, 1923) showed 46 chromosomes plus an X and a Y, a total of 48. This number was subsequently reported by a series of able investigators, Evans and Swezy (1929), Minouchi and Ohta (1934), Shiwago and Andres (1932), Andres and Navashin (1936), Roller (1937), Hsu (1952), Mitt- woch (1952), and Darlington and Haque (1955). As Tjio and Levan indicated, the acceptance of 48 as the correct number, with X and Y as the sex chromosome arrangement, was so general that when Drs. Eva Hanson-Melander and S. Kul- lander had earlier found 46 chromosomes in the liver cells of the material they were studying they temporarily gave up the study. In the few years since 1956, the ac- ceptance of 46 chromosomes as the normal complement of man has become nearly universal. There are 22 paired autosomes plus the X and Y sex chromosomes. The reasons which have warranted this change of viewpoint are no doubt many, but three improvements in technique are certainly significant. The first came as a consequence of simplifying the culture of human somatic cells. The second followed Hsu's (1952) recognition that pretreatment of these cells before fixation with hypotonic solutions tended to better spreads of the chromosomes on the division plates when subsefiuently stained by the squash tech- niciuo. Pretreatment of the cultures with FOUNDATIONS FOR SEX 53 colchicine made the studies more attractive by increasing the numbers of usable cells that were in the metaphase of cell division. Ford and Hamerton (1956) in an inde- pendent investigation, closely following that of Tjio and Levan, observed that the human cell complement contained 46 chro- mosomes. They, too, agreed with Painter and others that followed him that the male was XY and the female XX in composition. A flood of confirming evidence soon fol- lowed: Hsu, Pomerat and Moorhead (1957), Bender (1957), Syverton (1957), Ford, Jacobs and Lajtha (1958), Tjio and Puck (1958), Puck (1958), Chu and Giles (1959), and a number of others. In most instances the results of the dif- ferent investigators were surprisingly con- sistent in showing that the individual cell chromosome counts nearly always totaled 46. This was no doubt due in part to the desirability of single layers of somatic cells for identifying and separating the different chromosomes into distinct units. Chu and Giles' results illustrate this consistency. For 34 normal human subjects, including 29 American whites and 4 American Ne- groes, and one of unknown race, and re- gardless of sex, age, or tissue, the diploid chromosome number of the somatic cells was overwhelmingly 46. In only five indi- viduals were other numbers observed in isolated cells. Out of 620 counts, 611 had 46 chromosomes; two individuals, whose majority of cells showed 46, had 3 cells with 45 chromosomes; three other individuals, the majority of whose cells showed 46, had 6 cells with 47 chromosomes. Average cell plates counted per individual was nearly 20. The only recent observations at variance with these results were those of Kodani (1958) who studied spermatogonial and first meiotic metaphases in the testes from 15 Japanese and 8 whites. In these studies at least several good spermatogonial meta- phases in which the chromosomes could be counted accurately, and secondly at least 15 spermatocyte metaphases in which the structure of individual chromosomes could be observed clearly, were made on each specimen. The numbers of cells studied in metaphase were generally above these num- bers, one reaching 60 metaphases. Some var- iation was noted within individuals. Among individuals, numbers of 46, 47, and 48 were observed. Among 15 Japanese, 9 had 46, 1 had 47, and 5 had 48 chromosomes, whereas among the whites 7 had 46, and 1 had 48. Sixteen of the 23 individuals had 46 chro- mosomes. Karyotype analyses indicated that the numerical variation was caused by a small supernumerary chromosome. On the basis of these observations it would appear that individuals within races may vary in chromosome number and yet be of normal phenotype. However, in view of the exten- sive observations by others, it seems un- likely that the variation between individ- uals is as large as that indicated. It will require much further study to establish any other number than 46 as the normal karyo- type of man. This is particularly true in view of the work of Makino and Sasaki (1959) and Alakino and Sasaki cited by Ford (1960), in which they studied the hu- man cell cultures of 39 Japanese and found without exception 46 chromosomes, and the earlier work of Ford and Hamerton (1956) on spermatogonial material where they, too, found 46 chromosomes in that tissue. The best features of these human chromosome studies will come in the identification of the individual chromosomes making up the human group. The chromosome pairs may be ordered according to their lengths. The longest chromosome is about 8 times the length of the smallest. The chromosomes may be classified according to their centro- mere positions. The chromosomes are said by most observers to be fairly easily sepa- rated into 7 groups. Separation of the indi- vidual chromosome pairs from each other and designation of the pairs so that they can be identified by trained investigators in all good chromosome preparations is not possible according to some ciualified cytolo- gists and admitted difficult by all students. However, standardized reporting in the rapidly growing advances in human cell studies should refine observations, reduce errors, and encourage better techniques. With this in mind, 17 investigators working in this field met in Denver in 1959 in what has come to be called the "Denver confer- ence" (Editorial, 1960). From an examina- tion of the available evidence on chromo- some morphologies an idiogram was set up as a standard for the somatic chromosome 54 BIOLOGIC BASIS OF SEX CD LO 00 CM ^ m CM CM 'li m ^ CM i| m m 8 1^ 9m c £ II CM C30 £ Sg ^ *o 1 «. C^ ►5 '^ ^ 9^ *- -f = O ^ •^ CD in ^ i <7> ^D 4M .£ i -^ CD « « >t J 2 ?: C^ -• « CO cording to not easily ] and Thood( € < CM CM )ered ac ich are H. Tjio C < S s numl tes \vh I of J. n « CM Ill • CD ^ m-m %J7 #c #• *— iO CM in \^ 00 2 >e #c i£ CM s s S c £ £ ^-^i a> d -e LO S J^ £ PI O q; i CO o ^ct v£ Fig. 1.1. Id r number, th chromosom r^ 00 FOUNDATIONS FOR SEX 55 complement of the normal human genome. A reproduction of this standard is presented in Figure 1.1, as kindly loaned by Dr. Theo- dore T. Puck for this purpose. The autosomes were first ordered in re- lation to their size and such attributes as would help in their positive identification. Numbers were given to each chromosome as a means of permanent identification. Bas- ically, identification is assisted by the ratio of the length of the long arm to that of the short arm; the centromeric index calculated from the ratio of the length of the shorter arm to the whole length of the chromosome ; and the presence or absence of satellites. Classification is assisted by dividing the chromosome pairs into seven groups. Groups 1-3. Large chromosomes with ap- proximatel}^ median centromeres. The three chromosomes are readily distin- guished from each other by size and centromere position. Group 4-6. Large chromosomes with sub- median centromeres. The two chromo- somes are difficult to distinguish, but chromosome 4 is slightly longer. Group 6-12. Medium sized chromosomes with submedian centromeres. The X chromosome resembles the longer chro- mosomes in this group, especially chro- mosome 6, from which it is difficult to distinguish. This large group is the one which presents major difficulty in iden- tification of individual chromosomes. Group 13-15. INledium sized chromosomes with nearly terminal centromeres ("ac- rocentric" chromosomes). Chromosome 13 has a prominent satellite on the short arm. Chromosome 14 has a small satellite on the short arm. No satellite has been detected on chromosome 15. Group 16-18. Rather short chromosomes with approximately median (in chro- mosome 16) or sul>median centromeres. Group 19-20. Short chromosomes with ap- proximately median centromeres. Group 21-22. Very short, acrocentric chro- mosomes. Chromosome 21 has a satel- lite on its short arm. The Y chromo- some belongs to this group. Separations of the human chromosome pairs into the seven groups is not as difficult as designating the pairs within groups (Patau, 1960). The svstem is a notable ad- vance in summarizing visually the current information in the hope that availability of such a standard will promote further refine- ments, lessen misclassification, and contrib- ute to a better understanding of the problems by cytologists and other workers in the field. 1. Xuclear Chromatin, Sex Chromatin Sexual dimorphism in nuclei of man (Barr, 1949-59) and certain other mammals may be detected by the observable presence of nuclear chromatin adherent to the inner surfaces of the nuclear membrane. The ma- terial is about 1 /x in diameter. It frequently can be resolved into two components of equal size. It has an affinity for basic dyes and is Feulgen and methyl green positive. Nuclear chromatin can be recognized in 60 to 80 per cent of the somatic nuclei of fe- males and not more than 10 per cent of males. It is known to be identifiable in the females of man, monkey, cat, dog, mink, marten, ferret, raccoon, skunk, coyote, wolf, bear, fox, goat, deer, swine, cattle, and opossum, but is not easily usable for sex differentiation in rabbit and rodents be- cause these forms have multiple large par- ticles of chromatin in their nuclei. The tests can be made quickly and easily on skin biopsy material or oral smears. Extensive utilization of the presence or absence of nuclear chromatin in cell samples of man has been made for assigning the presumed genetic sex to individuals who are pheno- typically deviates from normal sex types. (See also chapters by Hampson and Hamp- son, and by Money.) Numerous studies on normal individuals seem to support the test's high accuracy. However, in certain cases involving sexual modification, ques- tions have arisen which are only now being resolved. In male pseudohermaphroditism, sex, determined by nuclear chromatin, is male, thus agreeing with the major aspects of the phenotype. For female pseudohermaph- roditism, individuals with adrenal hyper- plasia or those without adrenal hyperplasia give the female nuclear chromatin test. For cases listed as true hermaphrodites Grum- bach and Barr (1958) list 6 of the male type and 19 of the female type. For the syndrome of gonadal dysgenesis they list 90 as male and 12 as female among the proved cases and 15 more as female among those that are 56 BIOLOGIC BASIS OF SEX suspected. In the syndrome of seminiferous- tubule dysgenesis where there is tubular fibrosis, 9 are listed as male and 18 female. Where there is germinal aplasia, 15 are listed as male and 1 as female. The seeming difficulties in assigning a sex constitution to some of these types are now being dis- sipated through the study of the full chro- mosome complements which are responsible for these different disease conditions. As ob- servations on different chromosome types have been extended, evidence has accumu- lated to show that the numbers of sex nuclear chromatins, for at least some of the nuclei making up the organism, often equals (n — 1) times the number of X chromo- somes. The majority of male XY nuclei are chromatin negative as are most of the Tur- ner XO type. Female nuclei XX have a sin- gle chromatin positive element as do the XXY and XXYY types. The XXX and XXXY have 14 and 40 per cent respectively with two Barr bodies in cases for which quantitative data are available. However, a child with 49 chromosomes, but whose cul- tured cell chromosomes appear as single heteropycnotic masses making identification of the individual chromosomes difficult, showed 50 per cent of the cell nuclei with three Barr elements (Fraccaro and Lindsten, 1960) . The chromosome constitution of these nuclei was interpreted as trisomic for 8, 11, and sex chromosomes. Sandberg, Cross- white and Gordy (1960) report the case of a woman 21 years old having various somatic changes which does not fit this sequence. The chromosome number was 47 and the nuclei were considered trisomic for the sixth largest chromosome. Two chromatin positive bodies were ])rosent in the nuclei. 2. Chrotnosome Complement und Phenotijpe in Man Experience of the past 50 years has em- phasized that genes and trisomies or other types of aneuploid chromosome complexes may lead to the development of abnormal phenotypes expressing a variety of charac- teristics. Drosophila led the way in illustrat- ing how the different gene or chromosome arrangements may affect sex expression. In- vestigations of human abnormal types, par- ticularly those with altered sex differentia- tion, have reccntlv .^liown that man follow.-^ other species in this regard. The Y carries highly potent male influencing factors. Gene differences often lead to characteristic phe- notypes of unique form. 3. Testicular Feminization The testicular feminization syndrome il- lustrates one of these types. As described by Jacobs, Baikie, Court Brown, Forrest, Roy, Stewart and Lennox (1959), "In complete expression of this syndrome the external genitalia are female, pubic and axillary hair are absent or scanty, the habitus at puberty is typically female, and there is primary amenorrhoea. The testes can be found either within the abdomen, or in the inguinal canals, or in the labia majora, and as a rule the vagina is incompletely developed. An epididymis and vas deferens are commonly present on both sides, and there may be a rudimentary uterus and Fallopian tubes. The condition is familial and is transmitted through the maternal line." A sex-linked recessive, a sex-limited dominant, and chro- mosome irregularities of the affected per- sons have been postulated as mechanisms causing the apparent inheritance of this condition. Chromosome examinations of the cells of affected persons have shown 46 as the total number and X and Y as the sex complement. The karyotype analysis agrees with the Barr nuclear chromatin test in that the cells are chromatin-negative but both are at variance with the sex pheno- types in the sense that aside from sup- pressed testes the patients are so completely female. Genetically, Stewart (1959) has de- scribed two color-blind patients with the testicular feminization syndrome in the first five patients he reported. The limited data from these cases suggest that the genie basis for this condition is either independent or but loosely linked with color blindness. This evidence does not exclude sex-linkage but does make it less probable. The third hy- pothesis of autosomal inheritance may take one of several forms. A recessive gene which affects only the male phenotypes when in homozygous condition is apparently un- tenable because the matings from which these individuals come are of the outbreed- ing type and the ratios apparently do not differ from the one-to-one ratio expected of a heterozygous dominant instead of that re- FOUNDATIONS FOR SEX 57 quired for an autosomal recessive. The hy- pothesis advanced by Witschi, Nelson and Segal (1957), that the presence of an auto- somal gene in the mother converts all her male offspring into phenotypes of more or less female constitution, in a manner com- parable to that of the Ne gene in Dro- sophila (Gowen and Nelson, 1942) which causes the elimination of all the female type zygotes, is also made unlikely by the ratios of normal to testicular feminization pheno- types observed in the progenies of these affected mothers. The evidence favors a simple autosomal dominant, acting only in the male zygotes and perhaps balanced by some genes of the X chromosome, which have sufficient influence on the developing male zygote to guide it toward an inter- mediate to nearly female phenotype. The observations of Puck, Robinson and Tjio ( 1960) indicate that the action of a gene for this condition may not be entirely absent in the female, because in heterozygous con- dition in an XX individual it seemed to delay menarche as much as 8 years. If this delay be diagnostic for the heterozygote, it will further assist in the genetic analysis of this problem. Evidence on this point should be a part of the genetic studies. Cases closely similar to those described by Jacobs, Baikie, Court Brown, Forrest, Roy, Stewart and Lennox (1959) are presented by Sternberg and Kloepfer (1960). The patients show no trace of mas- culinity. They are remarkably uniform in anatomic expression. Except for failure to menstruate due to lack of uteri they un- dergo normal female puberty. Cryptorchid testes, usually intra-abdominal, if removed precipitate menopause symptoms. Four un- related cases were found in this one study with 7 additional cases traced through pedi- gree information. A total of 11 affected in- dividuals was found in 6 sibships having 26 siblings of whom 5 were normal males. In each kindred the inheritance was com- patible with that of a sex-linkecl recessive gene. A chromosomal study of a thyroid tissue culture from one case revealed 46 chromosomes with normal XY male con- figuration. The individuals observed were designated as ''simulant females." 4- Superfemale The human superfemale has been recog- nized by Jacobs, Baikie, Court Brown, Mac- Gregor, Maclean and Harnden (1959) in a girl of medium height and weight, breasts underdeveloped, genitalia infantile, vagina small, and uterocervical canal 6 cm. in length. Ovaries appeared postmenopausal with normal stroma, and as indicated by a biopsy specimen, deficient in follicle forma- tion. Menstruation was thought to have begun at age 14, but was irregular, occurring every 3 to 4 months and lasting 3 days. The last spontaneous menstruation was at 19. Estrogen therapy caused some development of the breasts and external genitalia, vagina, and uterus with slight uterine bleeding. The patient's parents were above 40 years of age, mother 41, at time of her daughter's birth. Examination of sternal marrow cultures showed 47 chromosomes in over 80 per cent of the cells examined. The extra chromo- some was the X, the chromosomal type being XXX plus 22 pairs of autosomes. Buccal smears showed 47 per cent of nuclei contained a single chromatin body and 14 per cent contained 2 chromatin bodies as expected of a multiple XX or XXX geno- type. In comparison, 25 smears from 20 nor- mal women had 36 to 51 per cent chromatin positive cells but none of these contained 2 chromatin bodies. Two chromatin bodies were seen in some cells of the ovarian stro- mal tissue. The patient showed a lack of vigor, mentally was subnormal, was under- developed rather than overly developed in the phenotypic sexual characteristics. Ex- amination of the patient's mother showed her to be XX plus 22 pairs of autosomes, the normal 46 chromosomes. Other cases show that types with XXX plus 22 pairs of autosomes are of female l)henotype but may vary in fertility and development of the secondary sexual char- acteristics from nonfunctional to functional females bearing children ( Stewart and San- derson, 1960; Eraser, Campbell, MacGilli- vray, Boyd and Lennox, 1960). The triplo X condition in man has a greater range of de- velopment and fertility than in Drosophila. In man ovaries may develop spontaneously. In Drosophila they require transplantation 58 BIOLOGIC BASIS OF SEX to a diploid female host where they may at- tach to the oviducts and release eggs for fertilization (Beadle and Ephrussi, 1937). These cases present confirmation of two facts already mentioned for Drosophila. They show that when the X chromosome has primarily sex determining genes, the organism generally becomes unbalanced when 3 of these X chromosomes are matched against two sets of autosomes. The re- sulting phenotypes are female but relatively undeveloped rather than overdeveloped. The second is that the connotations evoked by the prefix "super" are by no means ap- plicable to this human type or to the Dro- sophila type. The characteristics of the patient also suggest that the autosomes may be carrying sex genes opposing those of female tenden- cies as observed in both Drosophila and Rumex genie imbalance. 5. Klinefelter Syndrome In the Klinefelter syndrome there is male differentiation of the reproductive tracts with small firm descended testes. Meiotic or mitotic divisions are rare, sperm are ordi- narily not found in the semen. The type is eunuchoid in appearance with gyneco- mastia, high-pitched voice, and sparse fa- cial hair growth. Seminiferous tubules show- ing an increased number of interstitial cells are atrophic and hyalinized. Urinary excre- tion of pituitary gonadotrophins is generally increased, whereas the level of 17-keto- steroids may be decreased. The nuclear chromatin is typically female. Of the dozen or more cases studied (Jacobs and Strong, 1959; Ford, Jones, Miller, Mittwoch, Pen- rose, Ridler and Sha])iro, 1959; Bergman and Reitalu quoted by Ford, 1960), only one, having but 5 metaphase figures, had less than 47 chromosomes in the somatic cells and XXY sex chromosomes. That case was thought to have typical female chro- mosomes XX + 22 AA. Two other cases were of particular interest as indicating further chromosome aberration. Ford, Jones, Miller, Mittwoch, Penrose, Ridler and Shapiro (1959) studied one patient who displayed both the Klinefelter and Mongoloid syn- dromes. The chromosome number was 48, the sex chromosomes being XXY and the 48tli chromosoinc being small acrocentric. This individual had evidently developed from an egg carrying 2 chromosomal aberra- tions, one for the sex chromosomes and the second for one of the autosomes. The other case, Bergman and Reitalu as cited by Ford (1960), had 30 per cent of its cells with an additional acrocentric chromosome which had no close counterpart in the nor- mal set. Data where the Klinefelter syndrome oc- curs in families showing color blindness (Polani, Bishop, Ferguson-Smith, Lennox, Stewart and Prader, 1958; Nowakowski, Lenz and Parada, 1959; and Stern, 1959a) further test the XXY relationship and give information on the possible position of the color blindness locus with reference to the kinetochore. Polani, Bishop, Ferguson- Smith, Lennox, Stewart and Prader (1958) tested 72 sex chromatin-positive Klinefelter patients for their color vision and found that none was affected by red-green color blindness. Nowakowski, Lenz and Parada ( 1959) tested 34 cases and detected 3 af- fected persons, 2 of whom were deutera- nomalous and one protanopic. Stern (1959a) l^oints out that these cases and their ratios are compatible with the interpretation of the Klinefelter syndrome as XXY. One of the deuteranomalous cases had a deutera- nomalous mother and a father with normal color vision. This case could have originated from a nondisjunctional egg carrying 2 maternal X chromosomes fertilized by a sperm carrying a Y chromosome. The other two cases had normal fathers with hetero- zygous mothers. There are several explana- tions by which the color-blind Klinefelter progenies could be obtained. The hetero- zygotes might manifest the color-blind con- dition. The second hypothesis, which is favored, is that of crossing over between the kinetochore and the color-blind locus at the first meiotic division to form eggs each carrying 2 X chromosomes, one homozygous for color blindness, and the other for normal vision. An equational nondisjunction would form eggs homozygous for color blindness which on fertilization by the Y chromo- somes of the male would give the necessary XXY constitution for the color-blind male which is Klinefelter in phenotype. A third possibiHty is that these exceptions may arise without crossing over as the result of FOUNDATIONS FOR SEX 59 nondisjunction at the second meiotic divi- sion. If the hypothesis of crossing over is ac- cepted, the color-blind locus separates freely from its kinetochore and would suggest that the position of the locus is at some distance from the kinetochore of the X chromosome. A disturbed balance between the X and the Y chromosomes alters the sexual type. A single Y chromosome, contributing fac- tors important to male development, is able to alter the effects of two sets of female influencing X chromosomes. Yet two Y chromosomes in a complex of XXYY plus 44 autosomes seem to have little or no more influence than one Y (Muldal and Ockey, 1960). The locations of the sex-influencing genes in man are thus more like those of the plant Melandrium than of Drosophila in which the male-determining factors occur in the autosomes. The relative potencies of the male sex factors compared with those of the female, however, are much less than those in Melandrium. 