Anti-Mullerian hormone receptor defect

被引:33
作者
di Clemente, Nathalie [1 ]
Belville, Corinne [1 ]
机构
[1] Univ Paris 11, INSERM, U782, F-92140 Clamart, France
关键词
anti-Mullerian hormone; Mullerian inhibiting substance; persistent Mullerian duct syndrome; mutations; receptors;
D O I
10.1016/j.beem.2006.09.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anti-Mollerian hormone (AMH), produced by gonadal somatic cells, is mainly responsible for the regression of Mullerian ducts-the anlagen of uterus and Fallopian tubes-during male sex differentiation. Like other members of the transforming growth factor beta (TGF-beta) family, AMH signals through two serine/threonine kinase receptors, of which type II is specific, and type I is shared with the bone morphogenetic protein family. Persistent Mullerian duct syndrome is a rare form of male pseudohermaphroditism characterized by the persistence of Mullerian derivatives in otherwise normally virilized males. It is transmitted according to a recessive autosomic pattern and is due, in 84% of cases, to mutations of AMH and AMH receptor type II genes. Serum AMH is normal for age in patients with AMH type II mutations and low or undetectable in those with AMH mutations. In 14% of cases the origin of the condition is unknown.
引用
收藏
页码:599 / 610
页数:12
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