Identification of steroid biosynthetic defects in genotype-proven heterozygous individuals for 17α-hydroxylase/17,20-lyase deficiency
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Summary: Objective P450c17 deficiency (17α‐hydroxylase/17,20‐lyase deficiency, 17OHD) is a rare form of congenital adrenal hyperplasia caused by CYP17A1 gene mutations. The D487_F489 deletion in exon 8 and Y329fs in exon 6 are relatively frequent mutations of the CYP17A1 gene in China that completely abolish the enzyme activity of P450c17. However, little remains known about steroid biosynthetic functions in carriers with these mutations in a single allele of the CYP17A1 gene, who are assumed to have 50% P450c17 activity. We investigated adrenal steroidogenic function in genotype‐proven heterozygotes carrying such mutations in the CYP17A1 gene in vivo. Patients and design Eight patients and fourteen family members from five families with 17OHD were recruited. The mutations of the CYP17A1 gene in these individuals were screened by sequencing. The hormonal response to cosyntropin (ACTH) was evaluated in the 14 genotype‐proven carriers and 45 age‐ and gender‐matched normal controls. Results Fourteen carriers of the CYP17A1 mutation – seven with the D487_F489 deletion, six with Y329fs and one with H373L – were identified from the five families with 17OHD. Compared with normal controls, carriers showed lower basal and ACTH‐stimulated cortisol levels but higher ACTH‐stimulated corticosterone levels. The ratios of corticosterone to cortisol in the genotype‐proven heterozygotes were higher than those of the normal controls at the baseline and after cosyntropin stimulation. Similarly, the progesterone levels and the ratios of progesterone to 17‐hydroxyprogesterone in the male heterozygotes were also higher than those of the normal controls, both before and after ACTH stimulation. Conclusion Genotype‐proven carriers of the CYP17A1 mutation who lack apparent clinical symptoms exhibit decreased adrenal 17α‐hydroxylase activity and altered adrenal gland reserve for steroid biosynthesis.
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Heterozygotes for 17α-hydroxylase deficiency can sometimes be identified by cosyntropin stimulation testing.
“Heterozygotes can sometimes be identified by cosyntropin stimulation testing (234,265,266).”
From The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders (2011) · cites this paper as [234]
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Cites
17-Hydroxylation deficiency in man
Biglieri, E. G., Herron, M. A., & Brust, N. (1966) · Journal of Clinical Investigation · doi:10.1172/jci105499 · Cited by 561 · see citing works
Chung, B. C., Picado-Leonard, J., Haniu, M., Bienkowski, M., Hall, P. F., Shively, J. E., & Miller, W. L. (1987) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.84.2.407 · Cited by 444 · see citing works
PICADO-LEONARD, J., & MILLER, W. L. (1987) · DNA · doi:10.1089/dna.1987.6.439 · Cited by 415 · see citing works
17α-Hydroxylase/17,20 lyase deficiency: from clinical investigation to molecular definition
YANASE, T., SIMPSON, E. R., & WATERMAN, M. R. (1991) · Endocrine Reviews · doi:10.1210/edrv-12-1-91 · Cited by 390 · see citing works
THE GENETICS, PATHOPHYSIOLOGX, AND MANAGEMENT OF HUMAN DEFICIENCIES OF P450c17
Auchus, R. J. (2001) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(08)70021-5 · Cited by 266 · see citing works
Costa-Santos, M., Kater, C. E., & Auchus, R. J. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-031021 · Cited by 224 · see citing works
VOUTILAINEN, R., & MILLER, W. L. (1986) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-63-5-1145 · Cited by 185 · see citing works
Auchus, R. J., & Miller, W. L. (1999) · Molecular Endocrinology · doi:10.1210/mend.13.7.0326 · Cited by 185 · see citing works
MATTESON, K. J., PICADO-LEONARD, J., CHUNG, B.-C., MOHANDAS, T. K., & MILLER, W. L. (1986) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-63-3-789 · Cited by 160 · see citing works
Fan, Y.-S., Sasi, R., Lee, C., Winter, J. S. D., Waterman, M. R., & Lin, C. C. (1992) · Genomics · doi:10.1016/s0888-7543(05)80140-5 · Cited by 102 · see citing works
Miura, K., Yasuda, K., Yanase, T., Yamakita, N., Sasano, H., Nawata, H., Inoue, M., Fukaya, T., & Shizuta, Y. (1996) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.81.10.8855840 · Cited by 84 · see citing works
Mutation of histidine 373 to leucine in cytochrome P450c17 causes 17 alpha-hydroxylase deficiency.
