Table 1.
Patient/Donor Identification | Gene Affected | DNA | Protein |
---|---|---|---|
Patient #1 | CYP21A2 | c.515T > A | p.(Ile172Asn) |
Patient #2 | CYP21A2 | c.955C > T | p.(Gln319Stop) |
Patient #3 | STAR | c.666delC | p.(Thr223Leufs∗98) |
Patient #4 | HSD3B2 | NA | NA |
Patient #5 | CYP11A1 | c.940G > A | p.(Glu314Lys) |
c.990G > A |
Patient #1 presents a simple virilizing form of CAH due to one of the most common mutations in CYP21A2 (p.I172N). Patient #2 harbors a premature stop codon in CYP21A2 at glutamine 319 (p.Q319∗), which has been previously described as pathogenic. Patient #3 harbors a frameshift mutation in the STAR protein (p. Thr223fs), leading to disruption of the C-terminal START domain responsible for cholesterol binding and promotion of the translocation of cholesterol to the mitochondrial inner membrane. Patient #4 was diagnosed with HSD3B2 deficiency biochemically. Patient #5 is compound heterozygous for two putative splicing mutations in the CYP11A1 gene, which result in exon 5 skipping and a subsequent frameshift (L.A.M., unpublished data).