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Department of Endocrinology and Reproduction, Erasmus University Rotterdam, The Netherlands
Department of Pathology, Erasmus University Rotterdam, The Netherlands
Lady Davis Institute, Sir M. B. Davis-Jewish General Hospital, Departments of Biology, Medicine, and Pediatrics, McGill University Montreal, Quebec, Canada
Department of Internal Medicine, University of Bonn Bonn, Germany
Ben May Institute, Departments of Biochemistry, Molecular Biology, and Pediatrics, University of Chicago Chicago, Illinois 60637
Address requests for reprints to: Dr. C. Ris-Stalpers, Department of Endocrinology and Reproduction, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Abstract
We have identified two different single nucleotide alterations in codon 686 (GAC; aspartic acid) in exon 4 of the human androgen receptor gene in three unrelated families with the complete form of androgen insensitivity. One mutation (G
C) results in an aspartic acid
histidine substitution (with 15–20% of wild-type androgen-binding capacity), whereas the other mutation (G
A) leads to an aspartic acid
asparagine substitution (with normal androgenbinding capacity, but a rapidly dissociating ligandreceptor complex). The mutations eliminate a Hinfl restriction site. Screening for the loss of the Hinfl site in both families with the Asp
Asn mutation resulted in the recognition of heterozygous carriers in successive generations of each. Both mutant androgen receptors were generated in vitro and transiently expressed in COS and HeLa cells. The receptor proteins produced had the same altered binding characteristics as those measured in fibroblasts from the affected subjects. R1881-activated tran-scription of a GRE-tk-CAT reporter gene construct was strongly diminished by both mutant receptors and was only partially restored using a 100-fold higher concentration of ligand compared with wildtype receptor. Thus, aspartic acid-686 appears essential for normal androgen receptor function. Substitution of this amino acid residue, by either histidine or asparagine, results in androgen insensitivity and lack of androgen-dependent male sexual differentiation.
FOOTNOTES
This work was supported by The Netherlands Organization for Scientific Research (to C.R., G.J., J.T., and A.O.B.), the Medical Research Council of Canada Group Grant in Medical Genetics (to M.T., M.K., and L.P.), NIH Grants DK-37694 (to S.L.) and HD-06308 (to R.L.R.), and the Deutsche Forschungsgemeinschaft (Grant Schw 168/5–9).
Received for publication February 21, 1991. Revision received July 29, 1991. Accepted for publication July 29, 1991.
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