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1.
Stem Cell Res ; 76: 103347, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38377650

ABSTRACT

Gordon Holmes Syndrome (GDHS) is a hereditary neurodegenerative disease mainly associated with mutations of RNF216. We established a human induced pluripotent stem cell (hiPSC) line, FDHSi003-A, derived from PBMC of a patient baring a mutation of RNF216 c.1948G > T, who shows typical symptoms of GDHS. The generated FDHSi003-A expresses pluripotency markers, displays a normal karyotype, and has the potency to differentiate into all three germ layers. Thus, FDHSi003-A is an ideal model to investigate the mechanism of RNF216 in GDHS.


Subject(s)
Cerebellar Ataxia , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism , Induced Pluripotent Stem Cells , Neurodegenerative Diseases , Humans , Induced Pluripotent Stem Cells/metabolism , Leukocytes, Mononuclear/metabolism , Neurodegenerative Diseases/metabolism , Mutation/genetics , Ubiquitin-Protein Ligases/genetics , Ubiquitin-Protein Ligases/metabolism
2.
eNeuro ; 11(1)2024 Jan.
Article in English | MEDLINE | ID: mdl-38164552

ABSTRACT

Gordon Holmes syndrome (GHS) is a neurological disorder associated with neuroendocrine, cognitive, and motor impairments with corresponding neurodegeneration. Mutations in the E3 ubiquitin ligase RNF216 are strongly linked to GHS. Previous studies show that deletion of Rnf216 in mice led to sex-specific neuroendocrine dysfunction due to disruptions in the hypothalamic-pituitary-gonadal axis. To address RNF216 action in cognitive and motor functions, we tested Rnf216 knock-out (KO) mice in a battery of motor and learning tasks for a duration of 1 year. Although male and female KO mice did not demonstrate prominent motor phenotypes, KO females displayed abnormal limb clasping. KO mice also showed age-dependent strategy and associative learning impairments with sex-dependent alterations of microglia in the hippocampus and cortex. Additionally, KO males but not females had more negative resting membrane potentials in the CA1 hippocampus without any changes in miniature excitatory postsynaptic current (mEPSC) frequencies or amplitudes. Our findings show that constitutive deletion of Rnf216 alters microglia and neuronal excitability, which may provide insights into the etiology of sex-specific impairments in GHS.


Subject(s)
Cerebellar Ataxia , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism , Microglia , Male , Female , Mice , Animals , Mice, Knockout , Cognition , Ubiquitin-Protein Ligases/genetics
3.
Mol Cell ; 82(3): 598-615.e8, 2022 02 03.
Article in English | MEDLINE | ID: mdl-34998453

ABSTRACT

An increasing number of genetic diseases are linked to deregulation of E3 ubiquitin ligases. Loss-of-function mutations in the RING-between-RING (RBR) family E3 ligase RNF216 (TRIAD3) cause Gordon-Holmes syndrome (GHS) and related neurodegenerative diseases. Functionally, RNF216 assembles K63-linked ubiquitin chains and has been implicated in regulation of innate immunity signaling pathways and synaptic plasticity. Here, we report crystal structures of key RNF216 reaction states including RNF216 in complex with ubiquitin and its reaction product, K63 di-ubiquitin. Our data provide a molecular explanation for chain-type specificity and reveal the molecular basis for disruption of RNF216 function by pathogenic GHS mutations. Furthermore, we demonstrate how RNF216 activity and chain-type specificity are regulated by phosphorylation and that RNF216 is allosterically activated by K63-linked di-ubiquitin. These molecular insights expand our understanding of RNF216 function and its role in disease and further define the mechanistic diversity of the RBR E3 ligase family.


Subject(s)
Cerebellar Ataxia/enzymology , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/enzymology , Protein Processing, Post-Translational , Ubiquitin-Protein Ligases/metabolism , Allosteric Regulation , Binding Sites , Catalysis , Cerebellar Ataxia/genetics , Crystallography, X-Ray , Genetic Predisposition to Disease , Gonadotropin-Releasing Hormone/genetics , HEK293 Cells , Humans , Hypogonadism/genetics , Loss of Function Mutation , Lysine , Models, Molecular , Phenotype , Phosphorylation , Protein Binding , Protein Conformation , Structure-Activity Relationship , Ubiquitin-Protein Ligases/genetics , Ubiquitination
4.
J Mol Neurosci ; 72(4): 691-694, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35088240

ABSTRACT

Gordon Holmes syndrome (GHS) is a rare disease characterized by hypogonadotropic hypogonadism (HH), progressive cognitive decline and variable movement disorders. Mutations in RNF216 have been found to be associated with GHS. Here, we identify a novel homozygous RNF216 p.E650X mutation causing GHS. The proband presented with onset dysarthria and developed cerebellar ataxia and cognitive impairment, with a history of azoospermia at the age of 28 years. Cerebellar atrophy and white matter lesions were found in the cerebral hemispheres and brainstem. Low gonadotropin serum levels were also observed. Whole-exome sequencing (WES) revealed a novel homozygous nonsense variant in RNF216, c.1948G>T; p.E650X. Our finding furthers the genetic knowledge of GHS and extends the ethnic distribution of RNF216 mutations.


