IDENTIFICATION OF POINT MUTATION IN THE CYP21A2 GENE IN CONGENITAL ADRENAL HYPERPLASIA USING SEQUENCING METHOD

Trần Vân Khánh, Trần Huy Thịnh, Ngô Thị Thu Hương, Vũ Chí Dũng

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Abstract

Congenital adrenal hyperplasia (CAH) due to deficiency of the enzyme 21-hydroxylase is an autosomal recessive disorder commonly caused by mutations in the CYP21A2 gene. Point mutation is the most common mutation in CAH (about 60%) and identifying point mutation requires the use of gene sequencing. The study was conducted with the aim of identifying point mutations in patients with congenital adrenal hyperplasia due to 21-hydroxylase deficiency using sequencing method. METHODS: 50 patients were diagnosed with 21-hydroxylase-deficient hypercholesterolemia was analyzed by gene sequencing. Results: 32/50 point mutation (64%) of patients, including 62.5% homozygous mutation and 37.5% heterozygous. Salt wasting accounted for 53% of patients, simple virilizing accounted for 38% and non-classical accounted for 9%. The most common genotypes were I2g/I2g (31.3%), I2g/p.I172N (18.7%), remaining genotypes are ranging from 3.1-15.6%.

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References

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