Table 3.
Clinical features in male patients with fetal-onset primary hypogonadism with Leydig cell-specific (steroidogenic) dysfunction.
| Gene | Protein | OMIM | Hormone levels | Associated clinical features |
|---|---|---|---|---|
| LHCG-R | LH/CG receptor | #238320 | ↓ ↓All steroids | None |
| STAR | StAR | #201710 | ↓ ↓All steroids | Lipoid congenital adrenal hyperplasia |
| CYP11A1 | P450scc | #613743 | ↓ ↓All steroids | Adrenal insufficiency |
| CYP17A1 | P450c17 (17α-hydroxylase activity) | #202110 | ↑Pregnenolone | Adrenal insufficiency |
| ↑Progesterone | Hypertension | |||
| CYP17A1 | P450c17 (17,20-lyase activity) | #202110 | ↑17OH-pregnenolone | Adrenal insufficiency |
| ↑17OH-progesterone | ||||
| ↑Pregnenolone | ||||
| ↑Progesterone | ||||
| POR | P450 oxidoreductase | #613571 | ↑Progesterone | Antley–Bixler syndrome |
| ↑17OH-progesterone | ||||
| HSD3B2 | 3β-HSD type 2 | #201810 | ↑DHEA | Adrenal insufficiency |
| ↑17OH-pregnenolone | ||||
| ↑Pregnenolone | ||||
| HSD17B3 | 17β-HSD type 3 | #264300 | ↑Androstenedione | None |
| ↑DHEA | ||||
| ↑17OH-progesterone | ||||
| ↑17OH-pregnenolone |
OMIM, Online Mendelian Inheritance in Man locus, gene and phenotype numbers (http://www.ncbi.nlm.nih.gov/omim).