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Disgenesia gonadal 46,XX
ORPHA:243CID-10 · Q99.1CID-11 · LB45.1DOENÇA RARA

A disgenesia gonadal 46,XX (DG 46,XX) é um problema primário nos ovários que leva à falência ovariana prematura (FOP), também conhecida como menopausa precoce, em mulheres com cromossomos 46,XX que, de outra forma, seriam normais. Isso acontece porque os ovários não se desenvolvem ou porque não respondem aos hormônios (gonadotrofinas) que deveriam estimulá-los.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A disgenesia gonadal 46,XX (DG 46,XX) é um problema primário nos ovários que leva à falência ovariana prematura (FOP), também conhecida como menopausa precoce, em mulheres com cromossomos 46,XX que, de outra forma, seriam normais. Isso acontece porque os ovários não se desenvolvem ou porque não respondem aos hormônios (gonadotrofinas) que deveriam estimulá-los.

Publicações científicas
29 artigos
Último publicado: 1993

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adolescent
+ adult
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q99.1
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

📏
Crescimento
9 sintomas
🦴
Ossos e articulações
7 sintomas
🫘
Rins
5 sintomas
🫁
Pulmão
4 sintomas
❤️
Coração
3 sintomas
😀
Face
3 sintomas

+ 23 sintomas em outras categorias

Características mais comuns

100%prev.
Disgenesia gonadal
100%prev.
Insuficiência ovariana prematura
90%prev.
Anormalidade dos pelos sexuais secundários
Muito frequente (99-80%)
90%prev.
Amenorreia primária
Muito frequente (99-80%)
90%prev.
Estradiol sérico diminuído
Muito frequente (99-80%)
90%prev.
Fertilidade diminuída
Muito frequente (99-80%)
63sintomas
Muito frequente (8)
Frequente (8)
Ocasional (4)
Muito raro (5)
Sem dados (38)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 63 características clínicas mais associadas, ordenadas por frequência.

Disgenesia gonadalGonadal dysgenesis
Muito frequente100%
Insuficiência ovariana prematuraPremature ovarian insufficiency
Muito frequente100%
Anormalidade dos pelos sexuais secundáriosAbnormality of secondary sexual hair
Muito frequente (99-80%)90%
Amenorreia primáriaPrimary amenorrhea
Muito frequente (99-80%)90%
Estradiol sérico diminuídoDecreased serum estradiol
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2025
Total histórico29PubMed
Últimos 10 anos1publicações
Pico20221 papers
Linha do tempo
2025Hoje · 2026🧪 1993Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

16 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, Not applicable, X-linked recessive.

MRPS22Small ribosomal subunit protein mS22Disease-causing germline mutation(s) inTolerante
LOCALIZAÇÃO

Mitochondrion

VIAS BIOLÓGICAS (4)
Mitochondrial translation terminationMitochondrial ribosome-associated quality controlMitochondrial translation initiationMitochondrial translation elongation
MECANISMO DE DOENÇA

Combined oxidative phosphorylation deficiency 5

A mitochondrial disease resulting in severe metabolic acidosis, edema, hypertrophic cardiomyopathy, tubulopathy, and hypotonia.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
36.1 TPM
Fibroblastos
35.5 TPM
Linfócitos
31.1 TPM
Testículo
25.8 TPM
Músculo esquelético
23.8 TPM
OUTRAS DOENÇAS (3)
ovarian dysgenesis 7hypotonia with lactic acidemia and hyperammonemia46 XX gonadal dysgenesis
HGNC:14508UniProt:P82650
ESR2Estrogen receptor betaDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Nuclear hormone receptor. Binds estrogens with an affinity similar to that of ESR1/ER-alpha, and activates expression of reporter genes containing estrogen response elements (ERE) in an estrogen-dependent manner (PubMed:20074560) Lacks ligand binding ability and has no or only very low ERE binding activity resulting in the loss of ligand-dependent transactivation ability

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
PI5P, PP2A and IER3 Regulate PI3K/AKT SignalingPIP3 activates AKT signalingConstitutive Signaling by Aberrant PI3K in CancerExtra-nuclear estrogen signaling
MECANISMO DE DOENÇA

Ovarian dysgenesis 8

An autosomal dominant form of ovarian dysgenesis, a disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

