Steroidogenic factor-1 (SF-1, NR5A1) and human disease.

Steroidogenic factor-1 (SF-1, NR5A1) and human disease.
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DOI:
10.1016/j.mce.2010.11.006
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发表时间:
2011-04-10
影响因子:
4.1
通讯作者:
Achermann, John C.
Achermann, John C.
中科院分区:
医学2区
文献类型:
--
作者:
Ferraz-de-Souza, Bruno;Lin, Lin;Achermann, John C.

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类固醇生成因子-1(SF-1、Ad4BP,由 NR5A1 编码)是肾上腺和生殖发育及功能的关键调节因子。根据在 Nr5a1 缺失小鼠中发现的特征,识别人类 SF-1 变化的初步尝试集中于那些患有原发性肾上腺衰竭、46,XY 核型、完全性腺发育不全和苗勒管结构的罕见个体。尽管在两例此类病例中发现了影响 SF-1 DNA 结合的改变,但 SF-1 破坏在肾上腺衰竭患者中并不常见。相比之下,人们发现 SF-1 的变异与一系列人类生殖表型相关,例如 46,XY 性发育障碍 (DSD)、尿道下裂、无睾症、男性因素不孕或女性原发性卵巢功能不全。据报道,某些肾上腺肿瘤或子宫内膜异位症中也有 SF-1 过度表达或过度活性的情况。因此,与 SF-1 变异相关的临床表型范围正在扩大,并且这种核受体在人类内分泌疾病中的重要性现已得到牢固确立。
Steroidogenic factor-1 (SF-1, Ad4BP, encoded by NR5A1) is a key regulator of adrenal and reproductive development and function. Based upon the features found in Nr5a1 null mice, initial attempts to identify SF-1 changes in humans focused on those rare individuals with primary adrenal failure, a 46,XY karyotype, complete gonadal dysgenesis and Müllerian structures. Although alterations affecting DNA-binding of SF-1 were found in two such cases, disruption of SF-1 is not commonly found in patients with adrenal failure. In contrast, it is emerging that variations in SF-1 can be found in association with a range of human reproductive phenotypes such as 46,XY disorders of sex development (DSD), hypospadias, anorchia, male factor infertility, or primary ovarian insufficiency in women. Overexpression or overactivity of SF-1 is also reported in some adrenal tumors or endometriosis. Therefore, the clinical spectrum of phenotypes associated with variations in SF-1 is expanding and the importance of this nuclear receptor in human endocrine disease is now firmly established.
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