title: New frameshift mutation in the 5alpha-reductase type 2 gene in a Brazilian patient with 5alpha-reductase deficiency.
abstract: Male pseudohermaphroditism caused by steroid 5alpha-reductase deficiency is an autosomal recessive disorder. The enzyme steroid 5alpha-reductase 2 (encoded by the SRD5A2 gene) catalyses the conversion of testosterone to dihydrotestosterone, which is required for normal differentiation of the external male genitalia. This report describes the molecular analysis of the 5alpha-reductase type 2 gene in a Brazilian patient who was raised as a female, underwent a reversal of gender role behavior, and is now a married man. This patient is a compound heterozygote bearing an A-->G mutation within exon 2, changing codon 126 from Glu to Arg on one allele and a novel single base deletion (418delT) causing a frameshift mutation at codon 140 in the same exon, on the other allele. This last mutation probably leads to the synthesis of a truncated protein, because a premature termination signal is created at codon 159.
authors.affiliation: Centro de Biologia Molecular e Engenharia Genética, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
authors.forename: L F
authors.initials: LF
authors.lastname: Ferraz
authors.forename: M T
authors.initials: MT
authors.lastname: Mathias Baptista
authors.forename: A T
authors.initials: AT
authors.lastname: Maciel-Guerra
authors.forename: G G
authors.initials: GG
authors.lastname: Júnior
authors.forename: C
authors.initials: C
authors.lastname: Hackel
mesh_terms: D013741:3-Oxo-5-alpha-Steroid 4-Dehydrogenase / Q000172:deficiency / Q000235:genetics*; D000595:Amino Acid Sequence; D019943:Amino Acid Substitution; D001483:Base Sequence; D001938:Brazil; D003062:Codon / Q000235:genetics; D012734:Disorders of Sex Development / Q000175:diagnosis / Q000201:enzymology / Q000235:genetics* / Q000523:psychology; D005091:Exons / Q000235:genetics; D016368:Frameshift Mutation; D005783:Gender Identity; D005808:Genes, Recessive; D006579:Heterozygote; D006801:Humans; D007021:Hypospadias / Q000209:etiology / Q000601:surgery; D007231:Infant, Newborn; D007527:Isoenzymes / Q000172:deficiency / Q000235:genetics*; D008297:Male; D008969:Molecular Sequence Data; D010641:Phenotype; D017354:Point Mutation; D011627:Puberty; D017384:Sequence Deletion; D012725:Sexual Behavior; D013728:Terminator Regions, Genetic
chemical_list: D003062:Codon; D007527:Isoenzymes; D013741:3-Oxo-5-alpha-Steroid 4-Dehydrogenase