|
KMID : 4412620190250010023
|
|
Clinical Hypertension
2019 Volume.25 No. 1 p.23 ~ p.23
|
|
|
Prevalence of CYP17A1 gene mutations in 17α-hydroxylase deficiency in the Chinese Han population
|
|
Wang Menglin
Wang Hao
Zhao Haiying
Li Ling
Liu Min
Liu Fujia
Meng Fansen
Fan Caini
|
|
|
Abstract
|
|
|
Background: 17α-hydroxylase deficiency is a rare autosomal recessive disorder caused by mutations in the cytochrome P450 family 17 subfamily A member 1 gene. The major clinical presentation includes hypertension, hypokalemia, male pseudohermaphroditism and female gonadal dysplasia. Hundreds of pathogenic variants have been reported in this disorder, and some common mutations were found to be race-specific.
Case presentation: In this study, we reported 5 Chinese girls with 17α-hydroxylase deficiency from Henan Province. The patients all came to the hospital for hypertension, and they also presented with sexual infantilism. The average age of the patients was 14?years old, ranging from 12 to 17?years old. They all had reduced blood cortisol, estradiol (E2), and testosterone (TESTO) and increased adrenocorticotropic hormone (ACTH), follicle-stimulating hormone (FSH), and luteinizing hormone (LH). They all had the appearance of females; however, three of the chromosome karyotypes were 46XX, and two were 46XY.
Conclusions: All of the patients carried a mutation on the 329 amino acid of CYP17A1 exon 6. By summarizing the currently known pathogenic mutations of 17α-hydroxylase deficiency, we demonstrated the prevalence of these gene mutations in Chinese Han and non-Chinese populations.
|
|
|
KEYWORD
|
|
|
17α-hydroxylase deficiency, Congenital adrenal hyperplasia, Hypertension, CYP17A1, Gene mutation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|
|