CYP21B gene conversion and complete CYP21A gene deletion in congenital adrenal hyperplasia

Ann Genet. 1990;33(2):70-5.

Abstract

We studied a family in which one out of two children presented a non-salt wasting form of CAH. Genomic DNA of the patient, his brother, his parents and a normal control were digested by the Taq I and Bgl II restriction enzymes. The fragments were electrophoresed, transferred onto a nitrocellulose membrane and hybridized with two specific probes: pC21a for the CYP21 genes and pAT-A for the C4 genes. We performed simultaneous RFLP analyses of the CYP21 and C4 genes and determined the relative hybridization intensity of the genes using scanning densitometry of the X-ray films. The affected child had a CYP21B gene conversion in the CYP21A pseudogene on one chromosome inherited from his mother and a mutated CYP21B gene on the second chromosome inherited from his father. The second maternal chromosome, inherited by the unaffected brother, presented an unusual CYP21A gene deletion without a C4A or C4B gene deletion. Although CYP21A is a pseudogene, this type of complete CYP21A gene deletion associated with a CYP21B gene conversion has never been previously described.

MeSH terms

  • Adrenal Hyperplasia, Congenital / genetics*
  • Adult
  • Bacterial Proteins*
  • Complement C4 / genetics
  • Complement Factor B / genetics
  • DNA Probes
  • Densitometry
  • Deoxyribonucleases, Type II Site-Specific
  • Female
  • Gene Conversion*
  • Humans
  • Male
  • Polymorphism, Restriction Fragment Length*
  • Pseudogenes
  • Steroid 21-Hydroxylase / genetics*

Substances

  • Bacterial Proteins
  • Complement C4
  • DNA Probes
  • Steroid 21-Hydroxylase
  • BglII endonuclease
  • Deoxyribonucleases, Type II Site-Specific
  • TCGA-specific type II deoxyribonucleases
  • Complement Factor B