Mutant P450 oxidoreductase causes disordered steroidogenesis with and without Antley-Bixler syndrome

CE Flück, T Tajima, AV Pandey, W Arlt, K Okuhara… - Nature …, 2004 - nature.com
CE Flück, T Tajima, AV Pandey, W Arlt, K Okuhara, CF Verge, EW Jabs, BB Mendonça
Nature genetics, 2004nature.com
Deficient activities of multiple steroidogenic enzymes have been reported without and with
Antley-Bixler syndrome (ABS), but mutations of corresponding cytochrome P450 enzymes
have not been found. We identified mutations in POR, encoding P450 oxidoreductase, the
obligate electron donor for these enzymes, in a woman with amenorrhea and three children
with ABS, even though knock-out of POR is embryonically lethal in mice. Mutations of POR
also affect drug-metabolizing P450 enzymes, explaining the association of ABS with …
Abstract
Deficient activities of multiple steroidogenic enzymes have been reported without and with Antley-Bixler syndrome (ABS), but mutations of corresponding cytochrome P450 enzymes have not been found. We identified mutations in POR, encoding P450 oxidoreductase, the obligate electron donor for these enzymes, in a woman with amenorrhea and three children with ABS, even though knock-out of POR is embryonically lethal in mice. Mutations of POR also affect drug-metabolizing P450 enzymes, explaining the association of ABS with maternal fluconazole ingestion.
nature.com