Evidence map›Paper›PMID 38761274›Full record

ArticleIndian journal of pediatrics2025

Clinical, Hormonal, and Genetic Spectrum of 46 XY Disorders of Sexual Development (DSD) Patients.

Rajan Palui, Lavanya Ravichandran, Sadishkumar Kamalanathan, Aaron Chapla, Jayaprakash Sahoo, Niya Narayanan, Dukhabandhu Naik, Nihal Thomas

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Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Rajan Palui *Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID 0000-0002-2429-3595
Lavanya Ravichandran *Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India.ORCID 0000-0002-4153-192X
Sadishkumar KamalanathanDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India. sadishkk@gmail.com.ORCID 0000-0002-2371-0625
Aaron ChaplaDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India.ORCID 0000-0003-4157-6041
Jayaprakash SahooDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID 0000-0002-8805-143X
Niya NarayananDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID 0000-0001-8403-7756
Dukhabandhu NaikDepartment of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.ORCID 0000-0003-4568-877X
Nihal ThomasDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India.ORCID 0000-0002-4614-9519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the clinical, hormonal and genetic characteristics of 46XY disorders of sexual development (DSD) patients from South India.

methods46XY DSD patients with a provisional diagnosis of 17β-hydroxysteroid dehydrogenase 3 (17BHSD3) deficiency, 5 alpha-reductase type 2 deficiency (5ARD2) or partial androgen insensitivity syndrome (PAIS) based on clinical and hormonal analysis were included in this study. All the patients underwent detailed clinical and hormonal evaluations. Targeted next-generation sequencing for all three genes (AR, HSD17B3, and SRD5A2) in parallel was carried out for all the included patients and their parents.

resultsBased upon the clinical and hormonal analysis, among the 37 children with 46XY DSD in the present study, 21 children were diagnosed with 5ARD2, 10 with PAIS, and six with 17BHSD3 deficiency. However, genetic analysis revealed pathogenic mutations in nine patients - six in the AR gene, two in the SRD5A2 gene, and one in the HSD17B3 gene. The concordance rate between provisional hormonal and genetic diagnosis was only 22.2%. Two out of six subjects with AR gene variants were positive for somatic mosaicism.

conclusionsIn the present study, a positive genetic diagnosis was detected in nine patients (24%), including five novel variants. In this study, mutations in the AR gene was the most reported. The authors did not find the testosterone: dihydrotestosterone (T: DHT) ratio to be an accurate hormonal diagnostic tool.

Indexed as

Disorder of Sex Development, 46,XY17-Hydroxysteroid Dehydrogenases3-Oxo-5-alpha-Steroid 4-DehydrogenaseAdolescentAndrogen-Insensitivity SyndromeChildChild, PreschoolGynecomastiaHumansIndiaInfantMaleMembrane ProteinsMutationReceptors, AndrogenSteroid Metabolism, Inborn Errors17beta-hydroxysteroid dehydrogenase type 317-Hydroxysteroid Dehydrogenases3-Oxo-5-alpha-Steroid 4-DehydrogenaseMembrane ProteinsReceptors, AndrogenSRD5A2 protein, humanTestosterone17β-hydroxysteroid dehydrogenase 3 (17BHSD3) deficiency46XY DSD5 alpha-reductase type 2 deficiency (5ARD2)Next-generation sequencing (NGS)Partial androgen insensitivity syndrome (PAIS)

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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.