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American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1998 Apr;62(4):855–864. doi: 10.1086/301782

DAX1 mutations map to putative structural domains in a deduced three-dimensional model.

Y H Zhang 1, W Guo 1, R L Wagner 1, B L Huang 1, L McCabe 1, E Vilain 1, T P Burris 1, K Anyane-Yeboa 1, A H Burghes 1, D Chitayat 1, A E Chudley 1, M Genel 1, J M Gertner 1, G J Klingensmith 1, S N Levine 1, J Nakamoto 1, M I New 1, R A Pagon 1, J G Pappas 1, C A Quigley 1, I M Rosenthal 1, J D Baxter 1, R J Fletterick 1, E R McCabe 1
PMCID: PMC1377022  PMID: 9529340

Abstract

The DAX1 protein is an orphan nuclear hormone receptor based on sequence similarity in the putative ligand-binding domain (LBD). DAX1 mutations result in X-linked adrenal hypoplasia congenita (AHC). Our objective was to identify DAX1 mutations in a series of families, to determine the types of mutations resulting in AHC and to locate single-amino-acid changes in a DAX1 structural model. The 14 new mutations identified among our 17 families with AHC brought the total number of families with AHC to 48 and the number of reported mutations to 42; 1 family showed gonadal mosaicism. These mutations included 23 frameshift, 12 nonsense, and six missense mutations and one single-codon deletion. We mapped the seven single-amino-acid changes to a homology model constructed by use of the three-dimensional crystal structures of the thyroid-hormone receptor and retinoid X receptor alpha. All single-amino-acid changes mapped to the C-terminal half of the DAX1 protein, in the conserved hydrophobic core of the putative LBD, and none affected residues expected to interact directly with a ligand. We conclude that most genetic alterations in DAX1 are frameshift or nonsense mutations and speculate that the codon deletion and missense mutations give insight into the structure and function of DAX1.

