Isolated 17,20-Lyase Deficiency due to the Cytochrome b5 Mutation W27X
Author(s) -
R. Kok,
M. A. Timmerman,
Katja P. Wolffenbuttel,
Stenvert L. S. Drop,
Frank H. de Jong
Publication year - 2010
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.2008-1745
Subject(s) - cyp17a1 , missense mutation , cytochrome b5 , context (archaeology) , mutation , lyase , enzyme , chemistry , biology , gene , genetics , cytochrome , endocrinology , biochemistry , paleontology
Cytochrome P450c17 (P450c17) is a bifunctional enzyme necessary for the production of glucocorticoids (17-hydroxylase activity) and sex steroids (17,20-lyase activity). Isolated 17,20-lyase deficiency is a rare condition characterized by a deficient production of androgens resulting in 46,XY disorders of sex development (DSD) while the production of glucocorticoids is intact. Several missense mutations in the CYP17A1 gene are known to cause this condition. Cytochrome b(5) (CytB5) is an important factor in 17,20-lyase activity, probably by acting as an allosteric factor.
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