Identification of a new missense mutation (Gly95Glu) in a highly conserved codon within the high-mobility group box of the sex-determining Region Y gene: Report on a 46,XY female with gonadal dysgenesis and yolk-sac tumor

Schaeffler, Andreas and Barth, Nadja and Winkler, K. and Zietz, Bettina and Ruemmele, Petra and Knuechel, Ruth and Schoelmerich, Juergen and Palitzsch, Klaus-Dieter (2000) Identification of a new missense mutation (Gly95Glu) in a highly conserved codon within the high-mobility group box of the sex-determining Region Y gene: Report on a 46,XY female with gonadal dysgenesis and yolk-sac tumor. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 85 (6). 2287-+. ISSN 0021-972X, 1945-7197

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Abstract

Leydig cells and Sertoli cells of the testes produce hormones that cause male differentiation, if receptors are present. The Y chromosomal SRY gene (sex determining Region Y gene) acts as TDF and is required for regular male sex determination. SRY represents a transcription factor belonging to the superfamily of genes sharing the HMG-box motif (high-mobility group-box), which acts as DNA binding region. Here, we describe a nonmosaic XY sex-reversed female with pure gonadal dysgenesis (46,XY karyotype, completely female external genitalia, normal Mullerian ducts, absence of Wolffian ducts, streak gonads) who harbored a yolk-sac tumor and was referred for the assessment of primary amenorrhea. Using genomic PCR analysis, a 423-bp PCR product, encompassing the HMG-box of the SRY gene, was amplified from the proposita, her father, and her three brothers, whereas no band was visible in the patient's mother and her three sisters. The PCR products were sequenced for mutations subsequently. A new de novo missense mutation within the HMG-box of the SRY gene was discovered in the proposita. A G is replaced by an A in codon 95 at position +284, resulting in the replacement of the nonpolar aminoacid glycine by the polar amino acid glutamate. The glycine at codon 95 is highly conserved between the family of HMG-box proteins and between species. This point mutation has not been described earlier and brings the total number of SRY mutations described so far to 36, each mutation being unique. This mutation was not detected in the patient's father and her male siblings. The present data provide further evidence to support the functional importance of the putative DNA binding activity of the SRY HMG-box domain.

Item Type: Article
Uncontrolled Keywords: TESTIS-DETERMINING GENE; DNA-BINDING DOMAIN; SRY GENE; HMG BOX; NONSENSE MUTATION; XY FEMALES; POINT-MUTATION; NUCLEOPROTEIN STRUCTURES; TRUE HERMAPHRODITISM; PROTEIN;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 Apr 2022 14:24
Last Modified: 26 Apr 2022 14:24
URI: https://pred.uni-regensburg.de/id/eprint/42439

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