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先天性类脂性肾上腺增生,作为46 XY性分化障碍的一个鲜为人知的病因。

Congenital Lipoid Adrenal Hyperplasia, as a Poorly Understood Cause of 46 XY Sexual Differentiation Disorder.

作者信息

Villanueva Rodríguez Raúl, Vielma Valdez Alberto, Cassou Martinez Maricruz, Pérez Corrales Laura Leticia, de Los Santos Aguilar Ramón G, Sol Oliva Luis David

机构信息

Faculty of Medicine Universidad Nacional Autónoma de Mexico, México City 04510, Mexico.

Department of Reproductive Biology Dr. Carlos Gual Castro Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico.

出版信息

Case Rep Endocrinol. 2024 Aug 31;2024:5399577. doi: 10.1155/2024/5399577. eCollection 2024.

DOI:10.1155/2024/5399577
PMID:39246559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380710/
Abstract

CASE

We present the case of a woman who, during the neonatal period, presented salt-losing adrenal insufficiency associated with 46 XY gonadal dysgenesis. The genetic study found a steroidogenic acute regulatory protein (StAR) mutation.

CONCLUSION

Mutations in StAR result in a nonfunctional protein, which clinically translates into congenital adrenal hyperplasia and, in the case of patients with 46 XY karyotype, is accompanied by gonadal dysgenesis characterized by androgen deficiency, without alterations in anti-Müllerian hormone.

摘要

病例

我们报告一例女性患者,在新生儿期出现失盐型肾上腺皮质功能不全,并伴有46,XY性腺发育不全。基因研究发现了类固醇生成急性调节蛋白(StAR)突变。

结论

StAR突变导致蛋白功能丧失,临床上表现为先天性肾上腺皮质增生,对于46,XY核型的患者,还伴有以雄激素缺乏为特征的性腺发育不全,抗苗勒管激素无异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/19a5f5fb4d81/CRIE2024-5399577.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/a3608384ad77/CRIE2024-5399577.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/e0133085633a/CRIE2024-5399577.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/19a5f5fb4d81/CRIE2024-5399577.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/a3608384ad77/CRIE2024-5399577.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/e0133085633a/CRIE2024-5399577.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1c/11380710/19a5f5fb4d81/CRIE2024-5399577.003.jpg

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Congenital Lipoid Adrenal Hyperplasia, as a Poorly Understood Cause of 46 XY Sexual Differentiation Disorder.先天性类脂性肾上腺增生,作为46 XY性分化障碍的一个鲜为人知的病因。
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本文引用的文献

1
Disorders of Sex Development of Adrenal Origin.肾上腺源性性发育障碍。
Front Endocrinol (Lausanne). 2021 Dec 20;12:770782. doi: 10.3389/fendo.2021.770782. eCollection 2021.
2
STAR mutations causing non‑classical lipoid adrenal hyperplasia manifested as familial glucocorticoid deficiency.STAR 突变导致非经典脂质肾上腺增生表现为家族性糖皮质激素缺乏。
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性发育障碍:诊断方法的现状与进展
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Role of the steroidogenic acute regulatory protein in health and disease.类固醇生成急性调节蛋白在健康与疾病中的作用。
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Give lipids a START: the StAR-related lipid transfer (START) domain in mammals.赋予脂质一个起始点:哺乳动物中与类固醇生成急性调节蛋白(StAR)相关的脂质转移(START)结构域。
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Congenital lipoid adrenal hyperplasia caused by a novel splicing mutation in the gene for the steroidogenic acute regulatory protein.由类固醇生成急性调节蛋白基因中的一种新型剪接突变引起的先天性类脂性肾上腺增生。
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