Testicular and Ovarian Resistance to Luteinizing Hormone Caused by Inactivating Mutations of the Luteinizing HormoneReceptor Gene
Ana C. Latronico, M.D., James Anasti, M.D., Ivo J.P. Arnhold, M.D., Ph.D., Robert Rapaport, M.D., Berenice B. Mendonca, M.D., Ph.D., Walter Bloise, M.D., Ph.D., Margaret Castro, M.D., Ph.D., Constantine Tsigos, M.D., Ph.D., and George P. Chrousos, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
In normal males, luteinizing hormone (LH) regulates the functionof Leydig cells and, hence, male sexual differentiation, pubertalandrogenization, male sexual function, and fertility. Abnormalitiesin the function of Leydig cells result in primary hypogonadismand varying degrees of male pseudohermaphroditism.1-5 In thesepatients, Leydig cells are absent, hypoplastic, or unresponsiveto stimulation with human chorionic gonadotropin (hCG), andstudies of testicular-biopsy samples from some patients haverevealed the absence of LH receptors.2,3
In normal women, LH stimulates the theca cells to produce androgenprecursors for aromatization to estradiol by granulosa cellsduring the follicular phase of the menstrual cycle.6 . . . [Full Text of this Article]
Case Reports
Family 1
Family 2
Methods
DNA Sequencing
Transfection and Functional Studies
Ribonuclease Protection Assay and Reverse-Transcriptase PCR
Results
Sequencing of the LH-Receptor Gene
LH Binding and Responsiveness in Cells Transfected with Wild-Type and Mutant LH-Receptor cDNA
Expression of LH-Receptor mRNA in Transfected Cells
Discussion
Source Information
From the Developmental Endocrinology Branch, National Institute of Child Health and Human Development, Bethesda, Md. (A.C.L., J.A., M.C., C.T., G.P.C.); the Department of Pediatric Endocrinology and Metabolism, Children's Hospital of New Jersey, and New Jersey Medical School, both in Newark (R.R.); and the Division of Endocrinology, Hospital das Clínicas, University of São Paulo, Brazil (I.J.P.A., B.B.M., W.B.).
Address reprint requests to Dr. Chrousos at the National Institutes of Health, Bldg. 10, Rm. 10N262, Bethesda, MD 20892.
References
This article has been cited by other articles:
Guan, R., Feng, X., Wu, X., Zhang, M., Zhang, X., Hebert, T. E., Segaloff, D. L.
(2009). Bioluminescence Resonance Energy Transfer Studies Reveal Constitutive Dimerization of the Human Lutropin Receptor and a Lack of Correlation between Receptor Activation and the Propensity for Dimerization. J. Biol. Chem.
284: 7483-7494
[Abstract][Full Text]
Mansouri, M. R., Schuster, J., Badhai, J., Stattin, E.-L., Losel, R., Wehling, M., Carlsson, B., Hovatta, O., Karlstrom, P. O., Golovleva, I., Toniolo, D., Bione, S., Peluso, J., Dahl, N.
(2008). Alterations in the expression, structure and function of progesterone receptor membrane component-1 (PGRMC1) in premature ovarian failure. Hum Mol Genet
17: 3776-3783
[Abstract][Full Text]
Bruysters, M., Christin-Maitre, S., Verhoef-Post, M., Sultan, C., Auger, J., Faugeron, I., Larue, L., Lumbroso, S., Themmen, A.P.N., Bouchard, P.
(2008). A new LH receptor splice mutation responsible for male hypogonadism with subnormal sperm production in the propositus, and infertility with regular cycles in an affected sister. Hum Reprod
23: 1917-1923
[Abstract][Full Text]
Kang, H., Lee, S. K., Kim, M.-H., Song, J., Bae, S. J., Kim, N. K., Lee, S.-H., Kwack, K.
(2008). Parathyroid hormone-responsive B1 gene is associated with premature ovarian failure. Hum Reprod
23: 1457-1465
[Abstract][Full Text]
Lofrano-Porto, A., Barra, G. B., Giacomini, L. A., Nascimento, P. P., Latronico, A. C., Casulari, L. A., da Rocha Neves, F. d. A.
(2007). Luteinizing Hormone Beta Mutation and Hypogonadism in Men and Women. NEJM
357: 897-904
[Abstract][Full Text]
Leung, M. Y.-K., Steinbach, P. J., Bear, D., Baxendale, V., Fechner, P. Y., Rennert, O. M., Chan, W.-Y.
(2006). Biological Effect of a Novel Mutation in the Third Leucine-Rich Repeat of Human Luteinizing Hormone Receptor. Mol. Endocrinol.
20: 2493-2503
[Abstract][Full Text]
Harris, S. E., Chand, A. L., Winship, I. M., Gersak, K., Nishi, Y., Yanase, T., Nawata, H., Shelling, A. N.
