Evidence map›Paper›PMID 27855412›Full record

ArticleHormone research in paediatrics2017

A 46,XX Ovotesticular Disorder of Sex Development Likely Caused by a Steroidogenic Factor-1 (NR5A1) Variant.

Jonathan M Swartz, Ryan Ciarlo, Michael H Guo, Aser Abrha, Benjamin Weaver, David A Diamond, Yee-Ming Chan, Joel N Hirschhorn

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Hormone research in paediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  3. Role ofCurrent issues in molecular biology · 2024
    Review
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  11. Molecular Characterization of XX Maleness.International journal of molecular sciences · 2019
    Review
  12. Article
  13. Article
  14. Review
  15. Disorders of sex development.Best practice & research. Clinical obstetrics & gynaecology · 2018
    Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Jonathan M SwartzDivision of Endocrinology, Boston Children's Hospital, Boston, MA, USA.
Ryan Ciarlo
Michael H Guo
Aser Abrha
Benjamin Weaver
David A Diamond
Yee-Ming Chan
Joel N Hirschhorn
Endocrinology Research Center · RUBoston Children's Hospital · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Research in Development Endocrinology and MetabolismT32DK007699 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI JOEL N HIRSCHHORN · 1992 to 2026
$7.1M
Exome Sequencing in Disorders of Sex Development: Impact on Patients and FamiliesR01HD089521 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI CHAN, YEE-MING, HOLM, INGRID ADELE · 2016 to 2020
$841k
NCATS NIH HHS UL1 TR001102NICHD NIH HHS R01 HD089521NIDDK NIH HHS T32 DK007699
6 · The paper itself

Abstract

backgroundA variant in steroidogenic factor-1 (SF-1, encoded by the gene NR5A1), p.Arg92Trp, has recently been reported in multiple families with 46,XX ovotesticular or testicular disorders of sex development (DSD). This amino acid change impacts the DNA-binding domain and perturbs gonadal differentiation pathways.

methodsWhole-exome sequencing was performed on a 46,XX subject with ovotesticular DSD.

resultsExome results identified a heterozygous NR5A1 variant, p.Arg92Gln, in the 46,XX ovotesticular DSD proband. This arginine-to-glutamine change has been previously reported in the homozygous state in a 46,XY patient with gonadal and adrenal dysgenesis, though 46,XY and 46,XX heterozygous carriers of this variant have not been previously reported to have any clinical phenotype.

conclusionsThe NR5A1 p.Arg92Gln variant, which has thus far only been seen in a family with 46,XY DSD, most likely contributes to the ovotesticular DSD in this case. In light of the recent reports of unrelated 46,XX subjects with testicular or ovotesticular DSD with the NR5A1 variant p.Arg92Trp, it appears that other mutations in the DNA binding domain have the potential to impact the factors determining testicular and ovarian differentiation. This case demonstrates the variability of phenotypes with the same genotype and broadens our understanding of the role of SF-1 in gonadal differentiation.

Indexed as

Mutation, Missense46, XX Disorders of Sex DevelopmentAmino Acid SubstitutionChild, PreschoolFemaleHumansOvotesticular Disorders of Sex DevelopmentProtein DomainsSteroidogenic Factor 1NR5A1 protein, humanSteroidogenic Factor 1

Identifiers

PMID27855412
PMCPMC5388569
OpenAlexW2553021450

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.