Monno, S., Ogawa, H., Date, T., Fujioka, M., Miller, W. L., & Kobayashi, M. (1993) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(19)74462-7 · Cited by 74 · see citing works
Fardella, C. E., Zhang, L. H., Mahachoklertwattana, P., Lin, D., & Miller, W. L. (1993) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.77.2.8345056 · Cited by 72 · see citing works
Yang, J., Cui, B., Sun, S., Shi, T., Zheng, S., Bi, Y., Liu, J., Zhao, Y., Chen, J., Ning, G., et al. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-2283 · Cited by 63 · see citing works
Self-citationPoint mutation of Arg440 to His in cytochrome P450c17 causes severe 17 alpha-hydroxylase deficiency
Fardella, C., Hum, D. W., Homoki, J., & Miller, W. L. (1994) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.79.1.8027220 · Cited by 62 · see citing works
17α-Hydroxylase deficiency: mineralocorticoid hormone profiles in an affected family
D'Armiento, M., Reda, G., Kater, C., Shackleton, C. H. L., & Biglieri, E. G. (1983) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-56-4-697 · Cited by 47 · see citing works
Wei, J., Wei, J., Li, W., Yun-sheng, B., & Wei, F. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-0153 · Cited by 45 · see citing works
Diagnosis and Natural History of 17-Hydroxylase Deficiency in a Newborn Male*
Dean, H., Shackleton, C. H. L., & Winter, J. S. D. (1984) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-59-3-513 · Cited by 43 · see citing works
Patócs, A., Likó, I., Varga, I., Gergics, P., Boros, A. M., Fütő, L., Kun, I. Z., Bertalan, R. Á., Tóth, S., Pázmány, T., et al. (2005) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2005.06.035 · Cited by 36 · see citing works
Qiao, J. (2003) · Molecular and Cellular Endocrinology · doi:10.1016/s0303-7207(02)00156-9 · Cited by 36 · see citing works
Self-citationHahm, J. R., Kim, D. R., Jeong, D. K., Chung, J. H., Lee, M., Min, Y., Kim, K., & Lee, M. (2003) · Metabolism · doi:10.1053/meta.2003.50080 · Cited by 24 · see citing works
Heterozygotes for 17α-hydroxylase deficiency can be detected with a short ACTH test
WIT, J. M., VAN ROERMUND, H. P. C., OOSTDIJK, W., BENRAAD, T. H. J., THIJSSEN, J. H. H., BOER, P., JANSEN, M., SPIT, M., & VAN DEN BRANDE, J. L. (1988) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1988.tb03858.x · Cited by 18 · see citing works
Lee, L.-S., Shu, W.-J., Wu, C.-M., Hsieh, C.-H., Chen, S.-M., Hu, C., Chen, W., & Chung, B. (2006) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2006.01.003 · Cited by 15 · see citing works
Hahm, J. R., Jung, T. S., Byun, S. Y., Lee, Y. N., Lee, K. H., & Kim, D. R. (2004) · Metabolism · doi:10.1016/j.metabol.2004.05.018 · Cited by 11 · see citing works
Wei, J.-Q., Wei, J., Lucarelli, C., Zhou, X.-T., Wang, D.-Q., Dai, W.-J., Li, S., Li, S.-M., & Liu, R.-T. (1992) · Clinical Chemistry · doi:10.1093/clinchem/38.1.76 · Cited by 10 · see citing works
Fat metabolism in nephrotic hyperlipemia.
Heymann, W., Lw, M., Lemm, J., Olynyk, P., Salehar, M., & Gilkey, C. (1954) · PubMed · Cited by 9 · see citing works
Flagged first, then by citations
1 of the 27 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [17]17. Yang, J., Cui, B., Sun, S. et al. (2006) Phenotype-genotype correla- tion in eight Chinese 17alpha-hydroxylase/17,20lyase-deficiency patients with five novel mutations of CYP17A1A1 gene. Journal of Clinical Endocrinology and Metabolism, 91, 3619-3625.