EXPRESSÃO TECIDUAL(Baixa expressão)
Ovário
4.6 TPM
Testículo
3.9 TPM
Glândula adrenal
3.6 TPM
Linfócitos
2.3 TPM
Cervix Endocervix
1.4 TPM
OUTRAS DOENÇAS (2)
ovarian dysgenesis 8familial medullary thyroid carcinoma
HGNC:3468UniProt:Q92731
SOHLH1Spermatogenesis- and oogenesis-specific basic helix-loop-helix-containing protein 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Transcription regulator of both male and female germline differentiation. Suppresses genes involved in spermatogonial stem cells maintenance, and induces genes important for spermatogonial differentiation. Coordinates oocyte differentiation without affecting meiosis I (By similarity)

LOCALIZAÇÃO

CytoplasmNucleus

MECANISMO DE DOENÇA

Spermatogenic failure 32

An autosomal dominant infertility disorder caused by spermatogenesis defects that result in non-obstructive azoospermia.

EXPRESSÃO TECIDUAL(Tecido-específico)
Córtex cerebral
40.1 TPM
Testículo
34.4 TPM
Brain Frontal Cortex BA9
33.4 TPM
Brain Anterior cingulate cortex BA24
23.0 TPM
Hipocampo
11.5 TPM
OUTRAS DOENÇAS (3)
spermatogenic failure 32ovarian dysgenesis 5obsolete male infertility with azoospermia or oligozoospermia due to single gene mutation
HGNC:27845UniProt:Q5JUK2
WNT4Protein Wnt-4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Ligand for members of the frizzled family of seven transmembrane receptors (Probable). Plays an important role in the embryonic development of the urogenital tract and the lung (PubMed:15317892, PubMed:16959810, PubMed:18179883, PubMed:18182450). Required for normal mesenchyme to epithelium transition during embryonic kidney development. Required for the formation of early epithelial renal vesicles during kidney development (By similarity). Required for normal formation of the Mullerian duct in

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (1)
WNT ligand biogenesis and trafficking
MECANISMO DE DOENÇA

46,XX sex reversal with dysgenesis of kidneys, adrenals, and lungs

A disease characterized by the association of female-to-male sex reversal with dysgenesis of kidneys, adrenals, and lungs.

EXPRESSÃO TECIDUAL(Tecido-específico)
Skin Not Sun Exposed Suprapubic
29.3 TPM
Skin Sun Exposed Lower leg
22.8 TPM
Ovário
22.4 TPM
Esôfago - Mucosa
12.8 TPM
Fallopian Tube
10.4 TPM
OUTRAS DOENÇAS (3)
SERKAL syndromemullerian aplasia and hyperandrogenismMayer-Rokitansky-Küster-Hauser syndrome type 2
HGNC:12783UniProt:P56705
HROBHomologous recombination OB-fold proteinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

DNA-binding protein involved in homologous recombination that acts by recruiting the MCM8-MCM9 helicase complex to sites of DNA damage to promote DNA repair synthesis (PubMed:31467087). A C-terminal region including the OB-fold stimulates the helicase activity of MCM8-MCM9 probably by altering its conformation (PubMed:37535404)

LOCALIZAÇÃO

NucleusChromosome

MECANISMO DE DOENÇA

Ovarian dysgenesis 11

An autosomal recessive form of ovarian dysgenesis, a disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (1)
ovarian dysgenesis 11
HGNC:HGNC:28460UniProt:Q8N3J3
POLR3HDNA-directed RNA polymerase III subunit RPC8Disease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

DNA-dependent RNA polymerase catalyzes the transcription of DNA into RNA using the four ribonucleoside triphosphates as substrates (PubMed:20413673, PubMed:33558764, PubMed:34675218). Specific peripheric component of RNA polymerase III (Pol III) which synthesizes small non-coding RNAs including 5S rRNA, snRNAs, tRNAs and miRNAs from at least 500 distinct genomic loci. With CRCP/RPC9 forms a mobile stalk that protrudes from Pol III core and functions primarily in transcription initiation (By simi

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
Cytosolic sensors of pathogen-associated DNA
EXPRESSÃO TECIDUAL(Ubíquo)
Brain Frontal Cortex BA9
32.3 TPM
Ovário
30.3 TPM
Cerebelo
30.2 TPM
Córtex cerebral
29.6 TPM
Fallopian Tube
28.9 TPM
OUTRAS DOENÇAS (1)
46 XX gonadal dysgenesis
HGNC:30349UniProt:Q9Y535
FSHRFollicle-stimulating hormone receptorDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