6. Turner Syndrome Turner's syndrome or ovarian agenesis further substantiates the female influence of the X chromosomes. The cases occur as the developmental expression of accidents in the meiotic or mitotic divisions of the chro- mosomes. These accidents lead to adults unbalanced for the female tendencies of the X chromosome. The gonads consist of con- nective tissue. The rest of the reproductive tract is female. Growth stimuli of puberty are lacking, resulting in greatly reduced fe- male secondary sexual development. Pa- tients are noticeably short and may be ab- normal in bone growth. In its more extreme form, designated as Turner's syndrome, the individuals may show skin folds over the neck, congenital heart disease, and subnor- mal intellect, as well as other metabolic conditions. Earlier work (Barr, 1959; Ford, Jones, Polani, de Almeida and Briggs, 1959) shows that 80 per cent of the nu- clear chromatin patterns are of the male type. Evidence from families having both this condition and color blindness suggested that at least some of the Turner cases would be found to have 45 chromosomes, the sex chromosome being a lone X (Polani, Lessof and Bishop, 1956). Work of Ford, Jones, Polani, de Almeida and Briggs, (1959) has confirmed this hypothesis and added the fact that some of these individuals are also mosaics of cells having 45 and 46 chromo- somes. The 45 chromosome cells had but one X, whereas the 46 had two X's. This finding may explain the female-chromatin cell type observed in about 20 per cent of the cases having the Turner syndrome. Such mosaics of different chromosome cell types could also be significant in reducing the severity of the Turner syndrome and in increasing the range of symptoms which characterize this chromosome-caused disease as con- trasted with those characterizing Turner's disease. Further cases observed in other investigations, Fraccaro, Kaijser and Lind- sten (1959), Tjio, Puck and Robinson (1959), Harnden, and Jacobs and Stewart cited by Ford (1960) have all shown 45 chromosome cells and a single X chromo- some. As with the XXX plus 44 autosome super females, the Turner type, X plus 44 autosomes, also shows a rather wide range in development from sterility with extensive detrimental secondary effects to nearly nor- mal in all respects. Bahner, Schwarz, Harn- den, Jacobs, Hienz and Walter (1960) re- port a case which gave birth to a normal boy. Other cases have been described (Hof- fenberg, Jackson and jVIuller, 1957; Stewart, 19601 in which menstruation was estab- lished over a period of years. The XO type in man and Melandrium is morphologically female. In Drosophila on the other hand, the XO type is phenotypically nearly a perfect male. It is further to be noted that the X chromosome of Drosophila appears to have a less pronounced female bias than that of man when balanced against its as- sociated autosomes, inasmuch as the XO + 2A type in Drosophila is male as contrasted with the XO + 2A type in man which is female. At the same time it seems that the autosomes in the human may be influential in that the female gonadal development is suppressed instead of going to completion as it does in the XX type. 7. Hermaphrodites Hermaphroditic phenotypes in man, to the number of at least 74 (Overzier, 1955), have been observed and recorded since 1900. Types with a urogenital sinus pre- 60 BIOLOGIC BASIS OF SEX dominated. The uteri were absent in some cases, even when complete external female genitalia were present. Ovotestes were found on the right side of the body in over half the cases; separate left ovaries or testes were about equally frequent ; in three cases separate testis and ovary were indicated. The left side of the body showed a different distribution of gonad types; about one- fourth had ovotestes, another fourth ova- ries, and one-twelfth testes. Unilateral dis- tribution of gonad types was most frequent. The presence or absence of the prostate seemed to have significance because it is sometimes absent in purely female types. In recent literature similar cases have been called true hermaphrodites. This is an ex- aggeration in terms of long established practice in plants and animals where true hermaphroditism includes fully functioning gametes of each sex. Hungerford, Donnelly, Nowell and Beck (1959» have reported on a case of a Negro in which the culture cells had the chromo- some complement of a normal female 46, with XX sex chromosomes. Unfortunately, the possibility that this case may be a chro- mosome mosaic was not tested by karyo- type samples from several parts of the body. Harnden and Armstrong (1959) estab- lished separate skin cultures from both sides of the body of another hermaphroditic type. The majority of the cells were apparently of XX constitution with a total of 46 chromo- somes. However, in one of the 4 cultures established, some 7 per cent of cells had an abnormal chromosome present, suggesting that the case might involve a reciprocal translocation between chromosomes 3 and 4 when the chromosomes were ordered ac- cording to size. All the other cell nuclei were normal. The fact that the majority of the cells in these two cases were XX and with 46 chromosomes seems to predicate against the view that either changes in chromosome number or structure of the fertilized egg are necessary for the initiation of hermaplu'o- dites. Ferguson-Smith (1960) describes two cases of gynandromorphic type in which the reproductive organs on the left side were female and on the right side were male. The recognizable organs were Fallopian tube, ovary with primordial follicles only, imma- ture uterus in one case, none in the other, rudimentary prostate, small testis and epi- didymis, vas deferens, bifid scrotum, phal- lus, perineal urethra, pubic and axillary hair, breasts enlarging at 14 years. Testicu- lar development with hyperplasia of Leydig cells, germinal aplasia, and hyalinization of the tubules was suggestive of the Klinefelter syndrome. Nuclear-chromatin was positive in both cases. Modal chromosome number was 46. The sex chromosomes were inter- preted as XX. The 119 cell counts on one patient showed a rather wide range; 7 per cent had 44 chromosomes, 13 per cent had 45, 62 per cent had 46, and 18 per cent had 47 chromosomes. The extra chromosome within the cells containing 47 chromosomes was of medium size with submedian kineto- chore as generally observed for chromo- somes of group 3. It is surprising that the male differentia- tion in these four and other hermaphroditic cases (Table 1.5) is as complete as it is. Other observations show that the Y chro- mosome contains factors of strong male potency, yet in its absence the hermaphro- dites develop an easily recognized male system. It is not complete but the degree of gonadal differentiation is as great as that observed in the XXY 4- 2A Klinefelter types. The bilateral sex differentiation in hermaphrodites would seem to require other conditions than those heretofore considered. Another case of hermaphroditism is that presented by Hirschhorn, Decker and Cooper (1960). The patient's j:)henotype was intersexual with phallus, hypospadias, vagina, uterus. Fallopian tubes, two slightly differentiated gonads in the position of ova- ries. The child was 4 months old. Culture of bone marrow cells showed that the indi- vidual was a mosaic of two types. About 60 per cent of the cells had 45 chromosomes of XO karyotype, and 40 per cent had 46 chromosomes with a karyotA'^pe XY. The Y chromosome when present was larger than Y chromosomes of normal individuals. The change in size may be related to the association of the XO and XY cells and be similar etiologically to the case discussed by yivtz (1959) in Sciara triploids. There are mosaics in Drosophila formed from the loss by the female in some cells of one of lioi- X chromosomes, as for instance FOUNDATIONS FOR SEX 61 in ring chromosome types, which may dis- play primary and secondary hermaphroditic development. For this to happen the altered nuclei apparently find their way into the region of the egg cytoplasm which is to differentiate into the reproductive tract. As seen in the adults, organ tissue of one chro- mosome type is cell for cell sharply differ- entiated from that of the other chromosome type with regard to sex. These observations indicate that for these mosaics the basic chromosome structure of the cell itself determines its development. In fact most mosaics of this species show this cell-re- stricted differentiation. Several problems arise when these well tested observations are considered in comparison with those now arising in the chromosome mosaics of the sex types in man. It would seem unlikely that the bone marrow cells or for that matter any somatic cells not a part of the reproductive tract would operate to modify the adult sex or a part thereof. Rather the developmental secjuence should start from cell differences within the early developing reproductive tract. Circulatory cells or sub- stances would be of dubious direct signifi- cance from another viewpoint. All cells of the body would ultimately be about equally affected by any cells or elements circulating in the blood. With strong male elements and strong female elements the result ex- pected would be a reduction in sex develop- ment of either sex instead of the sharply differentiated organ systems which are ob- served. This raises the question, are the chromosomally differentiated cell sex mo- saics primary to or secondarily derived from the tissues of the ultimate hermaphro- dites? Study of the cell structure of the sex organs themselves as well as much other information will be necessary to clear up this problem. There are, however, other types of con- trolled sex development, as by various genes, which lead to the presence of both male and female sexual systems. Genes for these phenotypes are relatively rare, but once found are transmitted as commonly expected. The inherited hermaphroditic cases in Drosophila are certainly relevant to the testicular feminization syndrome in man. Are they equally pertinent to the highly sporadic hermaphroditic forms just considered for man? If so, they indicate a genie basis for these types which would probably be beyond the range of the micro- scope to detect. The low frequency of true hermaphrodites in the human, together with lack of information on possible inheritance mitigates against the genie explanation ; al- though genie predisposition acting in con- junction with rare environmental events as occurs in our Balb/Gw mice (Hollander, Go wen and Stadler, 1956 ) could explain the rare hermaphrodites observed in that par- ticular line of mice and a limited number of its descendants. 8. XX XY + U Autosome Type The XXXY -I- 44 autosome type in the human has been studied by Ferguson-Smith, Johnson and Handmaker (1960) and Ferguson-Smith, Johnston and Weinberg (1960). The two cases described were char- acterized by primary amentia, micro- orchidism and by two sex chromatin bodies in intermitotic nuclei. The patients were similar in having disproportionately long legs; facial, axillary, and abdominal hair scant; pubic hair present; penes and scrota medium to well developed ; small testes and prostates; vasa deferentia and epididymides normally developed on both sides of the body and no abnormally developed Miiller- ian derivatives. Testes findings were like those in Klinefelter cases with chromatin- positive nuclei, small testes with nearly complete atrophy, and hyalinization of seminiferous tubules and islands of abnor- mal and pigmented Leydig cells in the hyalinized areas. The few seminiferous tubules present were lined with Sertoli cells but were without germinal cells. Nuclear chromatin was of female type. About two- fifths of the nuclei had double and two- fifths single sex chromatin. The modal chro- mosome count for bone marrow cells was 48, 75 per cent of the cells having this number. Chromosome counts spread from 45 to 49. This type, XXXY plus 44 auto- somes, may be looked upon as a superfemale plus a Y or a Klinefelter plus an X chro- mosome. In either case the male potency of the genes in the Y chromosome is able to dominate the female tendencies of XXX to develop nearly complete male phenotypes. Both cases had severe mental defects but TABLE 1.5 Chromosome kinds and numbers for different recognized sex types in man External Type Male Female Female (rare he- mophilic) Eunuchoid female Female Female Female Female Female Female Male . Male. Male. Male. Male. Male . . . Female. Female . Female . Female . Male. Male. Hermaphrodite Hermaphrodite. Intersex Numbers of Chromosomes chromoso- il rearrange- 1 + X fragment 1 2 2 2 2 Interpreted a.s XX trisomic for Sand 11 or as XXXX 4X + Yl 3X+ Yj 1 3 3 2l /mosaic Missing or Extra Chromo- somes ? Chr mosome 3 orT(X;A) Small auto- some ? Large chromo- some or T(X;A) X or Y (X or Y) +21 46,47,48 cliromo- somes X, Y X or Y -fA set Sex Chromatm Negative Positive Negative Negative Positive Negative Positive Negative Negative Negative Negative Negative ± Negative Positive Positive Triple positi Negative Double posit Double posit Negative Double posit Negative Negative Negative Designating Term Normal male Normal female Pure gonadal dysgenesis CJonadal dysgenesis Testicular feiuinizati Turner Turner type female Tinner? gave birth to boy Turner Turner Klinefelter Klinefelter mongoloid Klinefelter Klinefelter Klinefelter Klinefelter Sujierfemale Superfemale gave birtli to children Testicular deficiency Precocious puberty Triploid Hermaphrodite or inter- sex dei)cnding on defini- tion Investigators* 2 3, 4, 5, 5, 12, 13, 14, 40, 41 41 16, 17, 18, 40, 41 19 40 23, 40 24, 25 41 26 29, 30, 31,. 32, 33 35, 39, 40 34 41 Tjio and Levan, 1956. Nilsson, Bergman, Reitalu and Waldenstrom, 1959. Harnden and Stewart, 1959. Stewart, 1960b. Stewart, 1960a. Elliott, Sandler and Rabinowitz, 1959. Jacobs, Baikie, Court Brown, Forrest, Roy, Stewart and Len- nox, 1959. Stewart, 1959 Lubs, Vilar and Bergenstal, 1959. Sternberg and Kloepfer, 1960. Puck, Robinson and Tjio, 1960. Ford, Jones, Polani, de Almeida and Briggs, 1959. Fraccaro, Kaijser and Lindsten, 1959. Fraccaro, Kaijser and Lindsten, 1960a. 15. Bahner, Schwarz, Harnden, Jacobs, Hienz and Walter, 1960. 16. Jacobs and Strong, 1959. 17. Bergman, Reitalu, Nowakowski and Lenz, 1960. 18. Nelson, Ferrari and Bottura, 1960. 19. Ford, Jones, Miller, Mittwoch, Penrose, Hidlor and Shapiro, 1959. 20. Ford, Polani, Briggs and Bishor), 1959. 21. Crooke and Hayward, 1960. 22. Muldal and Ockey, 1960. 23. Jacobs, Baikie, Court Broun, MacCJregor, Maclean and Harnden, 1959. 24. Eraser, Campbell, .MacCiillivray, Boyd and Lennox, 1960. 25. Stewart and Sanderson, 1960. 26. Jacobs, Harnden, Court Brown, Cohl.stein, Close, Mac- Gregor, Maclean and Strong, 1960. 62 FOUNDATIONS FOR SEX 63 27. Ferguson-Smith, Johnston and Handiiiaker, 196( 28. Book and Santesson, 1960. 29. Harnden and Armstrong, 1959. 30. Hungerford, Donnelly, Nowell and Beck, 1959. 31. Ferguson-Smith, Johnston and Weinberg, 1960. 32. deAssis, Epps, Bottura and Ferrari, 1960. 33. Gordon, O'Gorman, Dewhurst and Blank, 1960 34. Hirschhorn, Decker and Cooper, 1960. 35. Sasaki and Makino, 1960. 36. Bloise, Bottura, deAssis, and Ferrari, 1960, 37. Fraccaro, Kaijser and Lindsten, 1960c. 37a. Fraccaro and Lindsten, 1960. 38. Fraccaro, Ikkos, Lindsten, Luft and Kaijser, 1960. 39. Harnden, 1960. 40. Ferguson-Smith and Johnston, 1960. 41. Sandberg, Koepf, Crosswhite and Hauschka, 1960. 42. Hayward, 1960. it should be remembered that they were sought in institutions for which this is a criterion of admittance. Their mental abil- ity was distinctly less than that of Kline- felter XXY cases which have come under study. The pattern of the XXXY effects on the reproductive tract, however, was com- parable with that observed in the XXY genotypes. The effects of one Y chromosome were balanced by either two or three X chromosomes to give nearly equal pheno- typic effects. 9. XXY + 66 Autosome Type XXY + 66 autosome type was estab- lished by Book and Santesson (1960) for an infant boy having several somatic anom- alies which may or may not be relevant to the sex type. Externally the genitalia were normal for a male of his age, penis and scrotum with testes present in the scrotum. Again the Y chromosome demonstrates its male potencies over two X's even in the presence of three sets of autosomes. The case is of particular significance since fur- ther development may indicate what male potencies an extra set of autosomes may possess. 10. Summary of Types Other types of sex modifying chromo- somal combinations and their contained genes have been observed particularly as mosaics or as chromosomal fragments added or substracted from the normal genomes. No doubt other types will be discovered during the mushroom growth of this period. Time can only test the soundness of the observations for the field of human chro- mosomal genetics and cytology is difficult at best requiring special aptitudes and ex- perience. Mistakes, no doubt, will be made. The status of the subject is summarized in Table 1.5. 11. Types Unrelated to Sex Other cases not related to sex or only secondarily so were scrutinized during the course of these studies. The information gained from them is valuable as it strength- ens our respect for the mechanisms in- volved. The sex types which are dependent on loss or gain of the X and/or Y chromo- somes belong to the larger category of monosomies or trisomies. Numbers of auto- somal monosomic and trisomic syndromes have also been identified in the course of these investigations. Similarly, not all cases that have been studied have turned out to be associated with chromosomal changes. This in itself is important since it lends confidence in those that have, as well as redirects research effort toward the search for other causes than chromosomal mis- behavior. The first trisomic in man was identified through the study of Mongolism. The condition affects a number of primary characteristics but not those of sex, for males and females occur in about equal numbers. The broad spectrum of these ef- fects points to a loss of balance for an equally extensive group of genes in the two sexes. The common association of charac- teristics making up these Mongoloids, to- gether with their sporadic appearance and their change in frequency with maternal age, all suggest the findings which Lejeune, Gautier and Turpin (1959a, b) and Lejeune, Turi)in and Gautier (1959a, b) were able to demonstrate so successfully. They estab- lished that the tissue culture cells of Mongol- oid imbeciles had 47 chromosomes and that the extra chromosome was in the small acrocentric group. Lejeune, Gautier and Turpin (1959a, b) have now confirmed these observations on not less than nine cases. Jacobs, Baikie, Court Brown and Strong (1959), Book, Fraccaro and Lind- sten (1959) and Fraccaro (cited by Ford, 1960) as well as later observers have sub- stantiated the results on more than ten other cases. The well known maternal age effect, whereby women over 40 have a chance of having IMongoloid offspring 10 to 40 times as frequently as those of the younger ages, would seem to point to non- 64 BIOLOGIC BASIS OF SEX disjunction in oogenesis as the most im- portant cause of this condition. Some women who have had previous JMongoloid progeny have an increased risk of having others. This is an important consideration in that genetic factors may materially assist in bringing about nondisjunction in man as they are known to do in Drosophila (Gowen and Gowen, 1922; Gowen, 1928). The prod- ucts of the nondisjunctions approach those expected on random distribution of the chromosomes (Gowen, 1933) so that occa- sionally more than one type of chromosome disjunction will appear in a given indi- vidual. Such a case is that illustrated by Ford, Jones, Miller, Mittwoch, Penrose, R idler and Shapiro (1959) in which the nondisjunctional type included not only that for the chromosome important to Mon- golism but also the sex chromosomes sig- nificant in determining the Klinefelter condition. This individual showed 48 chro- mosomes, 22 pairs of normal autosomes, 3 sex chromosomes XXY, and a small acro- centric chromosome matching a pair of chromosomes, the 21st, within the smallest chromosomes of the human idiogram. The analysis of Mongolism showed the way for the separation of the various human sex types through chromosome analyses. Chromosome translocations furnish an- other means of establishing an anomaly that may then continue on an hereditary basis as either the male or female may transmit the rearranged chromosomes. Po- lani, Briggs, Ford, Clarke and Berg (1960), Fraccaro, Kaijser and Lindsten (1960b), Penrose, Ellis and Delhanty (1960) and Carter, Hamerton, Polani, Gunalp and Weller (1960) have studied Mongoloid cases which they interpreted in this manner. In some cases the rearranged chromosomes have been transmitted for three generations. Several of the translocations were con- sidered to include chromosomes 15 and 21. Another trisomic autosomal type was rc- ])ortcd by Patau, Smith, Therman, Inhorn and Wagner (1960). The patient was fe- male and had 47 chromosomes. The extra chromosome was a medium-sized acrocen- tric autosome belonging to the D group. Despite extensive malformations affecting several organs the patient lived more than a year. Another female iiortraying the same syndrome has since been found, so other cases may be expected. Among the charac- teristics are mental retardation, minor mo- tor seizures, deafness, apparent micro or anophthalmia, horizontal palmar creases, trigger thumbs, Polydactyly, cleft i)alate, and hemangiomata. The third trisomic type was also reported by Patau, Smith, Therman, Inhorn and Wagner (1960). Six individuals have been observed. The characters affected are men- tal retardation, hypertonicity (5 patients), small