Subject(s)
Cerebellar Ataxia , Hypogonadism , Adult , Cerebellar Ataxia/genetics , Gonadotropin-Releasing Hormone/deficiency , Humans , Hypogonadism/genetics , Mutation , Pedigree , Ubiquitin-Protein Ligases/genetics , Exome Sequencing
5.
Front Immunol ; 12: 734685, 2021.
Article in English | MEDLINE | ID: mdl-34594339

ABSTRACT

APS (autoimmune polyglandular syndrome) is defined as the coexistence of at least two kinds of endocrine autoimmune diseases. APS type 3 comprises autoimmune thyroid diseases and other autoimmune diseases but does not involve autoimmune Addison's disease. So far, APS-3 combined with isolated gonadotropin-releasing hormone (GnRH) reduction caused by the suspected autoimmune hypothalamic disease has not been reported. We recently received a 43-year-old woman with a one-year history of Graves' disease (GD) and a four-month history of type 1 diabetes presented with hyperthyroidism and hyperglycemia. After the GnRH stimulation test, she was diagnosed with secondary amenorrhea attributed to suspected autoimmune Hypothalamitis and APS type 3 associated with Graves' disease and Latent Autoimmune Diabetes (LADA). According to this case, the hypothalamus cannot be spared from the general autoimmune process. It is recommended to carry out the GnRH stimulation test when encountering APS patients combined with secondary amenorrhea.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Graves Disease/complications , Hypothalamic Diseases/complications , Latent Autoimmune Diabetes in Adults/complications , Polyendocrinopathies, Autoimmune/complications , Adult , Amenorrhea/diagnosis , Amenorrhea/etiology , Biomarkers/blood , Female , Gonadotropin-Releasing Hormone/blood , Graves Disease/blood , Graves Disease/diagnosis , Graves Disease/drug therapy , Humans , Hypothalamic Diseases/blood , Hypothalamic Diseases/diagnosis , Hypothalamic Diseases/drug therapy , Latent Autoimmune Diabetes in Adults/blood , Latent Autoimmune Diabetes in Adults/diagnosis , Latent Autoimmune Diabetes in Adults/drug therapy , Polyendocrinopathies, Autoimmune/blood , Polyendocrinopathies, Autoimmune/diagnosis , Polyendocrinopathies, Autoimmune/drug therapy
6.
Int J Mol Sci ; 22(17)2021 Aug 30.
Article in English | MEDLINE | ID: mdl-34502334

ABSTRACT

Gonadotropin releasing hormone (GnRH) neurons are hypothalamic neuroendocrine cells that control sexual reproduction. During embryonic development, GnRH neurons migrate from the nose to the hypothalamus, where they receive inputs from several afferent neurons, following the axonal scaffold patterned by nasal nerves. Each step of GnRH neuron development depends on the orchestrated action of several molecules exerting specific biological functions. Mutations in genes encoding for these essential molecules may cause Congenital Hypogonadotropic Hypogonadism (CHH), a rare disorder characterized by GnRH deficiency, delayed puberty and infertility. Depending on their action in the GnRH neuronal system, CHH causative genes can be divided into neurodevelopmental and neuroendocrine genes. The CHH genetic complexity, combined with multiple inheritance patterns, results in an extreme phenotypic variability of CHH patients. In this review, we aim at providing a comprehensive and updated description of the genes thus far associated with CHH, by dissecting their biological relevance in the GnRH system and their functional relevance underlying CHH pathogenesis.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Gonadotropin-Releasing Hormone/genetics , Hypogonadism/pathology , Mutation , Neurodevelopmental Disorders/genetics , Neuroendocrine Cells/metabolism , Neurons/physiology , Animals , Humans , Hypogonadism/etiology , Nerve Tissue Proteins/genetics , Nerve Tissue Proteins/metabolism , Neuroendocrine Cells/pathology
7.
Clin Neurol Neurosurg ; 207: 106763, 2021 08.
Article in English | MEDLINE | ID: mdl-34157508

