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No evidence of mutations in the P450 aromatase gene in patients with polycystic ovary syndrome.
[aromatase deficiency]
Etiology
and
inheritance
pattern
in
polycystic
ovary
syndrome
(
PCOS
)
remain
uncertain
.
Granulosa
cells
from
follicles
of
women
with
PCOS
have
little
,
if
any
,
aromatase
(
encoded
by
the
CYP
19
gene
)
activity
;
follicles
contain
low
levels
of
estradiol
,
P
450
arom
mRNA
and
aromatase
stimulating
bioactivity
.
Mice
with
targeted
disruption
of
the
CYP
19
gene
present
cystic
follicles
.
It
has
been
proposed
that
chronic
exposure
to
high
levels
of
LH
,
because
of
aromatase
deficiency
,
determines
the
development
of
ovarian
cysts
.
Herein
,
we
investigated
if
mutations
in
the
CYP
19
gene
and
/
or
its
ovary
promoter
are
causal
in
patients
with
PCOS
.
Twenty
-
five
patients
with
PCOS
and
50
control
women
were
studied
.
PCR
analysis
of
genomic
DNA
and
complete
sequence
of
all
exons
of
the
aromatase
gene
and
its
ovary
promoter
were
performed
.
No
heterozygous
or
homozygous
mutant
alleles
were
present
in
any
of
the
patients
studied
.
In
the
population
studied
,
mutations
of
the
P
450
arom
gene
or
its
promoter
are
not
the
cause
of
PCOS
.
However
,
these
findings
do
not
preclude
the
possible
importance
of
an
aromatase
disorder
in
PCOS
etiology
.
Variations
in
aromatase
complex
function
could
play
a
role
in
PCOS
etiology
,
but
the
determinants
of
such
variations
might
be
located
in
other
genes
.
Diseases
Validation
Diseases presenting
"high levels"
symptom
22q11.2 deletion syndrome
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aromatase deficiency
cadasil
canavan disease
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cutaneous mastocytosis
cystinuria
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
erythropoietic protoporphyria
gm1 gangliosidosis
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
kabuki syndrome
kallmann syndrome
liposarcoma
papillon-lefèvre syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
scrub typhus
severe combined immunodeficiency
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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