Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 4/2004

01.05.2004 | Original Article

Identification of a mutant allele of the androgen receptor gene in a family with androgen insensitivity syndrome: detection of carriers and prenatal diagnosis

verfasst von: G. Fogu, V. Bertini, S. Dessole, P. Bandiera, P. M. Campus, G. Capobianco, R. Sanna, G. Soro, A. Montella

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2004

Einloggen, um Zugang zu erhalten

Abstract

We report the results of a molecular study of a large family segregating the complete form of the Androgen Insensitivity Syndrome (CAIS) in several family members from three generations. We identified the mutant allele by polymerase chain reaction (PCR) amplification of the short tandem repeat (CAG)n, highly polymorphic in the population, present in the first exon of the androgen receptor (AR) gene. In this family four different alleles were detected and one of these showed a perfect segregation with the disease.
This study enabled us to identify the heterozygous females in this family. We think that this simple, indirect test, is also suitable for prenatal diagnosis of Morris' syndrome when the mother is heterozygous for the size of the short tandem repeat and one affected subject in the family may be studied.
Literatur
1.
Zurück zum Zitat Brinkmann AO, Trapman J (2000) Genetic analysis of androgen receptors in development and disease. Adv Pharmacol 47:317–341PubMed Brinkmann AO, Trapman J (2000) Genetic analysis of androgen receptors in development and disease. Adv Pharmacol 47:317–341PubMed
2.
Zurück zum Zitat Brinkmann AO, Faber PW, Rooij HC van, Kuiper GG, Ris C, Klaassen P, Korput JA van der, Voorhorst MM, Laar JH van, Mulder E, Trapman J (1989) The human androgen receptor: domain structure, genomic organization and regulation of expression. J Steroid Biochem 34:307–310CrossRefPubMed Brinkmann AO, Faber PW, Rooij HC van, Kuiper GG, Ris C, Klaassen P, Korput JA van der, Voorhorst MM, Laar JH van, Mulder E, Trapman J (1989) The human androgen receptor: domain structure, genomic organization and regulation of expression. J Steroid Biochem 34:307–310CrossRefPubMed
3.
Zurück zum Zitat Bruggenwirth HT, Boehmer AL, Verleun-Mooijman MC, Hoogenboezem T, Kleijer WJ, Otten BJ, Trapman J, Brinkmann AO (1996) Molecular basis of androgen insensitivity. J Steroid Biochem Mol Biol 58: 569–575CrossRefPubMed Bruggenwirth HT, Boehmer AL, Verleun-Mooijman MC, Hoogenboezem T, Kleijer WJ, Otten BJ, Trapman J, Brinkmann AO (1996) Molecular basis of androgen insensitivity. J Steroid Biochem Mol Biol 58: 569–575CrossRefPubMed
4.
Zurück zum Zitat Bruggenwirth HT, Boehmer AL, Ramnarain S, Verleun-Mooijman MC, Satijn DP, Trapman J, Grootegoed JA, Brinkmann AO (1997) Molecular analysis of androgen-receptor gene in a family with receptor-positive partial androgen insensitivity: an unusual type of intronic mutation. Am J Hum Genet 61:1067–1077CrossRefPubMed Bruggenwirth HT, Boehmer AL, Ramnarain S, Verleun-Mooijman MC, Satijn DP, Trapman J, Grootegoed JA, Brinkmann AO (1997) Molecular analysis of androgen-receptor gene in a family with receptor-positive partial androgen insensitivity: an unusual type of intronic mutation. Am J Hum Genet 61:1067–1077CrossRefPubMed
5.
Zurück zum Zitat De Bellis A, Quigley CA, Marschke KB, el-Awady MK, Lane MV, Smith EP, Sar M, Wilson EM, French FS (1994) Characterization of mutant androgen receptors causing partial androgen insensitivity syndrome. J Clin Endocrinol Metab 78:513–522PubMed De Bellis A, Quigley CA, Marschke KB, el-Awady MK, Lane MV, Smith EP, Sar M, Wilson EM, French FS (1994) Characterization of mutant androgen receptors causing partial androgen insensitivity syndrome. J Clin Endocrinol Metab 78:513–522PubMed
6.
