What phenomenon has a large effect on the phenotype of female carriers of dystrophin mutations?

Name: What phenomenon has a large effect on the phenotype of female carriers of dystrophin mutations?
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X-inactivation significantly affects the phenotype of female carriers of dystrophin mutations because it leads to a mosaic expression of the normal and mutated dystrophin gene across different cells. This can result in a wide range of clinical manifestations among carriers.

What Phenomenon Has a Large Effect on the Phenotype of Female