ABSTRACT

Gordon Holmes syndrome (GHS) is an autosomal recessive disease characterized by cerebellar ataxia and hypogonadotropic hypogonadism. Among the genes associated with this syndrome, mutations in PNPLA6 have been detected and correlated with the phenotype of GHS. We report a case of a patient affected with GHS, confirmed by physical, neurological, laboratory and genetic analyses. Two compound heterozygous missense mutations on the PNPLA6 gene described as probably damaging/damaging in multiple in silico predictive tools have been detected with massive multigene sequencing. Interestingly, brain MRI uncovered abnormalities in the periventricular white matter, which so far have not been associated with GHS caused by PNPLA6 mutations.


Subject(s)
Acyltransferases/genetics , Cerebellar Ataxia/diagnosis , Cerebellar Ataxia/genetics , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/diagnosis , Hypogonadism/genetics , Mutation/genetics , Phospholipases/genetics , Gonadotropin-Releasing Hormone/genetics , Humans , Male , Middle Aged
8.
Exp Clin Endocrinol Diabetes ; 129(6): 457-463, 2021 Jun.
Article in English | MEDLINE | ID: mdl-32485746

ABSTRACT

BACKGROUND: Isolated gonadotropin-releasing hormone (GnRH) deficiency (IGD) has a wide phenotypic spectrum including Kallmann syndrome (KS) and normosmic idiopathic hypogonadotropic hypogonadism (nIHH). FGFR1 mutations have been identified in 3-10% of patients with KS or nIHH. This study was performed to investigate clinical phenotypes and functional characteristics of FGFR1 mutations in patients with IGD. METHODS: This study included 8 patients (from 7 families) with FGFR1 mutations identified by targeted gene panel sequencing or whole exome sequencing (WES). The impact of the identified mutations on FGFR1 function was assessed using in vitro studies. RESULTS: Seven heterozygous mutations in FGFR1 were identified in 8 patients from 7 independent families. The patients exhibited a wide spectrum of pubertal development, including anosmia in a prepubertal boy (n=1), delayed puberty (n=2), nIHH (n=3), and KS (n=2). Four of the mutations were classified as likely pathogenic, and the other three were variants of uncertain significance. FGF8-FGFR1 signaling activities for the novel FGFR1 variants (p.Y339H, p.S681I, and p.N185Kfs*16) were reduced by in vitro functional assay, indicating loss-of-function mutations. CONCLUSIONS: This study identified seven rare sequence variants in FGFR1 in patients with KS and nIHH. Probands with an FGFR1 mutations displayed a wide phenotypic spectrum ranging from KS to anosmia. A prepubertal male with anosmia should be followed up to assess pubertal development because they can manifest hypogonadotropic hypogonadism after puberty. These results expand the phenotypic spectrum of FGFR1 mutations and suggest a broader biologic role of FGFR1 in reproduction.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/genetics , Hypogonadism/physiopathology , Kallmann Syndrome/genetics , Kallmann Syndrome/physiopathology , Receptor, Fibroblast Growth Factor, Type 1/genetics , Adolescent , Humans , Male , Pedigree , Puberty, Delayed
9.
Neuroendocrinology ; 111(5): 421-441, 2021.
Article in English | MEDLINE | ID: mdl-32365351

ABSTRACT

INTRODUCTION: Gonadotropin-releasing hormone (GnRH) deficiency causes hypogonadotropic hypogonadism (HH), a rare genetic disorder that impairs sexual reproduction. HH can be due to defective GnRH-secreting neuron development or function and may be associated with other clinical signs in overlapping genetic syndromes. With most of the cases being idiopathic, genetics underlying HH is still largely unknown. OBJECTIVE: To assess the contribution of mutated Semaphorin 3G (SEMA3G) in the onset of a syndromic form of HH, characterized by intellectual disability and facial dysmorphic features. METHOD: By combining homozygosity mapping with exome sequencing, we identified a novel variant in the SEMA3G gene. We then applied mouse as a model organism to examine SEMA3Gexpression and its functional requirement in vivo. Further, we applied homology modelling in silico and cell culture assays in vitro to validate the pathogenicity of the identified gene variant. RESULTS: We found that (i) SEMA3G is expressed along the migratory route of GnRH neurons and in the developing pituitary, (ii) SEMA3G affects GnRH neuron development, but is redundant in the adult hypothalamic-pituitary-gonadal axis, and (iii) mutated SEMA3G alters binding properties in silico and in vitro to its PlexinA receptors and attenuates its effect on the migration of immortalized GnRH neurons. CONCLUSION: In silico, in vitro, and in vivo models revealed that SEMA3G regulates GnRH neuron migration and that its mutation affecting receptor selectivity may be responsible for the HH-related defects.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/genetics , Hypothalamo-Hypophyseal System/growth & development , Hypothalamo-Hypophyseal System/metabolism , Semaphorins/physiology , Animals , Cells, Cultured , Consanguinity , Craniofacial Abnormalities/etiology , Developmental Disabilities/etiology , Homozygote , Humans , Hypogonadism/complications , Intellectual Disability/etiology , Male , Mice , Pedigree , Siblings , Syndrome
10.
Article in English | MEDLINE | ID: mdl-32982993