G protein-coupled receptor for follitropin, the follicle-stimulating hormone (PubMed:11847099, PubMed:24058690, PubMed:24692546). Through cAMP production activates the downstream PI3K-AKT and ERK1/ERK2 signaling pathways (PubMed:24058690)

LOCALIZAÇÃO

Cell membrane

VIAS BIOLÓGICAS (2)
G alpha (s) signalling eventsHormone ligand-binding receptors
MECANISMO DE DOENÇA

Ovarian dysgenesis 1

An autosomal recessive disease characterized by primary amenorrhea, variable development of secondary sex characteristics, poorly developed streak ovaries, and high serum levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH).

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.1 TPM
Ovário
0.8 TPM
Fallopian Tube
0.1 TPM
Coração - Átrio
0.1 TPM
Artéria coronária
0.1 TPM
OUTRAS DOENÇAS (3)
ovarian dysgenesis 1ovarian hyperstimulation syndrome46 XX gonadal dysgenesis
HGNC:3969UniProt:P23945
NUP107Nuclear pore complex protein Nup107Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance (PubMed:12552102, PubMed:15229283, PubMed:30179222). Required for the assembly of peripheral proteins into the NPC (PubMed:12552102, PubMed:15229283). May anchor NUP62 to the NPC (PubMed:15229283). Involved in nephrogenesis (PubMed:30179222)

LOCALIZAÇÃO

Nucleus membraneNucleus, nuclear pore complexChromosome, centromere, kinetochore

VIAS BIOLÓGICAS (10)
Amplification of signal from unattached kinetochores via a MAD2 inhibitory signalRHO GTPases Activate ForminsMitotic PrometaphaseEML4 and NUDC in mitotic spindle formationResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Nephrotic syndrome 11

A form of nephrotic syndrome, a renal disease clinically characterized by severe proteinuria, resulting in complications such as hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show non-specific histologic changes such as focal segmental glomerulosclerosis and diffuse mesangial proliferation. Some affected individuals have an inherited steroid-resistant form and progress to end-stage renal failure. NPHS11 is an autosomal recessive, steroid-resistant and progressive form with onset in the first decade of life.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
28.5 TPM
Testículo
21.7 TPM
Fibroblastos
18.6 TPM
Cervix Endocervix
17.4 TPM
Nervo tibial
17.3 TPM
OUTRAS DOENÇAS (6)
nephrotic syndrome, type 11ovarian dysgenesis 6Galloway-Mowat syndrome 7Galloway-Mowat syndrome
HGNC:29914UniProt:P57740
NR5A1Steroidogenic factor 1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcriptional activator. Essential for sexual differentiation and formation of the primary steroidogenic tissues (PubMed:27378692). Binds to the Ad4 site found in the promoter region of steroidogenic P450 genes such as CYP11A, CYP11B and CYP21B. Also regulates the AMH/Muellerian inhibiting substance gene as well as the AHCH and STAR genes. 5'-YCAAGGYC-3' and 5'-RRAGGTCA-3' are the consensus sequences for the recognition by NR5A1 (PubMed:27378692). The SFPQ-NONO-NR5A1 complex binds to the CYP17

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
Transcriptional regulation of pluripotent stem cellsNuclear Receptor transcription pathwayTranscriptional regulation of testis differentiationSUMOylation of intracellular receptors
MECANISMO DE DOENÇA

46,XY sex reversal 3

A condition characterized by male-to-female sex reversal in the presence of a normal 46,XY karyotype.

EXPRESSÃO TECIDUAL(Tecido-específico)
Baço
221.6 TPM
Glândula adrenal
216.7 TPM
Ovário
74.6 TPM
Pituitária
33.4 TPM
Testículo
31.2 TPM
OUTRAS DOENÇAS (10)
spermatogenic failure 8premature ovarian failure 746,XX sex reversal 446,XY sex reversal 3
HGNC:7983UniProt:Q13285
SPIDRDNA repair-scaffolding proteinDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Plays a role in DNA double-strand break (DBS) repair via homologous recombination (HR). Serves as a scaffolding protein that helps to promote the recruitment of DNA-processing enzymes like the helicase BLM and recombinase RAD51 to site of DNA damage, and hence contributes to maintain genomic integrity