mandible, malformed ears, flexion of fingers, index finger overlaps third, big toe dorsiflexed (at least 4), hernia and/or dia- phragm eventration, heart anomaly (at least 4), and renal anomaly (3). The sexes were two males and four females. The ex- tra chromosome was in the E group and was diagnosed as number 18. Edwards, Harnden, Cameron, Crosse and Wolff (1960) have described a similar case but they consider the trisomic to be number 17. Ultimate com- parisons of these types no doubt will decide if this is a 4th trisomic or if all the cases belong in the same group. The Sturge-Weber syndrome apparently is caused by another trisomic. Locomotor and mental abilities are retarded. Hayward and Bower (1960) interpret the 3 chromo- somes responsible as the smallest autosomes, number 22, of the human group. Trisomic frequencies should be matched by equal numbers of monosomies. Turpin, Lejeune, Lafourcade and Gautier (1959) have reported polydysspondylism in a child with low intelligence, dwarfing, and multi- l)le malformations of spine and sella turcica. The somatic cell chromosome count was only 45 but one of the smallest acrocentric chromosomes appeared to have been trans- located, the greatest part of this chromo- some being observed on the short arm of one of the 3 longer acrocentric chromosomes. Th(> condition appears to be unique and not likely to be found in other unrelated fami- Vws. However, the phenotyj^ic effects were so severe that all members of the proband's family would seemingly be worthy of care- ful sur\'('y for their chromosome character- istics. The comi)lex pattern of multiple anom- alies renders each syndrome distinct from the otliei's. Chromosome losses or gains from FOUNDATIONS FOR SEX Go the normal diploid would be expected to lead to the complex changes. Mongolism is influenced by age of the mother and prob- ably to some extent by her inheritance. It is to be expected that the other trisomies may show parallel relations. Other trisomies may be expected although, as the chromo- somes increase in size, a group of them will have less opportunity to survive because of loss of balance with the rest of the diploid set. Thus far most of these conditions af- fect the sex phenotypes. This is in accord with the results in Drosophila. Changes in the balance of the X chromosomes are less often lethal than the gain or loss of an auto- some. Other animals show like effects. In plants, loss or gain of a chromosome, al- though generally detrimental, often causes less severe restrictions on life. Harmful ef- fects are observed but do not cause early deaths. This may be because many aneu- ploids are within what are presumably polyploid plant species. Ford (1960) has collected the data on 13 different phenotypes that could come under suspicion of chromosomal etiology as ex- amined by a number of workers. Careful cytologic examination of patients suffering from one or another of these diseases has shown that the idiograms were normal in both number and structure of the chromo- somes. The disease conditions were: acrocephalosyndactyly, arachnodactyly (Marfan's syndrome), chondrodystrophy, Crouzon's disease, epiloia, gargoylism, Gau- cher's disease, hypopituitary dwarfism, juvenile amaurotic idiocy, Laurence-Moon- Biedl syndrome. Little's disease, osteogene- sis imperfecta, phenylketonuria, and anen- cephalic types. To this list Sandberg, Koepf , Crosswhite and Hauschka (1960) have now been added neurofibromatosis, Lowe's syn- drome, and pseudohypoparathyroidism. F. SEX RATIO IN MAN Sex ratio studies on human and other ani- mal populations have always been large in volume. The period since 1938 is no excep- tion. Geissler's (1889) data on family sex ratios, containing more than four million births, have been reviewed and questions raised by several later analysts. Edwards (1958) has reanalyzed the clata from this population and considered these points and reviewed the problems in the light of the following questions: (1) Does the sex ratio vary between families of the same size? (2) Do parents capable of producing only uni- sexual families exist? (3) Can the residual deviations in tlie data be satisfactorily ex- plained? Probability analyses were based on Skellam's modified binomial distribution, a special case of the hypergeometrical. The following conclusions were drawn. The probability of a birth being male varies between families of the same size among a complete cross-section of this 19th century German population. There is no evidence for the existence of parents capable of pro- ducing only unisexual families. With the assumption that proportions of males vary within families, the apparent anomalies in the data appear to be explicable. These studies have a bearing on the variances ob- served in further work dealing with family differences such as that of Cohen and Glass ( 1959) on the relation of ABO blood groups to the sex ratio and that of Novitski and Kimball (1958) on birth order, parental age, and sex of offspring. Novitski and Kim- ball's data are of basic significance, for the interpretations are based on a large volume of material covering a one-year period in which improved statistical techniques were utilized in the data collection, in showing that within these data sex ratio variation showed relatively little dependence on age of mother, whereas it did show dependence on age of father, birth order, and inter- actions between them. These observations have direct bearing on the larger geographic differences observed in sex ratios as dis- cussed by Russell (1936) and have recently been brought to the fore through the studies of Kang and Cho (1959a, b). If these data stand the tests for biases, they are of signifi- cance in showing Korea to have one of the highest secondary sex ratios of any region, 113.5 males to 100 females, as contrasted with the American ratio of about 106 males to 100 females. Of similar interest is the lower rate of twin births, 0.7 per cent in Korea vs. about 1 per cent in Caucasian populations and the fact that nearly two- thirds of these tW'in births in Korean peoples are identical, whereas those in the Cauca- sian groups are only about half that num- ber. The reasons for these differences must 66 BIOLOGIC BASIS OF SEX lie in the relations of the human X and Y chromosomes and autosomes and the bal- ance of their contained genes. Little or nothing is known about how these factors operate in the given situations. Acknowledgment. In formulating and organizing the material on which this paper is based I have been fortunate in the helpful discussions and analytical advice contrib- uted so generously by Doctors H. L. Cai'son, K. W. Cooper, H. V. Grouse, C. W. Metz, S. B. Pipkin, W. C. Rothenbuhler, and H. D. Stalker, and others having primary research interests in this field. To them, and particu- larly to my research associates Doctors S. T. C. 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Microscopic observations of parthenogenetic embryonic tissues from virgin turkeys. J. Hered., 46, 133-134. YoKOYAMA, T. 1959. Silkworm Genetics Illus- trated. Tokyo: Japan Society for Promotion of Science. Zoschke, U. 1956. Untersuchungen iiber die Bestimmung des Geschlechtes beim Spinat unter besonderer Beriicksichtigung der Zuch- tung eines monozischen oder gleichzeitig schossenden Spinats. Ztschr. Pflanzenziicht., 35, 257-296. AL ROLE OF HORMONES IN THE DIFFERENTIATION OF SEX R. K. Burns, Ph.D., D.Sc. ihon.) CA.RNEGIE INSTITUTION OF WASHINGTON, DEPARTMENT OF EMBRYOLOGY, THE JOHNS HOPKINS UNIVERSITY, BALTIMORE, MARY'LAND I. The Hormone Theory of Sex Dif- ferentiation 76 II. Methods of Experimental Analy- sis 78 A. Grafting of Gonads or Gonad Tis- sues in Bird Embryos 78 B. Grafting Experiments in Amphib- ian Embrj'os 79 C. Use of Pure Hormones as Sex Dif- ferentiating Agents 82 D. Sex Differentiation in the Absence of Hormones 82 III. The Bisexual Organization of the IiIarly Embryo as the Basis of Sex Reversal 83 IV. Experimental Reversal of Sex Dif- ferentiation IN the Gonads 83 A. Bisexual Organization of the Gonad and the Physiologic Mechanism of Sex Differentiation 83 B. Sex Reversal in Amphibian Gonads 86 1. Constitutional differences and the character of the reversal process 80 2. Parabiosis and grafting of the gonad or the gonad primordium 87 3. Administration of steroid hor- mones 91 C. Sex Rkv'ersal in Avian (Ionads. 95 1. Organization of avian gonads. . . 95 2. Effects of administering pure hormones 9(i 3. Effects of grafting gonads into the coelomic cavity 99 4. Sex reversal in vitro 100 D. The Problem of Sex Reversal in Mammalian Gonads 100 1. Bisexual potentialities in the embryonic gonads of mammals 100 2. Bisexual potentiality in the em- bryonic ovary of the rat 103 3. Experimental transformation of the testis in the opossum. . . 105 V. The Role of Hormones in the De- velopment OF the Accessory Sex Structures 110 A. Differentiation of the Embryonic Gonaducts Ill 1. The Miillerian ducts 112 2. The male duct system 120 B. Derivatives of the Cloaca and Urinogenital Sinus 121 C. External Genital Structures 127 D. Differentiation of Other Types of Sex Character 129 VI. The Pituitary and the Differen- tiation OF Sex 132 VII. Group Differences in the Rela- tions OF Hormones to Sex 134 VIII. The Organization of the Sex Pri- mordium AND Its Role in the Dif- ferentiation OF Sex 137 A. Constitution and the Morphologic Representation of Sex Primordia 137 B. Constitutional Factors and Physi- ologic Differences in the Organi- zation of Sex Primordia 138 C. Influence of Sex Genotype on the Reactions of Sex Primordia 139 IX. The Time F'.^ctor in the Responses OF Sex Primordia: Receptivity and "Critical Periods" 140 X. Specificity of Hormone Action and the Significance of P.\radoxical Effects 141 XI. Time of Origin and the Source of (ioNAD HoR.MONES 143 XII. A Comparison of the Effects of Em- BRYt)Nic and Adult Hormones in Skx Differentiation 145 .\1I1. IvMBRYONic Hormones and Inductor Substances 148 XIV. References 151 I. The Hormone Theory of Sex Diflfereiitiation The modern era in the study of the pliys- iology of sex differentiation is iisually dated from the sohition of the freemartin iiroblem through the simultaneous but entirely inde- 76 HORMONES IN DIFFERENTIATION OF SEX pendent studies of Lillie (1916, 1917) and Keller and Tandler (1916). The theoretic explanation of the anomaly proposed by these authors was generally accepted and had two far-reaching effects ; it at once pro- vided a simple, functional concept of the na- ture of embryonic sex differentiation which was readily susceptible of experimental test, and it directly stimulated the pioneer ex- periments in the field — the attempt to con- trol sex differentiation in chick embryos by grafting gonad tissue to the chorioallantoic membrane (Minoura, 1921) and the appli- cation of the technique of parabiosis to the problem in amphibian embryos (Burns, 1924, 1925). However, as is usually the case with epoch-making theories, the concept of hormonal control of embryonic sex differen- tiation had roots going far back into the past. The effects of castration in domestic ani- mals and in humans had been familiar since earliest times, and it was long appreciated that in the vertebrates the gonads are neces- sary for maintaining the structural integrity of the accessory organs of reproduction and for the regulation of their functional acti^vi- ties. It was first clearly demonstrated by Berthold (1849) that this control is exer- cised through the agency of a substance (of a nature as yet unknown) produced in the gonads and carried throughout the body in the circulating blood (for the historical background of this experiment see Forbes, 1 949 ) . Thus the conception of a blood-borne agent capable of controlling the growth and activities of distant structures, was estab- lished long before the name hormone was given to such substances. The theory that the differentiation of the genital structures in the embryo is controlled by a hormone, or hormones, produced by the embryonic gonads was a natural outgrowth of this knowledge. This view was first proposed as an hypothesis by Bouin and Ancel in 1903, suggested by the observation of an unusu- ally rich interstitium in the testes of pig embryos during the period of sex differentia- tion. No direct evidence in support of the hypothesis was forthcoming, however, until the hormone theory, in virtually its present outlines, was formulated by Lillie and by Keller and Tandler as an explanation of the freemartin. The freemartin^ had been familiar to breeders of cattle for centuries as a sexually abnormal calf, born as twin to a normal male, and its anatomy had been accurately described by John Hunter in the eighteenth century (for references see Lillie, 1917). The external genitalia and mammary glands are typically female in character and the animal was usually regarded as a female, but in rare cases the clitoris may be greatly enlarged and peniform (Numan, 1843, see Lillie, 1917, Fig. 29; Buyse, 1936). Inter- nally, however, elements of the genital tracts of both sexes are present and frequently well developed, and later investigators were often in disagreement as to the primary sex of the creature. The gonads of the freemartin are rudimentary in form but usually show the histologic structure of an abnormal testis which is almost invariably sterile (for an exception see Hay, 1950, and also Hart, cited by Lillie, 1917, page 417). In many cases, however, the gonads are intersexual, showing varying degrees of agenesis of the ovarian cortex associated with rudimentary tubular structures in the medullary or hilar regions (Chapin, 1917; Willier, 1921). Com- monly a well developed male duct system is present, but the development of the fe- male genital tract is variable and in the more modified cases it may be virtually ab- sent. It is unnecessary to go into the various lines of evidence which were used to es- tablish the fact that the freemartin is zy- gotically a female (Lillie, 1917, 1923) ; the point has recently been demonstrated cyto- logically by the Barr method (Moore, Graham and Barr, 1957). It will be useful, however, to review the circumstances which pointed to the cause of the anomaly. A free- martin is always associated at birth with a male twin (which is normal) and never with another female; in addition, the dizygotic origin of the pair was demonstrated by Lillie in many cases. Furthermore, for the birth of a freemartin it is necessary that the placentas of the twins be united, with the presence of vascular anastomoses (Fig. 2.1). In the absence of such connections the fe- male twin is always normal. There is a cor- relation between the degree of abnormality ^ For a discussion of the origin of this name see Forbes (1946). 78 BIOLOGIC BASIS OF SEX Fig. 2.1. Twin calves removed fiom the uterus, showing chorionic fusion and anastomosis between major vessels; male twin, left; freemartin, right. (After F. R. Lillie, J. Exper. Zool., 23, 371-452, 1917). observed and the extent of the vascular union, and also with the stage of develop- ment at which the anastomosis was pre- sumably established. The constancy with which these conditions appear pointed in- evitably to the conclusion that the abnor- mal development of the female twin is caused by the transfusion, from an early stage of development, of a hormone pro- duced by the gonads of the male twin. The invariable dominance of the male member of the pair was explained provisionally on the basis of histologic studies (Lillie and Bascom, 1922; Bascom, 1923) which indi- cated that the testis is active endocrinologi- cally long before the ovary (rf. Bouin and Ancel, 1903). This conclusion has been sup- ported in recent years by the results of castration in mamnialian embryos (q.i\).- ■Reccnll_\' eNidciice lias come from (|uitc (hl- ferent sources that in most twins or muUiplc biilhs in cattle, placental anastomoses are established at an early stage. Calves, even when of different sex and with other characteristics indicating dizygotic or polyzygotic origin, possess identical comple- ments of l)lood factors (red cell agglutination types), which can only l)e explained on the basis of an early exchange of blood (Owen, Davis and Morgan, 1946). Since erythrocytes are compara- tively short-lived cells, it is indicated in these cases that in-imitive erythroblasts must have been ex- changed early in development and colonized the hemopoietic tissues of the recipients. It has been shown also (Anderson, Billingham, Lampson and Medawar, 1951) that diz3^gotic twin calves of dif- II. Methods of Experimental Analysis The demonstration in tlie case of the free- martin of the probable nature of the trans- forming agent and its mode of transmission at once suggested means of attacking the problem of embryonic sex differentiation ex- perimentally. At first grafting methods were mainly employed, using the embryos of birds and amjihibians. A. CRAFTING OF GONADS OR GONAD TISSUES IX BIRD EMBRYOS Historically, the first experiments were those of JNIinoura (1921) who trans})lanted pieces of adult testis or ovary to the chorio- allantois of chick embryos during the period of sex differentiation. Such grafts become vascularized and are then in communication witli the host embryo by way of the umbili- cal circulation. Various modifications of ferent sex are, with few exceptions, tolerant to grafts of each other's skin. Tliis is true of skin ex- changes in monozygotic twins (as would be ex- jiected) but is never found in other degrees of r(>hitionship. As in tlie preceding case, the ex- ])lanalion is found in an early transfusion of blood l)etwe(ni the twins. The exceptional cases are doubtless to be explained (as in the freemartin study) on the occasional failure of placental anas- tomosis to occur. This evidence is cited for its bearing on tlic point of early exchange of blood; tlie fact that blood cells and other elements are exchanged does not seem to be of significance for the sex hormone theory. HORMONES IX DIFFERENTIATION OF SEX f9 the embryonic genital structures of the host (especially of the Miillerian ducts) were noted and attributed to the influence of the grafted tissues. But later investigators failed to confirm these findings, and it was shown eventually that the anomalies observed by ]\Iinoura were unspecific in character and bore no constant relation to the sex of the grafted tissue (for a review and discussion see AVillier, 1939). Similar modifications were also found after transplantation of various nongonadal tissues, and are appar- ently induced by changes in the physical environment incidental to operation, such as lowering of the temperature and the hu- midity (Willier and Yuh, 1928). Evidently the original experiments had not been ade- quately controlled with respect to such fac- tors. Obviously this type of experiment does not correspond exactly with conditions in the freemartin. The grafted tissue came from adult gonads, and there was no way of determining the hormone output of such grafts or whether, indeed, they produced hormones at all. Furthermore, sexual dif- ferentiation in the host embryos has gen- erally begun before transplantation to the chorioallantois is practicable. This objection was avoided, however, by modifying the ex- l)eriment. Sexually undifferentiated embry- onic gonads were transplanted to the chorio- allantoic membrane of a host embryo already well advanced in sex differentiation. In this case changes might be anticipated in the grafts. However, this experiment, as well as transplantation of the gonad-form- ing region of the blastoderm (Willier, 1927, 1933), also gave negative results. The grafted gonads differentiated to a variable degree, depending on the state of develop- ment of the primordia at the time of trans- plantation, but when sexual differentiation occurred it showed no constant relation to the sex of the host. These failures to obtain evidence that gonad tissues growing on the chorioallantois influence the differentiation of host struc- tures, or are themselves modified by the hormones of the host, raised serious doubt as to the role of hormones in embryonic sex differentiation in birds ; and this feeling was not entirely removed by the demonstration some years later that the sexual differentia- tion of the chick can be readily modified by treatment with pure hormone preparations. It was not until embryonic gonads were transplanted directly into the body cavity of another embryo (Bradley, 1941 ; Wolff, 1946) that unmistakable evidence was ob- tained. The conditions under which this re- sult was achieved — close proximity of the graft to the developing host structures — suggested that the failure to obtain positive results by chorioallantoic grafting was per- haps largely a matter of the quantity or concentration of the hormone. Recently, however, a true "freemartin effect" has been reported in twin chicks of different sex, which developed from an egg with two yolks (Lutz and Lutz-Ostertag, 1958). There was local development of cortex on the left testis of the male twin, and a marked inhibi- tion of the ]Miillerian ducts of the female, effects paralleling those produced by in- tracoelomic gonad grafts. This is the only recorded case of a natural freemartin in birds. B. GR.