Identification of a new mutation in the SRY gene in a 46,XY woman with Swyer syndrome

Autor: Enrico Sartori, Pasquale Scagliola, Sergio Barlati, Elide Spinelli, Paola Clerici, Alessandro Gambera, Eleonora Marchina
Rok vydání: 2008
Předmět:
Zdroj: Fertility and sterility. 91(3)
ISSN: 1556-5653
Popis: Objective To determine the genetic cause of primary amenorrhea in a 46,XY woman. Design Case report. Setting Centre of Gynecological Endocrinology and Cytogenetics and Molecular Genetics Laboratory of university medical school. Patient(s) A 19-year-old woman referred for primary amenorrhea. Intervention(s) Clinical, endocrinologic, and ultrasonographic investigation and SRY mutation analysis. Main Outcome Measure(s) Hormone profile (LH, FSH, PRL, leptin, E 2 , 17α-hydroxyprogesterone, 3α-androstanediol glucuronide), ultrasonographic evaluation, clinical follow-up. Result(s) A new SRY sporadic mutation due to a single nucleotide insertion at codon 13 position 38 (38–39insA) was found in a 46,XY woman with sex reversal. This mutation determined a frameshift of the reading frame sequence and a protein truncation at codon 16. Clinical and endocrinologic data are reported. Conclusion(s) This is a new rare case of a single nucleotide insertion affecting the SRY gene in 46,XY females with sex reversal. This new mutation should be considered in genetic counseling.
Databáze: OpenAIRE