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Comprehensive Genetic Analysis and Structural Characterization of CYP21A2 Mutations in CAH Patients

Authors: B, Carvalho; M, Pereira; C J, Marques; D, Carvalho; M, Leão; J P, Oliveira; A, Barros; +1 Authors

Comprehensive Genetic Analysis and Structural Characterization of CYP21A2 Mutations in CAH Patients

Abstract

Congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency is a common autosomal recessive disorder caused by mutations in the steroid 21-hydroxylase gene (CYP21A2). Complete DNA sequencing of CYP21A2 was performed in 5 patients, 3 non-classic and 2 classic forms of the disease, that were previously screened for the 10 most common mutations, in order to detect additional mutations that could justify the phenotype of the patients. 5 mutations were identified with the whole gene extended analysis. The mutations, p.Pro432Leu and p.Ala434Glu, the first previously reported by our group and the second a novel one were structurally analyzed with ICM-Pro software regarding biochemical properties such as protein stability, accessibility to surface and hydrophobicity, in order to elucidate their effects on the CYP21A2 protein. The 2 affected residues, Pro432 and Ala434, were also studied for conservation purposes in order to predict the severity of both mutations with PolyPhen-2 software and were considered as "probably damaging". Prediction of clinical severity, based on molecular modelling and sequence conservation, was in accordance with the patient's clinical diagnosis.

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Keywords

Adult, Male, Models, Molecular, Adolescent, Adrenal Hyperplasia, Congenital, Portugal, Protein Conformation, DNA Mutational Analysis, Infant, Newborn, Severity of Illness Index, Young Adult, Amino Acid Substitution, Child, Preschool, Mutation, Humans, Female, Steroid 21-Hydroxylase, Child, Genetic Association Studies

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Powered by OpenAIRE graph
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!
14
Top 10%
Average
Average