ABSTRACT

Background: Congenital hypogonadotropic hypogonadism (CHH) is a rare genetic disease caused by Gonadotropin-Releasing Hormone (GnRH) deficiency. So far a limited number of variants in several genes have been associated with the pathogenesis of the disease. In this original research and review manuscript the retrospective analysis of known variants in ANOS1 (KAL1), RNF216, WDR11, FGFR1, CHD7, and POLR3A genes is described, along with novel variants identified in patients with CHH by the present study. Methods: Seven GnRH deficient unrelated Cypriot patients underwent whole exome sequencing (WES) by Next Generation Sequencing (NGS). The identified novel variants were initially examined by in silico computational algorithms and structural analysis of their predicted pathogenicity at the protein level was confirmed. Results: In four non-related GnRH males, a novel X-linked pathogenic variant in ANOS1 gene, two novel autosomal dominant (AD) probably pathogenic variants in WDR11 and FGFR1 genes and one rare AD probably pathogenic variant in CHD7 gene were identified. A rare autosomal recessive (AR) variant in the SRA1 gene was identified in homozygosity in a female patient, whilst two other male patients were also, respectively, found to carry novel or previously reported rare pathogenic variants in more than one genes; FGFR1/POLR3A and SRA1/RNF216. Conclusion: This report embraces the description of novel and previously reported rare pathogenic variants in a series of genes known to be implicated in the biological development of CHH. Notably, patients with CHH can harbor pathogenic rare variants in more than one gene which raises the hypothesis of locus-locus interactions providing evidence for digenic inheritance. The identification of such aberrations by NGS can be very informative for the management and future planning of these patients.


Subject(s)
DNA Helicases/genetics , DNA-Binding Proteins/genetics , Extracellular Matrix Proteins/genetics , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/genetics , Membrane Proteins/genetics , Nerve Tissue Proteins/genetics , Proto-Oncogene Proteins/genetics , RNA Polymerase III/genetics , Receptor, Fibroblast Growth Factor, Type 1/genetics , Ubiquitin-Protein Ligases/genetics , Adolescent , Adult , Aged , Female , High-Throughput Nucleotide Sequencing , Humans , Male , Mutation , Pedigree , Retrospective Studies , Young Adult
11.
Hum Mol Genet ; 29(14): 2435-2450, 2020 08 11.
Article in English | MEDLINE | ID: mdl-32620954

ABSTRACT

Dysfunction of the gonadotropin-releasing hormone (GnRH) axis causes a range of reproductive phenotypes resulting from defects in the specification, migration and/or function of GnRH neurons. To identify additional molecular components of this system, we initiated a systematic genetic interrogation of families with isolated GnRH deficiency (IGD). Here, we report 13 families (12 autosomal dominant and one autosomal recessive) with an anosmic form of IGD (Kallmann syndrome) with loss-of-function mutations in TCF12, a locus also known to cause syndromic and non-syndromic craniosynostosis. We show that loss of tcf12 in zebrafish larvae perturbs GnRH neuronal patterning with concomitant attenuation of the orthologous expression of tcf3a/b, encoding a binding partner of TCF12, and stub1, a gene that is both mutated in other syndromic forms of IGD and maps to a TCF12 affinity network. Finally, we report that restored STUB1 mRNA rescues loss of tcf12 in vivo. Our data extend the mutational landscape of IGD, highlight the genetic links between craniofacial patterning and GnRH dysfunction and begin to assemble the functional network that regulates the development of the GnRH axis.


