A mutation c.C2812T in the androgen receptor gene resulting in Pro817Leu substitution may affect dimerization of the androgen receptor and result in androgen insensitivity syndrome.
OBJECTIVE
To conduct clinical, genetic, and molecular diagnostics of two sisters with typical symptoms of complete androgen insensitivity syndrome.


METHODS
Case report.


METHODS
Research laboratory at a university of medical science.


METHODS
Two patients with 46,XY karyotype and a female phenotype were diagnosed because of primary amenorrhea. Their sister with 46,XX karyotype, her daughter, and five other family members including their mother also were examined.


METHODS
Orchiectomy, estrogen substitution therapy.


METHODS
Cancer prophylaxis.


RESULTS
Multiple-temperature single-stranded conformation polymorphism and sequence analyses of the androgen receptor gene (AR) revealed a c.C2812T transition in exon 7 in the two sisters. Their mother and the third sister (46,XX) were carriers of the same mutation. This mutation, which previously had never been reported, resulted in Pro817Leu substitution in the ligand-binding domain of the androgen. Computer simulation of structural changes generated by Pro817Leu substitution revealed appreciable conformational changes in the region responsible for dimerization of the receptor.


CONCLUSIONS
The novel c.C2812T transition that might impair dimerization of the receptor is responsible for the clinical symptoms of complete androgen insensitivity syndrome in the affected individuals. Molecular analysis of AR proved to be very useful for genetic counseling of the unaffected sister, who was a carrier of the same mutation.
Turek-Plewa
Justyna
J
Department of Biochemistry and Molecular Biology, University of Medical Sciences, Poznan, Poland.
Eckersdorf-Mastalerz
Anna
A
Kaluzewski
Bogdan
B
Helszer
Zofia
Z
Trzeciak
Wieslaw H
WH
D000328:Adult; D019943:Amino Acid Substitution; D013734:Androgen-Insensitivity Syndrome / Q000235:genetics*; D019281:Dimerization; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics; D006061:Gonadal Dysgenesis, 46,XY / Q000235:genetics*; D006579:Heterozygote; D006801:Humans; D008297:Male; D009035:Mothers; D010375:Pedigree; D011944:Receptors, Androgen / Q000737:chemistry* / Q000235:genetics*
D011944:Receptors, Androgen