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
Resolution of D-loop Structures through Holliday Junction Intermediates
MECANISMO DE DOENÇA

Ovarian dysgenesis 9

An autosomal recessive form of ovarian dysgenesis, a disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
37.3 TPM
Cervix Endocervix
35.3 TPM
Nervo tibial
34.9 TPM
Cérebro - Hemisfério cerebelar
32.6 TPM
Pulmão
31.9 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
ovarian dysgenesis 946 XX gonadal dysgenesis
HGNC:28971UniProt:Q14159
MSH4MutS protein homolog 4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Involved in meiotic recombination. Required for reciprocal recombination and proper segregation of homologous chromosomes at meiosis

LOCALIZAÇÃO

Chromosome

VIAS BIOLÓGICAS (1)
Meiotic recombination
MECANISMO DE DOENÇA

Spermatogenic failure 2

An autosomal recessive disorder characterized by male infertility due to non-obstructive azoospermia. Testicular histopathology reveals no round spermatids or spermatozoa in the seminiferous tubules of SPGF2 patients, consistent with meiotic arrest.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Tecido-específico)
Testículo
6.3 TPM
Cerebelo
2.5 TPM
Cérebro - Hemisfério cerebelar
2.4 TPM
Nervo tibial
1.6 TPM
Ovário
1.3 TPM
OUTRAS DOENÇAS (3)
spermatogenic failure 2premature ovarian failure 2046 XX gonadal dysgenesis
HGNC:7327UniProt:O15457
ZSWIM7Zinc finger SWIM domain-containing protein 7Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Involved in early stages of the homologous recombination repair (HRR) pathway of double-stranded DNA breaks arising during DNA replication or induced by DNA-damaging agents. Required for meiotic progression, hence for fertility (PubMed:32719396, PubMed:33713115, PubMed:34402903)

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Ovarian dysgenesis 10

An autosomal recessive form of ovarian dysgenesis, a disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
34.4 TPM
Cervix Endocervix
32.6 TPM
Pituitária
30.0 TPM
Útero
26.8 TPM
Cervix Ectocervix
26.6 TPM
OUTRAS DOENÇAS (4)
spermatogenic failure 71ovarian dysgenesis 1046 XX gonadal dysgenesisobsolete male infertility with azoospermia or oligozoospermia due to single gene mutation
HGNC:26993UniProt:Q19AV6
PSMC3IPHomologous-pairing protein 2 homologDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Plays an important role in meiotic recombination. Stimulates DMC1-mediated strand exchange required for pairing homologous chromosomes during meiosis. The complex PSMC3IP/MND1 binds DNA, stimulates the recombinase activity of DMC1 as well as DMC1 D-loop formation from double-strand DNA. This complex stabilizes presynaptic RAD51 and DMC1 filaments formed on single strand DNA to capture double-strand DNA. This complex stimulates both synaptic and presynaptic critical steps in RAD51 and DMC1-promot

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
Meiotic recombination
MECANISMO DE DOENÇA

Ovarian dysgenesis 3

A disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
43.6 TPM
Linfócitos
16.7 TPM
Nervo tibial
13.7 TPM
Fibroblastos
12.8 TPM
Brain Spinal cord cervical c-1
12.3 TPM
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (2)
ovarian dysgenesis 346 XX gonadal dysgenesis
HGNC:17928UniProt:Q9P2W1
BMP15Bone morphogenetic protein 15Disease-causing germline mutation(s) inTolerante
FUNÇÃO

May be involved in follicular development. Oocyte-specific growth/differentiation factor that stimulates folliculogenesis and granulosa cell (GC) growth

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (2)
Post-translational protein phosphorylationRegulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)
MECANISMO DE DOENÇA

Ovarian dysgenesis 2

A disorder characterized by lack of spontaneous pubertal development, primary amenorrhea, uterine hypoplasia, and hypergonadotropic hypogonadism as a result of streak gonads.

