• PMID: 18038713
• Gene Name: DAX1
• Condition: Adrenal hypoplasia congenita (AHC), adrenal insufficiency, hypogonadotropic hypogonadism
• Association: The NR0B1/DAX1 gene was amplified in three PCR fragments from the patient's and mother's gDNA extracted from peripheral lymphocytes. Sequencing revealed a novel single nucleotide deletion in codon 419 from exon 2 that resulted in a frameshift and a stop c
• Mutation: c.1256 delA
• Population size: 2
• Population details: 2 affected members: one with neonatal adrenal insufficiency, and a sibling with adrenal hypoplasia and sudden death at 3 years old
• Sex: Male
• Infertility type: Male infertility
• Other associated phenotypes: Adrenal hypoplasia congenita (AHC), adrenal insufficiency, hypogonadotropic hypogonadism

A new DAX-1 mutation in a family with a case of neonatal adrenal insufficiency and a sibling with adrenal hypoplasia and sudden death at 3 years of age

Mericq V, Ciaccio M, Marino R, Lamoglia JJ, Viterbo G, Rivarola MA, Belgorosky A.

Adrenal hypoplasia congenita (AHC) is a hereditary disorder that leads to adrenal insufficiency and hypogonadotropic hypogonadism (HHG) in childhood. The gene responsible for the X-linked form of AHC, DAX1 (dosage-sensitive sex-reversal, AHC, on the X-chromosome, gene 1)/NR0B1, encodes for a nuclear factor which lacks the characteristic zinc finger DNA-binding domain that is highly conserved in nuclear receptors. Deletions and point mutations in the DAX1 gene have been described in more than 70 AHC families. We present the clinical and genetic data of two brothers affected by AHC. We report a new DAX1 gene mutation in a family with two affected members: one with neonatal adrenal insufficiency, and a sibling with adrenal hypoplasia and sudden death at 3 years old. The NR0B1/DAX1 gene was amplified in three PCR fragments from the patient's and mother's gDNA extracted from peripheral lymphocytes. Sequencing revealed a novel single nucleotide deletion in codon 419 from exon 2 that resulted in a frameshift and a stop codon 17 nucleotides downstream (c.1256 delA). The mother was heterozygous for this mutation. In conclusion, a novel DAX-1 mutation was detected in two family members with different phenotype: one live infant with adrenal hypoplasia, his mother, and probably his dead brother. FAU - Mericq, Verónica AU - Mericq V AD - Institute of Maternal and Child Research, Faculty of Medicine, University of Chile, Santiago. vmericq@machi.med.uchile.cl FAU - Ciaccio, Marta AU - Ciaccio M FAU - Marino, Roxana AU - Marino R FAU - Lamoglia, Juan Javier AU - Lamoglia JJ FAU - Viterbo, Gisella AU - Viterbo G FAU - Rivarola, Marco A AU - Rivarola MA