The FKBP4 gene, encoding a regulator of the androgen receptor signaling pathway, is a novel candidate gene for androgen insensitivity syndrome

Autor: Kamila Kusz-Zamelczyk, Patrick Sproll, Erkut Ilaslan, Hasmik Hayrapetyan, Tamara Sarkisian, Renata Markosyan, Jadwiga Jaruzelska, Serge Nef, Brian Stevenson, Marcin Sajek, L. A. Livshits, Malgorzata Sajek
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
Candidate gene
Androgen receptor signaling pathway
Gene mutation
Biology
Catalysis
lcsh:Chemistry
Tacrolimus Binding Proteins
Inorganic Chemistry
disorder of sexual development (DSD)
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Exome
Amino Acid Sequence
Physical and Theoretical Chemistry
Child
Partial androgen insensitivity syndrome
lcsh:QH301-705.5
Molecular Biology
Gene
Spectroscopy
Exome sequencing
Genetics
partial androgen insensitivity syndrome (PAIS)
030219 obstetrics & reproductive medicine
Communication
Sexual Development
Organic Chemistry
General Medicine
Androgen-Insensitivity Syndrome
medicine.disease
androgen insensitivity syndrome (AIS)
Computer Science Applications
Androgen receptor
030104 developmental biology
lcsh:Biology (General)
lcsh:QD1-999
FKBP4
Amino Acid Substitution
Receptors
Androgen

Mutation
Androgen insensitivity syndrome
androgen receptor signaling
Signal Transduction
Zdroj: International Journal of Molecular Sciences
International Journal of Molecular Sciences, Vol 21, Iss 8403, p 8403 (2020)
Popis: Androgen insensitivity syndrome (AIS), manifesting incomplete virilization in 46,XY individuals, is caused mostly by androgen receptor (AR) gene mutations. Therefore, a search for AR mutations is a routine approach in AIS diagnosis. However, some AIS patients lack AR mutations, which complicates the diagnosis. Here, we describe a patient suffering from partial androgen insensitivity syndrome (PAIS) and lacking AR mutations. The whole exome sequencing of the patient and his family members identified a heterozygous FKBP4 gene mutation, c.956T>C (p.Leu319Pro), inherited from the mother. The gene encodes FKBP prolyl isomerase 4, a positive regulator of the AR signaling pathway. This is the first report describing a FKBP4 gene mutation in association with a human disorder of sexual development (DSD). Importantly, the dysfunction of a homologous gene was previously reported in mice, resulting in a phenotype corresponding to PAIS. Moreover, the Leu319Pro amino acid substitution occurred in a highly conserved position of the FKBP4 region, responsible for interaction with other proteins that are crucial for the AR functional heterocomplex formation and therefore the substitution is predicted to cause the disease. We proposed the FKBP4 gene as a candidate AIS gene and suggest screening that gene for the molecular diagnosis of AIS patients lacking AR gene mutations.
Databáze: OpenAIRE