Pediatric endocrinology

Genetic and Clinical Characteristics of 185 Japanese Children With 46,XY Differences of Sex Development

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

The proportion of monogenic disorders in Japanese 46,XY DSD patients was approximately 26%. Monogenic disorders were frequent among patients with severe undermasculinization of the external or internal genitalia.

Study context

Population
Japanese patients with 46,XY differences of sex development (DSD)178 families
Participants
185 patients
Outcome
Proportion of monogenic disorders in 46,XY DSD
Methodological detailsgenetic study, 25-gene sequencing panel, ACMG guideline variant classification
  • Genetic study
  • 25-gene sequencing panel
  • ACMG guideline variant classification

Main finding

As reported in the abstract

Monogenic disorders (pathogenic variants)
Patients with any monogenic disorder
51 patients (47 families) (26%)
AR
11%
SRD5A2
4.5%
NR5A1
4.0%
SRY
2.8%
WT1
1.1%
STAR
1.1%
CYP17A1
0.56%
HSD3B2
0.56%
MAP3K1
0.56%

Observational data: associations, not effects.

Further findings

Müllerian derivatives detected vs Müllerian derivatives undetected

Proportion of monogenic disorders by Müllerian derivatives · significantly higher with detected Müllerian derivatives

P = 0.029

Female-typical genitalia vs Ambiguous genitalia

Proportion of monogenic disorders by external genitalia · significantly higher with female-typical genitalia

P < 0.001

Original publication

Genetic and Clinical Characteristics of 185 Japanese Children With 46,XY Differences of Sex Development. J Clin Endocrinol Metab. Published 21 November 2024. doi:10.1210/clinem/dgae813

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