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© 1993 Oxford University Press

RESEARCH-ARTICLE

A single-base substitution in exon 6 of the androgen receptor gene causing complete androgen insensitivity: the mutated receptor fails to transactivate but binds to DNA in vitro

Oyewole Adeyemo1,+, Pekka J. Kallio2, Jorma J. Palvimo2, Kimmo Kontula3 and Oill A. Jänne1,2,*

1The Population Council and The Rockefeller University New York, NY 10021, USA 2Department of Physiology, University of Helsinki 3Second Department of Medicine, University of Helsinki Helsinki, Finland

*To whom correspondence should be addressed at: Department of Physiology, PO Box 9 (Siltavuorenpenger 20 J), SF-00014 University of Helsinki, Finland

Received July 29, 1993; Revised September 7, 1993; Accepted September 7, 1993

A single-base substitution in the coding region of the androgen receptor (AR) gene caused complete androgen insensitivity in a patient with 46,XY karyotype. The mutation was a T-to-G transition in exon 6 and changed the codon 807 from ATG (methionine) to AGG (arginine) in the hormone-binding domain of the protein. The mutation was inserted into the wild-type human AR cDNA and the resulting cDNA expressed in CV-1 cells. Native and mutated AR proteins synthesized in recipient cells had identical molecular masses. Ligand-binding activity of the mutant receptor was less than 5% of that of the wild-type AR. The mutant's interaction with an androgenresponse element in vitro was identical to that of the native aporeceptor; however, it did not transactivate a reporter gene construct in transfected CV-1 cells. Androgen insensitivity in our patient was thus due to altered structure of the receptor's steroid-binding region, which prevented the mutated AR from gaining a transcriptionally active form in vivo.


+Present address: Tuskegee University, School of Veterinary Medicine, Tuskegee, AL 36088, USA


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