OUTRAS DOENÇAS (3)
ovarian dysgenesis 2immature ovarian teratoma46 XX gonadal dysgenesis
HGNC:1068UniProt:O95972
BNC1Zinc finger protein basonuclin-1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcriptional activator (By similarity). It is likely involved in the regulation of keratinocytes terminal differentiation in squamous epithelia and hair follicles (PubMed:8034748). Required for the maintenance of spermatogenesis (By similarity). It is involved in the positive regulation of oocyte maturation, probably acting through the control of BMP15 levels and regulation of AKT signaling cascade (PubMed:30010909). May also play a role in the early development of embryos (By similarity)

LOCALIZAÇÃO

NucleusCytoplasmNucleus, nucleoplasm

MECANISMO DE DOENÇA

Premature ovarian failure 16

An autosomal dominant form of premature ovarian failure, an ovarian disorder defined as the cessation of ovarian function under the age of 40 years. It is characterized by oligomenorrhea or amenorrhea, in the presence of elevated levels of serum gonadotropins and low estradiol.

OUTRAS DOENÇAS (2)
premature ovarian failure 1646 XX gonadal dysgenesis
HGNC:1081UniProt:Q01954
FIGLAFactor in the germline alphaDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Germline specific transcription factor implicated in postnatal oocyte-specific gene expression. Plays a key regulatory role in the expression of multiple oocyte-specific genes, including those that initiate folliculogenesis and those that encode the zona pellucida (ZP1, ZP2 and ZP3) required for fertilization and early embryonic survival. Essential for oocytes to survive and form primordial follicles. The persistence of FIGLA in adult females suggests that it may regulate additional pathways tha

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Premature ovarian failure 6

An ovarian disorder defined as the cessation of ovarian function under the age of 40 years. It is characterized by oligomenorrhea or amenorrhea, in the presence of elevated levels of serum gonadotropins and low estradiol.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
0.8 TPM
Útero
0.8 TPM
Fallopian Tube
0.4 TPM
Adipose Visceral Omentum
0.3 TPM
Cervix Endocervix
0.3 TPM
OUTRAS DOENÇAS (2)
premature ovarian failure 646 XX gonadal dysgenesis
HGNC:24669UniProt:Q6QHK4

Variantes genéticas (ClinVar)

151 variantes patogênicas registradas no ClinVar.

🧬 MRPS22: GRCh37/hg19 3q22.1-29(chr3:132561657-197851986)x3 ()
🧬 MRPS22: NM_020191.4(MRPS22):c.948_949del (p.Ala317fs) ()
🧬 MRPS22: GRCh37/hg19 3q22.1-25.1(chr3:131235568-150065289)x1 ()
🧬 MRPS22: NM_020191.4(MRPS22):c.403C>T (p.Arg135Ter) ()
🧬 MRPS22: NM_020191.4(MRPS22):c.124T>G (p.Cys42Gly) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

62 vias biológicas associadas aos genes desta condição.

Mitochondrial translation initiation Mitochondrial translation elongation Mitochondrial translation termination Mitochondrial ribosome-associated quality control PIP3 activates AKT signaling Constitutive Signaling by Aberrant PI3K in Cancer Nuclear Receptor transcription pathway PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling ESR-mediated signaling Extra-nuclear estrogen signaling TCF dependent signaling in response to WNT WNT ligand biogenesis and trafficking Class B/2 (Secretin family receptors) Negative regulation of TCF-dependent signaling by WNT ligand antagonists PCP/CE pathway Nephron development Cytosolic sensors of pathogen-associated DNA RNA Polymerase III Chain Elongation RNA Polymerase III Transcription Termination RNA Polymerase III Abortive And Retractive Initiation RNA Polymerase III Transcription Initiation From Type 1 Promoter RNA Polymerase III Transcription Initiation From Type 2 Promoter RNA Polymerase III Transcription Initiation From Type 3 Promoter Hormone ligand-binding receptors G alpha (s) signalling events ISG15 antiviral mechanism Amplification of signal from unattached kinetochores via a MAD2 inhibitory signal Transport of the SLBP independent Mature mRNA Transport of the SLBP Dependant Mature mRNA Transport of Mature mRNA Derived from an Intronless Transcript Transport of Mature mRNA derived from an Intron-Containing Transcript Rev-mediated nuclear export of HIV RNA Transport of Ribonucleoproteins into the Host Nucleus NS1 Mediated Effects on Host Pathways Viral Messenger RNA Synthesis NEP/NS2 Interacts with the Cellular Export Machinery Regulation of Glucokinase by Glucokinase Regulatory Protein Nuclear import of Rev protein Vpr-mediated nuclear import of PICs snRNP Assembly Separation of Sister Chromatids Resolution of Sister Chromatid Cohesion SUMOylation of DNA damage response and repair proteins SUMOylation of ubiquitinylation proteins Nuclear Pore Complex (NPC) Disassembly Regulation of HSF1-mediated heat shock response SUMOylation of SUMOylation proteins SUMOylation of chromatin organization proteins SUMOylation of RNA binding proteins SUMOylation of DNA replication proteins Defective TPR may confer susceptibility towards thyroid papillary carcinoma (TPC) RHO GTPases Activate Formins tRNA processing in the nucleus Mitotic Prometaphase HCMV Early Events SUMOylation of intracellular receptors Transcriptional regulation of pluripotent stem cells Transcriptional regulation of testis differentiation Resolution of D-loop Structures through Holliday Junction Intermediates Meiotic recombination Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) Post-translational protein phosphorylation

