{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T04:41:44Z","timestamp":1694666504705},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Disorders of steroid synthesis are a group of anomalies caused by defects in any step of conversion of cholesterol into steroid hormones. The disorders are characterized by defects leading to abnormalities of salt-water balance and\/or sexual differentiation. Congenital lipoid adrenal hyperplasia (CLAH) is the most severe form of steroid synthesis disorder caused by the accumulation of cholesterol in the outer mitochondrial membrane due to steroidogenic acute regulatory protein (StAR) deficiency. Pathogenic sequence variants in the gene <jats:italic toggle=\"yes\">STAR<\/jats:italic> encoding StAR protein leads to CLAH. In the present study, a Pakistani family was clinically diagnosed with the LAH phenotype. Sanger sequencing of <jats:italic toggle=\"yes\">STAR<\/jats:italic> in the family revealed a novel homozygous nonsense mutation [c.295G&gt;T, p.(Glu99*)] in the living affected individual. The study was designed to assist in carrier testing and prenatal diagnosis within the affected family. In addition, searching for common variants in the <jats:italic toggle=\"yes\">STAR<\/jats:italic> gene would help in designing low-cost targeted variation testing in other patients.<\/jats:p>","DOI":"10.1097\/mcd.0000000000000340","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T14:43:43Z","timestamp":1598625823000},"page":"173-176","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and genetic characterization of congenital lipoid adrenal hyperplasia"],"prefix":"10.1097","volume":"29","author":[{"given":"Asmat","family":"Ullah","sequence":"first","affiliation":[{"name":"Department of Molecular Biology, Shaheed Zulfiqar Ali Bhutto Medical University"},{"name":"Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Bibi","sequence":"additional","affiliation":[{"name":"University Institute of Biochemistry & Biotechnology, PMAS \u2013 Arid Agriculture University, Rawalpindi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nighat","family":"Haider","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Children Hospital, Pakistan Institute of Medical Sciences, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gulbin","family":"Shahid","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Shaheed Zulfiqar Ali Bhutto Medical University, Children Hospital, Pakistan Institute of Medical Sciences, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamanna","family":"Mustajab","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanwir","family":"Khaliq","sequence":"additional","affiliation":[{"name":"Department of Molecular Biology, Shaheed Zulfiqar Ali Bhutto Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wasim","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"R1-20230913","doi-asserted-by":"crossref","first-page":"4781","DOI":"10.1210\/jc.2006-1565","article-title":"Nonclassic congenital lipoid adrenal hyperplasia: a new disorder of the steroidogenic acute regulatory protein with very late presentation and normal male genitalia.","volume":"91","author":"Baker","year":"2006","journal-title":"J Clin Endocrinol Metab"},{"key":"R2-20230913","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.1056\/NEJM199612193352503","article-title":"International Congenital Lipoid Adrenal Hyperplasia Consortium. The pathophysiology and genetics of congenital lipoid adrenal hyperplasia.","volume":"335","author":"Bose","year":"1996","journal-title":"N Engl J Med"},{"key":"R3-20230913","doi-asserted-by":"crossref","first-page":"6994","DOI":"10.1097\/MD.0000000000006994","article-title":"A case report of pedigree of a homozygous mutation of the steroidogenic acute regulatory protein causing lipoid congenital adrenal hyperplasia.","volume":"96","author":"Fu","year":"2017","journal-title":"Medicine"},{"key":"R4-20230913","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1210\/jc.2004-1059","article-title":"Homozygous disruption of P450 side-chain cleavage (CYP11A1) is associated with prematurity, complete 46,XY sex reversal, and severe adrenal failure.","volume":"90","author":"Hiort","year":"2005","journal-title":"J Clin Endocrinol Metab"},{"key":"R5-20230913","doi-asserted-by":"crossref","first-page":"179","DOI":"10.6065\/apem.2014.19.4.179","article-title":"Congenital lipoid adrenal hyperplasia.","volume":"19","author":"Kim","year":"2014","journal-title":"Ann Pediatr Endocrinol Metab"},{"key":"R6-20230913","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1172\/JCI115520","article-title":"Normal genes for the cholesterol side chain cleavage enzyme, P450scc, in congenital lipoid adrenal hyperplasia.","volume":"88","author":"Lin","year":"1991","journal-title":"J Clin Invest"},{"key":"R7-20230913","doi-asserted-by":"crossref","first-page":"1828","DOI":"10.1126\/science.7892608","article-title":"Role of steroidogenic acute regulatory protein in adrenal and gonadal steroidogenesis.","volume":"267","author":"Lin","year":"1995","journal-title":"Science"},{"key":"R8-20230913","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1677\/jme.0.0190227","article-title":"Congenital lipoid adrenal hyperplasia: the human gene knockout of the steroidogenic acute regulatory protein.","volume":"19","author":"Miller","year":"1997","journal-title":"J Mol Endocrinol"},{"key":"R9-20230913","doi-asserted-by":"crossref","first-page":"54","DOI":"10.29271\/jcpsp.2019.06.S54","article-title":"A child with ambiguous genitalia: an atypical presentation.","volume":"29","author":"Sheikh","year":"2019","journal-title":"J Coll Physicians Surg Pak"},{"key":"R10-20230913","doi-asserted-by":"crossref","first-page":"12506","DOI":"10.1021\/bi00039a004","article-title":"Structure of the human steroidogenic acute regulatory protein (StAR) gene: StAR stimulates mitochondrial cholesterol 27-hydroxylase activity.","volume":"34","author":"Sugawara","year":"1995","journal-title":"Biochemistry"},{"key":"R11-20230913","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1159\/000453350","article-title":"A novel heterozygous intragenic sequence variant in DLX6 probably underlies first case of autosomal dominant split-hand\/foot malformation type 1.","volume":"8","author":"Ullah","year":"2017","journal-title":"Mol Syndromol"},{"key":"R12-20230913","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4274\/Jcrpe.927","article-title":"Identification of novel mutations in STAR gene in patients with lipoid congenital adrenal hyperplasia: a first report from India.","volume":"5","author":"Vasudevan","year":"2013","journal-title":"J Clin Res Pediatr Endocrinol"}],"container-title":["Clinical Dysmorphology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MCD.0000000000000340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T21:06:34Z","timestamp":1694639194000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MCD.0000000000000340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,20]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/mcd.0000000000000340","relation":{},"ISSN":["0962-8827"],"issn-type":[{"value":"0962-8827","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8,20]]}}}