Severe Combined Adrenal and Gonadal Deficiency Caused by Novel Mutations in the Cholesterol Side Chain Cleavage Enzyme, P450scc
Author(s) -
Chan Jong Kim,
Lin Lin,
Ningwu Huang,
Charmian A. Quigley,
Theodore W. AvRuskin,
John C. Achermann,
Walter L. Miller
Publication year - 2008
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2007-2330
Subject(s) - cholesterol side chain cleavage enzyme , pregnenolone , endocrinology , medicine , steroidogenic acute regulatory protein , context (archaeology) , steroidogenic factor 1 , cholesterol , biology , cyp17a1 , cytochrome p450 , chemistry , gene , steroid , genetics , messenger rna , metabolism , hormone , transcription factor , nuclear receptor , paleontology
Mitochondrial cytochrome P450scc converts cholesterol to pregnenolone in all steroidogenic tissues. Although progesterone production from the fetally-derived placenta is necessary to maintain pregnancy to term, four patients with mutations in the gene encoding P450scc (CYP11A1), have been described, one in a 46,XX female and three in underandrogenized 46,XY individuals, all with primary adrenal failure.
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