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Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development

Received: 31 May 2023    Accepted: 21 June 2023    Published: 6 July 2023
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Abstract

The genes SRY, SOX9 and DAX1, key genes in human sex determination, due to their associated sex-reversal phenotypes (Figure 1) upon mutation (SRY, SOX9) or overexpression (SOX9, DAX1). The objective of this study was to characterize mutations occurring in SRY, DAX1 and SOX9 genes known to be implicated in the sexual determinism to better understand disorders of sex development (DSD) in our population. 87 DSD patients were identified and for which we carried out a clinical review and karyotype. Moreover, molecular analysis of the SRY, SOX9, and DAX1 genes (PCR amplification, Sanger sequencing and expression by qPCR) have been done. Based on the results, it was found in patients 46, XX an absence of female internal genitals or the presence of testicles depending on the patients while for patients 46, XY no testicles were found. Among the 87 patients, the genomic DNA of 29 of them was extracted and used for molecular analysis, which identified 4 patients 46, XX SRY positive and 2 patients 46, XY SRY negative. In addition, the sequencing of the SRY, SOX9 and DAX1 genes revealed different mutations, including two new for SRY (c.265 G>A, p.89Glu>Lys in 2 patients 46, XY and c.171 G>C, p.57Gln>His in a patient 46, XX) and one variant (c.349 G>C, p.117Gln>Glu) in coding sequence for SOX9 in a 46, XY SRY positive patient while for DAX1, any new mutation was found. These results highlight the differences in the expression of the SRY, SOX9 and DAX1 genes in the determination of sex in humans and increase the spectrum of mutations of genes in cascade. The complexity of gene interactions that lead to the development of the bipotential gonad to a testicle or ovary is increasingly recognized, but there is still much to be done.

Published in International Journal of Genetics and Genomics (Volume 11, Issue 3)
DOI 10.11648/j.ijgg.20231103.12
Page(s) 71-80
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

