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A novel point mutation in the hormone binding domain of the androgen receptor associated with partial and minimal androgen insensitivity syndrome.

TitleA novel point mutation in the hormone binding domain of the androgen receptor associated with partial and minimal androgen insensitivity syndrome.
Publication TypeJournal Article
Year of Publication2003
AuthorsGalli-Tsinopoulou, A., Hiort O., Schuster T., Messer G., & Kuhnle U.
JournalJ Pediatr Endocrinol Metab
Volume16
Issue2
Pagination149-54
Date Published2003 Feb
ISSN0334-018X
KeywordsAdult, Androgen-Insensitivity Syndrome, Androgens, Cryptorchidism, Humans, Infant, Luteinizing Hormone, Male, Pedigree, Point Mutation, Receptors, Androgen, Reverse Transcriptase Polymerase Chain Reaction, Testosterone
Abstract

Mutations in the coding sequence of the androgen receptor (AR) gene result in a wide range of androgen insensitivity syndromes (AIS). We report an extended family in which at least five male individuals in different generations suffer from partial AIS. The index patient presented at birth with ambiguous genitalia; the karyotype was 46,XY and subsequent sex assignment male. Elevated stimulated testosterone (T) and normal baseline gonadotropins were found. Family history revealed four additional adult males affected with various abnormalities of their external genitalia. Molecular analysis of the coding sequence of the AR gene revealed in all a novel point mutation in exon 6, changing threonine to isoleucine at codon position 800 in the hormone-binding domain. We conclude that phenotypic variations in mild AR defects are striking and can remain undetected even until late in life.

DOI10.1515/jpem.2003.16.2.149
Alternate JournalJ Pediatr Endocrinol Metab
PubMed ID12713250

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