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Selected References

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  1. Bourguet W., Ruff M., Chambon P., Gronemeyer H., Moras D. Crystal structure of the ligand-binding domain of the human nuclear receptor RXR-alpha. Nature. 1995 Jun 1;375(6530):377–382. doi: 10.1038/375377a0. [DOI] [PubMed] [Google Scholar]
  2. Bovet P., Reymond M. J., Rey F., Gomez F. Lack of gonadotropic response to pulsatile gonadotropin-releasing hormone in isolated hypogonadotropic hypogonadism associated to congenital adrenal hypoplasia. J Endocrinol Invest. 1988 Mar;11(3):201–204. doi: 10.1007/BF03350135. [DOI] [PubMed] [Google Scholar]
  3. Burris T. P., Guo W., Le T., McCabe E. R. Identification of a putative steroidogenic factor-1 response element in the DAX-1 promoter. Biochem Biophys Res Commun. 1995 Sep 14;214(2):576–581. doi: 10.1006/bbrc.1995.2324. [DOI] [PubMed] [Google Scholar]
  4. Burris T. P., Guo W., McCabe E. R. The gene responsible for adrenal hypoplasia congenita, DAX-1, encodes a nuclear hormone receptor that defines a new class within the superfamily. Recent Prog Horm Res. 1996;51:241–260. [PubMed] [Google Scholar]
  5. Epstein C. J. The new dysmorphology: application of insights from basic developmental biology to the understanding of human birth defects. Proc Natl Acad Sci U S A. 1995 Sep 12;92(19):8566–8573. doi: 10.1073/pnas.92.19.8566. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fawell S. E., Lees J. A., White R., Parker M. G. Characterization and colocalization of steroid binding and dimerization activities in the mouse estrogen receptor. Cell. 1990 Mar 23;60(6):953–962. doi: 10.1016/0092-8674(90)90343-d. [DOI] [PubMed] [Google Scholar]
  7. Golden M. P., Lippe B. M., Kaplan S. A. Congenital adrenal hypoplasia and hypogonadotropic hypogonadism. Am J Dis Child. 1977 Oct;131(10):1117–1118. doi: 10.1001/archpedi.1977.02120230063010. [DOI] [PubMed] [Google Scholar]
  8. Gordon D., Cohen H. N., Beastall G. H., Hay I. D., Thomson J. A. Contrasting effects of subcutaneous pulsatile GnRH therapy in congenital adrenal hypoplasia and Kallmann's syndrome. Clin Endocrinol (Oxf) 1984 Dec;21(6):597–603. doi: 10.1111/j.1365-2265.1984.tb01401.x. [DOI] [PubMed] [Google Scholar]
  9. Guo W., Burris T. P., McCabe E. R. Expression of DAX-1, the gene responsible for X-linked adrenal hypoplasia congenita and hypogonadotropic hypogonadism, in the hypothalamic-pituitary-adrenal/gonadal axis. Biochem Mol Med. 1995 Oct;56(1):8–13. doi: 10.1006/bmme.1995.1049. [DOI] [PubMed] [Google Scholar]
  10. Guo W., Burris T. P., Zhang Y. H., Huang B. L., Mason J., Copeland K. C., Kupfer S. R., Pagon R. A., McCabe E. R. Genomic sequence of the DAX1 gene: an orphan nuclear receptor responsible for X-linked adrenal hypoplasia congenita and hypogonadotropic hypogonadism. J Clin Endocrinol Metab. 1996 Jul;81(7):2481–2486. doi: 10.1210/jcem.81.7.8675564. [DOI] [PubMed] [Google Scholar]
  11. Guo W., Lovell R. S., Zhang Y. H., Huang B. L., Burris T. P., Craigen W. J., McCabe E. R. Ahch, the mouse homologue of DAX1: cloning, characterization and synteny with GyK, the glycerol kinase locus. Gene. 1996 Oct 31;178(1-2):31–34. doi: 10.1016/0378-1119(96)00320-4. [DOI] [PubMed] [Google Scholar]
  12. Guo W., Mason J. S., Stone C. G., Jr, Morgan S. A., Madu S. I., Baldini A., Lindsay E. A., Biesecker L. G., Copeland K. C., Horlick M. N. Diagnosis of X-linked adrenal hypoplasia congenita by mutation analysis of the DAX1 gene. JAMA. 1995 Jul 26;274(4):324–330. [PubMed] [Google Scholar]
