Evidence map›Paper›PMID 32959514›Full record

ArticleMolecular genetics & genomic medicine2020

The spectrum of CYP21A2 gene mutations in patients with classic salt wasting form of 2l-hydroxylase deficiency in a Chinese cohort.

Yang Liu, Jie Zheng, Nan Liu, Xiaowei Xu, Xinjie Zhang, Ying Zhang, Guoxu Li, Geli Liu, Chunquan Cai, Jianbo Shu

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 49% of its field
1 · What the graph read from it

What it found

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2 · The registry

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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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. [Congenital adrenal hyperplasia].Problemy endokrinologii · 2026
    Review
  2. Case Report: unmasking pseudo-homozygosity inFrontiers in endocrinology · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Yang LiuDepartment of Neonatology, Tianjin Children's Hospital, the Pediatric Clinical College in Tianjin Medical University, Tianjin, China.
Jie ZhengGraduate College of Tianjin Medical University, Tianjin, China.
Nan LiuGraduate College of Tianjin Medical University, Tianjin, China.
Xiaowei XuTianjin Children's Hospital (Children's Hospital of Tianjin University, Tianjin, China.
Xinjie ZhangTianjin Children's Hospital (Children's Hospital of Tianjin University, Tianjin, China.
Ying ZhangGraduate College of Tianjin Medical University, Tianjin, China.
Guoxu LiGraduate College of Tianjin Medical University, Tianjin, China.
Geli LiuDepartment of Pediatrics, Tianjin Medical University General Hospital, Tianjin, China.
Chunquan CaiTianjin Children's Hospital (Children's Hospital of Tianjin University, Tianjin, China.
Jianbo ShuTianjin Children's Hospital (Children's Hospital of Tianjin University, Tianjin, China.ORCID 0000-0002-7787-4537
Tianjin University · CNTianjin Medical University · CNTianjin Children's Hospital · CNTianjin Medical University General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background21-Hydroxylase deficiency (21-OHD) caused by the CYP21A2 gene mutations is the most common form of congenital adrenal hyperplasia. It is an autosomal recessive disorder that results in defective synthesis of cortisol and aldosterone. The incidences of various CYP21A2 gene mutations and the genotype-phenotype correlations vary among different populations. MATERIALS AND

methodsThe clinical and molecular data of 22 patients were analyzed in this study. All patients were recruited from the neonatal intensive care unit. Locus-specific polymerase chain reaction and Sanger sequencing were applied to identify gene micro-conversions, and multiplex ligation-dependent probe amplification was used to detect large fragment deletions/conversions. Then, the genotypes were categorized in to Null, A, B, C, and D groups to analyze the relationships between genotypes and phenotypes.

resultsAll 22 patients were classified into classic salt wasting form of 21-OHD. Molecular defects were detected in 44 alleles (100%). Micro-conversion mutation IVS2-13A/C>G (70.5%) is most common in our cohort, followed by large gene deletions and conversions (22.7%). The other mutations present were p.R357 W (4.5%) and E6 Cluster (2.3%). Genotypes of 22 patients (100%) were consistent with the predictive phenotypes.

conclusionIn this study, we identified the mutation spectrum of CYP21A2 gene in Chinese patients, especially the younger age cohort in pediatrics. Micro-conversions were the most popular mutations. Moreover, the genotypes and phenotypes were well correlated in this cohort of salt wasting 21-OHD recruited from neonatal intensive care unit.

Indexed as

Gene FrequencyMutationAdrenal Hyperplasia, CongenitalFemaleHumansInfant, NewbornMalePhenotypeSteroid 21-HydroxylaseCYP21A2 protein, humanSteroid 21-Hydroxylase2 l-hydroxylase deficiencycongenital adrenal hyperplasiaCYP21A2 genegenotypephenotype

Identifiers

PMID32959514
PMCPMC7667303
OpenAlexW3087452350

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.