A Case of Antley-Bixler Syndrome With a Novel Likely Pathogenic Variant (c.529G>C) in the POR Gene
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CYP3A4 is responsible for metabolizing nearly 50% of commonly prescribed medications.
“Of particular clinical relevance, CYP3A4 is responsible for metabolizing nearly 50% of commonly prescribed medications (65, 66).”
From Case Report: Integrating clinical presentation and genetic analysis in P450 oxidoreductase deficiency: a novel mutation and systematic review (2026) · cites this paper as [66]
The case report’s main text describes POR and steroidogenic enzymes, but does not address CYP3A4’s role in metabolizing prescribed medications. Searches for CYP3A4, drug metabolism, and the nearly 50% figure found no supporting passage in our copy; none of the passages gives a contrary figure either. (LLM, conf=0.76)
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Cites
Richards, S., Aziz, N., Bale, S., Bick, D., Das, S., Gastier-Foster, J., Grody, W. W., Hegde, M., Lyon, E., Spector, E., et al. (2015) · Genetics in Medicine · doi:10.1038/gim.2015.30 · Cited by 32,594 · see citing works
Mutant P450 oxidoreductase causes disordered steroidogenesis with and without Antley-Bixler syndrome
Flück, C. E., Tajima, T., Pandey, A. V., Arlt, W., Okuhara, K., Verge, C. F., Jabs, E. W., Mendonça, B. B., Fujieda, K., & Miller, W. L. (2004) · Nature Genetics · doi:10.1038/ng1300 · Cited by 509 · see citing works
Evidence for digenic inheritance in some cases of Antley-Bixler syndrome?
Reardon, W., Smith, A., Honour, J. W., Hindmarsh, P., Das, D., Rumsby, G., Nelson, I., Malcolm, S., Adès, L., Sillence, D., et al. (2000) · Journal of Medical Genetics · doi:10.1136/jmg.37.1.26 · Cited by 123 · see citing works
Adachi, M., Tachibana, K., Asakura, Y., Yamamoto, T., Hanaki, K., & Oka, A. (2004) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.30169 · Cited by 110 · see citing works
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Research works printed but not linked: 5
- [1]Chun K Siegel-Bartelt J Chitayat D Phillips J Ray PN FGFR2 mutation associated with clinical manifestations consistent with Antley-Bixler syndrome Am J Med Genet 1998 77 219 224 9605588
- [2]Miller WL P450 oxidoreductase deficiency: a new disorder of steroidogenesis with multiple clinical manifestations Trends Endocrinol Metab 2004 15 311 315 15350602
- [6]Sahakitrungruang T Huang N Tee MK Agrawal V Russell WE Crock P Clinical, genetic, and enzymatic characterization of P450 oxidoreductase deficiency in four patients J Clin Endocrinol Metab 2009 94 4992 5000 19837910 PMC2795645
- [7]Ko JM Cheon CK Kim GH Yoo HW A case of Antley-Bixler syndrome caused by compound heterozygous mutations of the cytochrome P450 oxidoreductase gene Eur J Pediatr 2009 168 877 880 18853185
- [9]Adachi M Asakura Y Matsuo M Yamamoto T Hanaki K Arlt W POR R457H is a global founder mutation causing Antley–Bixler syndrome with autosomal recessive trait Am J Med Genet A 2006 140 633 635 16470797
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Dean, B., Chrisp, G. L., Quartararo, M., Maguire, A. M., Hameed, S., King, B. R., Munns, C. F., Torpy, D. J., Falhammar, H., & Rushworth, R. L. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgz255 · Cited by 43 · see citing works
Lee, Y., Choi, J.-H., Oh, A., Kim, G.-H., Park, S.-H., Moon, J. E., Ko, C. W., Cheon, C.-K., & Yoo, H.-W. (2020) · Annals of Pediatric Endocrinology & Metabolism · doi:10.6065/apem.1938152.076 · Cited by 16 · see citing works
Zhang, C., Zhao, Z., Du, Y., Huang, Q., Liu, Y., Fu, G., & Xu, J. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1791297
- Authors
- Oh, J., Song, J.-S., Park, J. E., Jang, S. Y., Ki, C.-S., & Kim, D.-K.
- Affiliations
- Samsung Medical Center (KR)
- Corresponding author
- Ki, Chang-Seok
- Kim, Duk-Kyung
- Venue
- Annals of Laboratory Medicine
- Publisher
- Annals of Laboratory Medicine
- Published
- 2017-11-01
- Volume
- 37
- Issue
- 6
- Pages
- 559-562
- ISSN
- 2234-3806 (ISSN-L)
- 2234-3814
- PMC
- PMC5587836
- OpenAlex
- W2753786773
- Cited by
- 11
- References
- 4
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Annals of Laboratory Medicine (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and rare skin diseases.
- Keywords
- Antley-Bixler syndrome, POR gene, phenylalanine hydroxylase, novel variants, likely pathogenic variants, congenital disorders of glycosylation, skeletal dysplasia, craniosynostosis
- MeSH terms
- Elbow, Female, Foot, Hand, Heterozygote, Humans, NADPH-Ferrihemoprotein Reductase, Pedigree, Sequence Analysis, DNA, Polymorphism, Single Nucleotide, Antley-Bixler Syndrome Phenotype, Young Adult
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