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Published on: April 14, 2017
DAX-1, an unusual orphan receptor at the crossroads of steroidogenic function and sexual differentiation
Enzo Lalli1, Paolo Sassone-Corsi
1Institut de Génétique et de Biologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale, Université Louis Pasteur, 67404 Illkirch, Strasbourg, France. ninino@igbmc.u-strasbg.fr
Abstract:
The unusual orphan member of the nuclear hormone receptor superfamily DAX-1 (NR0B1) owes its name to its double role in human pathology. On one side, duplications in Xp21, containing the DAX-1 gene, cause phenotypic sex reversal in XY individuals. On the other side, DAX-1 gene mutations are responsible for adrenal hypoplasia congenita, invariably associated with hypogonadotropic hypogonadism. DAX-1 functions as a global negative regulator of steroid hormone production by repressing the expression of multiple genes involved in the steroidogenic pathway. Here we review the mechanism of DAX-1 function in adrenal and gonadal differentiation, with special emphasis on recent results showing the critical role of DAX-1 protein misfolding in the pathogenesis of adrenal hypoplasia congenita.
Insights
The DAX-1 gene (NR0B1) plays a dual role in human health. Mutations cause adrenal hypoplasia and hypogonadism, while duplications lead to sex reversal in XY individuals.
Area of Science:
- Endocrinology
- Genetics
- Molecular Biology
Background:
- DAX-1 (NR0B1) is an orphan nuclear receptor involved in human pathology.
- Gene duplications cause sex reversal; mutations lead to adrenal hypoplasia and hypogonadism.
Purpose of the Study:
- To review DAX-1's mechanism in adrenal and gonadal differentiation.
- To emphasize the role of protein misfolding in adrenal hypoplasia congenita.
Main Methods:
- Review of existing literature on DAX-1 function.
- Analysis of genetic and molecular mechanisms.
Main Results:
- DAX-1 acts as a negative regulator of steroid hormone production.
- DAX-1 represses genes in the steroidogenic pathway.
- Protein misfolding of DAX-1 is critical in adrenal hypoplasia pathogenesis.
Conclusions:
- DAX-1 is crucial for normal adrenal and gonadal development.
- DAX-1 protein misfolding contributes to adrenal hypoplasia congenita.
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