Xiaoqin ZHENG, Yu MAO, Biyuan QIU, et al. Gene mutation analysis of AR and SRD5A2 in 65 hypospadias cases with 46, XY karyotype[J]. Journal of Third Military Medical University, 2018, 40(11): 998-1004.
DOI:
Xiaoqin ZHENG, Yu MAO, Biyuan QIU, et al. Gene mutation analysis of AR and SRD5A2 in 65 hypospadias cases with 46, XY karyotype[J]. Journal of Third Military Medical University, 2018, 40(11): 998-1004. DOI: 10.16016/j.1000-5404.201712132.
Gene mutation analysis of AR and SRD5A2 in 65 hypospadias cases with 46, XY karyotype
摘要
Abstract
Objective
2
To investigate
AR
and
SRD5A2
mutation in 65 hypospadias cases having 46
XY karyotype
and to explore the genetic causes of hypospadias.
Methods
2
Sanger sequencing was used to detect the coding regions of
AR
and
SRD5A2
genes in 65 hypospadias patients having 46
XY karyotype who admitted in the Sichuan Provincial People's Hospital from 2015 to 2017. Family analysis was performed on the candidate pathogenic mutations. Bioinformatics analysis was carried out on the obtained mutant genes.
Results
2
Among the 65 hypospadias patients
8 had semi-heterozygous mutations in
AR
gene
with 7 different mutant alleles
of which 2 mutations c.1792A
>
C and c.2581A
>
T have not been reported. Twenty-five patients had homozygous or complex heterozygous mutations in
SRD5A2
gene
including 17 different mutant alleles
of which 4 have never been reported (c.269A
>
C
c.350C
>
A
c.365A
>
G
and c.662T
>
G). The exon 1 and exon 4 have of
SRD5A2
gene were hot spot regions. c.680G
>
A and c.16C
>
T were hot spot mutation. The detection rate of
AR
and
SRD5A2
mutations was 51% (33/65).
Conclusion
2
There exist genetic causes of hypospadias in the hypospadias patients with 46
XY karyotype. The 6 novel mutations have enriched the mutation spectrum of the
AR
and
SRD5A2
genes.
关键词
Keywords
references
HUGHES I A HOUK C AHMED S F Lawson Wilkins Pediatric Endocrine Society/European Society for Paediatric Endocrinology Consensus Group:Consensus statement on management of intersex disorders J Pediatr Urol 2006 2 3 148 162 10.1016/j.jpurol.2006.03.004 http://cn.bing.com/academic/profile?id=330dbd8c1bfbad728d048de0701cf0ca&encoded=0&v=paper_preview&mkt=zh-cn HUGHES I A, HOUK C, AHMED S F, et al .Lawson Wilkins Pediatric Endocrine Society/European Society for Paediatric Endocrinology Consensus Group:Consensus statement on management of intersex disorders[J ] . J Pediatr Urol, 2006, 2(3):148-162.DOI:10.1016/j.jpurol.2006.03.004.
OHNESORG T VILAIN E SINCLAIR A H The genetics of disorders of sex development in humans Sex Dev 2014 8 5 262 272 10.1159/000357956 https://www.karger.com/Article/Pdf/357956 OHNESORG T, VILAIN E, SINCLAIR A H. The genetics of disorders of sex development in humans[J]. Sex Dev, 2014, 8(5): 262-272. DOI:10.1159/000357956.
GONG C X LI L L Procedure of diagnosis and treatment for disorders of sex development:based on the abundant clinical experiences and more than 400 cases of 46, XY disorders of sex development Chin J Appl Clin Pediatr 2017 32 20 1521 1525 10.3760/cma.j.issn.2095-428X.2017.20.001 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=syeklczz201720001 GONG C X, LI L L.Procedure of diagnosis and treatment for disorders of sex development:based on the abundant clinical experiences and more than 400 cases of 46, XY disorders of sex development[J]. Chin J Appl Clin Pediatr, 2017, 32(20):1521-1525.DOI:10.3760/cma.J.issn.2095-428X.2017.20.001.
OAKES M B EYVAZZADEH A D QUINT E Complete androgen insensitivity syndrome—a review J Pediatr Adolesc Gynecol 2008 21 6 305 310 10.1016/j.jpag.2007.09.006 http://cn.bing.com/academic/profile?id=4ac437f20533c6c017f1d33c9baecfc4&encoded=0&v=paper_preview&mkt=zh-cn OAKES M B, EYVAZZADEH A D, QUINT E, et al . Complete androgen insensitivity syndrome—a review[J ] . J Pediatr Adolesc Gynecol, 2008, 21(6): 305-310. DOI:10.1016/j.jpag.2007.09.006.
RAHIMI M GHANBARI M FAZELI Z Association of SRD5A2 gene mutations with risk of hypospadias in the Iranian population J Endocrinol Invest 2017 40 4 391 396 10.1007/s40618-016-0573-y http://cn.bing.com/academic/profile?id=25f0784e59962afdcbf28a4e1abf6b0d&encoded=0&v=paper_preview&mkt=zh-cn RAHIMI M, GHANBARI M, FAZELI Z, et al . Association of SRD5A2 gene mutations with risk of hypospadias in the Iranian population[J ] . J Endocrinol Invest, 2017, 40(4): 391-396. DOI:10.1007/s40618-016-0573-y.
FU X H ZHANG W Q QU X S Correlation of androgen receptor and SRD5A2 gene mutations with pediatric hypospadias in 46, XY DSD children Genet Mol Res 2016 15 1 15018232 10.4238/gmr.15018232 https://www.medscape.com/medline/abstract/27051040 FU X H, ZHANG W Q, QU X S. Correlation of androgen receptor and SRD5A2 gene mutations with pediatric hypospadias in 46, XY DSD children[J ] . Genet Mol Res, 2016, 15(1): 15018232. DOI:10.4238/gmr.15018232.
