PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS

Objective: Hypospadias is a malformation in urethra which has many range of severity. A patient with Isolated hypospadias (IH), a mild disorder of sex development (DSD) has a hypospadias phenotype only. Hypospadias is considered as multifactorial disease in which genetic factors contribute to its de...

Full description

Bibliographic Details
Main Authors: Nura Eky Vikawati, Ardy Santosa, Achmad Zulfa Juniarto, Sultana MH Faradz
Format: Article
Language:English
Published: IKATAN AHLI UROLOGI INDONESIA 2018-01-01
Series:Jurnal Urologi Indonesia
Subjects:
Online Access:http://juri.urologi.or.id/juri/article/view/390
_version_ 1818282676817231872
author Nura Eky Vikawati
Ardy Santosa
Achmad Zulfa Juniarto
Sultana MH Faradz
author_facet Nura Eky Vikawati
Ardy Santosa
Achmad Zulfa Juniarto
Sultana MH Faradz
author_sort Nura Eky Vikawati
collection DOAJ
description Objective: Hypospadias is a malformation in urethra which has many range of severity. A patient with Isolated hypospadias (IH), a mild disorder of sex development (DSD) has a hypospadias phenotype only. Hypospadias is considered as multifactorial disease in which genetic factors contribute to its development. Chromosome analysis in DSD including hypospadias is conducted for gender assignment and other possible genetic contributions. This analysis solely could not elucidate all genetic causes of hypospadias. Polymorphism of V89L in SRD5A2 is suggested as one of genetic risk factors of hypospadias. To determine the genetic risk factor and pattern of inheritance, a good pedigree construction is required. Material & methods: 35 eligible subjects with IH admitted to Center for Biomedical Research (CEBIOR) during 2012-2015 were randomly selected. 35 normal male as control were included in this study. Data on three generation pedigrees were collected from medical records in 35 affected subjects. Chromosome analyses were done by using G-banding technique. Polymorphism analysis of V89L in SRD5A2 gene was done using PCR-RFLP technique in all samples. Results: From the 35 affected subjects, the most frequent phenotype was penile hypospadias (47%), a pair of twins were monozygotic and one had a cousin diagnosed with urogenital abnormalities (i.e micropenis and chordae). All subjects had 46,XY chromosome. No chromosomal aberration was found. No positive correlation between polymorphism of V89L in SRD5A2 and risk of hypospadias (PR of CC+CG vs GG=1.0, 95% CI: 0.342−2.921, p value=1.0). Conclusion: The pedigree data from our study implies tendency of genetic involvement in hypospadias cases. There were no chromosomal aberrations in hypospadias cases. The finding on polymorphism of V89L in SRD5A2 gene does not support that of previous studies.
first_indexed 2024-12-13T00:24:48Z
format Article
id doaj.art-7a16c40562534854a3d1b8c9d8d4f2f1
institution Directory Open Access Journal
issn 0853-442X
2355-1402
language English
last_indexed 2024-12-13T00:24:48Z
publishDate 2018-01-01
publisher IKATAN AHLI UROLOGI INDONESIA
record_format Article
series Jurnal Urologi Indonesia
spelling doaj.art-7a16c40562534854a3d1b8c9d8d4f2f12022-12-22T00:05:27ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022018-01-0125110.32421/juri.v25i1.390390PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTSNura Eky Vikawati0Ardy Santosa1Achmad Zulfa Juniarto2Sultana MH Faradz3Centre for Biomedical Research (CEBIOR), Faculty of Medicine/Diponegoro University, Semarang.Division of Urology/Department of Surgery, Faculty of Medicine/Diponegoro University, Kariadi General Hospital, Semarang.Centre for Biomedical Research (CEBIOR), Faculty of Medicine/Diponegoro University, Semarang.Centre for Biomedical Research (CEBIOR), Faculty of Medicine/Diponegoro University, Semarang.Objective: Hypospadias is a malformation in urethra which has many range of severity. A patient with Isolated hypospadias (IH), a mild disorder of sex development (DSD) has a hypospadias phenotype only. Hypospadias is considered as multifactorial disease in which genetic factors contribute to its development. Chromosome analysis in DSD including hypospadias is conducted for gender assignment and other possible genetic contributions. This analysis solely could not elucidate all genetic causes of hypospadias. Polymorphism of V89L in SRD5A2 is suggested as one of genetic risk factors of hypospadias. To determine the genetic risk factor and pattern of inheritance, a good pedigree construction is required. Material & methods: 35 eligible subjects with IH admitted to Center for Biomedical Research (CEBIOR) during 2012-2015 were randomly selected. 35 normal male as control were included in this study. Data on three generation pedigrees were collected from medical records in 35 affected subjects. Chromosome analyses were done by using G-banding technique. Polymorphism analysis of V89L in SRD5A2 gene was done using PCR-RFLP technique in all samples. Results: From the 35 affected subjects, the most frequent phenotype was penile hypospadias (47%), a pair of twins were monozygotic and one had a cousin diagnosed with urogenital abnormalities (i.e micropenis and chordae). All subjects had 46,XY chromosome. No chromosomal aberration was found. No positive correlation between polymorphism of V89L in SRD5A2 and risk of hypospadias (PR of CC+CG vs GG=1.0, 95% CI: 0.342−2.921, p value=1.0). Conclusion: The pedigree data from our study implies tendency of genetic involvement in hypospadias cases. There were no chromosomal aberrations in hypospadias cases. The finding on polymorphism of V89L in SRD5A2 gene does not support that of previous studies.http://juri.urologi.or.id/juri/article/view/390Pedigreehypospadiasrisk factorSRD5A2
spellingShingle Nura Eky Vikawati
Ardy Santosa
Achmad Zulfa Juniarto
Sultana MH Faradz
PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
Jurnal Urologi Indonesia
Pedigree
hypospadias
risk factor
SRD5A2
title PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
title_full PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
title_fullStr PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
title_full_unstemmed PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
title_short PHENOTYPE-GENOTYPE AND PEDIGREE ANALYSIS OF ISOLATED HYPOSPADIAS PATIENTS
title_sort phenotype genotype and pedigree analysis of isolated hypospadias patients
topic Pedigree
hypospadias
risk factor
SRD5A2
url http://juri.urologi.or.id/juri/article/view/390
work_keys_str_mv AT nuraekyvikawati phenotypegenotypeandpedigreeanalysisofisolatedhypospadiaspatients
AT ardysantosa phenotypegenotypeandpedigreeanalysisofisolatedhypospadiaspatients
AT achmadzulfajuniarto phenotypegenotypeandpedigreeanalysisofisolatedhypospadiaspatients
AT sultanamhfaradz phenotypegenotypeandpedigreeanalysisofisolatedhypospadiaspatients