\FTIXG EXPERIMENTS IX AMPHIBIAN EMBRYOS The principal experimental procedures de- veloped for amphibian embryos are illus- trated diagrammatically in Figure 2.2, which shows the different modes of grafting, and the resulting vascular relationships, as compared with the freemartin (Fig. 2.1). The first experiments actually undertook to reproduce as nearly as possible the situation which arises by chance in the freemartin. The method devised was parabiosis— the grafting together of two embryos in the manner of "Siamese twins" (Burns, 1925) so that in later development there is a common circulation (Figs. 2.2A and 2.9). When members of such a pair happen to be genetically of the same sex, normal sexual differentiation would be expected to follow; but in pairs of different sex opportunity for cross-circulation of sex hormones is pro- vided. Circulatory anastomosis is estab- lished in such pairs long before the begin- ning of sex differentiation in the gonads, and so a favorable situation is provided for testing the possibility of hormone action. The results obtained by this method vary 80 BIOLOGIC BASIS OF SEX A B C Fig. 2.2. Diagram illustrating different modes of grafting in amphibians in order to bring about vascular continuity between individuals, and association of gonads of different sex. A. Homoplastic twins in salamanders. The body cavities are largely separated and vascular com- munications between the gonads are remote. For combination of dissimilar species see Fig. 2.9B. B. Anuran twins, showing side-to-side or head-to-tail union; reversal changes appear only under the first condition, when the gonads are in close proximity. (After E. Witschi, in Sex mid Internal Secretions, The Williams & Wilkins Company, 1932). C. Orthotopic trans- plantation of the gonad primordium by the method illustrated in Fig. 2.4, resulting in two gonads of opposite sex resident in a single individual (Humphrej''s method). greatly, depending on the species under study and on various experimental condi- tions, as will appear later. The grafting of gonads alone (as opposed to the union of whole organisms) can be car- ried out in embryonic stages of development or in early larval life. The latter method was tried first. The gonads, attached to a segment of the mesonephric bodies, were re- moved from young larvae at or soon after the onset of sex differentiation and inserted into the body cavity of older larvae (Burns, 1928) . The development and activity of such grafts depends on the extent to which they become attached and vascularized. When graft and host are of different sex the grafts typically become intersexual, developing the structure of ovotestes; and when a large and well differentiated graft is in close proximity to the gonads of the host the latter may be similarly modified (Fig. 2.3). This method of grafting has the disadvantage, however, that reversal is usually incomplete, and when graft and host gonads show reciprocal modification it is sometimes difficult to de- termine the primary sex of either. The method described above was soon greatly improved upon by the development of a technique for transplanting, at an ear- lier stage, the prospective gonad-forming tissue from one embryo to another (Hum- phrey 1928a, b). At first such grafts were placed in ectopic locations, but later it was found advantageous to place them in the normal (orthotopic) position in an embryo from which the corresponding gonad pri- mordium had been excised (Fig. 2.4). After such an operation the host embryo bears on one side its own gonad and on the other a gonad which, in approximately half of all cases, has come from an embryo of the other sex (Fig. 2.2C). This method has im- portant advantages over those previously described. A single embryo bearing an or- thotopic graft survives better and is more easily reared tlian are parabiotic pairs, and gonads grafted in tlio orthotopic position usually develoj) better than in foreign sur- roundings. Most important of all, the donor embryo may be reared, thus establishing with certainty the original sex of the grafted gonad. This precise method has yielded un- HORMONES IN DIFFERENTIATION OF SEX 81 Fig. 2.3. Transplantation of the salamander gonad in early larval life (Burns, 1928): previously unpublished photographs. A. A large, but somewhat degenerate, grafted ovary lies just anterior to (above) the gonads of the host, which show changes in external form in the vicinity of the graft. B. Cross-section of host's right testis at the level of the white line, showing normal medullary development with well differentiated testis lobules, and periph- erally a strongly developed cortex. A B Fig. 2.4. Diagrams illustrating Humphrey's orthotopic transplantation method. A. Posi- tion of the gonad- and mesonephros-forming area of the embryo (stippled) which is excised and reimplanted in the corresponding position in a host embryo from which the primordium has just been removed. B. Cross-section of host at later stage showing position of the im- planted material (between heavy lines) at the left. In the mesodermal layer a part of the lateral mesoderm lies below, the gonad- and mesonephros-forming material above, with the Wolffian duct at the top. Medial to the Wolffian duct lies the mass of primordial germ cells (more densely stippled). 82 BIOLOGIC BASIS OF SEX equivocal results which have in general con- firmed and extended those obtained by para- biosis. C. USE OF PURE HORMONES AS SEX DIFFERENTIATING AGENTS Early attempts to influence embryonic sex differentiation by the use of crude hor- mone preparations were almost entirely un- successful because of lack of potency, or the toxicity of the extracts. However, the isolation and eventual synthesis of steroid hormones made available a variety of ac- tive and nontoxic substances, and the use of pure hormones largely superseded grafting techniques. Direct administration of stand- ard hormone preparations has the great ad- vantage that dosages can be exactly known and regulated; also the timing of treat- ments is readily controlled and varied. The first successful experiments using pure hormones were carried out on chick embryos. Similar results were obtained at almost the same time by several groups of investigators (Kozelka and Gallagher, 1934; Wolff and Ginglinger, 1935; Dantchakoff, 1935, 1936; Willier, Gallagher and Koch, 1935, 1937j who introduced the hormones, in oily or in aqueous solution, into the in- cubating egg. Striking transformations were produced, involving both the structure of the gonads and the accessory organs of sex. In the best cases reversal of the gonads was histologically almost complete. The effects of crystalline sex hormones have also been investigated in many species of amphibians. Two methods have been utilized. Larvae may be treated individually by repeated injections, or in groups by con- tinuous immersion, the hormone being dis- solved in the water in which the larvae are reared. The latter method is particularly convenient for anuran tadpoles. Treatment can be started very early, the concentration is readily varied, and in many cases com- plete transformations have been obtained with the use of extremely low concentra- tions. In mammalian embryos experimental study of sex differentiation was long delayed by the lack of operative techniques ade- quate for dealing with embryos in utero. The advent of pure hormones made possible the first successful experiments in this field. In i^lacental forms, in spite of a very high mortality, large doses of crystalline hor- mones can be administered to the mother during early stages of pregnane}" with pro- nounced effects on the genital systems of the embryos (for a review of the earlier experi- ments see Greene, 1942, and for a recent summary Jost, 1955) . About the same time, experiments were begun using the pouch young of a marsupial, the North American opossum (Burns, 1939a, b; Moore, 1941). So undeveloped are young marsupials at birth that virtually the entire course of morphologic sex differentiation takes place postnatally, and the embryos in the pouch are directly accessible for experimentation. Hormones were administered by injection (Burns) or by inunction, the application of an ointment containing the hormone to the skin. Except for minor differences attributa- ble to dosage or other experimental factors, the results were similar, and in general agreement with those obtained in placental mammals by treatment during pregnancy. D. SEX DIFFERENTIATION IN THE ABSENCE OF HORMONES Although the evidence obtained by graft- ing techniques and by administration of hormones shows that the differentiation of embryonic genital structures may be pro- foundly modified or even completely re- versed, such evidence is not in itself con- clusive with respect to the central problem, the role of hormones in the normal differ- entiation of sex. The transmissible sub- stances responsible for sex reversal in graft- ing experiments have not been isolated or identified and it may be argued that experi- ments with pure hormones show merely that the differentiating embryonic sex primordia are capable of reacting when hormones are introduced experimentally. Such evidence docs not prove, however, that embryonic gonads actually produce such hormones. For this question the crucial test is the capacity of the embryonic genital structure to de- velop in the absence of gonads or removed from all hormonal influence. Evidence on this point has been forth- coming in recent years and gives strong supi)ort to tiie hormone theory. Two differ- ent experimental approaches have been de- veloped. Early castration of the embryo has HORMONES IN DIFFERENTIATION OF SEX 83 now been achieved in both mammals and birds, and improved methods of culturing embryonic organs in vitro have made is pos- sible to observe for a sufficient time the de- velopment of sex primordia in complete physiologic isolation. Since 1947 castration has been success- fully performed in amniote embryos by two techniques, surgical castration and irradia- tion of the gonad region (for summaries see Jost, 1950; Wells, 1950; Raynaud, 1950; Wolff, 1950; Huijbers, 1951). In all cases serious failures of sexual differentiation fol- low removal or destruction of the gonads. Finally, the cultivation in vitro of indi- vidual sex primordia in virtual absence of hormonal influences has yielded results simi- lar in all respects to those of castration. The results of these experiments will be taken up in detail as they relate to the develop- ment of particular structures. in. The Bisexual Organization of the Early Enihryo as the Basis of Sex Reversal The capacity of vertebrate embryos to undergo a reversal of sex, either spontane- ously, as in various developmental anoma- lies of undetermined etiology ("intersexu- ality," "hermaphroditism"), or as a result of experiment, is based on the fact that every individual, regardless of genie sex constitu- tion, passes in early development through a sexually undifferentiated or ''indifferent" phase. During this period virtually all of the embryonic structures necessary for the development of either sex are laid down morphologically and are present for a cer- tain time as discrete 'primordia. The extent to which the primordia of the genetically recessive sex are developed and the length of time during which they are present vary in different groups and species. This fact is of great importance in the experi- mental transformation of sex. In species in which the structures of the recessive sex are imperfectly represented, or are present for only a brief period in early development, opportunity for sex reversal is correspond- ingly limited; but in other cases the rudi- mentary structures of the recessive sex (as for example Miillerian ducts in males or vestigial prostatic glands in females) per- sist indefinitely and mav even survive in the adults of some species. The existence of a considerable degree of embryonic bisexual- ity in most groups (see Fig. 2.22) provides a definite morphologic basis for experi- mental transformation of sex and for the sporadic occurrence of sex anomalies as well. The derivation of the various embryonic primordia which give rise to the male and female genital systems, and their history in the normal differentiation of sex, have been extensively reviewed by AVillier (1939) and will not be taken up again in detail. The main features of normal development will be outlined briefly when dealing with the experimental behavior of individual structures. It must be remembered, however, that the individual parts of the genital sys- tem have widely different embryonic origins, and are morphologically and physiologically very dissimilar, and at any particular stage of development may vary greatly in their relative maturity and so in their reactivity to hormones. Many of the basic structures (e.g., the embryonic sex ducts, the urino- genital sinus) are taken over bodily from other systems and only secondarily acquire a sexual status. It cannot be expected, there- fore, that all parts of the developing sex complex will be capable at all times of re- sponding harmoniously to experimental con- ditions which are often of necessity rigid and artificial or improperly timed. The rec- ognition of such differences aids in under- standing the variability so frequently en- countered in the reactions of sex structures to hormones, and the importance of such experimental factors as the timing of treat- ment and dosage. IV. Experimental Reversal of Sex Differentiation in the Gonads A. BISEXUAL ORGANIZATION OF THE GONAD AND THE PHYSIOLOGIC MECHANISM OF SEX DIFFERENTI.ATION The sexually undifferentiated gonads of most amphibians exhibit bisexual organiza- tion in a primitive and simple form. In early larval life the gonad, irrespective of its future sex, contains two histologically distinct components in which male and fe- male potentialities are segregated. Inter- nally, there is a hilar or centrally placed 84 BIOLOGIC BASIS OF SEX NDIFFERENT GONAD OVARY TtSTIS Fig. 2.5. Diagrammatic representation of the male and female components of the sexually un- differentiated amphibian gonad and their roles in sex differentiation: the medulla is stippled, the cortex is plain. The broken arrows indicate the mutually antagonistic or inhibitory actions exerted between the two components in the course of sex- ual differentiation (Witschi). mass, the medulla, which has the develop- mental potentiality of a testis. Surrounding the medulla is a peripheral zone, the cortex, which is specifically female in potency. The topographic relationships of medulla and cortex are illustrated diagrammatically in Figure 2.5, and as they appear histologically in male salamanders in Figure 2.QA and B. Male and female potentialities are evidently pre-established in the medullary and corti- cal components at an early stage since final differentiation as a testis or an ovary does not involve the transformation of one sex comj^onent into the other but rather the gradual predominance of one element and the recession of the other. Not only are the two components dis- tinctly segregated in the indifferent gonad, they have separate origins. It has long been recognized that the medulla in both sexes is derived from the mesonephric blastema in the form of a series of cellular strands, the medullary cords or rete cords, which grow into the genital ridge at an early stage. At first similar in appearance in the two sexes, their later differentiation follows very different patterns. In the ovary the cords expand distally, forming a series of saccular cavities, the ovarian sacs. Most of the germ cells are excluded from these sacs and come to lie in a peripheral layer beneath the peri- toneal epithelium covering the gonad. This zone becomes the cortex. In prospective testes the cords branch and proliferate rap- idly, enveloping and incorporating the ma- jority of the germ cells in a compact central mass, the medulla ( Fig. 2.6 ; for a fuller de- scription see Willier, 1939). Thus the rela- tive proportions of cortex and medulla in the sexes depend on the pattern of differen- FiG. 2.6. Sections showing the histologic appearance of cortex and medulla in early larval stages under various conditions. A. Normal testis of an Amby stoma tigrinum larva; note the thin cortical zone, comparable to a germinal epithelium, which covers most of the surface. B. The cortex of an intersexual testis dissected free from the medullary core, from the punc- tatum member of an Ambtjstoma tigrinum, 9 ; A. Punctatum, $ pair (c/. Burns, 1935, plate 4). C. Intersexual testis of the male member of a tigrinum-tigrinum pair, showing tl)e rela- tive development of the medullary and cortical components (see Burns, 1930). HORMONES IN DIFFERENTIATION OF SEX 85 tiation of the medullary cord, which results in a very unequal allocation of the germ cells between the two components. Prob- ably the sex genotype acts primarily by determining the developmental pattern of the medullary cord. The role of the germ cells in the formation of the gonad appears to be a purely passive one since the non- germinal tissues are capable of producing the typical structure of a testis or an ovary in the absence of all germinal elements (for a review of this subject see Burns, 1955b). The origin of the medullary component of the gonad from the mesonephric blastema and its dominant role in gonad formation has been demonstrated in a striking experi- ment by Houillon (1956). Formation of the gonad is dependent on the normal develop- ment of the mesonephros, and this can be repressed or entirely prevented by blocking the development of the primary nephric duct (pronephric ductj at an early stage. In the absence of the nephric duct the meso- nephric blastema is reduced in quantity and delayed in its appearance; typically only a few mesonephric tubules develop and these are poorly differentiated. In consequence of the suppression of the mesonephric blas- tema, medullary cords are lacking or poorly developed, and the result is a vestigial gonad consisting chiefly of a rudimentary cortex. The essential role of the medullary cords in gonadogenesis is also demonstrated in the gonads of toads (Witschi, 1933) in which the so-called "organ of Bidder" corresponds to an anterior segment of the genital ridge in which medullary cords are absent. The proportion of cortex to medulla as laid down in embryonic gonads depends primarily on genie constitution, but the stage of development is a factor in the rep- resentation of the two elements at any par- ticular time, since during the progress of sexual differentiation one component (cor- responding to the genetically determined sex) shows an increasing predominance from stage to stage. Furthermore, the morpho- logic representation of the two sex compo- nents in the indifferent gonad is subject to variation in different groups, species, or races. In some species the recessive com- ponent is weakly represented or virtually absent, even in early development, or when present its existence may be of brief dura- tion. In such cases capacity for sex reversal is reduced or lacking. In other species, in which the recessive sex component is well developed, or when it persists over a con- siderable period of time, capacity for ex- perimental reversal is correspondingly in- creased. The alternative behavior of the cortical and medullary components of the gonad in normal differentiation, as well as their be- havior under experimental conditions, long ago suggested that the physiologic mecha- nism of sex differentiation consists essen- tially of an antagonistic interaction between the two elements, in which the genetically dominant component gradually inhibits its antagonist (Fig. 2.5). This concept of "cor- ticomedullary antagonism" (Witschi, 1932) has been generally accepted as the basic mechanism in the histologic differentiation of the gonad and forms the starting point for the inductor theory of sex differentia- tion.^ A number of seemingly unrelated ex- perimental procedures which are capable of inducing sex reversal all appear to have a common base of action by influencing or controlling this simple mechanism. For ex- ample, sex reversal is in some cases readily induced by external or environmental influ- ences of an unspecific character, which ap- parently produce their effects by depressing or destroying the dominant gonad compo- nent. Classical experiments of this type are the ^ As originally formulated, this theory postulated simply that each gonad component produces a substance which specifically inhibits the differen- tiation of the other. These substances, called med- ullarin and corticin, were considered to be similar in character and to behave like the embryonic in- ductors of earlier development, being transmitted by diffusion and having strictly localized effects. Subsequently the theory was elaborated to allow for stimulatory as well as inhibitory action, with each inductor system assigned a dual role; ac- cordingly, positive and negative factors were as- sumed and so designated, e.g., medullarin* and medullarin'. More recently it has been proposed that interactions between the sex inductors are of the nature of an immunologic reaction (Chang and Witschi, 1956), the positive factor appearing first in the role of an antigen which stimulates the other system to produce an antibody, the inhibi- tory factor (for the development of the inductor theory see Witschi, 1934, 1939, 1942, 1950, 1957). To account for the great taxonomic variability in the action of the sex inductors thej' are assumed to be proteins. BIOLOGIC BASIS OF SEX use of extreme^; of temperature to induce reversal of differentiation in the gonads of anuran larvae (Witschi, 1929; Piquet, 1930; Uchida, 1937 1 . The reversal is due primarily to an unfavorable effect on the dominant component, high temperatures causing cor- tical degeneration in females and low tem- peratures inhibiting medullary development in males. Also, simple surgical interventions or even pathologic injury may have the same effect. Castration in certain cases re- sults in complete reversal of sex through the reactivation and renewed development of a recessive gonad component left behind at operation. In adult male toads removal of the testes permits the organs of Bidder to develop into ovaries, which may become fully functional (Ponse, 1924). A compara- ble case is found in the reversal of sex which takes place in female chicks castrated soon after hatching. Removal of the dominant left ovary is followed by development of the rudimentary right gonad, composed largely or entirely of medullary tissue, into a small testis. Finally, rare cases of partial or com- plete sex reversal in adult hens, which oc- cur as a result of pathologic destruction of the functional ovary, appear to have the same morphologic basis (Crew, 1923; for a discussion see Domm, 1939 1 . But although sex differentiation in most vertebrates ends in the complete dominance of one sex component, remarkable devia- tions from this plan are known in certain groups and species. An extreme is found in the prevalence of hermaphroditism, in vary- ing degree, in many teleost fishes and in cyclostomes (see ch. 17) which may be of the juvenile type and temporary, or may persist in adults. In toads the curious struc- ture known as Bidder's organ is present in adults of both sexes; it represents a local region of the genital ridge in wliich medul- lary cords are never formed and furtlier dif- ferentiation does not occur. Since it corre- sponds morphologically to the cortical component of the gonad it retains through- out life the potentiality of an ovary. This condition is apparently possible in toads because of the very low level of antagonism in this genus. Stranger still is the situation found in the female of certain insectivores (the mole, Godet, 1949, 1950; the desman, Peyre, 1952, 1955j in which the medulla of the adult ovary is testis-like and devel- oped to a remarkable degree. Except during the reproductive period it greatly exceeds the cortex in bulk. Its cords are tubular in form, resembling testis tubules, and a well developed interstitium indicates an endo- crine activity which is reflected in the strong masculinization of the genital tract. The clitoris is large and penis-like, and male ac- cessory glands, absent or rudimentary in the females of most mammals, are well devel- oped. Another species in which the ovarian medulla is highly developed, at least throughout fetal life, is the horse (Cole, Hart, Lyons and Catchpole, 1933). Thus many patterns are found with respect to the persistence of the heterotypic sex compo- nent of the ovary and its final fate. B. SEX REVERSAL IN AMPHIBIAN GONADS 1. Constitutional Differences and the Char- acter of the Reversal Process Modern amphibians, far from being a homogeneous group, are extremely diversi- fied in structure and function and are often highly specialized. Such diversification ob- viously has had a long evolutionary history. Correspondingly, the processes of sex re- versal as evoked experimentally in amphib- ian gonads, often follow very different histo- logic and physiologic patterns in different groups, species, or races. These differences must rest ultimately on genetic constitution ; more immediately they are predetermined, in labile fashion at least, in the structural and physiologic organization of the gonad primordium which is in itself a complex sys- tem. The organization of the early gonad may vary greatly (according to species and ac- cording to sex) with respect to the cortical and medullary elements as laid down histo- logically in the primordium — is the hetero- tyi:)ic sex component of the primordium well represented or is it quantitatively deficient fiom the beginning? The subsequent be- liavior of the heterotypic component is also important— does it jiersist and regress slowly over a considerable period of time or is its existence transient? Furtliermore. how does it react when the normal balance of the dif- HORMONES IN DIFFERENTIATION OF SEX 87 ferentiation process is experimentally dis- turbed — does it respond readily by growth and differentiation or is it relatively inert and refractory? In particular cases the ca- pacity of a gonad for reversal under experi- mental conditions obviously depends on which of the various situations prevails. An- other variable concerns the humoral activity of the gonad, as regards the time of onset and the factors of quantity or rate of pro- duction. Species differ widely in this respect and marked sex differences are also found. Presumably all such characteristics exist as predispositions within the gonad primor- dium, but they are not as a rule irreversibly determined. In addition the process of reversal, as seen histologically, may be influenced by experi- mental conditions such as the procedure em- ployed, the stage of development at which reversal is initiated and the duration of the experiment. If conditions are favorable at the beginning of sex differentiation, reversal may take place directly without leaving ob- vious histologic traces, i.e., an individual of one sex may adopt the developmental pat- tern of the other virtually from the start. If, on the other hand, transformation is not initiated until sex differentiation is well ad- vanced, various stages of intersexuality will appear in the transforming gonads, until one sex component finally establishes com- plete dominance and the other disappears. The first situation commonly occurs when larvae are reared in optimal concentrations of hormone dissolved in the aquarium wa- ter; exposure to the hormone is continuous from a stage long antedating the appearance of morphologic sex differentiation, and all embryos regardless of sex genotype develop as one sex. However, the same result may occur also in grafting experiments (parabio- sis or gonad transplantation) in which het- eroplastic combinations of different species assure decisive predominance of one sex from the beginning by virtue of great in- equality in size and in rate of development. The second situation is encountered when the conditions of the experiment do not lead to establishment of dominance at an early stage. Reversal sets in late, intersexual stages may be prolonged, and complete transformation mav never occur. 