  13. Habiby R. L., Boepple P., Nachtigall L., Sluss P. M., Crowley W. F., Jr, Jameson J. L. Adrenal hypoplasia congenita with hypogonadotropic hypogonadism: evidence that DAX-1 mutations lead to combined hypothalmic and pituitary defects in gonadotropin production. J Clin Invest. 1996 Aug 15;98(4):1055–1062. doi: 10.1172/JCI118866. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hay I. D., Smail P. J., Forsyth C. C. Familial cytomegalic adrenocortical hypoplasia: an X-linked syndrome of pubertal failure. Arch Dis Child. 1981 Sep;56(9):715–721. doi: 10.1136/adc.56.9.715. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ikeda Y., Swain A., Weber T. J., Hentges K. E., Zanaria E., Lalli E., Tamai K. T., Sassone-Corsi P., Lovell-Badge R., Camerino G. Steroidogenic factor 1 and Dax-1 colocalize in multiple cell lineages: potential links in endocrine development. Mol Endocrinol. 1996 Oct;10(10):1261–1272. doi: 10.1210/mend.10.10.9121493. [DOI] [PubMed] [Google Scholar]
  16. Ito M., Yu R., Jameson J. L. DAX-1 inhibits SF-1-mediated transactivation via a carboxy-terminal domain that is deleted in adrenal hypoplasia congenita. Mol Cell Biol. 1997 Mar;17(3):1476–1483. doi: 10.1128/mcb.17.3.1476. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Kikuchi K., Kaji M., Momoi T., Mikawa H., Shigematsu Y., Sudo M. Failure to induce puberty in a man with X-linked congenital adrenal hypoplasia and hypogonadotropic hypogonadism by pulsatile administration of low-dose gonadotropin-releasing hormone. Acta Endocrinol (Copenh) 1987 Jan;114(1):153–160. doi: 10.1530/acta.0.1140153. [DOI] [PubMed] [Google Scholar]
  18. Kruse K., Sippell W. G., Schnakenburg K. V. Hypogonadism in congenital adrenal hypoplasia: evidence for a hypothalamic origin. J Clin Endocrinol Metab. 1984 Jan;58(1):12–17. doi: 10.1210/jcem-58-1-12. [DOI] [PubMed] [Google Scholar]
  19. Marsden H. B., Zakhour H. D. Cytomegalic adrenal hypoplasia with pituitary cytomegaly. Virchows Arch A Pathol Anat Histol. 1978 Jun 2;378(2):105–110. doi: 10.1007/BF00432354. [DOI] [PubMed] [Google Scholar]
  20. McCabe E. R. Sex and the single DAX1: too little is bad, but can we have too much? J Clin Invest. 1996 Aug 15;98(4):881–882. doi: 10.1172/JCI118868. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Mumm S., Whyte M. P., Thakker R. V., Buetow K. H., Schlessinger D. mtDNA analysis shows common ancestry in two kindreds with X-linked recessive hypoparathyroidism and reveals a heteroplasmic silent mutation. Am J Hum Genet. 1997 Jan;60(1):153–159. [PMC free article] [PubMed] [Google Scholar]
  22. Muscatelli F., Strom T. M., Walker A. P., Zanaria E., Récan D., Meindl A., Bardoni B., Guioli S., Zehetner G., Rabl W. Mutations in the DAX-1 gene give rise to both X-linked adrenal hypoplasia congenita and hypogonadotropic hypogonadism. Nature. 1994 Dec 15;372(6507):672–676. doi: 10.1038/372672a0. [DOI] [PubMed] [Google Scholar]
  23. Nakae J., Tajima T., Kusuda S., Kohda N., Okabe T., Shinohara N., Kato M., Murashita M., Mukai T., Imanaka K. Truncation at the C-terminus of the DAX-1 protein impairs its biological actions in patients with X-linked adrenal hypoplasia congenita. J Clin Endocrinol Metab. 1996 Oct;81(10):3680–3685. doi: 10.1210/jcem.81.10.8855822. [DOI] [PubMed] [Google Scholar]
  24. O'Donnell A. L., Rosen E. D., Darling D. S., Koenig R. J. Thyroid hormone receptor mutations that interfere with transcriptional activation also interfere with receptor interaction with a nuclear protein. Mol Endocrinol. 1991 Jan;5(1):94–99. doi: 10.1210/mend-5-1-94. [DOI] [PubMed] [Google Scholar]
  25. Orita M., Iwahana H., Kanazawa H., Hayashi K., Sekiya T. Detection of polymorphisms of human DNA by gel electrophoresis as single-strand conformation polymorphisms. Proc Natl Acad Sci U S A. 1989 Apr;86(8):2766–2770. doi: 10.1073/pnas.86.8.2766. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Partsch C. J., Sippell W. G. Hypothalamic hypogonadism in congenital adrenal hypoplasia. Horm Metab Res. 1989 Nov;21(11):623–625. doi: 10.1055/s-2007-1009303. [DOI] [PubMed] [Google Scholar]
  27. Prader A., Zachmann M., Illig R. Luteinizing hormone deficiency in hereditary congenital adrenal hypoplasia. J Pediatr. 1975 Mar;86(3):421–422. doi: 10.1016/s0022-3476(75)80978-4. [DOI] [PubMed] [Google Scholar]
  28. Ribeiro R. C., Kushner P. J., Baxter J. D. The nuclear hormone receptor gene superfamily. Annu Rev Med. 1995;46:443–453. doi: 10.1146/annurev.med.46.1.443. [DOI] [PubMed] [Google Scholar]