DSD, AHC, SRY, DAX1, SOX9

References
[1] S. Barbaux, K. McElreavey, M. Fellous, Le point sur le déterminisme du sexe chez les mammifères, Médecine/Sciences. (1995) 529–36.
[2] A. H. Sinclair, P. Berta, M. S. palmer, al, A gene from the human sex-determining region encodes a protein with homology to a conserved DNA-binding motif, NATURE. 346 (1990).
[3] E. Vilain, K. McElreavey, I. Herskowitz, M. Fellous, La détermination du sexe: faits et nouveaux concepts, (1992).
[4] E. Vilain, E. R. B. McCabe, Mammalian Sex Determination: From Gonads to Brain, Mol. Genet. Metab. 65 (1998) 74–84. https://doi.org/10.1006/mgme.1998.2749.
[5] E. Sutton, J. Hughes, S. White, R. Sekido, J. Tan, V. Arboleda, N. Rogers, K. Knower, L. Rowley, H. Eyre, K. Rizzoti, D. McAninch, J. Goncalves, J. Slee, E. Turbitt, D. Bruno, H. Bengtsson, V. Harley, E. Vilain, A. Sinclair, R. Lovell-Badge, P. Thomas, Identification of SOX3 as an XX male sex reversal gene in mice and humans, J. Clin. Invest. 121 (2011) 328–341. https://doi.org/10.1172/JCI42580.
[6] S. Eggers, A. Sinclair, Mammalian sex determination—insights from humans and mice, Chromosome Res. 20 (2012) 215–238. https://doi.org/10.1007/s10577-012-9274-3.
[7] C. Hyon, A. Rouen, Entre déterminisme génétique et théorie du genre, Médecine Thérapeutique Médecine Reprod. Gynécologie Endocrinol. 15 (2013) 96–105. https://doi.org/10.1684/mte.2013.0443.
[8] M. A. Behlke, J. S. Bogan, P. Beer-Romero, D. C. Page, Evidence That the SRY Protein Is Encoded by a Single Exon on the Human Y Chromosome, Genomics. 17 (1993) 736–9.
[9] F. Poulat, C. Goze, B. Boizet, P. Berta, Gene SRY et anomalies de la determination genetique du sexe chez l’homme, Andrologie. 2 (1992) 50–52. https://doi.org/10.1007/BF03034216.
[10] A. Swain, V. Narvaez, P. Burgoyne, G. Camerino, R. Lovell-Badge, Dax1 antagonizes Sry action in mammalian sex determination, Nature. 391 (1998) 761.
[11] N. A. Hanley, D. M. Hagan, M. Clement-Jones, S. G. Ball, T. Strachan, L. Salas-Cortés, K. McElreavey, S. Lindsay, S. Robson, P. Bullen, H. Ostrer, D. I. Wilson, SRY, SOX9, and DAX1 expression patterns during human sex determination and gonadal development, Mech. Dev. 91 (2000) 403–407. https://doi.org/10.1016/S0925-4773(99)00307-X.
[12] S. Domenice, R. V. Corrêa, E. M. F. Costa, M. Y. Nishi, E. Vilain, I. J. P. Arnhold, B. B. Mendonca, Mutations in the SRY, DAX1, SF1 and WNT4 genes in Brazilian sex-reversed patients, Braz. J. Med. Biol. Res. 37 (2004) 145–150. https://doi.org/10.1590/S0100-879X2004000100020.
[13] A. K. Iyer, Y.-H. Zhang, E. R. B. McCabe, Dosage-Sensitive Sex Reversal Adrenal Hypoplasia Congenita Critical Region on the X Chromosome, Gene 1 (DAX1) (NR0B1) and Small Heterodimer Partner (SHP) (NR0B2) Form Homodimers Individually, as Well as DAX1-SHP Heterodimers, (2006) 17.
[14] E. M. Wright, B. Snopek, P. Koopman, Seven new members of the Sox gene family expressed during mouse development., Nucleic Acids Res. 21 (1993) 744.
[15] V. R. Harley, The molecular action of testis-determining factors SRY and SOX9, Novartis Found. Symp. 244 (2002) 57–66; discussion 66-67, 79–85, 253–257.
[16] V. P. I. Vidal, M.-C. Chaboissier, A. Schedl, Le gène sox9 induit la formation de testicules chez des souris transgéniques de génotype XX, médecine/sciences. 18 (2002) 149–151. https://doi.org/10.1051/medsci/2002182149.
[17] M. Patel, K. S. Dorman, Y.-H. Zhang, B.-L. Huang, A. P. Arnold, J. S. Sinsheimer, E. Vilain, E. R. McCabe, Primate DAX1, SRY, and SOX9: evolutionary stratification of sex-determination pathway, Am. J. Hum. Genet. 68 (2001) 275–280.