2. Parabiosis and Grajting of the Gonad or the Gonad Primordium Experiments of this kind involve the in- teraction of embryonic or larval gonads through the agency of substances of a hu- moral nature but of unknown chemical con- stitution. In some species, or under certain experimental conditions, the effects may be limited and highly localized, appearing only when the interacting gonads are in contact or in close proximity. Transport of the hu- moral agent takes place apparently by dif- fusion through the intervening tissues (Figs. 2.25 and 2.3 j . In other cases the effects are exerted over great distances and the sub- stances must of necessity be carried in the blood. This does not necessarily mean, how- ever, that different substances are involved in the two cases. As will be shown, hor- mones in low concentrations may have only local effects and, given a sufficient concen- tration in the blood stream, there is no rea- son to suppose that the so-called "inductor substances" could not act at a distance. The mode of transport does not seem to be cru- cial for the definition of these substances (for discussions see Willier, 1939, page 134, and Burns 1949, 1955b). In most species of amphibians which have been investigated the male is the dominant sex. In grafting experiments, whether the method is parabiosis or transplantation of embryonic gonads, testes as a rule induce sex reversal in ovaries without being greatly modified themselves. In some cases domi- nance of the testis is so extreme that no real reversal of the ovary occurs, only an almost complete suppression and sterility. This type of response is seen, for example, in parabiotic pairs of the wood frog (Witschi, 1927) and in the newt Triturus (Witschi and McCurdy, 1929), and is probably cor- related with a constitutional inadequacy of the medullary component in the embryonic ovaries of the species in question. In other species, on the other hand, a severe initial repression of the ovary is followed by a de- layed reversal, which may have a prolonged course but which eventuall}^ may be quite complete. In parabiotic pairs of certain spe- cies of Ambystoma (Fig. 2.7) there is a se- vere inhibition of the ovary before active transformation is initiated, and when rcver- 88 BIOLOGIC BASIS OF SFA' Fig. 2.7. An extreme degree of inhibition and reduction in certain regions of an ovary under the dominance of a well developed testis (Humphrey, 1942). A. Level showing sterile medulla above, with degenerate cortical zone below. B. Medulla with rete cord and a single germ cell above, small cortical remnant below. C. Region showing complete atrophy. (From Biological Symposia, Vol. IX, Jacques Cattell Press, Lancaster, Pa.) *^-V: •4 Fig. 2.8. Sections Uuoiifiii a tian.sforniing o\;ny in an older case. Tlir cortex is extremely reduced and the medidlary area is well differentiated as a testis. In B, except for the cortical renmant, the histologic picture is that of a normal testis of intermediate development, with well defined lobules (Humphrey, 1942; cf. Fig. 2.7). sal begins it may be confined to local re- gions of the ovary. Transformation may set in independently at several sites, resulting in localized masses of testicular tissue which are, however, histologically normal (Fig. 2.8). Ultimately all renmants of cortex dis- ai)i)ear and transformation is complete. Such individuals are capable of breeding as males (this depends on the new testis establishing proper connections with the duct system) HORMONES IX DIFFERENTIATION OF SEX 89 notwithstanding they have the genotype of the opposite sex (for a discussion see Hum- phrey, 1942). To insure invariable predominance of the ovary in sex reversal it is usually necessary to provide a marked advantage in size and rate of development in favor of the female. This can be done experimentally by resort- ing to heteroplastic combinations (Fig. 2.9). In parabiotic pairs composed of two species of very different size {e.g., Amhystoma ti- grinum-Amhy stoma maculatum) and with a corresponding difference in growth rate, when the members are of different sex the larger species is almost invariably domi- nant (Fig. 2.11; Burns, 1935). When the large partner is a female the ovaries are enormously larger than the testes of the male and are always normal. The testes in some cases undergo reversal almost from the beginning of differentiation, and toward metamorphosis are represented by very small ovaries which contain a few well de- veloped ovocytes. However, in most indi- viduals transformation sets in after consid- erable differentiation has occurred, the testis cords becoming hollowed out to form ovarial sacs (Fig. 2.11) while the cortex persists and grows rapidly. At metamorphosis males are either completely transformed or the process is far advanced. Complete transformation of this type has also been reported by Wits- chi (1937) in A. tigrinum-A. jefjersonianum pairs. A similar result is obtained when single gonad primordia are transplanted hetero- plastically by Humphrey's method (Fig. 2.4) . In individuals bearing gonads of differ- ent sex, when the ovary is of the larger spe- cies it is dominant regardless of whether it belongs to the host organism or was derived from the graft. Histologically the reversal process is the same as in parabiotic pairs (Humphrey, 1935a, b). For fuller discus- sions of species and racial differences as they affect physiologic sex dominance and the capacity of the gonads to undergo re- versal in different species see Witschi (1934, B Fig. 2.9. Heteroplastic combinations uniting diiierent species of salamander {Amhystoma tigrinum and A. punctatum) which differ greatly in eventual size and rate of growth. A. Ven- tral view of paired embryos just after operation, showing fusion in the cervical region (punc- tatum member at left). B. A pair after metamorphosis showing the great difference in size; the larger animal is the tigrimnii member. 90 BIOLOGIC BASIS OF SEX 1957). Humphrey (1942), and Gallien (1955). The progress of sex reversal, and the mechanism by which the transformation is effected, can be analyzed histologically only when it takes place as a secondary process, after a certain amount of sex differentiation has previously occurred. In this case both histologic components are distinctly repre- sented but the normally recessive compo- nent seeks to become dominant; ovaries become testes by regression of the differenti- ated cortex accompanied by growth and dif- ferentiation of the medullary element (Figs. 2.8 and 2.10), and testes are converted into ovaries by the reverse process (Figs. 2.6C and 2.11A-D). The mechanism is flexible, however, and there is much variability, even among individuals in the same experiment, with respect to the stage at which reversal sets in, its progress, and its final outcome. In some cases removal of the dominant go- nad after reversal is far advanced may be followed by a second reversal toward the original sex (Humphrey, 1942). However, transformation is not always a secondary process, set in action only after a certain amount of differentiation has al- ready occurred; as noted above, when the ciuantitative disparity between the interact- ing gonads is sufficiently marked reversal may proceed from the earliest stages of dif- ferentiation. In this case the term "reversal" is less apt since there were no previous his- tologic steps to be retraced. Transformation is indicated chiefly by the unbalanced sex ratios at the end of the experiment; but in certain cases it is confirmed by character- istic histologic peculiarities (Burns, 1935, Fig. 28; Witschi, 1937, Fig. 39). In the het- eroplastic grafting experiments of Hum- phrey, on the other hand, direct proof is available since in many cases the sex of the grafted gonad, although conforming with that of the host, differs from the sex of the donor animal which is reared to provide a direct control. Although primary reversal of sex differ- entiation, as described above, occurs more readily when a marked disparity in size leads to early dominance, it may also occur under conditions which greatly retard de- H^iH^ Fig. 2.10. Two views of an ovary of Atnbystoma tigrinuin uudcigoing reversal under the influence of the testes of a male partner. The cortical zone, witli characteristic early ovo- cytes, is still prominent; however, medullary development is i)roceeding and in tlie region rei^resonted in B, testis lobules are forming. (From l^ K. Buiiis, J. Exper. Zool., 55, 123-129, 1930; 60,339-387, 1931.) HORMONES IN DIFFERENTIATION OF SEX 91 ^*V^ .^v- _^' A S-.-' / V "-^~ .\:!^> Fig. 2.11. Stages in the transformation of testis to ovary in the male (punci.ii luii ) imni- ber of an Ambystorna tigrinum-A. punctatum pair, joined in heteroplastic parabiosis (Burns, 1935). yl to D show, at successive levels in the same gonad, the degeneration of the medulla by vacuolation of the rete canals and lobules, accompanied by persistence and growth of the cortex. E shows a section through one of the dominant and entirely normal tigrinum ovaries; a gross picture of these ovaries is seen in F. (From R. K. Burns, Anat. Rec, 63, 101-129, 1935.) velopinent and delay the beginning of sex differentiation. This appears to be the ease in the first parabiosis experiments (Burns, 1925) in which the method of joining inter- fered with feeding and resulted in a severe retardation of growth. Such pairs developed so slowly that sex differentiation was de- layed for weeks and in many cases for months. When it eventually took place members of a pair were almost invariably of the same sex (c/. Humphrey, 1932) al- though there was great variation in the size and stage of differentiation of the gonads. In this experiment the usual physiologic dominance of the male was also disturbed, male-male and female- female pairs appear- ing in nearly equal numbers.^ The manner ^ The author's interpretation of the results in this experiment has often been questioned by Witschi. However, all but a small part of this ma- terial was subsequently re-examined by Humphrey (1932) whose study confirmed the original conclu- sions except for minor details in\-olving at the most only eight pairs. In Humphrey's opinion there were certain histologic indications that these in which extremes of temperatures induce sex reversal in tadpoles through a differen- tial inhibitory effect on the medullary or the cortical component of the embryonic gonad has been referred to earlier. The above re- sult may have a similar physiologic basis if, under prolonged repression, the usually dominant male gonad should prove to be more susceptible to unfavorable conditions than the female. 3. Administration of Steroid Hormones Since sex hormones of adult type became available in pure form their effects on the differentiation of sex have been tested in many species of amphibia. They are readil}' administered in two ways, by injecting di- rectly into the body cavity or, in aqueous so- lution, by adding them to the water in which the larvae are reared. The results on the whole are striking; in certain species there pairs were originally heterosexual, although trans- formation had proceeded to the point where a com- plete reversal was imminent. 92 BIOLOGIC BASIS OF SEX is complete transformation of ovary to testis or of testis to ovary, and in some cases the transformed individuals have been proved functional and capable of breeding. In other si)ecies, however, negative, equivocal, and in many cases paradoxical results have been obtained by the use of the same substances. A hormone that completely transforms all individuals of the opposite sex in one species may have only a weak or impermanent ef- fect in another, or no effect at all in a third. Obviously the gonads of different species differ greatly in their responses to steroid hormones. There is also a correlation with sex. In some species the gonad of one sex undergoes reversal with relative ease whereas that of the other is difficult or im- possible to transform, although increased dosages are sometimes effective. In certain species in which the sex chromosome com- plex is known it is the homogametic sex that is readily reversible (Gallien, 1955). It is also clear that experimental conditions strongly influence the result. The time fac- tor, that is to say the stage of differentiation at which treatment is initiated, is obviously important; in general, the most complete transformations are obtained when the hor- mone has been present from the beginning of the differentiation process. Dosage is like- wise of great importance and the optimal dosage varies greatly from one species to another. A negative response at one dosage may become positive when the dosage is in- creased; on the other hand, strong "para- doxical effects" (stimulation of the charac- ters of one sex by the hormone of the other) are often encountered with high dosages which are absent at lower levels. At present it is not possible to give consistent explana- tions for all such contradictory results ; how- ever, better understanding is gained when they are classified into convenient cate- gories. The effects of male hormones on sex dif- ferentiation in frogs. On the whole, the most successful reversals obtained by the use of steroid hormones have been in frogs of the family Ranidae, of which some six species have now been studied with similar results. Both male and female hormones induce re- versal of sex in young tadpoles, but male hormones are more effective and far more consistent in their effects. In Rana tempo- raria treatment with testosterone propionate transforms all genie females into males. The transformation is complete and permanent; moreover, transformed individuals are capa- ble of functioning in their new capacity (Gallien, 1944). A similar transformation has been obtained in Rana sylvatica, a phe- nomenally low concentration of the hor- mone (1/500,000,000 parts dissolved in the aquarium water) inducing complete histo- logic transformation (Mintz, 1948). Com- parable results have been reported after use of the male hormone in several other species of this genus (Table 2.1). In the case of Rana catesbiana it was found necessary to "prime" the gonads by simultaneous treat- ment with gonadotrophin, otherwise they were unresponsive; when so treated, how- ever, complete transformation is obtained. The gonadotrophic substance alone initiates a precocious differentiation of sex but with- out any tendency to transformation, serving only to precipitate the normal differentia- tion process. Complete and permanent mas- culinization of females by testosterone pro- pionate has also been reported recently in a tree frog, Pseudacris (Witschi, Foote and Chang, 1958), and a virtual transformation at the age of metamorphosis in Rhacophonts (Iwasawa, 1958), indicating that other anu- ran families may resemble the Ranidae in their reactions to the male hormone. In marked contrast, male hormone is without effect on gonad differentiation in the toad (Chang, 1955). The effects of female hormones in the Ranidae. These are variable and less con- clusive. The results frequently depend on dosage and the effective dose may vary greatly in different species. Estradiol benzo- ate in weak doses has a slightly feminizing action in male tadpoles of Raiia temporaria (Gallien, 1941), but stronger doses produce complete feminization in an "undifferenti- ated race" (one in which sex differentiation of males occurs relatively late) of the same species, all tadpoles at metamorphosis be- ing females (Gallien, 1940, 1955) . It is note- worthy that in this case both genie constitu- tion (race) and the dosage of the hormone may be factors in the result. In other ranid species estradiol, administered in low dos- ages during the period of sex differentiation, has a completely feminizing effect ; at meta- HORMONES IN DIFFERENTIATION OF SEX 93 TABLE 2.1 The ejects of synthetic male and female sex hormones on the differentiation of the gonads in various species of amphibians. The cases listed are those in which a complete, or near complete, and histologically norma transformation was achieved by the age of metamorphosis. In some species the reversal wa permanent and functional. For details see text. ACTION OF MALE HORMONE ON FEMALES SPECIES INVESTIGATORS RESULT COMMENT RANA TEMPORARIA GALLIEN 1938, 1944 COMPLETE TRANSFORMATION PERMANENT AND FUNCTIONAL RANA SYLVATICA MINTZ 1948 COMPLETE TRANSFORMATION AT METAMORPHOSIS DOSAGE 1/500 000 000 IN ACQUARIUM WATER RANA PIPIENS FOOTE 1938 COMPLETE TRANSFORMATION- TREATMENT FOR 65 DAYS RANA CATESBIANA PUCKETT 1939, 1940 COMPLETE TRANSFORMATION AT METAMORPHOSIS ADMINISTERED WITH GONADOTROPIN RANA CLAMITANS MINTZ, FOOTE 8 WITSCHI 1945 COMPLETE TRANSFORMATION- TREATMENT FOR 95 DAYS SOME PRODUCED SPERM RANA AGILIS (DALMATINA) VANNINI 1941, PADOA 1947 COMPLETE TRANSFORMATION PSEUDACRIS NIGRITA WITSCHI, FOOTE 8 CHANG 1958 COMPLETE TRANSFORMATION EFFECT PERMANENT RHACOPHORUS SCHLEGELII IWASAWA 1958 TRANSFORMATION ALMOST COMPLETE AT THE AGE OF METAMORPHOSIS ACTION OF FEMALE HORMONE ON MALES PLEURODELES WALTLII GALLIEN 1954 COMPLETE TRANSFORMATION PERMANENT AND FUNCTIONAL XENOPUS LAEVIS GALLIEN 1953 COMPLETE TRANSFORMATION PERMANENT AND FUNCTIONAL RANA TEMPORARIA GALLIEN 1941, 1944 COMPLETE TRANSFORMATION EFFECT NOT PERMANENT RANA ESCULENTA PADOA 1938, 1942 COMPLETE TRANSFORMATION AT METAMORPHOSIS AT LOW DOSAGES ONLY RANA SYLVATICA WITSCHI 1952, 1953 COMPLETE TRANSFORMATION AT METAMORPHOSIS AT LOW DOSAGES ONLY RANA CATESBIANA PUCKETT 1939, 1940 COMPLETE TRANSFORMATION AT METAMORPHOSIS ADMINISTERED WITH GONADOTROPIN BUFO AMERICANUS CHANG 1955 COMPLETE TRANSFORMATION AT METAMORPHOSIS EFFECT NOT PERMANENT j morphosis all tadpoles are females (Table 2.1). This result has been reported in R. esculenta (Padoa, 1942), in R. sylvatica (Witschi, 1951, 1952, 1953), and Puckett (1939, 1940) obtained the same effect in R. catesbiana when a gonadotrophin was given simultaneously with the estrogen. However, such transformations, although histologi- cally complete, are not in all cases perma- nent (Gallien, 1955) ; moreover, the effects of high dosages of the same hormone may be quite different, as wdll be shown. For other species only partial transformations have been found, as in R. clamitans (jMintz, Foote and Witschi, 1945) and in R. pipiens (Foote, 1938). A similar type of incomplete transformation by the female hormone has recently been reported in the tree frog, Pseudacris (Witschi, Foote and Chang, 1958) , again suggesting that in their pattern of response to sex hormones the Hylidae re- semble the Ranidae. Various other anuran species have yielded divergent results. In the primitive frog, Xenopus laevis, complete and functional transformation of males is effected by an aqueous solution of estradiol benzoate (Gal- lien, 1953), and in the toad {Bufo ameri- canus, Chang, 1955) low doses of estradiol completely transform testes into ovaries although high doses have little effect. Fi- nally, in Discoglossus the effect of estradiol is purely feminizing but the transformation is incomplete, the males exhibiting all de- grees of intersexuality without obvious re- lation to dosage (Gallien, 1955). Paradoxical ejfects. Thus far emphasis has been placed chiefly on cases in which sex hormones have acted in a sex-specific manner, each type of hormone directly or indirectly promoting the development of structures of the appropriate sex, while in- hibiting or behaving in neutral fashion to- ward those of the other. Reference has been made more than once, however, to the fact that in other cases the effects are just the reverse of theoretical expectation and op- posed to the concept of hormones as specific 94 BIOLOGIC BASIS OF SEX sex-differentiating agents. Anomalous or paradoxical results of this kind have ap- peared in experiments with both types of hormone, and involve not only the gonads but other sex structures as well. Such a result was first reported by Padoa (1936) who found that a crystalline form of female hormone (Crystallovar) had a strong masculinizing effect on the sexual differen- tiation of tadpoles of Bana esculenta, all gonads developing as testes. This unex- pected result (the so-called "paradoxical effect") was confirmed by others