Zurück zum Zitat Dessole S, Ambrosini G, D'Antona D, Cherchi PL, Dalla Pria S, Ambrosini A (1997) Laparoscopic bilateral gonadectomy in two sisters with complete testicular feminization. In: Monduzzi (ed) Proceedings of the international meeting on infertility and assisted reproductive technology. From research to therapy. Porto Cervo, Sassari, Italy, pp 581–584 Dessole S, Ambrosini G, D'Antona D, Cherchi PL, Dalla Pria S, Ambrosini A (1997) Laparoscopic bilateral gonadectomy in two sisters with complete testicular feminization. In: Monduzzi (ed) Proceedings of the international meeting on infertility and assisted reproductive technology. From research to therapy. Porto Cervo, Sassari, Italy, pp 581–584
7.
Zurück zum Zitat Edwards A, Hammond HA, Jin L, Caskey CT, Chakraborty R (1992) Genetic variation at five trimeric and tetrameric tandem repeat loci in four human population groups. Genomics 12:241–253PubMed Edwards A, Hammond HA, Jin L, Caskey CT, Chakraborty R (1992) Genetic variation at five trimeric and tetrameric tandem repeat loci in four human population groups. Genomics 12:241–253PubMed
8.
Zurück zum Zitat Gottlieb B, Bietel LK, Lumbroso R, Pinsky L, Trifiro M (1999) Update of the androgen receptor gene mutations database. Hum Mutat 14:103–114CrossRefPubMed Gottlieb B, Bietel LK, Lumbroso R, Pinsky L, Trifiro M (1999) Update of the androgen receptor gene mutations database. Hum Mutat 14:103–114CrossRefPubMed
9.
Zurück zum Zitat Hiort O, Huang Q, Sinnecker GH, Sadeghi-Nejad A, Kruse K, Wolfe HJ, Yandell DW (1993) Single strand conformational polymorphism analysis of androgen receptor gene mutations in patients with androgen insensitivity syndromes:application for diagnosis, genetic counselling, and therapy. J Clin Endocrinol Metab 77:262–266 Hiort O, Huang Q, Sinnecker GH, Sadeghi-Nejad A, Kruse K, Wolfe HJ, Yandell DW (1993) Single strand conformational polymorphism analysis of androgen receptor gene mutations in patients with androgen insensitivity syndromes:application for diagnosis, genetic counselling, and therapy. J Clin Endocrinol Metab 77:262–266
10.
Zurück zum Zitat Kuiper GG, Faber PW, Rooij HC van, Korput JA van der, Ris-Stalplars C, Klaassen P, Trapman J, Brinkmann AO (1989) Structural organization of the human androgen receptor gene. J Mol Endocrinol 2:R1–R4PubMed Kuiper GG, Faber PW, Rooij HC van, Korput JA van der, Ris-Stalplars C, Klaassen P, Trapman J, Brinkmann AO (1989) Structural organization of the human androgen receptor gene. J Mol Endocrinol 2:R1–R4PubMed
11.
Zurück zum Zitat Lobaccaro JM, Lumbroso S, Pigeon FC, Chaussain JL, Toublanc JE, Job JC, Olewniczack G, Boulot P, Sultan C (1992) Prenatal prediction of androgen insensitivity syndrome using exon 1 polymorphism of the androgen receptor gene. J Steroid Biochem Mol Biol 43:659–663 Lobaccaro JM, Lumbroso S, Pigeon FC, Chaussain JL, Toublanc JE, Job JC, Olewniczack G, Boulot P, Sultan C (1992) Prenatal prediction of androgen insensitivity syndrome using exon 1 polymorphism of the androgen receptor gene. J Steroid Biochem Mol Biol 43:659–663
12.
Zurück zum Zitat Lobaccaro JM, Lumbroso S, Berta P, Chaussain JL, Sultan S (1993) Complete androgen insensitivity syndrome associated with a de novo mutation of the androgen receptor gene detected by single strand conformation polymorphism. J Steroid Biochem Mol Biol 44:211–216CrossRefPubMed Lobaccaro JM, Lumbroso S, Berta P, Chaussain JL, Sultan S (1993) Complete androgen insensitivity syndrome associated with a de novo mutation of the androgen receptor gene detected by single strand conformation polymorphism. J Steroid Biochem Mol Biol 44:211–216CrossRefPubMed
13.
Zurück zum Zitat Lobaccaro JM, Belon C, Lumbroso S, Olewniczack G, Carre-Pigeon F, Job JC, Chaussain JL, Toublanc JE, Sultan C (1994) Molecular prenatal diagnosis of partial androgen insensitivity syndrome based on the Hind III polymorphism of the androgen receptor gene. Clin Endocrinol 40:297–302 Lobaccaro JM, Belon C, Lumbroso S, Olewniczack G, Carre-Pigeon F, Job JC, Chaussain JL, Toublanc JE, Sultan C (1994) Molecular prenatal diagnosis of partial androgen insensitivity syndrome based on the Hind III polymorphism of the androgen receptor gene. Clin Endocrinol 40:297–302
