Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome

Aromatase excess syndrome (AEXS) is a rare autosomal dominant disorder characterized by gynecomastia. This condition is caused by overexpression of CYP19A1 encoding aromatase, and three types of cryptic genomic rearrangement around CYP19A1, that is, duplications, deletions, and inversions, have been...

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Main Authors: Maki Fukami, Makio Shozu, Tsutomu Ogata
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/584807
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author Maki Fukami
Makio Shozu
Tsutomu Ogata
author_facet Maki Fukami
Makio Shozu
Tsutomu Ogata
author_sort Maki Fukami
collection DOAJ
description Aromatase excess syndrome (AEXS) is a rare autosomal dominant disorder characterized by gynecomastia. This condition is caused by overexpression of CYP19A1 encoding aromatase, and three types of cryptic genomic rearrangement around CYP19A1, that is, duplications, deletions, and inversions, have been identified in AEXS. Duplications appear to have caused CYP19A1 overexpression because of an increased number of physiological promoters, whereas deletions and inversions would have induced wide CYP19A1 expression due to the formation of chimeric genes consisting of a noncoding exon(s) of a neighboring gene and CYP19A1 coding exons. Genotype-phenotype analysis implies that phenotypic severity of AEXS is primarily determined by the expression pattern of CYP19A1 and the chimeric genes and by the structural property of the fused exons with a promoter function (i.e., the presence or the absence of a natural translation start codon). These results provide novel information about molecular mechanisms of human genetic disorders and biological function of estrogens.
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spelling doaj-art-833620326cca4dbf98cbf55df9c7c7b12025-08-20T03:37:37ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/584807584807Molecular Bases and Phenotypic Determinants of Aromatase Excess SyndromeMaki Fukami0Makio Shozu1Tsutomu Ogata2Department of Molecular Endocrinology, National Research Institute for Child Health and Development, 2-10-1 Ohkura, Setagaya, Tokyo 157-8535, JapanDepartment of Reproductive Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba City 206-8670, JapanDepartment of Molecular Endocrinology, National Research Institute for Child Health and Development, 2-10-1 Ohkura, Setagaya, Tokyo 157-8535, JapanAromatase excess syndrome (AEXS) is a rare autosomal dominant disorder characterized by gynecomastia. This condition is caused by overexpression of CYP19A1 encoding aromatase, and three types of cryptic genomic rearrangement around CYP19A1, that is, duplications, deletions, and inversions, have been identified in AEXS. Duplications appear to have caused CYP19A1 overexpression because of an increased number of physiological promoters, whereas deletions and inversions would have induced wide CYP19A1 expression due to the formation of chimeric genes consisting of a noncoding exon(s) of a neighboring gene and CYP19A1 coding exons. Genotype-phenotype analysis implies that phenotypic severity of AEXS is primarily determined by the expression pattern of CYP19A1 and the chimeric genes and by the structural property of the fused exons with a promoter function (i.e., the presence or the absence of a natural translation start codon). These results provide novel information about molecular mechanisms of human genetic disorders and biological function of estrogens.http://dx.doi.org/10.1155/2012/584807
spellingShingle Maki Fukami
Makio Shozu
Tsutomu Ogata
Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
International Journal of Endocrinology
title Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
title_full Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
title_fullStr Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
title_full_unstemmed Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
title_short Molecular Bases and Phenotypic Determinants of Aromatase Excess Syndrome
title_sort molecular bases and phenotypic determinants of aromatase excess syndrome
url http://dx.doi.org/10.1155/2012/584807
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