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Congenital adrenal hyperplasia: focus on the molecular basis of 21-hydroxylase deficiency

dc.contributor.authorGonçalves, J
dc.contributor.authorFriães, A
dc.contributor.authorMoura, L
dc.date.accessioned2016-05-11T16:20:10Z
dc.date.available2016-05-11T16:20:10Z
dc.date.issued2007
dc.description.abstractCongenital adrenal hyperplasia (CAH) is an autosomal recessive disorder caused by defects in one of several steroidogenic enzymes involved in the synthesis of cortisol from cholesterol in the adrenal glands. More than 90% of cases are caused by 21-hydroxylase deficiency, and the severity of the resulting clinical symptoms varies according to the level of 21-hydroxylase activity. 21-Hydroxylase deficiency is usually caused by mutations in the CYP21A2 gene, which is located on the RCCX module, a chromosomal region highly prone to genetic recombination events that can result in a wide variety of complex rearrangements, such as gene duplications, gross deletions and gene conversions of variable extensions. Molecular genotyping of CYP21A2 and the RCCX module has proved useful for a more accurate diagnosis of the disease, and prenatal diagnosis. This article summarises the clinical features of 21-hydroxylase deficiency, explains current understanding of the disease at the molecular level, and highlights recent developments, particularly in diagnosis.pt_PT
dc.identifier.doi10.1017/S1462399407000300pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/1902
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectHiperplasia Congénita da Supra-Renalpt_PT
dc.subjectEsteróide 21-Hidroxilasept_PT
dc.titleCongenital adrenal hyperplasia: focus on the molecular basis of 21-hydroxylase deficiencypt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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