No genetic mutation in type II 3 beta-hydroxysteroid dehydrogenase gene in patients with biochemical evidence of enzyme deficiency

Horm Res. 1997;47(2):49-53. doi: 10.1159/000185430.

Abstract

Nonclassic or the mild form of 3 beta-hydroxysteroid dehydrogenase (NC3 beta-HSD) deficiency is an entity which is identified with typical features of premature pubarche, hirsutism, or oligomenorrhea. In this study, type II 3 beta-HSD gene from 4 girls who were diagnosed as NC3 beta-HSD deficient, base on the adrenal steroidogenic responses to ACTH, was analyzed to determine whether NC3 beta-HSD deficiency was an allelic variant of classical 3 beta-HSD deficiency by polymerase chain reaction-single strand conformation polymorphism (PCR-SSCP). We could not detect any alterations of type II 3 beta-HSD gene from these patients. Our result strongly suggests that unlike classical 3 beta-HSD deficiency, NC3 beta-HSD deficiency may be secondary adrenal biosynthetic defects, rather than dual inherited deficiencies.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adrenocorticotropic Hormone
  • Base Sequence
  • Child
  • DNA Primers / chemistry
  • Female
  • Hirsutism / enzymology
  • Hirsutism / genetics*
  • Humans
  • Mutation / genetics*
  • Polymerase Chain Reaction
  • Polymorphism, Single-Stranded Conformational
  • Progesterone Reductase / deficiency*
  • Progesterone Reductase / genetics*
  • Puberty, Precocious / enzymology
  • Puberty, Precocious / genetics*
  • Sequence Analysis, DNA

Substances

  • DNA Primers
  • Adrenocorticotropic Hormone
  • Progesterone Reductase