Comprehensive Genetic Analysis of 182 Unrelated Families with Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency
| Autor: | Sneha P. Mehta, Gabriela P. Finkielstain, Carol Van Ryzin, Wuyan Chen, Frank K. Fujimura, Deborah P. Merke, Nazli B. McDonnell, Reem M. Hanna |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities endocrine system diseases Adolescent Genotype Endocrinology Diabetes and Metabolism Clinical Biochemistry DNA Mutational Analysis Biology Compound heterozygosity urologic and male genital diseases Biochemistry Endocrinology Internal medicine Genetic variation medicine Humans Congenital adrenal hyperplasia Genetic Testing Child Alleles Genetic Association Studies Genetic testing Aged Genetics medicine.diagnostic_test Adrenal Hyperplasia Congenital Reverse Transcriptase Polymerase Chain Reaction Biochemistry (medical) Haplotype nutritional and metabolic diseases Infant Middle Aged medicine.disease Uniparental disomy female genital diseases and pregnancy complications United States Blotting Southern Phenotype Child Preschool Mutation (genetic algorithm) Mutation Original Article Female Steroid 21-Hydroxylase |
| Popis: | Background: Genetic analysis is commonly performed in patients with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. Study Objective: The objective of the study was to describe comprehensive CYP21A2 mutation analysis in a large cohort of CAH patients. Methods: Targeted CYP21A2 mutation analysis was performed in 213 patients and 232 parents from 182 unrelated families. Complete exons of CYP21A2 were sequenced in patients in whom positive mutations were not identified by targeted mutation analysis. Copy number variation and deletions were determined using Southern blot analysis and PCR methods. Genotype was correlated with phenotype. Results: In our heterogeneous U.S. cohort, targeted CYP21A2 mutation analysis did not identify mutations on one allele in 19 probands (10.4%). Sequencing identified six novel mutations (p.Gln262fs, IVS8+1G>A, IVS9-1G>A, p.R408H, p.Gly424fs, p.R426P) and nine previously reported rare mutations. The majority of patients (79%) were compound heterozygotes and 69% of nonclassic (NC) patients were compound heterozygous for a classic and a NC mutation. Duplicated CYP21A2 haplotypes, de novo mutations and uniparental disomy were present in 2.7% of probands and 1.9 and 0.9% of patients from informative families, respectively. Genotype accurately predicted phenotype in 90.5, 85.1, and 97.8% of patients with salt-wasting, simple virilizing, and NC mutations, respectively. Conclusions: Extensive genetic analysis beyond targeted CYP21A2 mutational detection is often required to accurately determine genotype in patients with CAH due to the high frequency of complex genetic variation. |
| Databáze: | OpenAIRE |
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