14.
Zurück zum Zitat Lumbroso S, Lobaccaro JM, Belon C, Amram S, Bachelard B, Garandeau P, Sultan C (1994) Molecular prenatal exclusion of familial partial androgen insensitivity (Reifenstein syndrome). Eur J Endocrinol 130:327–332PubMed Lumbroso S, Lobaccaro JM, Belon C, Amram S, Bachelard B, Garandeau P, Sultan C (1994) Molecular prenatal exclusion of familial partial androgen insensitivity (Reifenstein syndrome). Eur J Endocrinol 130:327–332PubMed
15.
Zurück zum Zitat Morel Y, Mebarki F, Forest MG (1994) What are the indications for prenatal diagnosis in the androgen insensitivity syndrome? Facing clinical heterogeneity of phenotypes for the same genotype. Eur J Endocrinol 130:325–326PubMed Morel Y, Mebarki F, Forest MG (1994) What are the indications for prenatal diagnosis in the androgen insensitivity syndrome? Facing clinical heterogeneity of phenotypes for the same genotype. Eur J Endocrinol 130:325–326PubMed
16.
Zurück zum Zitat Morris JM (1953) The syndrome of testicular feminization in male pseudohermaphrodites. Am J Obstet Gynecol 65:1192–1211 Morris JM (1953) The syndrome of testicular feminization in male pseudohermaphrodites. Am J Obstet Gynecol 65:1192–1211
17.
Zurück zum Zitat Pinsky L, Kaufman M (1987) Genetics of steroid receptors and their disorders. Adv Hum Genet 16:299–472PubMed Pinsky L, Kaufman M (1987) Genetics of steroid receptors and their disorders. Adv Hum Genet 16:299–472PubMed
18.
Zurück zum Zitat Quigley CA, De Bellis A, Marschke KB, el-Awady MK, Wilson EM, French FS (1995) Androgen receptor defects: historical, clinical, and molecular perspectives. Endocr Rev 16:271–321PubMed Quigley CA, De Bellis A, Marschke KB, el-Awady MK, Wilson EM, French FS (1995) Androgen receptor defects: historical, clinical, and molecular perspectives. Endocr Rev 16:271–321PubMed
19.
Zurück zum Zitat Ris-Stalpers C, Hoogenboezem T, Sleddens HF, Verleun-Mooijman MC, Degenhart HJ, Drop SL, Halley DJ, Oosterwijk JC, Hodgins MB, Trapman J, Brinkmann AO (1994) A practical approach to the detection of androgen receptor gene mutations and pedigree analysis in families with x-linked androgen insensitivity. Pediatr Res 36:227–234PubMed Ris-Stalpers C, Hoogenboezem T, Sleddens HF, Verleun-Mooijman MC, Degenhart HJ, Drop SL, Halley DJ, Oosterwijk JC, Hodgins MB, Trapman J, Brinkmann AO (1994) A practical approach to the detection of androgen receptor gene mutations and pedigree analysis in families with x-linked androgen insensitivity. Pediatr Res 36:227–234PubMed
20.
Zurück zum Zitat Sambrook J, Fritsch EF, Maniatis T (1989) Molecular cloning: a laboratory manual, 2nd edn. Cold Spring Harbor Laboratory, New York Sambrook J, Fritsch EF, Maniatis T (1989) Molecular cloning: a laboratory manual, 2nd edn. Cold Spring Harbor Laboratory, New York
21.
Zurück zum Zitat Sleddens HF, Oostra BA, Brinkmann AO, Trapman J (1992) Trinucleotide repeat polymorphism in the androgen receptor gene (AR). Nucleic Acids Res 25:1427 Sleddens HF, Oostra BA, Brinkmann AO, Trapman J (1992) Trinucleotide repeat polymorphism in the androgen receptor gene (AR). Nucleic Acids Res 25:1427
22.
Zurück zum Zitat Tilley WD, Marcelli M, Wilson JD, McPhaul MJ (1989) Characterization and expression of a cDNA encoding the human androgen receptor. Proc Natl Acad Sci USA 86:327–331PubMed Tilley WD, Marcelli M, Wilson JD, McPhaul MJ (1989) Characterization and expression of a cDNA encoding the human androgen receptor. Proc Natl Acad Sci USA 86:327–331PubMed
23.