Diagnóstico

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2Fase 21
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🇧🇷 Atendimento SUS — Disgenesia gonadal 46,XX

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11 papers (10 anos)

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Unusual combination of acute aortic dissection, Mayer-Rokitansky-Küster-Hauser syndrome, and 46,XX gonadal dysgenesis: A case report.

Frontiers in cardiovascular medicine2022

Acute Stanford type A aortic dissection (ATAAD) is a life-threatening disease. Elderly patients are the high-risk population for aortic dissection (AD). Young patients with AD usually have heritable connective tissue diseases such as Marfan syndrome and Loeys-Dietz syndrome. However, young AD patients without heritable connective tissue disease are relatively rare. Herein, we report a case of a 25-year-old female diagnosed with ATAAD accompanied by undeveloped secondary sexual characteristics. Computed tomography angiography (CTA) showed that her AD involved the ascending and abdominal aorta. She had undergone thoracic endovascular aortic stent graft implantation in a local hospital due to acute Stanford type B aortic dissection at age 19. No uterus or ovaries were found on CTA and transabdominal ultrasonography. Sex hormone detection revealed a low estrogen level. G-banded karyotyping analyses revealed a normal 46,XX karyotype. Finally, her abnormalities in the reproductive system were diagnosed as MRKH syndrome and 46,XX gonadal dysgenesis. Whole-exome sequencing (WES) in the patient found an SNP variant of ACTA2 c.773G>A and MYH11 c.5081A>G. MYH11 c.5081A>G was also found in her mother and younger brother. Copy number variations sequencing (CNV-seq) found an approximately 109.30 Kb duplication at chromosome 6p22.3 (Chr 6: g.24920238-25029535) with a copy number of 3. We performed emergent total aortic arch replacement with frozen elephant trunk surgery, and the patient recovered well after surgery. However, her abdominal AD was stilling progression during 6 months of follow-up. To our knowledge, we report the world's first case of early-onset recurrent AD combined with MRKH syndrome and 46,XX gonadal dysgenesis.

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Unusual combination of acute aortic dissection, Mayer-Rokitansky-K&#xfc;ster-Hauser syndrome, and 46,XX gonadal dysgenesis: A case report.
    Frontiers in cardiovascular medicine· 2022· PMID 36440024mais citado
  2. WT1 Disorder.
    · 1993· PMID 32352694recente
  3. Tuberculosis treatment spills the beans on Wilson's disease and more.
    Med J Armed Forces India· 2023· PMID 38144652recente
  4. A rare case of 46,XX gonadal dysgenesis, Mayer-Rokitansky-Kuster-Hauser syndrome, pituitary and thyroid hypoplasia.
    Endocrinol Diabetes Metab Case Rep· 2022· PMID 35142292recente
  5. Misdiagnosis of associated mullerian agenesis in a female with 46, XX gonadal dysgenesis: a case report and review of literature.
    J Obstet Gynaecol· 2021· PMID 33054466recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:243(Orphanet)
  2. MONDO:0009299(MONDO)
  3. GARD:5671(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q8042656(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Disgenesia gonadal 46,XX
Compêndio · Raras BR

Disgenesia gonadal 46,XX

ORPHA:243 · MONDO:0009299
Prevalência
Unknown
Herança
Autosomal dominant, Autosomal recessive, Not applicable, X-linked recessive
CID-10
Q99.1 · Hermafrodite verdadeiro 46, XX
CID-11
Início
Adolescent, Adult
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0685837
EuropePMC
Wikidata
Wikipedia
Papers 10a
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