Subject(s)
Basic Helix-Loop-Helix Transcription Factors/genetics , Gonadotropin-Releasing Hormone/genetics , Kallmann Syndrome/genetics , Ubiquitin-Protein Ligases/genetics , Zebrafish Proteins/genetics , Adult , Aged , Animals , Disease Models, Animal , Female , Genes, Dominant/genetics , Gonadotropin-Releasing Hormone/deficiency , Haploinsufficiency/genetics , Humans , Kallmann Syndrome/pathology , Male , Middle Aged , Mutation/genetics , Neurons/metabolism , Neurons/pathology , Phenotype , Zebrafish/genetics
12.
Psychoneuroendocrinology ; 119: 104733, 2020 09.
Article in English | MEDLINE | ID: mdl-32563936

ABSTRACT

Evidence suggests that psychosexuality in humans is modulated by both organizational effects of prenatal and peripubertal sex steroid hormones, and by activational effects of circulating hormones in adulthood. Experimental work in male rodents indicates that sensitivity to androgen-driven organization of sexual motivation decreases across the pubertal window, such that earlier puberty leads to greater sex-typicality. We test this hypothesis in typically developing men (n = 231) and women (n = 648), and in men (n = 72) and women (n = 32) with isolated GnRH deficiency (IGD), in whom the precise timing of peripubertal hormone exposure can be ascertained via the age at which hormone replacement therapy (HRT) was initiated. Psychosexuality was measured with the Sexual Desire Inventory-2 (SDI-2) and Sociosexual Orientation Inventory-Revised (SOI-R). In both sexes, earlier recalled absolute pubertal timing predicted higher psychosexuality in adulthood, although the magnitude of these associations varied with psychosexuality type and group (i.e., typically developing and IGD). Results were robust when controlling for circulating steroid hormones in typically developing participants. Age of initiation of HRT in men with IGD negatively predicted SOI-R. We discuss the clinical implications of our findings for conditions in which pubertal timing is medically altered.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Hypothalamic Diseases , Libido/physiology , Puberty/physiology , Sexual Maturation/physiology , Adolescent , Adolescent Development/physiology , Adult , Age Factors , Female , Gonadal Steroid Hormones/blood , Humans , Hypothalamic Diseases/blood , Hypothalamic Diseases/diagnosis , Hypothalamic Diseases/physiopathology , Hypothalamic Diseases/psychology , Male , Prognosis , Sexual Behavior/psychology , Time Factors , Young Adult
13.
Cerebellum ; 19(4): 544-549, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32367277

ABSTRACT

Mutations in STUB1 have been identified to cause autosomal recessive spinocerebellar ataxia type 16 (SCAR16), also named as Gordon Holmes syndrome, which is characterized by cerebellar ataxia, cognitive decline, and hypogonadism. Additionally, several heterozygous mutations in STUB1 have recently been described as a cause of autosomal dominant spinocerebellar ataxia type 48. STUB1 encodes C-terminus of HSC70-interacting protein (CHIP), which functions as an E3 ubiquitin ligase and co-chaperone and has been implicated in several neurodegenerative diseases. In this study, we identified two SCAR16 pedigrees from 512 Taiwanese families with cerebellar ataxia. Two compound heterozygous mutations in STUB1, c.[433A>C];[721C>T] (p.[K145Q];[R241W]) and c.[433A>C];[694T>G] (p.[K145Q];[C232G]), were found in each SCAR16 family by Sanger sequencing, respectively. Among them, STUB1 p.R241W and p.C232G were novel mutations. SCAR16 seems to be an uncommon ataxic syndrome, accounting for 0.4% (2/512) of our cohort with cerebellar ataxia. Clinically, the three patients from the two SCAR16 families presented with cerebellar ataxia alone or in combination with cognitive impairment. The brain MRIs showed a marked cerebellar atrophy of the patients. In conclusion, SCAR16 is an important but often neglected diagnosis of cerebellar ataxia of unknown cause, and the isolated cerebellar ataxia without involvement of other systems cannot be a basis to exclude the possibility of STUB1-related disease.


Subject(s)
Cerebellar Ataxia/genetics , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/genetics , Ubiquitin-Protein Ligases/genetics , Adult , Cerebellar Ataxia/pathology , Cerebellum/pathology , Female , Gonadotropin-Releasing Hormone/genetics , Humans , Hypogonadism/pathology , Male , Mutation , Pedigree , Taiwan , Young Adult
14.
J Clin Endocrinol Metab ; 105(5)2020 05 01.
Article in English | MEDLINE | ID: mdl-32034419

