Abstract |
17alpha-Hydroxylase deficiency is a rare disease caused by mutation of the CYP17 gene, resulting in hypertension, hypokalemia, female sexual infantilism or male pseudohermaphroditism, low blood cortisol and low plasma renin activity. Herein, we report a female Taiwanese with 17alpha-hydroxylase deficiency. The CYP17 genes of this patient and five members of her family were analyzed by PCR-direct sequencing. One allele of the patient contains a 9-bp (c. 1459-1467 GACTCTTTC: D487, S488, F489) deletion, which is prevalent in Southeast Asia. The other allele has a 6-bp (c. 1480-1485 AAGGTG: K494, V495) deletion and an R496L (c. 1487 G>T) missense mutation, which is a novel mutation. Site-directed mutagenesis, in vitro expression and functional analysis in HEK-293T cells showed that this novel mutation [K494_V495 Del; R496L] resulted in complete loss of 17alpha-hydroxylase and 17,20-lyase activity. Thus this novel mutation in the extreme C-terminus abolishes enzyme activity, and when accompanied by a 9-bp deletion at codons 487-489 in the other allele, results in 17alpha- hydroxylase/ 17,20-lyase deficiency in this patient.
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Authors | Long-Shyong Lee, Wei-Jane Shu, Chen-Ming Wu, Chia-Hsing Hsieh, Su-Mei Chen, Chaur-Jong Hu, Wei-Yi Chen, Bon-Chu Chung |
Journal | Molecular and cellular endocrinology
(Mol Cell Endocrinol)
Vol. 249
Issue 1-2
Pg. 16-20
(Apr 25 2006)
ISSN: 0303-7207 [Print] Ireland |
PMID | 16483711
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Steroid 17-alpha-Hydroxylase
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Topics |
- Adrenal Hyperplasia, Congenital
(genetics)
- Adult
- Alleles
- Cell Line
- DNA Mutational Analysis
- Female
- Humans
- Mutagenesis, Site-Directed
- Pedigree
- Rare Diseases
(genetics)
- Sequence Deletion
- Steroid 17-alpha-Hydroxylase
(genetics, metabolism)
- Taiwan
(ethnology)
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