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在46,XY性别发育病例中的差异中检测雄激素受体基因的分子变异
Nanis S Marzuki1, Hannie D Kartapradja1, Farah N Coutrier1
1Eijkman Research Center for Molecular Biology, Research Organization for Health, National Research and Innovations Agency, Cibinong, Indonesia.
在46,XY DSD病例中,雄激素不敏感综合征 (AIS) 通常是由AR基因变异引起的. 这项研究在13例病例中发现了两种新型AR基因变异,突出显示了分子测试的必要性.
科学领域:
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
- 分子生物学分子生物学
背景情况:
- 雄激素不敏感综合征 (AIS) 是性别发育 (DSD) 中46,XY差异的常见原因.
- 雄激素受体 (AR) 基因的病理变异导致X相关的衰退性AIS,导致雄激素作用的缺陷和可变的低病毒化.
- 严重的病例呈现出类似女性的外部生殖器,往往导致被分配为女性,由于其他46,XY DSD条件的重叠症状,需要分子确认.
研究的目的:
- 在46,XY DSD病例中调查AR基因变异的流行率.
- 确定在当前无法进行此类测试的当地环境中开发AR基因分子测试的可行性.
主要方法:
- 使用聚合酶链反应和AR基因的直接测序,分析了来自13个46,XY DSD病例的档案DNA.
- 收集和分析相关的临床和荷尔蒙数据.
主要成果:
- 成功地放大和可视化了AR基因的所有八个外显子.
- 鉴定了两个对象在第7个异构体:p.Gln825Arg (小说) 和p.Arg841His.中的异构体AR基因变异.
- 两种已识别的变体都与外部生殖器的严重衰弱有关,外部生殖器男性化得分 (EMS) 为1.5和3.
结论:
- 在13例分析的46,XY DSD病例中,有2例携带AR基因变异,证实了完全的雄激素不敏感综合征.
- 这些发现强调了AR基因分子测试对于46XY DSD和AIS的准确诊断的重要性.
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