21-Hydroxylase Genotyping in Australasian Patients with Congenital Adrenal Hyperplasia
pmid: 19449670
21-Hydroxylase Genotyping in Australasian Patients with Congenital Adrenal Hyperplasia
Mutations in CYP21 (21-hydroxylase) lead to congenital adrenal hyperplasia (CAH). We genotyped 26 probands with CAH by PCR-sequencing the entire CYP21 gene. 25/26 had homozygous or compound heterozygous mutations. The frequencies of mutations were similar to other populations with deletion/hybrid, I2 G splice and I172N the most common. Five patients with a I172N allele predicting simple-virilising CAH had a salt-wasting phenotype. Two other probands also had a more severe phenotype than predicted by genotype. Two families had both non-classic and salt-wasting phenotypes arising from combinations of three deleterious alleles. Two novel CYP21 alleles were detected: D106N and a large deletion encompassing CYP21 and adjacent pseudogene. Two rare CYP21 alleles were also found. Three of these four novel/rare alleles were only detected as a result of sequencing the entire CYP21 gene. Entire CYP21 sequencing will increase the number of mutations detected in CAH, and in combination with functional studies should contribute a greater understanding of phenotype-genotype correlations.
- University of Queensland Australia
- University of Queensland Australia
- Mater Children's Hospital Australia
- Boston Children's Hospital United States
- Mater Health Services Australia
Adult, Family Health, Male, Adrenal Hyperplasia, Congenital, Australasia, Genotype, DNA Mutational Analysis, Infant, Newborn, Infant, STEROID 21-HYDROXYLASE, 970111 Expanding Knowledge in the Medical and Health Sciences, 110105 Medical Biochemistry: Nucleic Acids, Pedigree, C1, Child, Preschool, Mutation, congenital adrenal hyperplasia, Humans, Female, Steroid 21-Hydroxylase, Child
Adult, Family Health, Male, Adrenal Hyperplasia, Congenital, Australasia, Genotype, DNA Mutational Analysis, Infant, Newborn, Infant, STEROID 21-HYDROXYLASE, 970111 Expanding Knowledge in the Medical and Health Sciences, 110105 Medical Biochemistry: Nucleic Acids, Pedigree, C1, Child, Preschool, Mutation, congenital adrenal hyperplasia, Humans, Female, Steroid 21-Hydroxylase, Child
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