Zurück zum Zitat Trapman J, Klaassen P, Kuiper GG, Korput JA van der, Faber PW, Rooij HC van, Geurts van Kessel A, Voorhorst MM, Mulder E, Brinkmann AO (1988) Cloning, structure and expression of a cDNA encoding the human androgen receptor. Biochem Biophys Res Commun 153:241–248PubMed Trapman J, Klaassen P, Kuiper GG, Korput JA van der, Faber PW, Rooij HC van, Geurts van Kessel A, Voorhorst MM, Mulder E, Brinkmann AO (1988) Cloning, structure and expression of a cDNA encoding the human androgen receptor. Biochem Biophys Res Commun 153:241–248PubMed
24.
Zurück zum Zitat Weidemann W, Linck B, Haupt H, Mentrup B, Romalo G, Stockklauser K, Brinkmann AO, Schweikert HU, Spindler KD (1996) Clinical and biochemical investigations and molecular analysis of subjects with mutations in the androgen receptor gene. Clin Endocrinol 45:733–739 Weidemann W, Linck B, Haupt H, Mentrup B, Romalo G, Stockklauser K, Brinkmann AO, Schweikert HU, Spindler KD (1996) Clinical and biochemical investigations and molecular analysis of subjects with mutations in the androgen receptor gene. Clin Endocrinol 45:733–739
25.
Zurück zum Zitat Wilson JD, Griffin JE, Leshin M, Macdonald PC (1983) The androgen resistance syndromes: 5α-reductase deficiency, testicular feminization, and related disorders. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) The metabolic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 1001–1026 Wilson JD, Griffin JE, Leshin M, Macdonald PC (1983) The androgen resistance syndromes: 5α-reductase deficiency, testicular feminization, and related disorders. In: Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL, Brown MS (eds) The metabolic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 1001–1026
26.
Zurück zum Zitat Yong EL, Chua KL, Yang M, Roy A, Ratnam S (1994) Complete androgen insensitivity due to a splice-site mutation in the androgen receptor gene and genetic screening with single-stranded conformation polymorphim. Fertil Steril 61:856–862 Yong EL, Chua KL, Yang M, Roy A, Ratnam S (1994) Complete androgen insensitivity due to a splice-site mutation in the androgen receptor gene and genetic screening with single-stranded conformation polymorphim. Fertil Steril 61:856–862
27.
Zurück zum Zitat Zoppi S, Wilson CM, Harbison MD, Griffin JE, Wilson JD, McPhaul MJ, Marcelli M (1993) Complete testicular feminization caused by an amino-terminal truncation of the androgen receptor with downstream initiation. J Clin Invest 91:1105–1112PubMed Zoppi S, Wilson CM, Harbison MD, Griffin JE, Wilson JD, McPhaul MJ, Marcelli M (1993) Complete testicular feminization caused by an amino-terminal truncation of the androgen receptor with downstream initiation. J Clin Invest 91:1105–1112PubMed
Metadaten
Titel
Identification of a mutant allele of the androgen receptor gene in a family with androgen insensitivity syndrome: detection of carriers and prenatal diagnosis
verfasst von
G. Fogu
V. Bertini
S. Dessole
P. Bandiera
P. M. Campus
G. Capobianco
R. Sanna
G. Soro
A. Montella
Publikationsdatum
01.05.2004
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 4/2004
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-002-0405-5

Weitere Artikel der Ausgabe 4/2004

Archives of Gynecology and Obstetrics 4/2004 Zur Ausgabe

Blutdrucksenkung könnte Uterusmyome verhindern

Frauen mit unbehandelter oder neu auftretender Hypertonie haben ein deutlich erhöhtes Risiko für Uterusmyome. Eine Therapie mit Antihypertensiva geht hingegen mit einer verringerten Inzidenz der gutartigen Tumoren einher.

Antikörper-Wirkstoff-Konjugat hält solide Tumoren in Schach

16.05.2024 Zielgerichtete Therapie Nachrichten

Trastuzumab deruxtecan scheint auch jenseits von Lungenkrebs gut gegen solide Tumoren mit HER2-Mutationen zu wirken. Dafür sprechen die Daten einer offenen Pan-Tumor-Studie.

Mammakarzinom: Senken Statine das krebsbedingte Sterberisiko?

15.05.2024 Mammakarzinom Nachrichten

Frauen mit lokalem oder metastasiertem Brustkrebs, die Statine einnehmen, haben eine niedrigere krebsspezifische Mortalität als Patientinnen, die dies nicht tun, legen neue Daten aus den USA nahe.

S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.