and has been found to be usually associated with the use of high dosages. In the course of time it was shown in this and in two other spe- cies [Rana temporaria, Rana sijlvatica) that the same hormone (estradiol) may have diametrically opposite effects when administered in different dosages. As was emphasized earlier, low doses have a proper feminizing action, producing all female in- dividuals according to theoretical expecta- tion; with high dosages, on the contrary, only males are obtained, and at intermedi- ate levels all individuals become intersexual (Padoa, 1938, 1942; Gallien, 1941, 1955; Witschi, 1952, 1953). Indeed, identical amounts of the same substance may have opposite effects when different solvents are employed. Administered in oil the effect on the gonads is feminizing but in aqueous so- lution complete masculinization occurs (Gallien, 1941). This also would appear to be a dosage effect since in aqueous solution the rate of uptake is presumably much faster than in oil. There are no histologic indications in the above experiments as to how the paradoxical effect is mediated. But, although such effects are found in various ranid species, they do not occur in Dis- coglossus regardless of dosage, thus empha- sizing the importance of species differences in the phenomenon (Gallien, 1955). Male hormones also produce paradoxical effects on the gonads and, although the doses employed have generally been high, it again appears that the result often de- pends on the species tested. The same dose of the same substance may have opposite effects in different species. Testosterone or cthinyl-testostcrone in large doses have strong feminizing effects on the testes of the salamander Pleurodeles, whereas the devel- o])ment of the ovaries is retarded but other- wise unaffected, a typical paradoxical effect (Gallien, 1950, 1955). Ethinyl-testosterone has the same effect in Discoglossus, but in Rana temporaria this hormone has only the expected masculinizing action. Such differ- ences in response may arise from differences in sensitivity on the part of the gonads or gonad components; a dose which is rela- tively large for one species may not be so in the case of another. The effects of sex hormones in urodele am- phibians. In urodele amphibians the effects of sex hormones on the differentiation of the gonads are perhaps even more variable; however, as opposed to the situation in the Anura, it is the female hormones which are more effective in producing reversal than the male (Gallien, 1955). In only one in- stance, the newt Pleurodeles, has a func- tional transformation of sex been achieved (Gallien, 1954). In this species prolonged treatment with estradiol benzoate com- pletely reverses the differentiation of all males, some of which become capable of laying eggs. Varying degrees of transforma- tion have been reported in other urodele genera after shorter periods of treatment, in Amby stoma (Burns, 1938a; Ackart and Leavy, 1939; Foote, 1941) and in Hynobius (Hanaoka 1941a). There was great varia- tion in the timing of treatment and in the dosages employed in these experiments; the incomplete character of the reversal may be due in part to such factors, but the role of species variability must also be great. On the other hand the male hormone, in marked contrast to its dominating role in the Anura, has but a limited transforming action in Urodeles. Indeed, it frequently, but not always, produces paradoxical effects icf. Burns, 1939c; Foote, 1941; Bruner, 1952). In Pleurodeles, in which the males arc completely transformed by estradiol, the effect of testosterone is limited to a severe inhibition, which affects the gonads of both sexes but is more extreme in males (Gallien, 1955). Medullary development is almost completely suppressed, and after an interval of recovery the vestigial gonads give rise almost exclusively to rudimentary ovaries, a result mentioned pi'e\-i()usly in discussing paradoxical effects. In tliis case, however, there is clear histologic evidence as to how HORMONES IN DIFFERENTIATION OF SEX 95 the effect is mediated. Reversal is caused in- directly by a severe inhibition of mesoneph- ric development. Since the sex cords which give rise to the medulla of the testis are de- rived from the mesonephric blastema, in- hibition of this tissue prevents their forma- tion. In the absence of proper medullary development, the cortical rudiment of the testis eventually becomes active to produce an ovary. This, apparently, is another ex- ample of spontaneous differentiation of the heterotypic gonad component when released from domination. A summary of the effects of steroid hor- mones in am'phihians. Sex hormones of adult type, such as testosterone and estradiol, have effects which vary greatly in different taxonomic groups of amphibians and also according to experimental conditions, such as dosage, timing, and duration of treat- ment. In many species their effects are spe- cific to a degree, closely simulating the effects expected of natural hormones. Histo- logically complete and in some cases func- tional transformations of the gonads have been produced in a number of species, in- volving two orders and several families (Table 2.1). Nevertheless, in other species only partial or temporary reversals are ob- tained, and negative or even paradoxical re- sults have come from use of the same hor- mones. Constitutional differences between taxonomic units obviously underlie some of the conflicting results. Sex genotype is also involved, because in a particular species reversal may proceed easily in one direction whereas in the other it is difficult or im- possible to produce. Following in part Gal- lien (1955), the results may be tentatively grouped as follows: a. In the higher anurans of the family Ranidae, and perhaps also in the Hylidae, the male hormone induces complete, and in many species a permanent reversal of sex. The action of female hormones on the con- trary is highly variable; transformation may be incomplete or unstable, and with high dosages paradoxical or masculinizing effects often appear. On the other hand, loiv doses of the same hormone have in many cases proper feminizing effects in the same species. In one species (Rana catesbiana) complete reversal of sex in both directions has been obtained. b. In certain urodeles and lower anurans, female hormones induce a transformation of male gonads which may be complete and stable, as in Pleurodeles and Xenopus, or partial, as in Discoglossus and various spe- cies of Ambystoma. The extent to which partial reversals are attributable to particu- lar experimental conditions is uncertain. Male hormones in general are much less ef- fective, and are prone to induce a paradoxi- cal inhibition or a feminization of the testis. These effects have in some cases been shown to be mediated indirectly, through an in- hibition of nephrogenesis which suppresses the differentiation of the medullary sex cords. The paradoxical effects of female hor- mones, on the other hand, are in many cases a matter of high dosages; how such effects are exerted is unknown but the action is probably indirect. This point will be dis- cussed elsewhere in connection with the problem of paradoxical effects on other sex structures. C. SEX REVERSAL IN AVIAN GONADS 1. Orgariization of Avian Gonads In avian as in amphibian gonads a spe- cific morphologic basis for sex reversal ex- ists during early development in the form of medullary and cortical components which have the usual potentialities. In birds, how- ever, the situation is complicated by the peculiar lateral asymmetry which affects in some degree the entire genital system and which is especially pronounced in the fe- male of most species (Fig. 2.12). The sum- mary which follows is based primarily on the chick (for a fuller account see Willier, 1939). In the left embryonic ovary the pre- ponderance of the cortex is great, even in the early stages, whereas in the rudimentary right ovary the cortex is essentially absent, being briefly represented by a transient germinal epithelium which disappears even earlier than that of the testis (Wolff, 1948) . In fact, the right ovary virtually ceases to develop at a stage when only medullary tissue (primary sex cords) has been laid down. In the male the asymmetry is mor- phologically less marked but it is expressed nevertheless in the better development and longer survival of the germinal epithelium (potential cortex) on the left testis. These 96 BIOLOGIC BASIS OF SEX INDIFFERENT STAGE mwim hwwvm RIGHT GONAD LEFT GONAD EFFECTS OF ? HORMONE ON MALE EFFECTS OFd* HORMONE ON FEMALE i005mg Mlko.M Omg \l'^\i\i\i\llll/l/yf\ LEFT TESTIS IWA RIGHT OVARY LEFT OVARY Fig. 2.12. Diagrams sliowing lateral differences in gonad organization in the chick embryo with respect to the representation of cortical and medullary elements; and differences in reaction to sex hormones based on these differences. (After N. T. Spratt, Jr., and B. H. Willier, Tabulae Biologicae, 17, 1-23, 1939). Note the stronger representation of the cortical component in the left gonad in both sexes, and its influence on the responses of gonads to hormones in relation to dosage. For details see text. structural differences are correlated with different capacities for sex reversal under experimental conditions, as will appear.^ The experimental study of sex differentia- tion in birds has been limited largely to two domestic species, the chick and the duck. Histologic sex differences first appear in the gonads of these species around the seventh and the ninth days of incubation, respec- tively, but the future pattern of develop- ment is essentially determined much earlier. This is shown by the fact that when the sexually indifferent gonads of chicks are transplanted at the genital ridge stage to the choi'ioallantoic membrane of another em- bryo, they continue in most cases to develop independently, in accordance with genotype, giving rise to typical testes or ovaries, and in the case of gonads of female constitution to characteristic right or left ovaries as well ° The spontaneous reversal of sex that frequently follows removal of the dominant left ovary in the young female chick is an example, and the basis for this phenomenon lies in the predominantly medullary ciharacter of the rudimentary right ovary as described earlier. (Willier, 1933, 1939j. The same capacity for self-differentiation has been demon- strated under the more radical conditions of isolation. Histologically undifferentiated gonads of either species when cultured in vitro differentiate into testes, or into right and left ovaries of characteristic structure (Wolff and Haffen, 1952a). In some cases there is injury to the germinal tissue under culture conditions; the gonads may show a reduction in the number of germ cells, or in some cases complete sterility, but other- wise the structure is normal (Fig. 2.13). Duck gonads seem to be more hardy under conditions of culture than those of the chick, and in general show better growth and liisto- logic differentiation. 2. Effects of Administering Pure Hormones As noted earlier, sex reversal in the gon- ads of birds was not demonstrated experi- mentally until \)uve hormones became avail- able. The first successful experiments were those of Kozelka and Gallagher (1934) ; Wolff and Ginglingcr (1935) ; Willier, Gal- HORMONES IN DIFFERENTIATION OF SEX 97 Fig. 2.13. Histologic difYerentiation in the gonads of duck embryos developing in vitro, after isolation just at the beginning of sexual differentiation (Wolff and Haffen, 1952a). A. Normal form and histologic differentiation of the testis in comparison with an ovary develop- ing under the same conditions (B). C and D show, respectively, the structure of these gonads under higher magnification. (From Et. Wolff and K. Haffen, J. Exper. Zool., 119, 381-404, 1952.) lagher and Koch (1935, 1937) ; and Dant- chakoff (1935, 1936) who introduced steroid hormones into incubating eggs before the beginning of sex differentiation. The results vary in detail but are consistent in the main outlines; they may be stated briefly, follow- ing chiefly the reports of Willier, Gallagher and Koch and of Wolff and Ginglinger. Female hormones (estrone or estriol) do not significantly affect the differentiation of embryonic ovaries but testes are highly transformed. Because of the better develop- ment and longer survival of the germinal epithelium the left testis is more amenable to reversal than the right. Relatively low doses convert it into an ovotestis. The distal ends of the medullary cords become hol- lowed out into tubular structures like the medullary cords of the ovary (Fig. 2.14.4) ; at the same time a zone of cortex develops peripherally, arising as a proliferation of the germinal epithelium. A small, unchanged medullary mass usually persists at the hilus. But with larger doses even this may dis- appear and the cortex becomes much thicker. Such cases are practically indistinguishable from ovaries. The right testis, however, is more difficult to transform. In the above ex- periments it was not greatly modified at lower dosages ; even when the left testis was almost completely transformed into an ovary the right never entirely lost its tes- ticular character. Because of the poor de- velopment of the germinal epithelium its capacity to produce cortex is limited. How- ever, Wolff (1948) made a special study of the right gonad in both sexes, assuming that stimulation of the gonad at an earlier stage, before regression of the germinal epithelium can be detected in either sex, might reveal a greater capacity for cortical differentia- tion. To insure rapid action a water soluble form of the hormone was used. In this way a considerable differentiation of cortex was obtained. The importance of a persistent search for the proper experimental condi- tions is again demonstrated. Male hormones, on the other hand, are less effective in transforming the embryonic ovaries of birds. Again lateral differences in 98 BIOLOGIC BASIS OF SEX B^\^ Fig. 2.14. Hi.Ntolojiic m'X rraiisl'ormation in the te.sles uf cluck eiiil)iyu« lrcate(i with fe- male sex hormones. A. Ovotestis produced from a left testis by treatment with a dose of 0.2 mg. of estriol. Note the presence of a thick cortex peripherally, and the reduction of the testicular tissue to a hilar mass of medullary cords. The intervening highly vacuolated tissue is characteristic of ovarian medullary cords. B. Section through the cortex and medullary region of a left tcslis coinplolcl}- transfoinied into an ovary by a dose of 2.0 mg. of estrone. Note the thick cdilrx (aboxc) coxcicd \>y a liciniinal epithelium, and the loss of structure in the medullary ii'gioii Ixlow. (From B. H. W'illior, in Sex and Internal Secretio7is, 2nd ed., The Williams & Wilkins Co., 1939.) reaction are found due to the different liisto- logic constitution of the right and left pri- mordia, and the results also differ when different forms of the male hormone are em- ployed. After treatment with testosterone the cortex of the left ovary is reduced in thickness and shows degenerative changes; however, it does not entirely disappear. At the same time there is hypertrophy of the medulla and some of its cords acquire the solid structure of testis cords. The result is an ovotestis. Because of its predominantly medullary constitution the rudimentary right ovary is converted superficially into a testis-like gonad. The medullary mass hypertrophies and some of the cords arc transformed into testis cords. In general, larger amounts of hormone are required to transform ovaries than for the conversion of testes (for summaries see Willier, 1939; Wolff, 1950). After hatching there is a tend- ency for experimentally modified gonads to revert toward the original sex (Wolff, 1938) . Similar conditions of reversal have been produced in the embryonic gonads of ducks by hormone treatment (Lewis, 1946) . The problem of the jiaradoxical action of hormones presents itself again in the case of a^•ian gonads. Certain male hormones of ui'inary origin (androsterone, dehydro-an- drostcrone) have a marked feminizing ef- fect, like that produced by t'cnuile hormones. In relatively large doses both substances induce cortical differentiation in testes, es- pecially the left, which may be transformed into an" ovotestis (Willier, 1939; Wolff 1938). Other androgenic substances have like ef- fects, but again it has been shown that they ai-e not jiroduced by low dosages. However, as the concentration of the hormone is raised HORMONES IX DIFFERENTIATION OF SEX 99 the degree of intersexiiality and the number of intersexual gonads steadily increase (Wolff, Strudel and Wolff, 1948). Since various accessory sex structures also show paradoxical reactions the problem will ap- pear again. 3. Effects of Grafting Gonads into the Coe- lomic Cavity The demonstration that steroid sex hor- mones are capable of inducing sex trans- formation in avian gonads led to a reinvesti- gation of earlier failures to obtain reversal by means of chorioallantoic grafting. Even- tually it was shown that the difficulty was largely a matter of the method. When gonad primordia are transplanted directly into the coelomic cavity of a host embryo of different sex, varying degrees of transformation, or even a virtual reversal, are obtained. The first experiments of this type were only a partial success (Bradley, 1941). Em- bryonic gonads of the chick and the duck, isolated at 96 to 120 hours of incubation, were inserted into the body cavity of host embryos through a small slit in the somato- pleure, using both homoplastic and hetero- plastic host-graft coml)inations. In the case of the chick, host embryos were always con- siderably younger than donors. In all cases the grafts underwent primary sex differenti- ation in accordance with genotype, and only a small minority showed specific modifica- tions. The results were rather inconclusive because in no case were the changes of a conspicuous character, and there was great variability in the growth and differentiation of the grafts, making it difficult to assess the significance of the modifications. In some cases changes of the same type ap- peared in the gonads of the host embryo. The modifications noted by Bradley fall into three main classes. (1) Vacuolation of the medullary cords of testes growing in fe- male hosts (in a few cases) caused them to resemble the hollow medullary cords of ovaries. (2) In some cases ovaries growing in male hosts developed solid medullary cords of male type. (3) Rudimentary right ovaries (always testis-like in character) had a tendency to become enlarged when grow- ing in male hosts. A similar effect was some- times seen in the right ovaries of hosts bear- ing testis grafts. No ready explanation was available for the inconstant occurrence of these effects or for their quantitative varia- bility, because no clear correlation was found between the degree of modification and the relative proximity of the interacting gonads. Finally, similar changes appeared in a few cases when the host-graft combina- tions involved the same sex; consequently the specific character of the modifications was left in doubt. The matter was clarified by the experi- ments of Wolff (1946) who used a modifica- tion of the method with better results. Grafts taken from older embryos (6 to 11 days) were implanted into hosts of about 50 hours of incubation. Under these conditions a striking transformation of gonad differentia- tion was obtained in the host, and in addi- tion the developing gonaducts [q.v.) were strongly modified. Ovaries grafted into male hosts induced differentiation of cortex on the left testis to such an extent that it some- times approached the structure of an ovary. The right testis (which was usually more distant from the graft) was less modified but its growth was inhibited. On the con- trary, implantation of a testis in the same manner produced no important effect on the differentiation of the ovaries of the host but the development of the Miillerian duct was strongly inhibited indicating that the graft is endocrinologically active. In their histo- logic character the effects of gonad grafts are similar to those produced by crystalline hormones, differing only, as a rule, in being more localized in relation to the position of the graft. The demonstration in this experi- ment that, physiologically, the ovary is the dominant gonad in birds is consistent with the earlier observation that relatively larger doses of pure hormones are required for the transformation of ovaries than for testes. These positive results after so many fail- ures suggested that the ineffectiveness of chorioallantoic grafts in the earlier experi- ments was possibly a matter of hormone production, failure of the graft to maintain a sufficient level of the hormone in the blood. This view is substantiated by the later ex- periments of Huijbers (1951) who showed that multiple grafts of well differentiated testes on the chorioallantois have marked 100 BIOLOGIC BASIS OF SEX effects on the accessory sex structures of the host, similar to those induced by intra-em- bryonic grafts. 4. Sex Reversal in Vitro More recently the technique of culture in vitro has been employed by Wolff and his collaborators with great success to study the development of embryonic gonads, and it has been possible to produce typical reversal of sex differentiation in vitro by two meth- ods. Prospective ovary and testis of the chick or duck, isolated at the very beginning of sex differentiation and placed in close contact in the culture dish,^ become firmly fused, facilitating the transmission of hu- moral influences. As in the case of gonad grafts in the coelomic cavity, the ovary un- der such conditions proves to be the domi- nant gonad (Wolff and Haffen, 1952b). It readily induces cortical differentiation on the testis, which becomes an ovotestis, and may even approximate closely the structure of a normal ovary of the same age (Fig. 2.15). The same type of transformation oc- curs in testes after introduction of estradiol benzoate into the culture medium. With respect to the histologic character of the reversal process, the resemblances be- tween the effects of gonad grafts implanted in the body cavity, crystalline hormones in- jected into the whole organism, and the re- sults of the same procedures applied to iso- lated gonad primordia in vitro are extremely close. The in vitro studies demon- strate again the autonomous character of the differentiation process, and its flexibility in the presence of extraneous hormones is shown to be independent of the organism as a whole. Hormones in vitro evidently act directly on the gonad mechanism. 1). TIIK PROBLEM OF SEX REVERSAL IN MAMM.