Table 5.
NR5A1, NR0B1 and WT1: Genotype and clinical and gonadal characteristics of the patients with SRY-negative 46,XX Testicular and Ovotesticular DSD reported in the literature.
| Gene | Molecular findings | Diagnosis | External genitalia | Gonadal histology | Reference |
|---|---|---|---|---|---|
| NR5A1 | c.274C>T, p.Arg92Trp | 46,XX Testicular DSD | Atypical | Testes (Bilateral) | Domenice S, 2016 (138) |
| c.274C>T, p.Arg92Trp | 46,XX Ovotesticular DSD 46,XX Testicular DSD 46,XX Testicular DSD 46,XX Testicular DSD |
F1(n=2): Atypical F2(n=1): Male, micropenis F3(n=1): Male, micropenis F4(n=1): Male, hypospadias |
F1(n=2): Ovotestis (Bilateral) F2(n=1): ND F3(n=1): ND F4(n=1): Dysgenetic testis (Bilateral) |
Bashamboo A, 2016 (139) | |
| c.274C>T, p.Arg92Trp | 46,XX Ovotesticular DSD 46,XX DSD Testicular | P1: Atypical P2: Male |
P1: Testis/ovotestis P2: Testis (Bilateral) |
Igarashi M, 2016 (140) | |
| c.274C>T, p.Arg92Trp | 46,XX Testicular DSD 46,XX Ovotesticular DSD 46,XX Testicular DSD |
P1: Female, clitoromegaly P2: Atypical P3: Male |
P1: Testis/streak P2: Ovotestis bilateral P3: Testis (Bilateral) |
Baetens D, 2016 (141) | |
| c.275G>A, p.Arg92Gln | 46,XX Ovotesticular DSD | Atypical | P1: Ovotestis (Bilateral) | Swartz JM, 2016 (142) | |
| c.274C>T, p.Arg92Trp | 46,XX DSD | Atypical | ND | Takasawa K, 2017 (143) | |
| c.274C>T, p.Arg92Trp | 46,XX Testicular DSD | P1: Male, non-palpable gonads | P1: ND | Knarston IM, 2019 (144) | |
| c.274C>T, p.Arg92Trp | 46,XX Ovotesticular DSD | P2: Atypical | P2: Ovotestis (Bilateral) | ||
| c.274C>T, p.Arg92Trp | 46,XX Testicular DSD | P3: Atypical | P3: ND | ||
| c.779C>T, p.Ala260Val | 46,XX Ovotesticular DSD | P4: Atypical | P4: Ovotestis/ovary | ||
| c.274C>T, p.Arg92Trp | 46,XX Testicular DSD | Atypical | Testes (Bilateral) | Askari M, 2020 (145) | |
| NR0B1 | 80 kb microdeletion removing the regulatory and the NR0B1 sequences | 46,XX Ovotesticular DSD | Atypical | Ovotestis (Bilateral) | Dangle P, 2017 (146) |
| WT1 | c.1453_1456del, p.Arg485Glyfs*14 | 46,XX Testicular DSD | Atypical | Testis (bilateral) | Gomes NL, 2019 (136) |
| p. Arg495Gly | 46,XX Testicular DSD | P1: Atypical | P1: Dysgenetic testis (bilateral) | Eozenou C, 2020 (137) | |
| p.Pro481Leufs*15 | 46,XX Testicular DSD | P2: Atypical | P2: Dysgenetic testis (bilateral) | ||
| p.Arg495Gln | 46,XX Testicular DSD | P3: Atypical | P3: Dysgenetic testis (bilateral) | ||
| p.Arg495Gln | 46,XX Ovotesticular DSD | P4: Atypical | P4: Ovotestis (bilateral) | ||
| p.Arg495Gln | 46,XX Ovotesticular DSD | P5: Atypical | P5: Ovotestis (bilateral) | ||
| p.Ser478Thrfs*17 | 46,XX Ovotesticular DSD | P6: Atypical | P6: ND | ||
| p.Lys491Glu | 46,XX Testicular DSD | P7: Male | P7: Testis (bilateral) | ||
| c.1437 A>G | 46,XX DSD | Atypical | ND | Sirokha D, 2021 (147) | |
| p.Arg495Gln | 46,XX Testicular DSD | Atypical | Testis (bilateral) | Kirino S, 2023 (148) |
ND, not described; P, Patient; F, Family.