ABSTRACT

CONTEXT: The reproductive axis is controlled by a network of gonadotropin-releasing hormone (GnRH) neurons born in the primitive nose that migrate to the hypothalamus alongside axons of the olfactory system. The observation that congenital anosmia (inability to smell) is often associated with GnRH deficiency in humans led to the prevailing view that GnRH neurons depend on olfactory structures to reach the brain, but this hypothesis has not been confirmed. OBJECTIVE: The objective of this work is to determine the potential for normal reproductive function in the setting of completely absent internal and external olfactory structures. METHODS: We conducted comprehensive phenotyping studies in 11 patients with congenital arhinia. These studies were augmented by review of medical records and study questionnaires in another 40 international patients. RESULTS: All male patients demonstrated clinical and/or biochemical signs of GnRH deficiency, and the 5 men studied in person had no luteinizing hormone (LH) pulses, suggesting absent GnRH activity. The 6 women studied in person also had apulsatile LH profiles, yet 3 had spontaneous breast development and 2 women (studied from afar) had normal breast development and menstrual cycles, suggesting a fully intact reproductive axis. Administration of pulsatile GnRH to 2 GnRH-deficient patients revealed normal pituitary responsiveness but gonadal failure in the male patient. CONCLUSIONS: Patients with arhinia teach us that the GnRH neuron, a key gatekeeper of the reproductive axis, is associated with but may not depend on olfactory structures for normal migration and function, and more broadly, illustrate the power of extreme human phenotypes in answering fundamental questions about human embryology.


Subject(s)
Gonadotropin-Releasing Hormone/metabolism , Neurons/physiology , Nose/abnormalities , Olfaction Disorders/congenital , Abnormalities, Multiple/genetics , Abnormalities, Multiple/metabolism , Abnormalities, Multiple/pathology , Abnormalities, Multiple/physiopathology , Adolescent , Adult , Aged , Child , Child, Preschool , Cohort Studies , Female , Follicle Stimulating Hormone/blood , Gonadotropin-Releasing Hormone/deficiency , Gonads/abnormalities , Gonads/pathology , Humans , Hypogonadism/genetics , Hypogonadism/metabolism , Hypogonadism/pathology , Hypogonadism/physiopathology , Infant , Luteinizing Hormone/blood , Male , Middle Aged , Neurogenesis/physiology , Neurons/metabolism , Olfaction Disorders/genetics , Olfaction Disorders/metabolism , Olfaction Disorders/physiopathology , Olfactory Pathways/metabolism , Olfactory Pathways/pathology , Organ Size , Young Adult
15.
Minerva Endocrinol ; 45(2): 79-88, 2020 Jun.
Article in English | MEDLINE | ID: mdl-31994363

ABSTRACT

BACKGROUND: In hypogonadotropic forms of delayed puberty (DP), hypophyseal follicle-stimulating (FSH) and luteinizing (LH) hormones, normally released with GnRH stimulation, are detected low. Since kisspeptin (KP) is a strong stimulant of GnRH neurons, it is considered to have a role in DP etiology. It may be hypothesized that abnormal plasma levels of KP are indicative of DP. The study aimed at evaluation and comparison of plasma KP levels in boys of pre-pubertal age, with normal puberty and diagnosed primary hypogonadotropic forms of DP. METHODS: The study comprised 22 boys with verified hypogonadotropic DP (age 14-17 years), 25 boys with normal puberty (age 14-17 years), and 28 pre-pubertal boys (age 6-9 years). Triprorelin stimulation test was performed in DP patients. Plasma KP values were compared between three groups. RESULTS: Statistically significant difference was found for the overall distribution of the plasma KP values across different groups (Kruskal-Wallis H=21.95, P<0.001). The highest values were found in the DP group (median: 45.0 pg/mL). Median values in the pre-pubertal boys and in the normal pubertal adolescents were equal to 13.8 pg/mL. No statistically significant difference was found for plasma KP levels in the DP boys who had either positive or negative response to Triptorelin stimulation test. Plasma KP level exceeding 16.9 pg/mL was a reliable predictor of hypoganadotropic DP (sensitivity 72.7%, specificity 92.0%). CONCLUSIONS: Plasma KP levels are elevated in hypogonadotropic DP cases and may serve as a useful diagnostic tool in evaluating boys with DP.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Kisspeptins/blood , Puberty, Delayed/blood , Adolescent , Case-Control Studies , Child , Humans , Male
16.
Pan Afr Med J ; 33: 221, 2019.
Article in French | MEDLINE | ID: mdl-31692807

ABSTRACT

Kallmann-de Morsier syndrome (KS) is a genetic disease of the olfactory system characterized by the association of hypogonadotropic hypogonadism also referred to as gonadotropin-releasing hormone (GnRH) deficiency and anosmia or hyposmia (with hypoplasia or aplasia of the olfactory bulbs). Apart from sporadic cases that occur most often, familial Kallmann's syndrome is being described with increasing frequency. Diagnosis is mainly made in adolescents with absence of spontaneous puberty associated with smell disorders with hypoplasia or even aplasia of the bulbs and/or of the olfactory lobes on MRI. Sometimes, the diagnosis may be suspected in early childhood due to the association of cryptorchidism and micropénis. A mutation in one of known genes is only found in less than 30% of cases and, therefore, many other genes are still to be found. Hormone therapy allows pubertal growth in all cases and fertility can be obtained in most of the cases. We here report 3 cases of patients with this syndrome.