[18] L. M. Ludbrook, P. Bernard, S. Bagheri-Fam, J. Ryan, R. Sekido, D. Wilhelm, R. Lovell-Badge, V. R. Harley, Excess DAX1 Leads to XY Ovotesticular Disorder of Sex Development (DSD) in Mice by Inhibiting Steroidogenic Factor-1 (SF1) Activation of the Testis Enhancer of SRY-box-9 (Sox9), Endocrinology. 153 (2012) 1948–1958. https://doi.org/10.1210/en.2011-1428.
[19] L. Chen, X. P. Ding, X. Wei, L. X. Li, Investigation of mutations in the SRY, SOX9, and DAX1 genes in sex reversal patients from the Sichuan region of China, Genet. Mol. Res. GMR. 13 (2014) 1518–1526. https://doi.org/10.4238/2014.March.12.4.
[20] X. Ma, Y. Dong, M. M. Matzuk, T. R. Kumar, Targeted disruption of luteinizing hormone -subunit leads to hypogonadism, defects in gonadal steroidogenesis, and infertility, Proc. Natl. Acad. Sci. 101 (2004) 17294–17299. https://doi.org/10.1073/pnas.0404743101.
[21] O. ET-TAYAB, LA PRISE EN CHARGE DE LA CRYPTORCHIDIE ( à propos de 16 cas et revue de la litterature), these doctorat, UNIVERSITE SIDI MOHAMMED BEN ABDELLAH faculté de medecine et de pharmacie, 2015. http://scolarite.fmp-usmba.ac.ma/cdim/mediatheque/e_theses/39-15.pdf (accessed March 5, 2020).
[22] B. K. Jordan, M. Mohammed, S. T. Ching, E. Délot, X. N. Chen, P. Dewing, A. Swain, P. N. Rao, B. R. Elejalde, E. Vilain, Up-regulation of WNT-4 signaling and dosage-sensitive sex reversal in humans, Am. J. Hum. Genet. 68 (2001) 1102–1109. https://doi.org/10.1086/320125.
[23] B. K. Jordan, J. H.-C. Shen, R. Olaso, H. A. Ingraham, E. Vilain, Wnt4 overexpression disrupts normal testicular vasculature and inhibits testosterone synthesis by repressing steroidogenic factor 1/β-catenin synergy, Proc. Natl. Acad. Sci. 100 (2003) 10866–10871.
[24] A. K. Saxena, M. Tiwari, R. Kumar, A. Aprajita, A. Kumar, C. K. Singh, M. Agarwal, Research Article Impact of the Y-chromosome gene on SOX9 stem cell expression in non-obstructive azoospermic cases, Genet. Mol. Res. 19 (2020). https://doi.org/10.4238/gmr18464.
[25] M. E. Erdal, I. O. Barlas, Detection of the SRY Gene in a 46, XY Phenotypic Female by the PCR-SSCP Method, Turk. J. Med. Sci. 30 (2000) 501–504.
[26] F. Mohammed, S. M. Tayel, Sex identification of normal persons and sex reverse cases from bloodstains using FISH and PCR, J. Clin. Forensic Med. 12 (2005) 122–127. https://doi.org/10.1016/j.jcfm.2004.08.007.
[27] S. Rajender, V. Rajani, J. G. Nalini, B. Chakravarty, L. Singh, K. Thangaraj, SRY-negative 46, XX male with normal genitals, complete masculinization and infertility, Mol. Hum. Reprod. 12 (2006) 341–346. https://doi.org/10.1093/molehr/gal030.
[28] A. Settin, E. Elsobky, A. Hammad, A. Al-Erany, Rapid sex determination using PCR technique compared to classic cytogenetics, Int. J. Health Sci. 2 (2008) 49.
[29] S. S. Tanaka, R. Nishinakamura, Regulation of male sex determination: genital ridge formation and Sry activation in mice, Cell. Mol. Life Sci. 71 (2014) 4781–4802. https://doi.org/10.1007/s00018-014-1703-3.
[30] D. Wilhelm, S. Palmer, P. Koopman, Sex Determination and Gonadal Development in Mammals, Physiol. Rev. 87 (2007) 1–28. https://doi.org/10.1152/physrev.00009.2006.
[31] A. Hossain, G. F. Saunders, The Human Sex-determining Gene SRY Is a Direct Target of WT1, J. Biol. Chem. 276 (2001) 16817–16823.
[32] X. Luo, Y. Ikeda, K. L. Parker, A cell-specific nuclear receptor is essential for adrenal and gonadal development and sexual differentiation, Cell. 77 (1994) 481–490. https://doi.org/10.1016/0092-8674(94)90211-9.
