TLDR No consistent link between genotype and phenotype in 5-α-Reductase type 2 deficiency.
The review examined the correlation between genotype and phenotype in 5-α-Reductase type 2 deficiency, an autosomal recessive disorder affecting male sexual development. Despite analyzing various mutations in the SRD5A2 gene and using the external masculinization score (EMS) to classify phenotypes, the study found no consistent genotype-phenotype correlation. The severity of the phenotype was influenced by the mutation's location in the protein, but even patients with the same homozygous mutation exhibited variable phenotypes. This variability suggested the involvement of additional genetic factors, complicating accurate diagnosis and medical management.
218 citations,
December 2011 in “Advances in Urology” The document concludes that the 5 alpha-reductase enzymes are important in steroid metabolism and related to various human diseases, with inhibitors used to treat conditions like male pattern baldness and prostate issues.
124 citations,
September 1992 in “Endocrinology” The human type II 5α-reductase gene, linked to certain male health conditions, has a specific structure and low similarity to other related genes.
June 2023 in “Journal of personalized medicine” Androgen treatment with dihydrotestosterone may help maintain height in patients with 5-α-reductase type 2 deficiency, especially before puberty.
September 2022 in “Annals of medicine and surgery” Three siblings with a rare genetic condition had abnormal sexual development and chose different gender identities, needing surgery and therapy.
July 2020 in “bioRxiv (Cold Spring Harbor Laboratory)” The structure of SRD5A reveals how it reduces steroids, aiding drug design for related health conditions.
3 citations,
January 2022 in “Precision medicine and clinical omics” Beta-sitosterol and stigmasterol might help prevent hair loss by blocking a specific enzyme.
November 2016 in “Elsevier eBooks” Genetic mutations can affect female sexual development, requiring personalized medical care.