Pediatric endocrinology

Characterization of 35 Novel NR5A1/SF-1 Variants Identified in Individuals With Atypical Sexual Development: The SF1next Study

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

Genetic analyses and functional assays do not explain the observed wide phenotype of individuals with these novel NR5A1/SF-1 variants. In 9 individuals, additional likely disease-causing variants in other genes were found, strengthening the hypothesis that the broad phenotype of DSD associated with NR5A1/SF-1 variants may be caused by an oligogenic mechanism.

Study context

Population
Individuals with differences of sex development (DSD) carrying novel NR5A1/SF-1 variants, SF1next cohort35 novel variants
Outcome
Functional characterization of novel NR5A1/SF-1 variants
Methodological detailsin silico prediction, functional assays in HEK293T cells
  • In silico prediction
  • Functional assays in HEK293T cells

Main finding

As reported in the abstract

Novel NR5A1/SF-1 variants identified

35

Missense variants functionally tested

17

Reduced transactivation activity, variants in DNA binding domain

40%

Variants with affected nuclear translocation

3 of 17

Further findings

Individuals with additional likely disease-causing variants in other genes
9

Original publication

Characterization of 35 Novel NR5A1/SF-1 Variants Identified in Individuals With Atypical Sexual Development: The SF1next Study. J Clin Endocrinol Metab. Published 16 April 2024. doi:10.1210/clinem/dgae251

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