Pediatric endocrinology

Microdeletion at ESR1 Intron 6 (DEL_6_75504) Is a Susceptibility Factor for Cryptorchidism and Hypospadias

J Clin Endocrinol MetabPublished Genetic association and mechanistic study

Authors' conclusion

The results reveal that ΔESR1, which has been registered as "DEL_6_75504" in gnomAD SVs v2.1, is the true susceptibility factor for cryptorchidism and hypospadias. It appears that ΔESR1 was produced in a single ancestral founder of modern humans and has been maintained within the genome of multiple ethnic groups by selection.

Study context

Population
Italian boys (hitherto unreported) and previously reported and newly recruited Japanese boys230 Italian, 415 Japanese
Participants
80 / 150 / 149 / 141 / 125
Comparison
Cryptorchidism or hypospadias vs normal genitalia
  • Italian cryptorchidismn = 80
  • Italian normal genitalian = 150reference
  • Japanese cryptorchidismn = 149
  • Japanese hypospadiasn = 141
  • Japanese normal genitalian = 125reference
Outcome
ΔESR1 (2249-bp ESR1 intron 6 microdeletion) and cryptorchidism/hypospadias
Methodological detailshaplotype analysis, whole genome sequencing, Cochran-Armitage trend test, in vitro expression analyses (MCF-7 cells)
  • Haplotype analysis
  • Whole genome sequencing
  • Cochran-Armitage trend test
  • In vitro expression analyses (MCF-7 cells)

Main finding

As reported in the abstract

  • "AGATC" haplotype positively associated with cryptorchidism in Italian boys
  • Identical 2249-bp microdeletion (ΔESR1), from a microhomology-mediated replication error, in Japanese and Italian boys with the haplotype
  • ΔESR1 strongly associated with cryptorchidism and hypospadias (Cochran-Armitage trend test)
  • ΔESR1 in nearly absolute linkage disequilibrium (LD) with the "AGATC" haplotype
  • ESR1 expression upregulated in MCF-7 cells with homozygous deletion encompassing ΔESR1 or involving a CTCF-binding site within ΔESR1

Original publication

Microdeletion at ESR1 Intron 6 (DEL_6_75504) Is a Susceptibility Factor for Cryptorchidism and Hypospadias. J Clin Endocrinol Metab. Published 3 April 2023. doi:10.1210/clinem/dgad187

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