Low Frequency of Pathogenic Allelic Variants in the 46,XY Differences of Sex Development (DSD)-Related Genes in Small for Gestational Age Children with Hypospadias

作者: Barbara L. Braga , Nathalia L. Gomes , Mirian Yumie Nishi , Bruna Lucheze Freire , Rafael Loch Batista

DOI: 10.1101/748277

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摘要: Abstract Background Hypospadias is a congenital disorder of male genital formation where the urinary opening not on head penis and genetic factors play an important role in incidence this early developmental defect 46,XY individuals, both isolated syndromic forms. Children born small for gestational age (SGA) present high frequency hypospadias undetermined etiology, ranging from 15 to 30%, but detection hypospadias’ etiology remains low. Patients methods cohort DSD patients, we identified 25 SGA children with medium or proximal hypospadias; four them associated characteristics. DNA samples subjects were studied by massively parallel targeted sequencing (MPTS) using panel. MLPA was used molecular diagnosis two clinical phenotype Silver Russel syndrome. Results Loss methylation (11p15 LOM) at ICR1 out children. The other patient had 3M syndrome novel likely-pathogenic variants compound heterozygous state found CUL7 gene. last subject Mulibrey nanism and, homozygous variant TRIM37 confirmed mother. Among non-syndromic seven rare uncertain significance six DSD-related genes identified: DHX37 GATA4 WWOX variants, respectively; three WT1, IGF1R, BMP8B genes. Conclusion Pathogenic hypospadias, suggesting that multi-factorial causes, unknown unidentified environmental (epigenetic defects), may be involved condition.

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