Novel and Recurrent Mutations in Patients with Androgen Insensitivity Syndromes.

Autor: Ledig, Susanne, Jakubiczka, Sibylle, Neulen, Joseph, Aulepp, Ute, Burck-Lehmann, Uta, Mohnike, Klaus, Thiele, Hannelore, Zierler, Hannelore, Brewer, Carole, Wieacker, Peter
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Zdroj: Hormone Research; 2005, Vol. 63 Issue 6, p263-269, 7p
Abstrakt: Background/Aims: Androgen insensitivity syndrome (AIS) caused by mutations within the androgen receptor gene represents a variety of phenotypes from females with 46,XY karyotype over individuals with ambiguous genitalia to infertile males. Methods: We studied 24 patients with AIS by sequencing androgen receptor gene. 19 of the investigated patients were affected by complete androgen insensitivity syndrome (CAIS) and 5 suffered from partial androgen insensitivity syndrome (PAIS). Results: So far we have detected 12 unreported mutations as well as 9 recurrent mutations (3 recurrent mutations were detected twice) in exons 2–8 of the androgen receptor gene. Three of the novel mutations cause a frameshift with subsequent premature termination and were found in patients with CAIS. These frameshifts were induced by single nucleotide deletion or insertion, or in one case by a 13-bp deletion, respectively. Another premature stop codon found in a CAIS patient results from an already reported nucleotide substitution in exon 5. Furthermore, in a CAIS patient we found a novel duplication of codon 788. All other mutations caused single base substitutions spread through exons 2–8 and were associated with CAIS or PAIS. Conclusions: We report a broad spectrum of different mutations within the AR gene leading to various manifestations of AIS. Apart from truncating mutations, a reliable genotype/phenotype correlation cannot be established. Therefore, modifying factors must be effective. Copyright © 2005 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index