Cited by
Sorted by citations
The Molecular Biology, Biochemistry, and Physiology of Human Steroidogenesis and Its Disorders
Miller, W. L., & Auchus, R. J. (2011) · Endocrine Reviews · doi:10.1210/er.2010-0013 · Cited by 2,458 · see citing works
Kim, Y., Kang, M., Choi, J., Lee, B. H., Kim, G.-H., Ohn, J. H., Kim, S. Y., Park, M. S., & Yoo, H. (2013) · Metabolism · doi:10.1016/j.metabol.2013.08.015 · Cited by 78 · see citing works
The hunt for a selective 17,20 lyase inhibitor; learning lessons from nature
Bird, I. M., & Abbott, D. H. (2016) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2016.04.021 · Cited by 43 · see citing works
Diagnosis of Diseases of Steroid Hormone Production, Metabolism and Action
Honour, J. W. (2009) · Journal of Clinical Research in Pediatric Endocrinology · doi:10.4274/jcrpe.v1i5.209 · Cited by 30 · see citing works
Xu, Y., Jiang, S., Yan, Z., Niu, Y., Du, W., Liu, B., Han, B., Liu, X., Zhao, S., Song, H., et al. (2022) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgac029 · Cited by 26 · see citing works
Self-citationQiao, J., Han, B., Liu, B., Liu, W., Wu, J., Pan, C., Jiang, H., Gu, T., Jiang, B., Zhu, H., et al. (2011) · European Journal of Endocrinology · doi:10.1530/eje-10-0933 · Cited by 26 · see citing works
Self-citationRare forms of congenital adrenal hyperplasia
Tosun, B. G., & Güran, T. (2023) · Clinical Endocrinology · doi:10.1111/cen.15009 · Cited by 22 · see citing works
Şıklar, Z., Çamtosun, E., Bolu, S., Yıldız, M., Akıncı, A., Baş, F., Dündar, İ., Beştaş, A., Ünal, E., Kocaay, P., et al. (2024) · Endocrine · doi:10.1007/s12020-024-03962-6 · Cited by 21 · see citing works
Oh, Y., Ryoo, U., Kim, D., Cho, S. Y., Jin, D., Yoon, B.-K., Lee, D. Y., & Choi, D. S. (2012) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2012.05.008 · Cited by 20 · see citing works
Belgini, D. R. B., de Mello, M. P., Baptista, M. T. M., de Oliveira, D. M., Denardi, F. C., Garmes, H. M., Grassiotto, O. D. R., Benetti‐Pinto, C. L., Marques‐de‐Faria, A. P., Maciel‐Guerra, A. T., et al. (2010) · Arquivos Brasileiros de Endocrinologia & Metabologia · doi:10.1590/s0004-27302010000800008 · Cited by 15 · see citing works
Xia, Y., Shi, P., Xia, J., Zhang, H., Xu, L., & Kong, X. (2021) · Steroids · doi:10.1016/j.steroids.2021.108873 · Cited by 12 · see citing works
Genetic Analysis of 25 Patients with 5α‐Reductase Deficiency in Chinese Population
Han, B., Cheng, T., Zhu, H., Yu, J., Zhu, W., Song, H., Yao, H., & Qiao, J. (2020) · BioMed Research International · doi:10.1155/2020/1789514 · Cited by 10 · see citing works
Self-citationLee, M. H., Park, S. W., Yoon, T. K., & Shim, S. H. (2012) · Gynecological Endocrinology · doi:10.3109/09513590.2011.650743 · Cited by 10 · see citing works
Yang, F., Zhao, Y., Lv, J., Sheng, X., & Wang, L. (2019) · Gynecological Endocrinology · doi:10.1080/09513590.2018.1540576 · Cited by 10 · see citing works
Asirvatham, A. R., Balachandran, K., Jerome, P., Venkatesan, V., Koshy, T., & Mahadevan, S. (2020) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem-2020-0050 · Cited by 9 · see citing works
Jiang, S., Xu, Y., Qiao, J., Wang, Y., & Kuang, Y. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.970190 · Cited by 7 · see citing works
Self-citationCamats, N., Üstyol, A., Atabek, M. E., Dick, B., & Flück, C. E. (2015) · Clinical Case Reports · doi:10.1002/ccr3.343 · Cited by 7 · see citing works
Chen, H., Chen, Y., Mao, H., Huang, H., & Lou, X. (2023) · Blood Pressure · doi:10.1080/08037051.2023.2195008 · Cited by 6 · see citing works
Qin, F., Liu, K., Zhang, C., Sun, X., Zhang, Y., Wu, Y., Ma, W., Wang, W., Wu, X., Qin, Y., et al. (2019) · Hypertension Research · doi:10.1038/s41440-019-0306-7 · Cited by 5 · see citing works
