PMID- 10408786 OWN - NLM STAT- MEDLINE DCOM- 19991103 LR - 20161124 IS - 1059-7794 (Print) IS - 1059-7794 (Linking) VI - 13 IP - 6 DP - 1999 TI - A rapid screening for steroid 21-hydroxylase mutations in patients with congenital adrenal hyperplasia. Mutations in brief no. 247. Online. PG - 505 AB - Steroid 21-hydroxylase deficiency is the major cause of congenital adrenal hyperplasia (CAH). CAH due to 21-hydroxylase deficiency is divided into three classes: salt-wasting (classical), non-classical and simple virilizing, reflecting different degrees of clinical severity. Using polymerase chain reaction (PCR) and allele-specific oligonucleotide hybridisation (ASO), we screened the DNA of 62 Caucasian CAH families (heterozygous parents and children) for 14 different and frequently-found CYP21-mutations (HGMD). Of the 62 patients (21 males, 41 females), 26 females and 11 males had the classical or salt-wasting form, 3 females and 1 male had the non-classical form and 14 females and 7 males had simple virilizing CAH. More than 60% of the patients were compound-heterozygous. We found the mutations on 110 alleles (out of 124 alleles). There were 30 CYP21 gene deletions/conversions, 3 substitutions (P30L) in exon 1, 30 splice mutations (c.93-13A/C>G) in intron 2, 26 point mutations (I172N) in exon 4, one cluster of mutations (I236N, V237E, M239K) in exon 6, 8 mutations (V281L and 1760-1761insT) in exon 7, and 8 nonsense (Q318X) and 4 missense (R356W) mutations in exon 8. Our study supports the case for using this rapid technique for CAH-family screening as long as alleles from both affected patients and parents are screened in parallel. FAU - Kapelari, K AU - Kapelari K AD - Institute for General and Experimental Pathology, Department of Molecular Pathophysiology, University of Innsbruck Medical School, Austria. FAU - Ghanaati, Z AU - Ghanaati Z FAU - Wollmann, H AU - Wollmann H FAU - Ventz, M AU - Ventz M FAU - Ranke, M B AU - Ranke MB FAU - Kofler, R AU - Kofler R FAU - Peters, H AU - Peters H LA - eng PT - Journal Article PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - EC 1.14.14.16 (Steroid 21-Hydroxylase) SB - IM MH - Adrenal Hyperplasia, Congenital/*genetics MH - Alleles MH - Alternative Splicing MH - Female MH - Gene Deletion MH - *Genetic Testing MH - Humans MH - Male MH - *Mutation MH - Mutation, Missense MH - Point Mutation MH - Polymerase Chain Reaction MH - Steroid 21-Hydroxylase/*genetics EDAT- 1999/07/17 10:00 MHDA- 2000/06/22 10:00 CRDT- 1999/07/17 10:00 PHST- 1999/07/17 10:00 [pubmed] PHST- 2000/06/22 10:00 [medline] PHST- 1999/07/17 10:00 [entrez] AID - 10.1002/(SICI)1098-1004(1999)13:6<505::AID-HUMU16>3.0.CO;2-0 [pii] AID - 10.1002/(SICI)1098-1004(1999)13:6<505::AID-HUMU16>3.0.CO;2-0 [doi] PST - ppublish SO - Hum Mutat. 1999;13(6):505. doi: 10.1002/(SICI)1098-1004(1999)13:6<505::AID-HUMU16>3.0.CO;2-0.