[33] L. Lin, P. Philibert, B. Ferraz-de-Souza, D. Kelberman, T. Homfray, A. Albanese, V. Molini, N. J. Sebire, S. Einaudi, G. S. Conway, I. A. Hughes, J. L. Jameson, C. Sultan, M. T. Dattani, J. C. Achermann, Heterozygous Missense Mutations in Steroidogenic Factor 1 (SF1/Ad4BP, NR5A1) Are Associated with 46, XY Disorders of Sex Development with Normal Adrenal Function, J. Clin. Endocrinol. Metab. 92 (2007) 991–999. https://doi.org/10.1210/jc.2006-1672.
[34] J. Brennan, B. Capel, One tissue, two fates: molecular genetic events that underlie testis versus ovary development, Nat. Rev. Genet. 5 (2004) 509–521. https://doi.org/10.1038/nrg1381.
[35] X.-B. Wang, Y.-L. Liang, Z.-J. Zhu, Y. Zhu, P. Li, J.-P. Cao, Q.-Y. Zhang, Q. Liu, Z. Li, A de novo frameshift mutation of the SRY gene leading to a patient with 46, XY complete gonadal dysgenesis, Asian J. Androl. 21 (2019) 522. https://doi.org/10.4103/aja.aja_123_18.
[36] S. White, T. Ohnesorg, A. Notini, K. Roeszler, J. Hewitt, H. Daggag, C. Smith, E. Turbitt, S. Gustin, J. van den Bergen, D. Miles, P. Western, V. Arboleda, V. Schumacher, L. Gordon, K. Bell, H. Bengtsson, T. Speed, J. Hutson, G. Warne, V. Harley, P. Koopman, E. Vilain, A. Sinclair, Copy Number Variation in Patients with Disorders of Sex Development Due to 46, XY Gonadal Dysgenesis, PLoS ONE. 6 (2011) e17793. https://doi.org/10.1371/journal.pone.0017793.
[37] M. Elzaiat, K. McElreavey, A. Bashamboo, Genetics of 46, XY gonadal dysgenesis, Best Pract. Res. Clin. Endocrinol. Metab. 36 (2022) 101633. https://doi.org/10.1016/j.beem.2022.101633.
[38] R. Hersmus, Y. G. van der Zwan, H. Stoop, P. Bernard, R. Sreenivasan, J. W. Oosterhuis, H. T. Brüggenwirth, S. de Boer, S. White, K. P. Wolffenbuttel, M. Alders, K. McElreavy, S. L. S. Drop, V. R. Harley, L. H. J. Looijenga, A 46, XY Female DSD Patient with Bilateral Gonadoblastoma, a Novel SRY Missense Mutation Combined with a WT1 KTS Splice-Site Mutation, PLoS ONE. 7 (2012) e40858. https://doi.org/10.1371/journal.pone.0040858.
[39] Y.-S. Chen, J. D. Racca, M. A. Weiss, Tenuous Transcriptional Threshold of Human Sex Determination. I. SRY and Swyer Syndrome at the Edge of Ambiguity, Front. Endocrinol. 13 (2022) 945030. https://doi.org/10.3389/fendo.2022.945030.
[40] T. Wang, J. H. Liu, J. Yang, J. Chen, Z. Q. Ye, 46, XX male sex reversal syndrome: a case report and review of the genetic basis, Andrologia. 41 (2009) 59–62. https://doi.org/10.1111/j.1439-0272.2008.00889.x.
[41] A. Bashamboo, C. Eozenou, S. Rojo, K. McElreavey, Anomalies in human sex determination provide unique insights into the complex genetic interactions of early gonad development, Clin. Genet. 91 (2017) 143–156. https://doi.org/10.1111/cge.12932.
[42] A. Bashamboo, K. McElreavey, Human sex-determination and disorders of sex-development (DSD), Semin. Cell Dev. Biol. 45 (2015) 77–83. https://doi.org/10.1016/j.semcdb.2015.10.030.
[43] V. Lefebvre, M. Angelozzi, A. Haseeb, SOX9 in cartilage development and disease, Curr. Opin. Cell Biol. 61 (2019) 39–47. https://doi.org/10.1016/j.ceb.2019.07.008.
[44] M. García-Acero, M. Molina, O. Moreno, A. Ramirez, C. Forero, C. Céspedes, J. C. Prieto, J. Pérez, F. Suárez-Obando, A. Rojas, Gene dosage of DAX-1, determining in sexual differentiation: duplication of DAX-1 in two sisters with gonadal dysgenesis, Mol. Biol. Rep. 46 (2019) 2971–2978. https://doi.org/10.1007/s11033-019-04758-y.
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    Fatou Diop Gueye, Arame Ndiaye, Mame Venus Gueye, Ndiaga Diop, Adji Dieynaba Diallo, et al. (2023). Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development. International Journal of Genetics and Genomics, 11(3), 71-80. https://doi.org/10.11648/j.ijgg.20231103.12

