Reproductive endocrinology

DHX37 Variant Is One of the Common Genetic Causes in Japanese Patients with Testicular Regression Syndrome/Partial Gonadal Dysgenesis without Müllerian Derivatives

Horm Res PaediatrPublished Genetic case series

Authors' conclusion

DHX37 variant is one of the common genetic causes in Japanese patients with TRS/PGD without Müllerian derivatives. Genetic test is helpful in detecting DHX37-related TRS/PGD because of the phenotypic diversity of the external genitalia in this disorder.

Study context

Population
Japanese 46,XY individuals with testicular regression syndrome (TRS)/partial gonadal dysgenesis (PGD) with undetected or hypoplastic testes, Müllerian duct regression, and low serum testosterone or AMH levels10 families
Participants
11 participants
Outcome
Genetic causes of TRS/PGD
Methodological detailstargeted sequencing of 36 known differences of sex development (DSD) genes, Sanger sequencing of DHX37, or whole-exome sequencing
  • Targeted sequencing of 36 known DSD genes, Sanger sequencing of DHX37, or whole-exome sequencing

Main finding

As reported in the abstract

Previously described pathogenic or novel nonsense variants (SRY, NR5A1, DMRT1)
4 of 10 families
Heterozygous rare DHX37 variants
4 families
DHX37 c.923G>A, p.Arg308Gln (previously reported pathogenic)
3 families
DHX37 c.1882A>C, p.Thr628Pro (novel likely pathogenic)
1 family
Monogenic disorders
80%
DHX37 variant, the most commonly identified
40%

Observational data: associations, not effects.

Further findings

External genitalia of DHX37 variant carriers varied from female-type to male-type without micropenis
External or internal genital phenotype overlaps between DHX37 variant carriers and others

Original publication

DHX37 Variant Is One of the Common Genetic Causes in Japanese Patients with Testicular Regression Syndrome/Partial Gonadal Dysgenesis without Müllerian Derivatives. Horm Res Paediatr. Published 15 February 2024. doi:10.1159/000537761

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