P450 oxidoreductase deficiency: a new disorder of steroidogenesis with multiple clinical manifestations

Trends Endocrinol Metab. 2004 Sep;15(7):311-5. doi: 10.1016/j.tem.2004.07.005.

Abstract

Combined partial deficiency of 17alpha-hydroxylase and 21-hydroxylase is well-described, but patients' genes for these enzymes lack mutations. Recent work has identified mutations in the gene for P450 oxidoreductase (POR) in such patients. POR-deficient individuals have a broad range of disorders, from infants with congenital malformations to women with the polycysic ovary syndrome. POR transfers electrons to all microsomal P450 enzymes: its deficiency affects steroidogenesis, drug metabolism and other processes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Humans
  • Metabolism, Inborn Errors / enzymology*
  • Metabolism, Inborn Errors / genetics*
  • Mutation
  • NADPH-Ferrihemoprotein Reductase / deficiency*
  • NADPH-Ferrihemoprotein Reductase / genetics
  • Receptor Protein-Tyrosine Kinases / genetics
  • Receptor, Fibroblast Growth Factor, Type 2
  • Receptors, Fibroblast Growth Factor / genetics
  • Steroid 17-alpha-Hydroxylase / genetics
  • Steroid 21-Hydroxylase / genetics
  • Steroids / biosynthesis*
  • Structure-Activity Relationship

Substances

  • Receptors, Fibroblast Growth Factor
  • Steroids
  • Steroid 21-Hydroxylase
  • Steroid 17-alpha-Hydroxylase
  • NADPH-Ferrihemoprotein Reductase
  • FGFR2 protein, human
  • Receptor Protein-Tyrosine Kinases
  • Receptor, Fibroblast Growth Factor, Type 2