WERNER R HOLTERHUS P M BINDER G The A645D mutation in the hinge region of the human androgen receptor ( AR ) gene modulates AR activity, depending on the context of the polymorphic glutamine and glycine repeats J Clin Endocrinol Metab 2006 91 9 3515 3520 10.1210/jc.2006-0372 http://cn.bing.com/academic/profile?id=f1512a5baddbad34a46b9d273a27bba8&encoded=0&v=paper_preview&mkt=zh-cn WERNER R, HOLTERHUS P M, BINDER G, et al . The A645D mutation in the hinge region of the human androgen receptor ( AR ) gene modulates AR activity, depending on the context of the polymorphic glutamine and glycine repeats[J ] . J Clin Endocrinol Metab, 2006, 91(9): 3515-3520. DOI:10.1210/jc.2006-0372.
YANG R J ZHOU Y L LI J Research status of androgen insensitivity syndrome Mater Child Health Care China 2017 32 5 1083 1086 http://mall.cnki.net/magazine/Article/ZFYB201705074.htm YANG R J, ZHOU Y L, LI J, et al . Research status of androgen insensitivity syndrome[J ] . Mater Child Health Care China, 2017, 32(5):1083-1086.DOI:10.7620/zgfybj.j.issn.1001-4411.2017.05.73.
HOU L L LIANG L Y OU H Clinical features and gene mutation analysis of 8 patients with 5α reductase type Chin J Prac Pediatr 2016 31 5 373 375 http://www.cqvip.com/QK/91487A/201605/668833642.html HOU L L, LIANG L Y, OU H, et al . Clinical features and gene mutation analysis of 8 patients with 5α reductase type[J ] . Chin J Prac Pediatr, 2016, 31(5):373-375.DOI:10.7504/ek2016050614.
HUGHES I A WERNER R BUNCH T Androgen insensitivity syndrome Semin Reprod Med 2012 30 5 432 442 10.1055/s-0032-1324728 http://cn.bing.com/academic/profile?id=cd9e34e93a5686635ceade94636ba37e&encoded=0&v=paper_preview&mkt=zh-cn HUGHES I A, WERNER R, BUNCH T, et al . Androgen insensitivity syndrome[J ] . Semin Reprod Med, 2012, 30(5): 432-442. DOI:10.1055/s-0032-1324728.
GIWERCMAN Y L IVARSSON S A RICHTHOFF J A novel mutation in the D-box of the androgen receptor gene (S597R) in two unrelated individuals is associated with both normal phenotype and severe PAIS Horm Res 2004 61 2 58 62 10.1159/000075240 http://cn.bing.com/academic/profile?id=4b9c70408b6dcdeb65bd9bad65475969&encoded=0&v=paper_preview&mkt=zh-cn GIWERCMAN Y L, IVARSSON S A, RICHTHOFF J, et al . A novel mutation in the D-box of the androgen receptor gene (S597R) in two unrelated individuals is associated with both normal phenotype and severe PAIS[J ] . Horm Res, 2004, 61(2): 58-62. DOI:10.1159/000075240.
YUAN S M ZHONG C G LI X R Karyotyping and analysis of 5a-reductase-2 gene mutation in 25 patients with hypospadias Chin J Med Genet 2017 34 2 159 163 10.3760/cma.j.issn.1003-9406.2017.02.001 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhyxycx201702001 YUAN S M, ZHONG C G, LI X R, et al .Karyotyping and analysis of 5a-reductase-2 gene mutation in 25 patients with hypospadias[J ] .Chin J Med Genet, 2017, 34(2):159-163.DOI:10.3760/cma.j.issn.1003-9406.2017.02.001.
XU J J LI S K LI Q Mutation analysis of SRD5A2 gene in patients with hypospadias Chin J Plast Surg 2006 22 2 139 141 http://www.cnki.com.cn/Article/CJFDTotal-WZYX901.007.htm XU J J, LI S K, LI Q, et al . Mutation analysis of SRD5A2 gene in patients with hypospadias[J ] . Chin J Plast Surg, 2006, 22(2):139-141.
WU X Y MAO J F SHI Y F Steroid 5α-reductase and 5α-reductase type 2 deficiency Basic Clin Med 2006 26 3 225 230 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=jcyxylc200603001 WU X Y, MAO J F, SHI Y F, et al . Steroid 5α-reductase and 5α-reductase type 2 deficiency[J ] .Basic Clin Med, 2006, 26(3):225-230.
CHENG J LIN R ZHANG W Phenotype and molecular characteristics in 45 Chinese children with 5α-reductase type 2 deficiency from South China Clin Endocrinol (Oxf) 2015 83 4 518 526 10.1111/cen.12799 http://cn.bing.com/academic/profile?id=d1e288dceb7e76d7926752b65e5bb990&encoded=0&v=paper_preview&mkt=zh-cn CHENG J, LIN R, ZHANG W, et al . Phenotype and molecular characteristics in 45 Chinese children with 5α-reductase type 2 deficiency from South China[J ] . Clin Endocrinol (Oxf), 2015, 83(4): 518-526. DOI:10.1111/cen.12799.
WANG Q J SHEN Y P WU L Q Standards and guidelines for the interpretation of sequence variants Sci Sin Vitae 2017 47 6 668 688 http://mall.cnki.net/magazine/Article/JCXK201706008.htm WANG Q J, SHEN Y P, WU L Q, et al . Standards and guidelines for the interpretation of sequence variants[J ] .Sci Sin Vitae, 2017, 47(6):668-688. DOI:10.1360/N052017-00099.
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