(2005). INHA promoter polymorphisms are associated with premature ovarian failure. Mol Hum Reprod
11: 779-784
[Abstract][Full Text]
Yamashita, S., Nakamura, K., Omori, Y., Tsunekawa, K., Murakami, M., Minegishi, T.
(2005). Association of Human Follitropin (FSH) Receptor with Splicing Variant of Human Lutropin/Choriogonadotropin Receptor Negatively Controls the Expression of Human FSH Receptor. Mol. Endocrinol.
19: 2099-2111
[Abstract][Full Text]
Goswami, D., Conway, G. S.
(2005). Premature ovarian failure. Hum Reprod Update
11: 391-410
[Abstract][Full Text]
Richter-Unruh, A, Korsch, E, Hiort, O, Holterhus, P M, Themmen, A P, Wudy, S A
(2005). Novel insertion frameshift mutation of the LH receptor gene: problematic clinical distinction of Leydig cell hypoplasia from enzyme defects primarily affecting testosterone biosynthesis. Eur J Endocrinol
152: 255-259
[Abstract][Full Text]
Welt, C. K., Hall, J. E., Adams, J. M., Taylor, A. E.
(2005). Relationship of Estradiol and Inhibin to the Follicle-Stimulating Hormone Variability in Hypergonadotropic Hypogonadism or Premature Ovarian Failure. J. Clin. Endocrinol. Metab.
90: 826-830
[Abstract][Full Text]
Gersak, K., Harris, S. E., Smale, W. J., Shelling, A. N.
(2004). A novel 30 bp deletion in the FOXL2 gene in a phenotypically normal woman with primary amenorrhoea: Case report. Hum Reprod
19: 2767-2770
[Abstract][Full Text]
Wong, T.-T., Zohar, Y.
(2004). Novel Expression of Gonadotropin Subunit Genes in Oocytes of the Gilthead Seabream (Sparus aurata). Endocrinology
145: 5210-5220
[Abstract][Full Text]
Richter-Unruh, A., Verhoef-Post, M., Malak, S., Homoki, J., Hauffa, B. P., Themmen, A. P. N.
(2004). Leydig Cell Hypoplasia: Absent Luteinizing Hormone Receptor Cell Surface Expression Caused by a Novel Homozygous Mutation in the Extracellular Domain. J. Clin. Endocrinol. Metab.
89: 5161-5167
[Abstract][Full Text]
Tao, Y.-X., Johnson, N. B., Segaloff, D. L.
(2004). Constitutive and Agonist-dependent Self-association of the Cell Surface Human Lutropin Receptor. J. Biol. Chem.
279: 5904-5914
[Abstract][Full Text]
Hirshberg, B., Conn, P. M., Uwaifo, G. I., Blauer, K. L., Clark, B. D., Nieman, L. K.
(2003). Ectopic Luteinizing Hormone Secretion and Anovulation. NEJM
348: 312-317
[Full Text]
Angelova, K., Fanelli, F., Puett, D.
(2002). A Model for Constitutive Lutropin Receptor Activation Based on Molecular Simulation and Engineered Mutations in Transmembrane Helices 6 and 7. J. Biol. Chem.
277: 32202-32213
[Abstract][Full Text]
Harris, S.E., Chand, A.L., Winship, I.M., Gersak, K., Aittomaki, K., Shelling, A.N.
(2002). Identification of novel mutations in FOXL2 associated with premature ovarian failure. Mol Hum Reprod
8: 729-733
[Abstract][Full Text]
Burns, K. H., Matzuk, M. M.
(2002). Minireview: Genetic Models for the Study of Gonadotropin Actions. Endocrinology
143: 2823-2835
[Abstract][Full Text]
Achermann, J. C., Ozisik, G., Meeks, J. J., Jameson, J. L.
(2002). Genetic Causes of Human Reproductive Disease. J. Clin. Endocrinol. Metab.
87: 2447-2454
[Full Text]
Kalantaridou, S. N., Chrousos, G. P.
(2002). Monogenic Disorders of Puberty. J. Clin. Endocrinol. Metab.
87: 2481-2494
[Full Text]
Martens, J. W. M., Lumbroso, S., Verhoef-Post, M., Georget, V., Richter-Unruh, A., Szarras-Czapnik, M., Romer, T. E., Brunner, H. G., Themmen, A. P. N., Sultan, Ch.
(2002). Mutant Luteinizing Hormone Receptors in a Compound Heterozygous Patient with Complete Leydig Cell Hypoplasia: Abnormal Processing Causes Signaling Deficiency. J. Clin. Endocrinol. Metab.
87: 2506-2513
[Abstract][Full Text]
Ascoli, M., Fanelli, F., Segaloff, D. L.
(2002). The Lutropin/Choriogonadotropin Receptor, A 2002 Perspective. Endocr. Rev.
23: 141-174
[Abstract][Full Text]
Layman, L C
(2002). Human gene mutations causing infertility. J. Med. Genet.
