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Journal of Pediatric Endocrinology and Metabolism
Article . 2009 . Peer-reviewed
Data sources: Crossref
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21-Hydroxylase Genotyping in Australasian Patients with Congenital Adrenal Hyperplasia

Authors: Jeske, Y. W. A.; McGown, I. N.; Harris, M.; Bowling, F. G.; Choong, C. S. Y.; Cowley, D. M.; Cotterill, A. M.;

21-Hydroxylase Genotyping in Australasian Patients with Congenital Adrenal Hyperplasia

Abstract

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.

Keywords

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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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
10
Average
Average
Top 10%
bronze