Molecular characterization of the HLA-linked steroid 21-hydroxylase B gene from an individual with congenital adrenal hyperplasia
Open accessAbstract
21-Hydroxylase deficiency which causes congenital adrenal hyperplasia is one of the most common defects of adrenal steroidogenesis. There are two 21-hydroxylase genes in man, A and B, and these have been mapped to the HLA class III region. Only the 21-hydroxylase B gene is thought to be active. To understand the molecular basis of congenital adrenal hyperplasia in a patient with the salt-wasting form of the disease, we cloned and characterized his single 21-hydroxylase B gene. The nucleotide sequence of this gene and a 21-hydroxylase B gene from a normal individual have been determined. Comparison of the two sequences has revealed 11 nucleotide alterations, of which two are in the 5' flanking region, four are in introns, one is in the 3' untranslated region and four are in exons. Two of the differences in exons cause codon changes, with Ser-269 and Asn-494 in the normal 21-hydroxylase B gene being converted to Thr and Ser, respectively. These amino acid substitutions may give an insight into those residues necessary for 21-hydroxylase enzymatic activity. We have also confirmed that the 21-hydroxylase A gene is a pseudogene due to three deleterious mutations in the exons. In addition, comparison of the 21-hydroxylase B gene sequence with other published sequences indicates that this microsomal cytochrome P-450 may be polymorphic.
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The CYP21 genes consist of 10 exons, are about 3.4 kb long, and differ in only 87 or 88 of these bases.
“The CYP21 genes consist of 10 exons (373), are about 3.4 kb long, and differ in only 87 or 88 of these bases (357-359).”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [359]
The Results (page unavailable) say the two 21-hydroxylase genes have 10 exons and are 3.3 kb long, close to the claimed approximate length. But the paper reports 90 nucleotide differences between them, not 87 or 88. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCharacterization of the P450c21 protein and gene cloning show there is only one 21-hydroxylase encoded by a single functional gene on chromosome 6p21.
“However, characterization of the P450c21 protein (355) and gene cloning show there is only one 21-hydroxylase encoded by a single functional gene on chromosome 6p21 (356 -359).”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [359]
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“Rodrigues et al. (1987) also reported a patient in whom a hemizygous N493S mutation was combined with the S268T mutation.”
BackgroundHu, M.-C., & Chung, B.-C. (1990) · Molecular Endocrinology · doi:10.1210/mend-4-6-893 · Cited by 43 · see citing works
“Different mutations in the c21 gene have been identified in 21-hydroxylase deficiency, including gene deletion (9), missense mutations (10-13), nonsense mutation (14), and splicing errors (15).”
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“AL0495470 and AF019413) and past studies (16, 17), these two primers are specific for these two loci, and no polymorphic site exists.”
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A 3D model of human P450c21: study of the putative effects of steroid 21-hydroxylase gene mutations
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DNA damage and mutation. Types of DNA damage
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“On the other hand, gross gene deletions (Caroll et al. 1985; Rodrigues et al. 1987; White et al. 1988; Speiser et al. 1991) encompassing the C4A and CYP21 genes as a result of a 30-kb deletion by unequal crossover in meiosis have been reported to occur in 20%–30% of alleles in most populations…”
BackgroundMechanism and Consequences of the Duplication of the Human C4/P450c21/Gene X Locus
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“Studies with bovine (12, 13, 61), murine (2, 38), and human (8, 21, 46, 58) DNAs show that the C4/P450c21 locus was duplicated in three different mammalian families (ungulates, rodents, and primates), suggesting that the locus duplicated before mammalian speciation.”
21-Hydroxylase deficiency families with HLA identical affected and unaffected sibs
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The Adrenal Cortex and Its Disorders
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Congenital adrenal hyperplasia
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6 Molecular genetics of congenital adrenal hyperplasia
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- Authors
- Rodrigues, N. R., Dunham, I., Yu, C. Y., Carroll, M. C., Porter, R. R., & Campbell, R. D.
- Venue
- The EMBO Journal
- Published
- 1987-06-01
- Volume
- 6
- Issue
- 6
- Pages
- 1653-1661
- ISSN
- 0261-4189 (ISSN-L)
- 1460-2075
- PMC
- PMC553538
- OpenAlex
- W1568019658
- Semantic Scholar
- c409c6a71e5d6a8da1d3fca733b677457cb6f3e0
- Cited by
- 182
- References
- 48
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 6 · 2013: 2 · 2012: 4
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The EMBO Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (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
- congenital adrenal hyperplasia, 21-hydroxylase deficiency, salt-wasting congenital adrenal hyperplasia, adrenal steroidogenesis, gene cloning, nucleotide sequence comparison, amino acid substitutions, pseudogenes, microsomal enzymes
- MeSH terms
- Adrenal Hyperplasia, Congenital, Amino Acid Sequence, Base Sequence, Cell Line, Cloning, Molecular, Cosmids, DNA, DNA Restriction Enzymes, Genes, Genes, MHC Class II, HLA Antigens, Humans, Major Histocompatibility Complex, Plasmids, Steroid Hydroxylases, Steroid 21-Hydroxylase
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