Self-citationSuccessful live birth in women with partial 17α-hydroxylase deficiency: report of two cases
Du, X., Jia, Q., Wu, S., Wang, B., & Guan, Y. (2024) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2024.103855 · Cited by 5 · see citing works
Rare Types of Congenital Adrenal Hyperplasias Other Than 21-hydroxylase Deficiency
İsakoca, M., Erdeve, Ş. S., & Çetinkaya, S. Ç. (2024) · Journal of Clinical Research in Pediatric Endocrinology · doi:10.4274/jcrpe.galenos.2024.2024-6-21-s · Cited by 5 · see citing works
Dündar, İ., Akıncı, A., Çamtosun, E., Çiftçi, N., & Kayaş, L. (2023) · Sexual Development · doi:10.1159/000529158 · Cited by 5 · see citing works
Congenital adrenal hyperplasia and hypertension
Tosun, B. G., & Güran, T. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-96120-2.00015-7 · Cited by 5 · see citing works
Combined 17α-hydroxylase/17,20-lyase deficiency with short stature: case study
Ma, L., Peng, F., Yu, L., Chen, J., Ji, W., Zhang, C., & Zhang, X. (2015) · Gynecological Endocrinology · doi:10.3109/09513590.2015.1116506 · Cited by 4 · see citing works
Self-citationIdentification of a novel mutation in CYP17A1 gene
Xue, L., Han, B., Chen, L., Pan, C., Zhu, H., Liu, B., Liu, W., Wu, W., Chen, M., Lu, Y., et al. (2012) · Translational research · doi:10.1016/j.trsl.2012.08.007 · Cited by 4 · see citing works
Self-citationRare forms of congenital adrenal hyperplasia: pathogenesis, clinical, treatment and management
Cavarzere, P., lupieri, V., battiston, R., Mancioppi, V., & Maffeis, C. (2025) · Journal of Endocrinological Investigation · doi:10.1007/s40618-025-02750-x · Cited by 3 · see citing works
Albu, A. I., Iancu, M. E., & Albu, D. N. (2023) · Life · doi:10.3390/life13040921 · Cited by 3 · see citing works
Genetic defect of a combined 17 α-hydroxylase/17,20-lyase deficiency patient with adrenal crisis
Zhang, Y., Zhang, X., Wang, Y., Hua, K., & Ding, J. (2018) · Gynecological Endocrinology · doi:10.1080/09513590.2017.1417981 · Cited by 3 · see citing works
Population-based screening of CYP17A1 Y329fs mutation carriers in the Han Chinese population
Han, B., Zhang, X., Liu, C., Zhu, H., Zhu, W., Xu, Y., Zhang, F., Zhang, K., Xu, S., & Qiao, J. (2025) · Genes & Diseases · doi:10.1016/j.gendis.2025.101647 · Cited by 2 · see citing works
Self-citationBing, H., Qiao, J., Liu, B., Liu, W., Wu, J., Pan, C.-M., He, J., Gu, T., Jiang, B., Zhu, H., et al. (2011) · Zhonghua neifenmi daixie zazhi · doi:10.3760/cma.j.issn.1000-6699.2011.11.010 · Cited by 1 · see citing works
Self-citation
- Authors
- Qiao, J., Chen, X., Zuo, C., Gu, Y., Liu, B., Liang, J., Lu, Y., Tang, J., Wu, Y., Chen, M., Chen, J., Wu, W., & Song, H.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Xuzhou Central Hospital (CN)
- Corresponding author
- Song, Huai‐Dong
- Venue
- Clinical Endocrinology
- Publisher
- Wiley
- Published
- 2010-02-10
- Volume
- 72
- Issue
- 3
- Pages
- 312-319
- ISSN
- 0300-0664 (ISSN-L)
- 1365-2265
- OpenAlex
- W2121731982
- Semantic Scholar
- ba850f04995591b4ad197ad966890cb9b321b418
- Cited by
- 30
- References
- 27
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 2 · 2013: 1 · 2012: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Endocrinology (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
- 17α-hydroxylase/17,20-lyase deficiency, congenital adrenal hyperplasia, heterozygous carriers, P450c17, adrenal steroidogenesis, ACTH stimulation test, cortisol, corticosterone, progesterone, 17-hydroxyprogesterone
- MeSH terms
- Adolescent, Adrenal Hyperplasia, Congenital, Adult, Cosyntropin, DNA Mutational Analysis, Female, Genotype, Hormones, Humans, Male, Middle Aged, Pedigree, Steroid 17-alpha-Hydroxylase, 11-Hydroxycorticosteroids, Case-Control Studies, Young Adult
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