SEVERAL HOMOZYGOUS MUTATIONS IN THE GENE FOR 11-BETA-HYDROXYSTEROID DEHYDROGENASE TYPE-2 IN PATIENTS WITH APPARENT MINERALOCORTICOID EXCESS

被引:138
作者
WILSON, RC
HARBISON, MD
KROZOWSKI, ZS
FUNDER, JW
SHACKLETON, CHL
HANAUSKEABEL, HM
WEI, JQ
HERTECANT, J
MORAN, A
NEIBERGER, RE
BALFE, JW
FATTAH, A
DANEMAN, D
LICHOLAI, T
NEW, MI
机构
[1] CORNELL UNIV, MED CTR,NEW YORK HOSP,DEPT PEDIAT, DIV PEDIAT ENDOCRINOL, NEW YORK, NY 10021 USA
[2] BAKER MED RES INST, MELBOURNE, VIC, AUSTRALIA
[3] CHILDRENS HOSP, OAKLAND, CA 94609 USA
[4] TAWAM HOSP, AL AIN MED CTR, MINIST HLTH, AL AIN, U ARAB EMIRATES
[5] UNIV MINNESOTA, SCH MED, MINNEAPOLIS, MN 55455 USA
[6] UNIV FLORIDA, SHANDS TEACHING HOSP, DEPT NEPHROL, GAINESVILLE, FL 32610 USA
[7] HOSP SICK CHILDREN, TORONTO, ON M5G 1X8, CANADA
关键词
D O I
10.1210/jc.80.11.3145
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Four deleterious mutations are described in the gene for HSD11B2, which encodes the type 2 isoenzyme of 11 beta-hydroxysteroid dehydrogenase (11 beta HSD2). In seven families with one or more members affected by apparent mineralocorticoid excess, this disorder is shown to be the result of a deficiency in 11 beta HSD2. Surprisingly, the patients are all homozygous for their mutation. This results from consanguinity in two families and possibly from endogamy or a founder effect in four of the other five families. The absence of compound heterozygotes remains to be investigated.
引用
收藏
页码:3145 / 3150
页数:6
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