\LIAN GONADS 1. Bisexual Potentialities in the Emhrijoiiic Gonads of Mam^nals In marked contrast with the striking ef- fects of steroid sex hormones on the differ- entiation of the gonads of birds and various " Combinations of gonads in the culture dish must initially be made at random but the other gonad of each donor is cultured separately in order to establish its sex. species of amphibians has been the failure thus far to ol)tain comparable effects in mammalian embryos with the exception of a single species, the North American opos- sum, a marsupial. Essentially negative re- sults have been reported for a number of species of placental mammal, in which preg- nant females were treated with relatively large dosages of sex hormones during the period of sex differentiation. Experiments of this type were carried out in the rat by Greene, Burrill and Ivy (Greene, 1942), and in the guinea pig (Dantchakoff, 1936, 1937), the mouse (Turner, 1939, 1940; Raynaud, 1942j , the rabbit (Jost, 1947 a) , the hamster (Bruner and Witschi, 1946; White, 1949), and the monkey (Wells and van Wagenen, 1954). With the single exception of the opossum (to be described later) the modi- fications induced are minor in character and are of three types: (1) a general retardation of growth and development of the gonads, without obvious signs of sex reversal, which occurs in both ovaries and testes and may be produced by either type of sex hormone;'^ (2) a variable degree of hypertrophy of the medullary elements of ovaries after treat- ment with male hormone, reported in only a few cases (Dantchakoff, 1939; Jost, 1947a; Wells and van Wagenen, 1954) ; and (3) the occasional persistence of localized patches of germinal epithelium on the surface of well differentiated testes, a condition which sometimes appears after treatment with either type of sex hormone. IVIinor changes of this character have not generally been accepted as convincing evidence of sex re- versal. Notwithstanding this array of negative findings, the failure of the embryonic gon- ads of placental mammals to respond defi- nitely to sex hormones can hardly be at- tributed to an inherent lack of bisexual potentiality. During the early stages of their development they show, histologically, the same evidences of bisexual structure as the gonads of other vertebrates, although typi- cally the bisexual phase is of relatively brief duration and the recessive sex com- " This effect is of common occurrence and is best explained as a depression of the gonadotrophic function of the anterior pituitary, a mechanism whicli is well established in adult organisms (Moore and Price, 1932). HORMONES IX DIFFERENTIATION OF SEX 101 .»■ c'tMi Fig. 2.15. Sex transformation in the testis of the duck, isolated in vitro at the beginning of sexual differentiation and cultured in close contact with an embryonic ovary (Wolff and Haffen, 1952b). A. The ovary of such a combination, showing the thick covering germinal epithelium and the vacuolated condition of the medullary region. This young ovary is es- sentially normal in structure. B. Intersexual condition induced in the testis under the in- fluence of the ovary. The heavy germinal epithelium representing the cortex is as well developed as in a normal ovary ; the meduUaiy region retains largely the compact structure of a testis, but signs of vacuolation are appearing. This gonad is an ovotestis. C and D represent, respectively, the ovary and the completeh' transformed testis in another experi- ment. The two gonads in this case show almost identical structure, featuring the thick cortex and vacuolated medulla of an ovary. In these experiments the other testis, cultured alone, developed normal testicular structure. (From Et. Wolff and K. Haffen, Arch. x\nat. microscop. et Morphol. exper., 41, 184-207, 1952.) 102 BIOLOGIC BASIS OF SEX Primary sex cords Rete cords Germinal epithelium A Germinal epithelium Medullary cords (primary sex cords) Cortical cords ^Germinal epithelium (secondary sex cords) Fig. 2.16. Diagrams illustrating schematically the main features of gonad differentiation in amniote embryos with reference to the origin of the medullary and cortical components. A. Origin of the primary sex cords (medullary cords) from the germinal epithelium. B. Gonad at the indifferent stage of sexual differentiation ; the well developed primary sex cords i-epresent the male or medullary component, whereas the germinal epithelium represents, potentially, the cortical component. C. Differentiation of a testis consists in the further development of the primary sex cords, and the reduction of the germinal epithelium to a thin, serous membrane, accompanied by development of the tunica albuginea. D. Differen- tiation of an ovary consists in reduction of the primary sex cords to medullary cords of the ovary, whereas the cortex is formed by continued development of cortical cords from the germinal epithelium. poneiit is often weakly represented (Fig. 2.16). In the ovary, medullary cords repre- senting the male component are present but tend to become vestigial in most species.^ In the embryonic testis the germinal epi- '^ Notable exceptions should bo mentioned in the case of certain species such as the mole (Godet, 1950) and the desman or "water shrew" (Peyre, 1955) in which, as a normal condition, the ovarian medulla is so strongly developed as to resemble a testis, and so active physiologically as to pro- duce strong masculinization of many parts of the genital tract. A somewhat similar development and hypertrophy of the medullary component also occurs in the fetal ovary of the horse (for the lit- erature on this unusual condition see Cole, Hart, Lyons and Catchpole, 1933; Parkes, 1954). thclium usually disapi)ears early, and with its involution the potentiality for cortical development is permanently lost. On the other hand, hermaphroditismus verus not in- fi'ec|iu>ntly occurs as a developmental anom- aly iu many mammalian species (including man), indicating the existence of a basic bipotentiality. As an example, an extensive literature dealing with this subject in ro- dents has recently been summarized by Hol- lander, Gowen and Stadler (1956) and Kirk- man (1958). Also it must be remembered that the classsical example of an embryonic gonad transformed by the action of a sex hormone is found in the freemartin. In some HORMONES IX DIFFERENTIATION OF SEX 103 freemartin gonads morphologic transforma- tion may be extreme, although the resulting testis-like structure is histologically abnor- mal and is almost invariably sterile (Wil- lier, 1921 ).» 2. Bisexual Potentiality in the Embryonic Ovary of the Rat One of the best known cases illustrating a well marked capacity for bisexual differ- entiation in a mammalian gonad is provided by the embryonic ovary of the rat. The gon- ads of rat embryos have been isolated at various stages, both before and during the period of histologic differentiation, and transplanted to various locations in adult hosts of both sexes, normal and castrate, beneath the capsule of the kidney (Buyse, 1935; Mclntyre, 1956), subcutaneously (Moore and Price, 1942), to the omentum (Holyoke, 1949) and into the anterior cham- ber of the eye (Torrey, 1950). In general, differentiation of the transplanted gonad proceeds without reference to the sex or the hormonal status of the host (certain minor exceptions will be noted later) ; however, there is a great difference in the behavior of testis and ovary after transplantation with respect to their capacity for autonomous differentiation. There is virtual agreement among all investigators that the testis pri- mordium from the beginning of its develop- ment possesses a remarkably stable organi- zation, and develops more or less normally in the various foreign environments, even when isolated before the beginning of histo- logic sex differentiation.^*^ The case of the ovary is entirely different; its organization appears to be extremely labile and it is in- capable of fully autonomous development until a relatively late stage of differentia- tion, after a well formed cortex is present. Before this stage (w^iich according to Tor- rey is reached about the 17th day of devel- opment) ovaries in a high percentage of cases either do not develop at all, or are ^ For an important exception in which a free- martin testis is well supphed with germ cells and essentially normal in appearance see Hay (1950). " Torrey considers that the self-differentiating capacity of the testis probably dates from the lay- ing down of the early gonadal blastema, i.e., the material of the primary sex cords, which occurs as early as the eleventh day of development. prone to undergo spontaneous reversal, due apparently to incapacity of the prospective cortical component to develop effectively in abnormal tissue environments. On the other hand, the medullary component of the trans- planted ovary suffers no such handicap and frequently assumes the lead in development. The embryonic ovary of the rat thus pro- vides a flexible system for the study of the morphogenetic capabilities of the cortical and medullary components at different stages of development and under different experimental conditions. When transplanted early in development prospective ovaries may give rise (Buyse, 1935) to structures of four types: (1) poorly developed grafts of indeterminate sex, (2) atypical ovaries of retarded development, (3) ovotestes in which both sex components are readily identifiable, and (4) rudimen- tary testes. As a group, ovaries are ad- versely affected by transplantation. Some fail entirely to develop the specific struc- ture of gonads (type 1, above) and those that do give rise to ovaries that are greatly retarded (type 2). On the other hand, the medullary component of the prospective ovary resembles the testis in possessing con- siderable powers of self-differentiation. Thus in many cases the two components de- velop together, resulting in an ovotestis; in still others the cortical element fails com- pletely to survive and the medulla alone develops, giving rise to a rudimentary testis. The development of types 3 and 4 is favored by the fact that cortical differentiation is almost always severely repressed. This may have the effect of releasing the medullary element from an inhibition normally im- posed by the dominant cortex. In all cases, however, the phenomenon of reversal was found to be unrelated to the sex of the host] it seems to occur spontaneously, as it were, in consequence of a disturbance in the nor- mal balance between cortical and medullary systems. A similar behavior is seen wdien entire re- productive tracts of rat embryos, including the gonads, are transplanted subcutaneously into hosts of various ages, male or female, and into castrate hosts of both sexes (Moore and Price, 1942). Again it was found thai the sex or the hormonal status of the host has no apparent influence on the result. 104 BIOLOGIC BASIS OF SEX Testes develop normally except that in cas- trate hosts there is some hypertrophy of the interstitial tissue, presumably in response to the gonaclotrophin of the host (a phe- nomenon also reported by Jost, 1948b I. Again many prospective ovaries give rise to gonads in which both cortex and medulla are well differentiated, the hypertrophied med- ullary cords sometimes approaching the structure of testis tubules. Cells resembling the interstitial cells of the testis are also found around these transformed medullary cords in grafts developing in castrate hosts. On the whole the ovarial cortex is better developed than in the experiments of Buyse, because perhaps the gonads were usually older and better differentiated at the time of transplantation. Similar forms of develojiment are found when embryonic gonads are transplanted to the omentum of adult hosts (Holyoke, 1949). Testes develop in a virtually normal manner regardless of the sex of the host; this author, however, describes certain ef- fects which appear relatively late, after the testis has acquired its characteristic tubular structure. These are: (1) repression of tu- bule growth in some cases, with degenera- tive changes, a condition which was ob- served only in grafts growing in female hosts; (2) an increase in the amount of in- terstitium present, similar apparently to that reported by Moore and Price. Trans- planted ovaries display the same variability as in the foregoing experiments; cortical development is adversely affected and some- times fails altogether. In all cases in which cortical structure could be well identified there was also more or less hypertrophy of the medulla, sometimes to the point where the gonads were classified as ovotestes. This latter condition was reported only in male hosts, and this is perhaps the only change that might be interpreted as a reversal of sex conditioned by the sex of the host. On this point the findings differ from those of Buyse, of Moore and Price, and of Torrey, all of whom reported similar changes but without relation to the host's sex. A further study of the problem was made by Torrey (1950). In his experiments the embryonic gonads were transplanted to the anterior chamber of the eye, using hosts of various ages and of both sexes. He con- firmed the main conclusions of Buyse and of Moore and Price (Holyoke's study was not then available for consideration), namely, that regardless of the stage at which the primordium is isolated, testes are capable of an autonomous and virtually normal development, irrespective of the type of host in which they develop, whereas ovaries vary greatly in the state of differen- tiation attained, depending on the stage of development at which they are isolated. Torrey paid particular attention to the importance of developmental age in the fate of grafted ovaries. When transplanted before the appearance of a definite cortical zone (zone of secondary sex cords), prospective ovaries show little capacity for development of cortex; on the contrary (as found by l^revious workers), there is a marked tend- ency to hypertrophy of the medullary com- ponent, leading in some cases to testis for- mation. This tendency is not influenced by the sex of the host; rather, it seems to be inherent in the state of organization of the primordium at the time of transplantation. In the young ovary the medullary compo- nent (primary sex cords) is already in existence; the cortex does not appear as a discrete tissue until much later, and only after a well defined cortex is present is the gonad capable of development as an ovary. The fate of the transplanted ovary appears, then, to be primarily a iiiatter of the self- differentiating capacities of the elements already formed and present in the primor- dium at the time of its isolation. The de- velopment of these elements is influenced also by the temperature of the eye chamber, a point not directly involved in the present discussion. In the foregoing experiments it has been emjihasized that the hormonal environment provided by the host seems to have no im- portant influence on the sexual differentia- tion of the transplanted gonads (for a par- tial exception as noted above see Holyoke) . The question thus arises whether the hor- mones of embryonic gonads might be more effective. An answer to this question was sought by Mclntyre (1956) who trans- planted the eml)ryonic testis and ovary to- gether beneath the capsule of the kidney of adult castrate hosts of both sexes. The gon- ads were ])laccd in close contact in order HORMONES IN DIFFERENTIATION OF SEX 105 to determine whether hormones or other diffusible substances might be produced, capable of modifying the differentiation process. As a control procedure, ovaries were transplanted alone, or in association with nongonadal tissues, into noncastrate male hosts. The results in most respects correspond with those already described. The testis was found to develop normally regardless of the sex of the host or the presence of a contigu- ous ovary. The behavior of grafted ovaries differed, however, according to whether they were associated with an embryonic testis, or developed alone or with other tissues (control operations). In the jEirst case the ovaries were strongly modified along the lines previously described. Some differenti- ated poorly or hardly at all, others showed fairly good development of the cortex with some primary follicles, but in the medullary area tubular structures resembling testis tubules were found. Still others had a few well formed follicles in the cortex, but again tubular structures were present in the me- dulla which sometimes contained ovocytes. The two last mentioned categories would seem to correspond to the "ovotestes," or ovaries with "transformed medullary cords" described by previous writers. In contrast, however, ovaries grafted alone, or with non- gonadal tissues, were found to differentiate in an almost normal fashion. It is at this point that the findings depart from those of other investigators. The conclusion was reached that the modifications observed in ovaries associated with embryonic testes are due to a substance produced by the testis, and considered to be of the nature of a medullary inductor. However, both with respect to the sever- ity of cortical inhibition and the degree of masculinization of medullary structures, these modified ovaries do not appear to differ significantly from those described by previous investigators when ovaries were grafted alone. The significance of the results rests then upon failure to obtain similar changes in the control ovaries. The age and state of differentiation of the control gonads at the time of transplantation is important. They were from donor fetuses of 15 days development, and although older than any used by Buyse they were still within the period during which Torrey found the ovary to be extremely labile in its differentiation. According to Torrey only a small proportion of ovaries aged 15 to 16 days developed as such (5 of 17 cases) whereas at an age of 17 days — after the cortical zone is estab- lished — ovaries are obtained almost without exception (10 of 11 cases). Further experi- ments are needed to clarify this matter. In all of the foregoing experiments there was general agreement (for a partial ex- ception see Holyoke) that the hormonal en- vironment provided by adult hosts of both sexes, intact or castrate, has no important influence on the sexual differentiation of the transplanted gonads, even in the case of ovaries which are still in a labile state. The reason for this is not clear. Possibly it is a matter of insufficient concentration of the host hormone (compare the case of the chick, p. 99), or it may be that after trans- plantation a certain interval, perhaps a crit- ical one, elapses before vascularization makes the graft accessible to the hormones of the host. On the other hand, it has been pointed out that in the embryos of placental mamtnals pure hormones thus far have pro- duced no significant changes in the dif- ferentiation of the gonads. The cjuestion remains whether there is an essential differ- ence between the sex hormones of adults and the hormones or sex-differentiating sub- stances elaborated by embryonic gonads. 3. Experimental Transjormation of the Tes- tis in the Opossum Up to now the clearest experimental dem- onstration of sex reversal in the gonad of any mammal, and the only one to be pro- duced by a steroid hormone, has been ob- tained in the gonads of young opossums (Didelphis virginiana) . In this species the embryonic testes, if taken in time, are read- ily transformed into ovotestes or even into "ovaries" of remarkably normal histologic structure by the action of estradiol dipro- pionate (Burns, 1950, 1955a, 1956b). The hormone is administered at short intervals, beginning at a stage of development corre- sponding to stage B in Figure 2.16. This is the condition found at birth in litters born at stage 34 of McCrady's series (McCrady, 1938). It is characterized by the presence of well developed primary sex cords which 106 BIOLOGIC BASIS OF SEX are just in process of separation from the overlying germinal epithelimii. The germi- nal epitheliimi, however, is still present as a layer of low, columnar cells and at this stage represents, potentially, the female compo- nent of the young testis. Normally the ger- minal epithelium does not survive long after birth. In the course of the first day of post- natal life irreversible changes occur which lead to its rapid involution. It is the pres- ence at stage 34 of a viable germinal epi- thelium which makes possible the subse- quent conversion of the testis into an ovary, since it is this layer which must produce the cortical zone of the transformed gonad by the proliferation of secondary sex cords. In so doing it plays precisely the same role as the corresi)onding layer in the develop- ment of the ovary. Treatment with estradiol dipropionate has been carried out over varying periods up to an age of 30 days postpartum or somewhat longer, after which survival becomes diffi- cult (Burns, 1939b). At the present time 46 male fetuses have been studied histologi- cally, comprising all the surviving males of 13 litters. Without exception, every speci- men shows histologic modifications of the type described below, the stage of transfor- mation attained varying only with the length of treatment. The process of trans- formation consists at first of a gradual in- hibition and suppression of testicular differ- entiation, accompanied by persistence of the germinal epithelium. At the same time the differentiation of the interstitial tissue is severely repressed (compare A and B, Fig. 2.17). Atrophy of the interstitial tissue has also been described by Raynaud (1950) in the testes of mouse embryos treated with estrogen. After an interval (which varies in different experimental litters and is appar- ently influenced by dosage) the germinal e})it helium again becomes active, producing secondary sex cords which form a cortical zone of varying thickness depending on the length of treatment (Fig. 2.181. The first essential in obtaining transfor- mation of the testis is the timing of the first treatment, which must not be later than Fig. 2.17. The effects of female hormone on differentiation of the testis in young opossums. A. Normal testis about 10 days after birth. Note tlie thin, .serous character of the epithehum covering the testis (originally the germinal epithelium), the presence of a distinct tunica albuginea, the prominent testis cords (prospective tubules), and the richly developed inter- stitium. B. Testis (at somewhat higher magnification) of a young male aged 14 days, modi- fied by the action of the female hormone estradiol dipropionate. Note the greatly reduced condition of the testis cords and interstitial tissue, the thick, spongy character of the tunica albuginea, and especially the survival of the germinal epithelium long after the stage at which it normally undergoes involution. HORMONES IX DIFFERENTIATION OF SEX 101 Fig. 2.18. A. Testis of an opossum aged 20 days, converted into an ovotestis by the action of estradiol dipropionate. Internally the reduced and disorganized medullary region is seen, separated from the external cortical zone by the well defined, fibrous tunic layer. The large, irregular ca\ity in the upper center, lined by a heavy eiuthelium, is the rete testis. B. De- tail at higher power of the cortex, showing the structure of the cortical cords (which are sterile) and the highly developed germinal epithelium. stage 34 if the germinal epithelium is to be preserved. In earlier experiments, in which treatment was begun after stage 35, there were no significant effects on the differen- tiation of the gonads, even in cases where almost complete transformation of the ac- cessory sex structures had occurred. It is