Subject(s)
Hormone Replacement Therapy/methods , Kallmann Syndrome/diagnosis , Adult , Female , Gonadotropin-Releasing Hormone/deficiency , Humans , Kallmann Syndrome/drug therapy , Kallmann Syndrome/physiopathology , Male , Young Adult
17.
Endokrynol Pol ; 70(5): 437-444, 2019.
Article in English | MEDLINE | ID: mdl-31681968

ABSTRACT

Pituitary hormones folitropin (follicle-stimulating hormone, FSH) and lutropin (luteinising hormone, LH) are known as the key regulators of human reproduction. However, their receptors have been identified also in several organs and tissues beyond the reproductive system, and there is cumulating evidence of their direct extra-gonadal actions. The expression of LH receptors (LHR) was found in the brain and adrenal cortex. FSH receptors (FSHR) were found to be expressed in osteoclasts, monocytes, adipocytes, and peri- and intra-tumoural blood vessel endothelia of malignant tumours. Other localisations of FSHR and LHR are also suggested by immunohistochemistry, but these findings need confirmation using molecular biology techniques. Because the high levels of gonadotropins are a constant phenomenon during human aging, especially in postmenopausal women, it is hypothesised that the direct actions of FSH and LH are involved in the pathogenesis of age-related disorders. The proposal of therapy based on the inhibition of gonadotropin hypersecretion is also discussed.


Subject(s)
Gonadotropin-Releasing Hormone/metabolism , Luteinizing Hormone/metabolism , Receptors, FSH/metabolism , Receptors, LH/metabolism , Aging/metabolism , Female , Gonadotropin-Releasing Hormone/deficiency , Gonadotropins/metabolism , Humans , Hypothalamo-Hypophyseal System/metabolism , Luteinizing Hormone/deficiency , Male
18.
J Clin Endocrinol Metab ; 104(8): 3403-3414, 2019 08 01.
Article in English | MEDLINE | ID: mdl-31220265

ABSTRACT

CONTEXT: After completion of puberty a subset of men experience functional hypogonadotropic hypogonadism (FHH) secondary to excessive exercise or weight loss. This phenomenon is akin to hypothalamic amenorrhea (HA) in women, yet little is known about FHH in men. OBJECTIVE: To investigate the neuroendocrine mechanisms, genetics, and natural history underlying FHH. DESIGN: Retrospective study in an academic medical center. PARTICIPANTS: Healthy postpubertal men presenting with symptoms of hypogonadism in the setting of excessive exercise (>10 hours/week) or weight loss (>10% of body weight). Healthy age-matched men served as controls. INTERVENTIONS: Clinical assessment, biochemical and neuroendocrine profiling, body composition, semen analysis, and genetic evaluation of genes known to cause isolated GnRH deficiency. MAIN OUTCOME MEASURES: Reproductive hormone levels, endogenous GnRH-induced LH pulse patterns, and rare genetic variants. RESULTS: Ten men with FHH were compared with 18 age-matched controls. Patients had significantly lower body mass index, testosterone, LH, and mean LH pulse amplitudes yet normal LH pulse frequency, serum FSH, and sperm counts. Some patients exhibited nocturnal, sleep-entrained LH pulses characteristic of early puberty, and one FHH subject showed a completely apulsatile LH secretion. After decreased exercise and weight gain, five men with men had normalized serum testosterone levels, and symptoms resolved. Rare missense variants in NSMF (n = 1) and CHD7 (n = 1) were identified in two men with FHH. CONCLUSIONS: FHH is a rare, reversible form of male GnRH deficiency. LH pulse patterns in male FHH are similar to those observed in women with HA. This study expands the spectrum of GnRH deficiency disorders in men.


