A Recurrent Germline Mutation in the 5'UTR of the Androgen Receptor Causes Complete Androgen Insensitivity by Activating Aberrant uORF Translation.

نویسندگان

  • Nadine C Hornig
  • Carine de Beaufort
  • Friederike Denzer
  • Martine Cools
  • Martin Wabitsch
  • Martin Ukat
  • Alexandra E Kulle
  • Hans-Udo Schweikert
  • Ralf Werner
  • Olaf Hiort
  • Laura Audi
  • Reiner Siebert
  • Ole Ammerpohl
  • Paul-Martin Holterhus
چکیده

A subset of patients with monogenic disorders lacks disease causing mutations in the protein coding region of the corresponding gene. Here we describe a recurrent germline mutation found in two unrelated patients with complete androgen insensitivity syndrome (CAIS) generating an upstream open reading frame (uORF) in the 5' untranslated region (5'-UTR) of the androgen receptor (AR) gene. We show in patient derived primary genital skin fibroblasts as well as in cell-based reporter assays that this mutation severely impacts AR function by reducing AR protein levels without affecting AR mRNA levels. Importantly, the newly generated uORF translates into a polypeptide and the expression level of this polypeptide inversely correlates with protein translation from the primary ORF of the AR thereby providing a model for AR-5'UTR mediated translational repression. Our findings not only add a hitherto unrecognized genetic cause to complete androgen insensitivity but also underline the importance of 5'UTR mutations affecting uORFs for the pathogenesis of monogenic disorders in general.

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عنوان ژورنال:
  • PloS one

دوره 11 4  شماره 

صفحات  -

تاریخ انتشار 2016