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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 (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]
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“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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Loke, K. Y., Lee, Y. S., Lee, W. W. R., & Poh, L. K. S. (2001) · Hormone Research in Paediatrics · doi:10.1159/000049992 · Cited by 29
Structural analysis of the chimeric CYP21P/CYP21 gene in steroid 21-hydroxylase deficiency
Lee, H.-H., Niu, D., Lin, R.-W., Chan, P., & Lin, C.-Y. (2002) · Journal of Human Genetics · doi:10.1007/s100380200077 · Cited by 29
“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
Gitelman, S. E., Bristow, J. D., & Miller, W. L. (1992) · Molecular and Cellular Biology · doi:10.1128/mcb.12.5.2124-2134.1992 · Cited by 29
“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
Sinnott, P. J., Dyer, P. A., Price, D. A., Harris, R., & Strachan, T. (1989) · Journal of Medical Genetics · doi:10.1136/jmg.26.1.10 · Cited by 27
The Adrenal Cortex and Its Disorders
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Rohayem, J., Tüttelmann, F., Mallidis, C., Nieschlag, E., Kliesch, S., & Zitzmann, M. (2014) · European Journal of Endocrinology · doi:10.1530/eje-13-0449 · Cited by 26
Intronic polymorphisms of cytochromes P450
Ingelman‐Sundberg, M., & Sim, S. C. (2010) · Human Genomics · doi:10.1186/1479-7364-4-6-402 · Cited by 26
Evolution of Primate C4 and CYP21 Genes
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Molecular Defects of the CYP21A2 Gene in Greek-Cypriot Patients with Congenital Adrenal Hyperplasia
Skordis, N., Kyriakou, A., Tardy, V., Ioannou, Y. S., Varvaresou, A., Dracopoulou, M., Patsalis, P. C., Shammas, C., Neocleous, V., & Phylactou, L. A. (2010) · Hormone Research in Paediatrics · doi:10.1159/000320040 · Cited by 25
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Skordis, N., Neocleous, V., Shammas, C., Phedonos, A., & Phylactou, L. (2014) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.145077 · Cited by 25
“Asn493Ser substitution.[41] The presence of elevated basal and ACTH-stimulated 17-OHP, PA, hyperandrogenism, and PCOS in the female patients of the present study identifi ed in heterozygosity or homozygosity only with p.”
Congenital adrenal hyperplasia
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Ferenczi, A. (1999) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.84.7.2369 · Cited by 23
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6 Molecular genetics of congenital adrenal hyperplasia
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Steroid 21‐hydroxylase gene polymorphism in Addison's disease patients
Peterson, P., Partanen, J., Aavik, E., Salmi, H., Pelkonen, R., & Krohn, K. J. E. (1995) · Tissue Antigens · doi:10.1111/j.1399-0039.1995.tb02478.x · Cited by 22
Analysis of Mutations Causing Steroid 21-hydroxylase Deficiency
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Strachan, T. (1994) · Journal of Inherited Metabolic Disease · doi:10.1007/bf00711358 · Cited by 20
Helmberg, A., Tabarelli, M., FUCHS, M. A., Keller, E., Dobler, G., Schnegg, I., Knorr, D., Albert, E. D., & Kofler, R. (1992) · DNA and Cell Biology · doi:10.1089/dna.1992.11.359 · Cited by 20
“ÎPoliclinic for Children and the §Children's Hospital, University of Munich, 8000 Munich, FRG. some 6 closely linked to a 97% similar pseudogene, CYP2IA, containing several deleterious mutations (Higashi et al, 1986; White et al, 1986; Rodrigues et al, 1987).”
Killeen, A. A., Sane, K., & Orr, H. T. (1991) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/0960-0760(91)90078-j · Cited by 20
Pallan, P. S., Lei, L., Wang, C., Waterman, M. R., Guengerich, F. P., & Egli, M. (2015) · Molecular Endocrinology · doi:10.1210/me.2015-1127 · Cited by 19
Disorders of sex development: a genetic study of patients in a multidisciplinary clinic
Laino, L., Majore, S., Preziosi, N., Grammatico, B., Bernardo, C. D., Scommegna, S., Rapone, A. M., Marrocco, G., Bottillo, I., & Grammatico, P. (2014) · Endocrine Connections · doi:10.1530/ec-14-0085 · Cited by 19
Bobba, A., Iolascon, A., Giannattasio, S., Albrizio, M., Sinisi, A. M., Prisco, F., Schettini, F., & Marra, E. (1997) · Journal of Medical Genetics · doi:10.1136/jmg.34.3.223 · Cited by 19
Metadata
- 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
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › 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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