  29. Rost B., Sander C. Combining evolutionary information and neural networks to predict protein secondary structure. Proteins. 1994 May;19(1):55–72. doi: 10.1002/prot.340190108. [DOI] [PubMed] [Google Scholar]
  30. Sanger F., Nicklen S., Coulson A. R. DNA sequencing with chain-terminating inhibitors. Proc Natl Acad Sci U S A. 1977 Dec;74(12):5463–5467. doi: 10.1073/pnas.74.12.5463. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Schwartz M., Blichfeldt S., Müller J. X-linked adrenal hypoplasia in a large Greenlandic family. Detection of a missense mutation (N4401) in the DAX-1 gene; implication for genetic counselling and carrier diagnosis. Hum Genet. 1997 Jan;99(1):83–87. doi: 10.1007/s004390050316. [DOI] [PubMed] [Google Scholar]
  32. Seltzer W. K., Firminger H., Klein J., Pike A., Fennessey P., McCabe E. R. Adrenal dysfunction in glycerol kinase deficiency. Biochem Med. 1985 Apr;33(2):189–199. doi: 10.1016/0006-2944(85)90027-4. [DOI] [PubMed] [Google Scholar]
  33. Seol W., Choi H. S., Moore D. D. An orphan nuclear hormone receptor that lacks a DNA binding domain and heterodimerizes with other receptors. Science. 1996 May 31;272(5266):1336–1339. doi: 10.1126/science.272.5266.1336. [DOI] [PubMed] [Google Scholar]
  34. Swain A., Zanaria E., Hacker A., Lovell-Badge R., Camerino G. Mouse Dax1 expression is consistent with a role in sex determination as well as in adrenal and hypothalamus function. Nat Genet. 1996 Apr;12(4):404–409. doi: 10.1038/ng0496-404. [DOI] [PubMed] [Google Scholar]
  35. Takahashi T., Shoji Y., Shoji Y., Haraguchi N., Takahashi I., Takada G. Active hypothalamic-pituitary-gonadal axis in an infant with X-linked adrenal hypoplasia congenita. J Pediatr. 1997 Mar;130(3):485–488. doi: 10.1016/s0022-3476(97)70217-8. [DOI] [PubMed] [Google Scholar]
  36. Tsai M. J., O'Malley B. W. Molecular mechanisms of action of steroid/thyroid receptor superfamily members. Annu Rev Biochem. 1994;63:451–486. doi: 10.1146/annurev.bi.63.070194.002315. [DOI] [PubMed] [Google Scholar]
  37. Vilain E., Guo W., Zhang Y. H., McCabe E. R. DAX1 gene expression upregulated by steroidogenic factor 1 in an adrenocortical carcinoma cell line. Biochem Mol Med. 1997 Jun;61(1):1–8. doi: 10.1006/bmme.1997.2601. [DOI] [PubMed] [Google Scholar]
  38. Virdis R., Levine L. S., Levy D., Pang S., Rapaport R., New M. I. Congenital adrenal hypoplasia: two new cases. J Endocrinol Invest. 1983 Feb;6(1):51–54. doi: 10.1007/BF03350561. [DOI] [PubMed] [Google Scholar]
  39. Wagner R. L., Apriletti J. W., McGrath M. E., West B. L., Baxter J. D., Fletterick R. J. A structural role for hormone in the thyroid hormone receptor. Nature. 1995 Dec 14;378(6558):690–697. doi: 10.1038/378690a0. [DOI] [PubMed] [Google Scholar]
  40. Wurtz J. M., Bourguet W., Renaud J. P., Vivat V., Chambon P., Moras D., Gronemeyer H. A canonical structure for the ligand-binding domain of nuclear receptors. Nat Struct Biol. 1996 Jan;3(1):87–94. doi: 10.1038/nsb0196-87. [DOI] [PubMed] [Google Scholar]
  41. Yanase T., Takayanagi R., Oba K., Nishi Y., Ohe K., Nawata H. New mutations of DAX-1 genes in two Japanese patients with X-linked congenital adrenal hypoplasia and hypogonadotropic hypogonadism. J Clin Endocrinol Metab. 1996 Feb;81(2):530–535. doi: 10.1210/jcem.81.2.8636263. [DOI] [PubMed] [Google Scholar]
  42. Zachmann M., Illig R., Prader A. Gonadotropin deficiency and cryptorchidism in three prepubertal brothers with congenital adrenal hypoplasia. J Pediatr. 1980 Aug;97(2):255–257. doi: 10.1016/s0022-3476(80)80486-0. [DOI] [PubMed] [Google Scholar]
  43. Zanaria E., Muscatelli F., Bardoni B., Strom T. M., Guioli S., Guo W., Lalli E., Moser C., Walker A. P., McCabe E. R. An unusual member of the nuclear hormone receptor superfamily responsible for X-linked adrenal hypoplasia congenita. Nature. 1994 Dec 15;372(6507):635–641. doi: 10.1038/372635a0. [DOI] [PubMed] [Google Scholar]

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