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    Fatou Diop Gueye; Arame Ndiaye; Mame Venus Gueye; Ndiaga Diop; Adji Dieynaba Diallo, et al. Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development. Int. J. Genet. Genomics 2023, 11(3), 71-80. doi: 10.11648/j.ijgg.20231103.12

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    AMA Style

    Fatou Diop Gueye, Arame Ndiaye, Mame Venus Gueye, Ndiaga Diop, Adji Dieynaba Diallo, et al. Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development. Int J Genet Genomics. 2023;11(3):71-80. doi: 10.11648/j.ijgg.20231103.12

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  • @article{10.11648/j.ijgg.20231103.12,
      author = {Fatou Diop Gueye and Arame Ndiaye and Mame Venus Gueye and Ndiaga Diop and Adji Dieynaba Diallo and Rokhaya Ndiaye and Oumar Faye and Mama Sy Diallo},
      title = {Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development},
      journal = {International Journal of Genetics and Genomics},
      volume = {11},
      number = {3},
      pages = {71-80},
      doi = {10.11648/j.ijgg.20231103.12},
      url = {https://doi.org/10.11648/j.ijgg.20231103.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijgg.20231103.12},
      abstract = {The genes SRY, SOX9 and DAX1, key genes in human sex determination, due to their associated sex-reversal phenotypes (Figure 1) upon mutation (SRY, SOX9) or overexpression (SOX9, DAX1). The objective of this study was to characterize mutations occurring in SRY, DAX1 and SOX9 genes known to be implicated in the sexual determinism to better understand disorders of sex development (DSD) in our population. 87 DSD patients were identified and for which we carried out a clinical review and karyotype. Moreover, molecular analysis of the SRY, SOX9, and DAX1 genes (PCR amplification, Sanger sequencing and expression by qPCR) have been done. Based on the results, it was found in patients 46, XX an absence of female internal genitals or the presence of testicles depending on the patients while for patients 46, XY no testicles were found. Among the 87 patients, the genomic DNA of 29 of them was extracted and used for molecular analysis, which identified 4 patients 46, XX SRY positive and 2 patients 46, XY SRY negative. In addition, the sequencing of the SRY, SOX9 and DAX1 genes revealed different mutations, including two new for SRY (c.265 G>A, p.89Glu>Lys in 2 patients 46, XY and c.171 G>C, p.57Gln>His in a patient 46, XX) and one variant (c.349 G>C, p.117Gln>Glu) in coding sequence for SOX9 in a 46, XY SRY positive patient while for DAX1, any new mutation was found. These results highlight the differences in the expression of the SRY, SOX9 and DAX1 genes in the determination of sex in humans and increase the spectrum of mutations of genes in cascade. The complexity of gene interactions that lead to the development of the bipotential gonad to a testicle or ovary is increasingly recognized, but there is still much to be done.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Mutation Profile of SOX9, DAX1, and SRY Genes in Senegalese Patients with Disorders of Sex Development
    AU  - Fatou Diop Gueye
    AU  - Arame Ndiaye
    AU  - Mame Venus Gueye
    AU  - Ndiaga Diop
    AU  - Adji Dieynaba Diallo
    AU  - Rokhaya Ndiaye
    AU  - Oumar Faye
    AU  - Mama Sy Diallo
    Y1  - 2023/07/06
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijgg.20231103.12
    DO  - 10.11648/j.ijgg.20231103.12
    T2  - International Journal of Genetics and Genomics
    JF  - International Journal of Genetics and Genomics
    JO  - International Journal of Genetics and Genomics
    SP  - 71
    EP  - 80
    PB  - Science Publishing Group
    SN  - 2376-7359
    UR  - https://doi.org/10.11648/j.ijgg.20231103.12
    AB  - The genes SRY, SOX9 and DAX1, key genes in human sex determination, due to their associated sex-reversal phenotypes (Figure 1) upon mutation (SRY, SOX9) or overexpression (SOX9, DAX1). The objective of this study was to characterize mutations occurring in SRY, DAX1 and SOX9 genes known to be implicated in the sexual determinism to better understand disorders of sex development (DSD) in our population. 87 DSD patients were identified and for which we carried out a clinical review and karyotype. Moreover, molecular analysis of the SRY, SOX9, and DAX1 genes (PCR amplification, Sanger sequencing and expression by qPCR) have been done. Based on the results, it was found in patients 46, XX an absence of female internal genitals or the presence of testicles depending on the patients while for patients 46, XY no testicles were found. Among the 87 patients, the genomic DNA of 29 of them was extracted and used for molecular analysis, which identified 4 patients 46, XX SRY positive and 2 patients 46, XY SRY negative. In addition, the sequencing of the SRY, SOX9 and DAX1 genes revealed different mutations, including two new for SRY (c.265 G>A, p.89Glu>Lys in 2 patients 46, XY and c.171 G>C, p.57Gln>His in a patient 46, XX) and one variant (c.349 G>C, p.117Gln>Glu) in coding sequence for SOX9 in a 46, XY SRY positive patient while for DAX1, any new mutation was found. These results highlight the differences in the expression of the SRY, SOX9 and DAX1 genes in the determination of sex in humans and increase the spectrum of mutations of genes in cascade. The complexity of gene interactions that lead to the development of the bipotential gonad to a testicle or ovary is increasingly recognized, but there is still much to be done.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

  • Laboratory of Clinical Cytology-Cytogenetic-Biology of Reproduction and Human Development, Cytogenetic Unit, Aristide Le Dantec Hospital, Dakar, Senegal

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