Subject(s)
Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/physiopathology , Neurosecretory Systems/physiopathology , Adolescent , Humans , Hypogonadism/genetics , Luteinizing Hormone/blood , Male , Mutation, Missense , Retrospective Studies , Transcription Factors/genetics , Young Adult
19.
Hum Mol Genet ; 28(17): 2862-2873, 2019 09 01.
Article in English | MEDLINE | ID: mdl-31087003

ABSTRACT

Gordon Holmes syndrome (GDHS) is an adult-onset neurodegenerative disorder characterized by ataxia and hypogonadotropic hypogonadism. GDHS is caused by mutations in the gene encoding the RING-between-RING (RBR)-type ubiquitin ligase RNF216, also known as TRIAD3. The molecular pathology of GDHS is not understood, although RNF216 has been reported to modify several substrates with K48-linked ubiquitin chains, thereby targeting them for proteasomal degradation. We identified RNF216 in a bioinformatical screen for putative SUMO-targeted ubiquitin ligases and confirmed that a cluster of predicted SUMO-interaction motifs (SIMs) indeed recognizes SUMO2 chains without targeting them for ubiquitination. Surprisingly, purified RNF216 turned out to be a highly active ubiquitin ligase that exclusively forms K63-linked ubiquitin chains, suggesting that the previously reported increase of K48-linked chains after RNF216 overexpression is an indirect effect. The linkage-determining region of RNF216 was mapped to a narrow window encompassing the last two Zn-fingers of the RBR triad, including a short C-terminal extension. Neither the SIMs nor a newly discovered ubiquitin-binding domain in the central portion of RNF216 contributes to chain specificity. Both missense mutations reported in GDHS patients completely abrogate the ubiquitin ligase activity. For the R660C mutation, ligase activity could be restored by using a chemical ubiquitin loading protocol that circumvents the requirement for ubiquitin-conjugating (E2) enzymes. This result suggests Arg-660 to be required for the ubiquitin transfer from the E2 to the catalytic cysteine. Our findings necessitate a re-evaluation of the previously assumed degradative role of RNF216 and rather argue for a non-degradative K63 ubiquitination, potentially acting on SUMOylated substrates.


Subject(s)
Cerebellar Ataxia/genetics , Cerebellar Ataxia/metabolism , Gonadotropin-Releasing Hormone/deficiency , Hypogonadism/genetics , Hypogonadism/metabolism , Mutation , Ubiquitin-Protein Ligases/genetics , Ubiquitin-Protein Ligases/metabolism , Amino Acid Sequence , Carrier Proteins/metabolism , Enzyme Activation , Genetic Predisposition to Disease , Gonadotropin-Releasing Hormone/genetics , Gonadotropin-Releasing Hormone/metabolism , Humans , Phosphorylation , Protein Binding , Protein Domains , Protein Interaction Domains and Motifs , Small Ubiquitin-Related Modifier Proteins/metabolism , Sumoylation , Ubiquitin/chemistry , Ubiquitin/metabolism , Ubiquitin-Protein Ligases/chemistry , Ubiquitination
20.
Gen Comp Endocrinol ; 280: 15-23, 2019 09 01.
Article in English | MEDLINE | ID: mdl-30951724

ABSTRACT

Many studies on Gnrh1, and the teleost Gnrh3, have elucidated the roles of these peptides in reproductive regulation. However, the role of the midbrain population of Gnrh, Gnrh2, has long been a mystery, despite its ubiquitous conservation in all jawed vertebrates except rodents. Previous behavioral studies in sparrows, musk shrews, mice, zebrafish, and goldfish show that Gnrh2 administrations both increase spawning behaviors and decrease feeding behaviors, suggesting a role of this peptide in metabolism regulation along with the canonical role in regulating reproduction. In order to more deeply explore the roles of Gnrh2, we used a cyprinid teleost, zebrafish, which has 2 forms of Gnrh, Gnrh2 and Gnrh3, to generate a knockout zebrafish line which contains a frameshift mutation and subsequent disruption of the coding for the functional Gnrh2 peptide. We examined differences in reproduction, feeding, growth, and mobility in this line, and discovered major differences in feeding and growth parameters, suggesting that Gnrh2 is a potent anorexigen in zebrafish. Additionally, there were no differences in mobility except for increased distances swam during feeding periods. There were no major differences in reproductive success, however, female gnrh2-/- zebrafish exhibited smaller oocytes and increased embryo mortality, indicating slightly decreased oocyte quality. Additionally, there were changes in the expression levels of many feeding, growth, and reproductive neuropeptides in gnrh2-/- zebrafish. Taken together, these findings suggest a role for Gnrh2 in controlling satiation in zebrafish along with a minor role in maintaining optimal oocyte quality in females.


Subject(s)
Feeding Behavior , Gene Knockout Techniques , Gonadotropin-Releasing Hormone/metabolism , Oocytes/metabolism , Zebrafish/metabolism , Animals , Body Weight , Female , Gonadotropin-Releasing Hormone/deficiency , Gonads/metabolism , Reproduction/physiology , Time Factors
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