now evident that in these experiments the first application of the hormone came too late to prevent involution of the germinal epithelium, thus precluding development of a cortex. Also of importance is the dosage, which must be kept at a low level to secure a good result. This point is crucial for the survival of germ cells in the developing cor- tex. High dosages always result in com- plete sterilitij of the cortical zone, even when this layer is otherwise well developed (Fig. 2.18). With lower doses, however, germ cells are found in limited numbers in the cortex, sometimes sparsely scattered, sometimes in small groups, and not infrequently these cells display the cytologic characters of young ovocytes (Fig. 2.20). Often there is a considerable growth of the cytoplasm and well formed primordial follicles are seen (Fig. 2.20B). Treatment with relatively low doses of estradiol (of the order of 0.2 to 0.3 fxg. per day) from birth to an age of 20 days pro- duces a remarkable transformation of the testis, which retains hardly any normal fea- tures (Burns, 1956b). Rather, it presents the appearance of a somewhat atypical ovary (Fig. 2.19B). The only remnant of testicular structure is a small, central nodule at the junction of the rete canals, and the massive cortical zone is covered externally by a thick germinal epithelium. The cortex of the transformed testis contains germ cells in considerable numbers, including a few large ovocytes. Views of cortical areas in gonads of this group are shown in Figure 2.20.4 and B. In more recent experiments, using still lower doses and a longer period of treatment (thus far the longest experi- ment has extended to an age of 33 days post- partum ) , the result is even more striking, the structure of the cortex in many cases ap- proximating that of normal ovaries. Always, however, certain remnants of testicular structure ]icrsist in the medullary region (Fig. 2.21, compare A and B). The number of ovocytes in the cortex is enormously 108 BIOLOGIC BASIS OF SEX Fig. 2.19. A. The testis of a normal male opossum aged 20 days for comparison with that of another male, B, treated for 20 days with a low dosage of estradiol dipropionate as de- scribed in the text. Only a remnant of testis structure survives as a nodular mass in the medullary region, representing straight tubules at the point of junction with the rete canals. Note the well developed cortical zone witli numerous germ cells and a heavy germinal epi- thelium. greater than in the preceding experiment. It is not clear whether this is due mainly to the lowered dosage or to what extent it is a result of multiplication of ovogonia present in smaller numbers in the younger gonads (see Fig. 2.195). In any case, dosage in some manner influences the survival and multiplication of the gonia. Although the cortex of the transformed testis is always well developed, there is great variability in the extent to which testicular structures have survived in the medullary zone. Some gonads exhibit well preserved male sex cords and present the picture of a typical ovotes- tis, whereas in others (Fig. 2.21B} only traces of the male elements remain in the form of degenerate sex cords and patches of fibrous tissue. In these cases transforma- tion is all but complete. Since this work is still in progress inter- pretation must be tentative. It seems that the primary effect of the female hormone is a strong inhibition of the testis, affecting both the primary sex cords and the inter- stitium. Both influences are apparent at an early stage (Fig. 2.17). Inhibition of testicu- lar differentiation i:)resumably i-)ermits sur- vival of the germinal epithelium, to be followed later by a renewal of activity pro- ducing secondary sex cords and the cortex. This course of events may simply be the result of release from an inhibition nor- mally imposed by the differentiating testis. Counterparts are seen, for example, in the spontaneous development of the medullary component in transplanted rat ovaries when cortical differentiation is interfered with, in the development of the rudimentary cortex in Pleurodeles after the medulla has been suppressed by testosterone (p. 94), or in the development of the heterotypic sex com- ponent after castration in the toad or the newly hatched chick. In the light of cur- rent knowledge regarding the secretory capacity of the embryonic testis (for dis- cu.ssions see Jost, 1953, 1957; Burns, 1955b, and later in this chapter) it is proba- ble that the primary condition for survival of the germinal epithelium is suppression of the interstitial tissue; cortical differentia- tion is presumably the consequence of es- cai)e from an inhibition normally exerted HORMONES IX DIFFERENTIATION OF SEX 109 fel!t".^*.Z '" WS *3i?^~ k' l't%^ .♦3^"* *A-. \"%. ^Mj Fig. 2.20. A. View at higher magnification (X 1000) of the cortex of ;i traiisiorme.l te.stis containing gonia, and other germ cells showing the early meiotic prophase stages of young ovocytes. B. Cortex of another transformed testis of the same experimental group showing the formation of primordial follicles (X 1000). by the testis hormone. For this there is no direct evidence; however, in typical ovo- testes, with a well developed cortex, the tubular elements may also at times be very well preserved but the interstitium is de- generate. This interpretation does not re- quire positive stimulation by the female hormone to promote cortical differentiation, but it does not exclude the possibility that this may occur. The germinal epithelium of transformed testes is strongly hypertrophied in comparison with that of normal ovaries of the same age (Figs. 2.18B, 2.195, and 20) , a condition which is seen also in the ovaries no BIOLOGIC BASIS OF SEX Fig. 2.21. A. The normal ovary of a young female aged 30 days; note the highly developed cortex and the absence of conspicuous structures in the medullary area. B. Transformed testis of a young male treated with estradiol dipropionate for a period of 33 days ; for details see text. Observe the remarkable development of the cortex associated, however, with dis- tinct remains of testicular structure in the medulla. of females receiving estradiol. Also, preco- cious growth of a certain number of follicles commonly occurs in the cortex of trans- formed testes (Figs. 2.195 and 2.20). This effect, however, may be exerted indirectly in response to gonadotrophic stimulation. It should be noted that in the only other case of an embryonic mammalian gonad transformed by hormone action, that of the freemartin, the reversal involves the con- version of ovary to testis. In the opossum the situation is reversed. In those cases of comjjlete, or near complete, transformation in amphibians, in which the sex chromosome complex has been determined, it appears that it is always the homogametic sex that is readily transformed (Gallien, 1955). This generalization would seem to apply also in birds and in the case of the freemartin. The opossum, however, is certainly an exception; the male in this species is heterogametic (Painter, 1922; Tijo and Puck, 1958; Gra- ham, 1956). In certain fishes at least sex genotype is apparently of no conseciuence .-^ince functional sex reversal proceeds eciually well in either direction (Yamamoto, 1953, 1958). V. The Role of Hormones in the Development of the Accessory Sex Structures The heterogeneous character of the vari- ous structures comprising the genital com- plex of the embryo has been previously emphasized as providing a basis for great variability in their behavior under experi- mental conditions. On the basis of embry- onic origin and morphologic relationships the accessory sex structures fall into three principal groups: (1) the embryonic sex ducts and related structures which are taken over from the primitive nephric system; (2) derivatives of the cloaca or the urinogenital sinus, derived at an early stage from the primitive gut; and (3) external organs of sex. Because of the great diversity of the so-called secondary sex characters in verte- brates, and because as a rule they become sexually differentiated only in jiostpubertal life, these structures can be considered only in special cases. Two distinct stages can be recognized in the development of the accessory sex struc- tures: an early phase which is independent of sex, and wliich follows a \-ii-tuallv identi- HORMONES IN DIFFERENTIATION OF SEX 111 cal course in all individuals, and a later phase, the period of sexual differentiation, which is chiefly hormone conditioned. Dur- ing the first phase the primordial structures necessary for the development of both sexes are laid down and develop in similar or identical fashion up to a certain point, at which stage each embryo possesses, morpho- logically and for a certain time, the capacity to develop into an individual of either sex (Fig. 2.22A). In this early, indifferent phase of development the sex primordia show lit- tle reactivity to hormones, capacity for re- sponse evidently requiring a certain degree of maturation in the reacting organs or tis- sues. The onset of sexual differentiation of the accessory structures follows the appear- ance of sexual differentiation in the gonads, and this is the phase of development in which control by hormones is predicated. A. DIFFERENTIATION OF THE EMBRYONIC GONADUCTS A complete account of the origin and nor- mal development of the embryonic sex ducts has been given by Willier (1939) and Burns (1955b) . In the embryos of most vertebrates both sex ducts are present and equally de- veloped throughout the sexually undifferen- tiated period. In many amphibians this primitive condition is retained throughout larval life or indefinitely ; the male, or Wolf- fian ducts, function as nephric ducts in both sexes and in females they are permanently retained in this capacity. The Milllerian ducts persist throughout life in the males of VAS DEFERENS MES0NEPHR05\5 EPIDIDYMIS VAGINAL CANAL BULBAR GLAND 1 H PHALLUS V i URINOGENITAL ^'i-*^ SINUS |1 > BULBAR GLAND POUCH YOUNG - ± 10 DAYS FEMALE a MALE-±35DAYS Fig. 2.22. Early (io\ clopnicnt and sexual differentiation in the genital tracts of young opossums. A. The lusrxu.il stage of development in a female embryo ±10 days of age, show- ing the paired gonaducts of both sexes, the sexually indifferent stage of the urinogenital sinus, and the undifferentiated genital tubercle or phallus. B. Male and female at about 35 days, when sexual differentiation is far advanced, showing the structures which develop from the primitive sex ducts, and dimorphic development of the sinus region. The phallus shows chiefly a difference in size, without marked morphologic divergence. (From R. K. Burns, Survey Biol. Progr., 1, 233-266, 1949.) 112 BIOLOGIC BASIS OF SEX many species as complete if somewhat rudi- mentary canals. In amniote embryos, on the other hand, the ducts of the genetically re- cessive sex are typically transient struc- tures. Sexual differentiation consists in the retention of one sex duct with development of its derivative structures, whereas the other either disappears completely or sur- vives only in a more or less vestigial condi- tion (Fig. 2.22B). Under these circum- stances experimental reversal of sex, to be successful, must be properly timed with re- spect to the state of development of the heterotypic duct. Once regression has been determined it is impossible to preserve the duct. 1. The Miillerian Ducts: the Effects of Fe- male Hormones The effects of female hormones, whether produced by grafted ovarian tissue or ad- ministered in pure form, may be stated gen- erally as follows: in female subjects as a rule they accelerate sexual differentiation, inducing a precocious hypertrophy of the Miillerian ducts which with large doses may become extreme. In males female hormones cause persistence of the Miillerian ducts fol- lowed by differentiation in varying degrees depending on timing of treatment, dosage, and the special status of the duct in the species under consideration. There are many deviations from this pattern, however, aris- ing in part from basic group or species dif- ferences and in part from the many experi- mental variables." In most amphibians the IVIiillerian ducts of both sexes respond readily to sex hor- mones during larval life. In Triturus {Tri- ton) , after castration, both sex ducts remain indefinitely in a more or less undifferenti- ated condition, thus providing an ideal basis for sex reversal. Grafting gonads into cas- trates of either sex readily induces differen- tiation of the appropriate duct (de Beau- mont, 1933). Furthermore, in the males of various species which have undergone com- plete sex reversal the later development of " For reviews and references to a large literature covering amphibians, birds, and mammals see Humphrey, 1942; Wolff, 1938; Willier, 1939; Rav- naud, 1942; Greene, 1942; Moore, 1947; Jost, 1947a, 1948a, 1955; Ponse, 1949; Burns, 1949, 1955b; Stoll, 1950. the ]\liillerian ducts is always in accordance with the altered sex of the gonad, and the ducts may eventually become completely functional (see e.g., Humphrey, 1942; Ponse, 1949; Gallien, 1955). The reaction of the Miillerian ducts to female hormones (estra- diol, estrone) varies in different species and is greatly influenced by the stage at which treatment occurs and by dosage as well. In Ambystoma the ducts show a marked hy- pertrophy in females and the response in males is almost as great. The backward growth of the incomplete ducts is also ac- celerated (Burns, 1938a; Foote, 1941). Large doses, paradoxically, may arrest the backward extension of the duct (as do male hormones, q.v.) but the part already laid down becomes greatly hypertrophied (for a summary see Gallien, 1955). The effects of the female hormone in bird embryos are particularly striking (Wolff, 1938, 1950; AVillier, 1939; Gaarenstroom, 1939; Stoll, 1948). In male embryos both oviducts persist and hypertrophy as does also the right duct of the female, which nor- mally undergoes involution (Figs. 2.23 and 2.12). Once established these effects are per- manent, development continuing even after hatching (Wolff, 1938). However, the period of susceptibility to the hormone is limited. Retention and permanent development can be assured only by treatment up to the seventh day of incubation (this is the so- called "stabilization effect" of Wolff) ; later treatment is without effect for the preserva- tion of the ducts, irreversible changes having occurred which determine their regression with finality (Wolff, 1953b). The hormone of the embryonic ovary has the same effects. Ovaries grafted into the body cavity of male embryos cause persistence and devel- opment of\he oviducts (Wolff, 1946). The effect of the hormone appears to be a direct one since it occurs independently of any ef- fect on the gonads. In mammalian embryos the effects are in general similar, but marked species differ- ences have been found. Female hormones cause accelerated development of the Miil- lerian duct derivatives in females, and with high dosages oviducts, uteri, and vaginal canals all show great hypertrophy. In male embryos the ducts are frequently retained and also differentiate regionally into ovi- HORMONES IN DIFFERENTIATION OF SEX 113 A B Fig. 2.23. The effects of sex hormones on development of the sex ducts in chick embryos. A. Normal female embryo of 18 days, showing development of the left oviduct with shell gland, and retrogression of the right. B. Genetic male embryo, 18 days, treated with 2.0 mg. estrone. Both oviducts are present and greatly hypertrophied. Compare with C for the nor- mal condition. C. Normal male embryo at 17 days of incubation. Note the paired Wolffian ducts and absence of both oviducts. D. Genetic female embryo at 17 days, after treatment with 1.0 mg. androsterone, showing absence of both oviducts and extreme hypertrophy of the Wolffian ducts. For the normal female anatomy compare with A, and for normal size of male ducts see C. (From B. H. Willier, in Sex and Internal Secretions, 2nd ed., The Williams & Wilkins Co., 1939.) duct, uterine tube, and vaginal canal (Greene, 1942; Burns, 1939b, 1942a and b; Moore, 1941; Raynaud, 1942; Jost, 1947a). Details of structure depend on the state of development of the rudimentary Miillerian ducts in the males of the species in question. The vagina may be defective or absent en- tirely in males of certain species, as in the opossum, in which the duct is usually incom- plete, without a connection to the urino- genital sinus. In other species the effects are slight or lacking entirely (Raynaud, 1950, the field mouse; White, 1949, the hamster; Davis and Potter, 1948, man). The effects of male hormones. The effects of male hormones on the ]\liillerian ducts are more variable; strong inhibitory effects are obtained in many species and under proper experimental conditions; but with large doses stimulating or "paradoxical ef- fects" often appear, such as have been de- scribed in the case of the gonads. The time of administration of the hormone is important. Both in chick embryos and in larval amphibians treatment with androgens before the appearance of the duct, or during the formative period, may result in total suppression.^^ In amphibians, in which the ]\Iiillerian duct develops slowly, a particu- larly interesting situation is found. Early administration of testosterone propionate prevents development entirely (Burns, 1939c; Foote, 1941, Amhystoma) or may leave only the ostial rudiment (Gallien, 1955, Pleurodeles) ; however, treatment dur- ing the period of formation may result in suppression of the unformed portion of the duct, while the part already laid down per- sists and with large doses may even be strongly hypertrophied (Mintz, 1947). Here is a striking paradox in which different re- gions of the same structure (which are, how- ever, developmentally of different age) " See, for example, for amphibians, Burns, 1939c ; Foote, 1941; Hanaoka, 1941b: for the chick, Wil- lier, 1939; Wolff, 1938, 1950; Gaarenstroom, 1939; Stoll, 1948; Huijbers, 1951. Exceptions must be noted, however, in a few cases: the field mouse (Raynaud, 1950); the hamster (Bruner and Wits- chi,'l946, White, 1949); man (Davis and Potter, 1948) in which no clear effects were observed, whether because of true species differences or other experimental variables is not clear. 114 BIOLOGIC BASIS OF SEX react in an opposite way to the same treat- ment. In chick embryos also, early treatment with male hormone may completely sup- press development of the Miillerian ducts (Figs. 2.23 and 2.12; see also Gaarenstroom, 1939; Stoll, 1948, 1950) and a similar effect is produced by grafts of the embryonic testis (Wolff, 1946; Huijbers, 1951). Again, however, suppression of the ducts depends on certain rather precise conditions, the dose must be adequate and the hormone must act at the proper stage of development. They can be suppressed completely before the 6th or 7th day of development (Stoll, 1948; Huijbers, 1951) but later treatment is ineffective. Thus (as was found also for the ''stabilizing effect" of female hormone on the Miillerian ducts of male embryos) there is a limited period of development during which the ducts are susceptible to inhibition by male hormones. In contrast with these clear-cut results, however, a paradoxical hypertrophic effect of certain male hormones (androsterone, dehydro-androsterone and related compounds) has been reported on the ^Miillerian ducts of chick embryos after rather large doses (Willier, 1939; Wolff. 1938; Wolff, Strudel and Wolff, 1948). In the embryos of mammals effective in- hibition of the Miillerian ducts by male hor- mones has not been found, but suppression of regional parts of the duct sometimes oc- curs. The ostial portion is suppressed in the hedge-hog (Mombaerts, 1944) and the vagi- nal segment (the last part to be laid down) is frequently inhibited in female opossums (Burns, 1942a, b) and in mice (Raynaud, 1942). In the mouse and in the rabbit fail- ure of the posterior ends of the ducts to unite to form vagina and corpus uteri has been reported (Raynaud, 1942; .lost, 1947a). In female opossum embryos treated with testosterone propionate the vaginal canals are absent in about half of all cases and arc always absent in males (in which, as noted earlier, the terminal portion of the Miillerian duct is lacking) . However, a para- doxical stimulation of the Miillerian duct and its derivatives also takes place in opos- sums of both sexes when large doses (25 to 100 ^g. per day) are employed (Fig. 2.24; see also Moore, 1941, 1947; Burns, 1939a. 1955b) an effect which completely disa]^)- pears when the dose is lowered to ±5 /xg. or less (Burns, 1942a, b). In contrast with the failure of androgenic hormones to inhibit effectively the Miillerian ducts of mammalian embryos it is known that they are normally inhibited by the hormone of the fetal testis. In castrated male fetuses of the rabbit the ducts persist instead of regressing and develop almost as well as in normal females; conversely, the embryonic testis when grafted into a female fetus inhibits the Miillerian duct in the vicinity of the graft (Jost, 1953, 1955). On the other hand, a crystal of testosterone pro- pionate implanted in the same manner lacks this inhibiting power. Testosterone also fails to inhibit development of the Miillerian ducts in castrate males although in all other respects it fully compensates for the ab- sence of the testis (Jost, 1947b, 1953, 1955). This discrepancy has led to the suggestion (Jost) that in mammals another substance may be required for the inhibition of the Miillerian ducts. In the fetal rat, on the other hand (Price, 1956), neither testoster- one nor the presence of the fetal testis in- fluences the differentiation of the ]\Iiillerian ducts in genital tracts when isolated at an age of 17.5 days and cultured in vitro. In this case, however (as suggested by Price), it is likely that development of the Miille- rian ducts has already been irreversibly de- termined before the time of explantation. This question will come up again in a dis- cussion of the stage at which irreversible determination occurs in the rat. The effects of castration on development of the Miillerian ducts. Although the effects of steroid hormones on the development of the Miillerian ducts are on the whole con- sistent with theory (failure of the ducts of mammalian embryos to be inhibited by male hormone is a notable exception) such results do not constitute evidence that sex hor- mones are present and active in the normal differentiation of sex. A direct test of this question is provided by castration of the eni])ryo. The effects of castration in am- phibian larvae have been previously men- tioned (p. 112); after removal of the gon- ads both sex ducts fail to differentiate fui'tluM-, ]X'rsisting indefinitely in the condi- tion in which they were at operation. In re- cent years this difficult operation lias been HORMONES IN DIFFERENTIATION OF SEX 115 B D Fig. 2.24. Diagrammatic representation of the effects of relatively large doses of testos- terone propionate, administered from birth to an age of 50 days, on the development of the sex ducts in young opossums. A. Sex ducts as they appear in a normal male at 50 days; the vas deferens (W