Cited by 68Sexual Differentiation and DisordersAdrenal Hormones and DisordersMetabolism and Genetic Disorders

Screening of CYP21 gene mutations in 129 French patients affected by steroid 21-hydroxylase deficiency

Barbat, Benoit, Bogyo, Any, Raux-Demay, Marie-Charles, Kuttenn, Frédéarique, Boué, Joelle, Simon-Bouy, Brigitte, Serre, Jean-Louis, Boué, André +1 more·1995·Human Mutation

Abstract

The frequency of 12 different mutations of the steroid 21-hydroxylase gene (CYP21) was investigated in 129 French patients affected by congenital adrenal hyperplasia (CAH) due to steroid 21-hydroxylase deficiency. Eighty-nine percent of the CAH chromosomes were characterized. The most frequent mutations were a C-G substitution in intron 2, the deletion of the CYP21 gene and a T-A substitution in exon 4 in the severe form of the disease, and a G-T substitution in exon 7 in the nonclassic form. The correlation between the genotypes and the clinical forms of the disease showed marked variation in the phenotype from a single genotype, suggesting that individual variation and undetected additional mutations on the same CAH chromosome accounted for the phenotype. In 65 informative meioses of CAH families, no de novo mutation was found.

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Crossref · 10.1002/humu.1380050205

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  • The intron 2 G mutation has been seen in both SW and SV patients, suggesting that there is a small amount of normally-spliced mRNA, and it is generally considered its own separate Group A.

    “It has been seen in both SW and SV patients, suggesting that there is a small amount of normally-spliced mRNA; it is generally considered its own separate Group A (in the first analysis of this sort (195), Groups 0 and A were referred to as Groups A1 and A2, respectively).”
  • In descending order of compromised 21-hydroxylase activity, 4 general groups of CYP21A2 mutations have been established to predict the phenotype.

    “In descending order of compromised 21-hydroxylase activity, 4 general groups of CYP21A2 mutations have been established to predict the phenotype (Figure 3) (195,196,201,203,208,213,216).”
  • In both American and German data, median Prader virilization scores for females in Groups 0, A, B and C are 4 (3-5), 4 (3-5), 3 (2-4) and 0 (0-2) respectively.

    “In both American(195,223) and German (201) data, median (interquartile range) Prader virilization scores (Figure4) for females in Groups 0, A, B and C are 4 (3-5), 4 (3-5), 3 (2-4) and 0 (0-2) respectively.(201).”
  • Basal levels of 17OHP are also correlated with genotype, with different studies reporting mean levels (in ng/dl) in Groups 0/A, B and C of 23-41,000, 10-18,000, and 3-8000, respectively.

    “Basal levels of 17OHP are also correlated with genotype(195,200,201,225), with different studies reporting mean levels (in ng/dl) in Groups 0/A, B and C of 23-41,000, 10-18,000, and 3-8000, respectively.”
  • Deletions, the splice site mutation in intron 2 (c.293-13A/C>G) and p.Ile172Asn (I172N) are the most common mutations in most populations.

    “Deletions, the splice site mutation in intron 2 (c.293-13A/C>G) and p.Ile172Asn (I172N) are the most common mutations in most populations (189,195-213).”

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References 36 · Cited by 68

Authors
Barbat, B., Bogyo, A., Raux-Demay, M.-C., Kuttenn, F., Boué, J., Simon-Bouy, B., Serre, J.-L., Boué, A., & Mornet, E.
Affiliations
  • Château de Longchamp (FR)
  • Hôpital Armand-Trousseau (FR)
Venue
Human Mutation
Published
1995
Volume
5
Issue
2
Pages
126-130
ISSN
  • 1059-7794 (ISSN-L)
  • 1098-1004
OpenAlex
W2002884605
Cited by
68
References
36
Citations by year
2023: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 1 · 2015: 1 · 2014: 2 · 2012: 2
FWCI
1.24
Type
journal article
Language
en
Open access
closed
Locations
  • Human Mutation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
Keywords
CYP21, 21-hydroxylase deficiency, congenital adrenal hyperplasia, genetic mutations, mutation frequency, genotype-phenotype correlation, genotype heterogeneity, exon 4 deletion, de novo mutations, French patients
MeSH terms
Adrenal Hyperplasia, Congenital, Alleles, Base Sequence, Female, France, Humans, Male, Meiosis, Molecular Sequence Data, Mutation, Nucleic Acid Hybridization, Pedigree, Steroid 21-Hydroxylase, Blotting, Southern

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