Adrenal disease

A Recurrent Splice Variant Sheds Light on 11β-Hydroxylase Deficiency in a Unique Large Cohort

J Clin Endocrinol MetabPublished Retrospective cohort study with functional in vitro study

Authors' conclusion

This retrospective study provides genetic data in a wide cohort of 11βOHD, and identifies c.954 + 148C > G as the most recurrent variant in our Caucasian participant recruitment. Screening of deep intronic regions, coupled with functional in vitro tools, must not be overlooked in the strategy to avoid diagnostic failure.

Study context

Population
Patients with 11βOHD who underwent CYP11B1 sequencing at a biochemistry and molecular biology department, diagnosed 1990–20244 of 44 carriers excluded
Participants
250 patients
Exposure
c.954 + 148C > G carriers vs severe variant carriers
  • c.954 + 148C > Gn = 44
Outcome
Splicing effect and genotype-phenotype correlation of c.954 + 148C > G
Methodological detailsgenotype-phenotype correlation, in silico and in vitro functional validation (Minigene Reporter Assay)
  • Genotype-phenotype correlation
  • In silico and in vitro functional validation (Minigene Reporter Assay)

Main finding

As reported in the abstract

  • Minigene study: c.954 + 148C > G disrupts splicing by activating a cryptic donor site
  • c.954 + 148C > G vs Severe variant: P < 0.034
  • c.954 + 148C > G vs Severe variant: P = 0.005

Observational data: associations, not effects.

Original publication

A Recurrent Splice Variant Sheds Light on 11β-Hydroxylase Deficiency in a Unique Large Cohort. J Clin Endocrinol Metab. Published 19 August 2025. doi:10.1210/clinem/dgaf468

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