39: 153-161
[Abstract][Full Text]
Shelling, A. N., Burton, K. A., Chand, A. L., van Ee, C. C., France, J. T., Farquhar, C. M., Milsom, S. R., Love, D. R., Gersak, K., Aittomaki, K., Winship, I. M.
(2000). Inhibin: a candidate gene for premature ovarian failure. Hum Reprod
15: 2644-2649
[Abstract][Full Text]
Levy, D. P., Navarro, J. M., Schattman, G. L., Davis, O. K., Rosenwaks, Z.
(2000). The role of LH in ovarian stimulation: Exogenous LH: let's design the future. Hum Reprod
15: 2258-2265
[Abstract][Full Text]
Themmen, A. P. N., Huhtaniemi, I. T.
(2000). Mutations of Gonadotropins and Gonadotropin Receptors: Elucidating the Physiology and Pathophysiology of Pituitary-Gonadal Function. Endocr. Rev.
21: 551-583
[Abstract][Full Text]
Angelova, K., Narayan, P., Simon, J. P., Puett, D.
(2000). Functional Role of Transmembrane Helix 7 in the Activation of the Heptahelical Lutropin Receptor. Mol. Endocrinol.
14: 459-471
[Abstract][Full Text]
Liu, G., Duranteau, L., Carel, J.-C., Monroe, J., Doyle, D. A., Shenker, A.
(1999). Leydig-Cell Tumors Caused by an Activating Mutation of the Gene Encoding the Luteinizing Hormone Receptor. NEJM
341: 1731-1736
[Full Text]
Zenteno, J. C., Canto, P., Kofman-Alfaro, S., Mendez, J. P.
(1999). Evidence for Genetic Heterogeneity in Male Pseudohermaphroditism due to Leydig Cell Hypoplasia. J. Clin. Endocrinol. Metab.
84: 3803-3806
[Abstract][Full Text]
Pralong, F. P., Gomez, F., Castillo, E., Cotecchia, S., Abuin, L., Aubert, M. L., Portmann, L., Gaillard, R. C.
(1999). Complete Hypogonadotropic Hypogonadism Associated with a Novel Inactivating Mutation of the Gonadotropin-Releasing Hormone Receptor. J. Clin. Endocrinol. Metab.
84: 3811-3816
[Abstract][Full Text]
Adashi, E. Y., Hennebold, J. D.
(1999). Single-Gene Mutations Resulting in Reproductive Dysfunction in Women. NEJM
340: 709-718
[Full Text]
Wu, S.-M., Hallermeier, K. M., Laue, L., Brain, C., Berry, A. C., Grant, D. B., Griffin, J. E., Wilson, J. D., Cutler, G. B. Jr., Chan, W.-Y.
(1998). Inactivation of the Luteinizing Hormone/Chorionic Gonadotropin Receptor by an Insertional Mutation in Leydig Cell Hypoplasia. Mol. Endocrinol.
12: 1651-1660
[Abstract][Full Text]
Phillip, M., Arbelle, J. E., Segev, Y., Parvari, R.
(1998). Male Hypogonadism Due to a Mutation in the Gene for the {beta}-Subunit of Follicle-Stimulating Hormone. NEJM
338: 1729-1732
[Full Text]
Martens, J. W. M., Verhoef-Post, M., Abelin, N., Ezabella, M., Toledo, S. P. A., Brunner, H. G., Themmen, A. P. N.
(1998). A Homozygous Mutation in the Luteinizing Hormone Receptor Causes Partial Leydig Cell Hypoplasia: Correlation between Receptor Activity and Phenotype. Mol. Endocrinol.
12: 775-784
[Abstract][Full Text]
Stavrou, S. S., Zhu, Y.-S., Cai, L.-Q., Katz, M. D., Herrera, C., DeFillo-Ricart, M., Imperato-McGinley, J.
(1998). A Novel Mutation of the Human Luteinizing Hormone Receptor in 46XY and 46XX Sisters. J. Clin. Endocrinol. Metab.
83: 2091-2098
[Abstract][Full Text]
Latronico, A. C., Chai, Y., Arnhold, I. J.P., Liu, X., Mendonca, B. B., Segaloff, D. L.
(1998). A Homozygous Microdeletion in Helix 7 of the Luteinizing Hormone Receptor Associated with Familial Testicular and Ovarian Resistance Is Due to Both Decreased Cell Surface Expression and Impaired Effector Activation by the Cell Surface Receptor. Mol. Endocrinol.
12: 442-450
[Abstract][Full Text]
de Roux, N., Young, J., Misrahi, M., Genet, R., Chanson, P., Schaison, G., Milgrom, E.
(1997). A Family with Hypogonadotropic Hypogonadism and Mutations in the Gonadotropin-Releasing Hormone Receptor. NEJM
337: 1597-1603
[Full Text]
Biebermann, H., Schoneberg, T., Krude, H., Schultz, G., Gudermann, T., Gruters, A.
(1997). Mutations of the Human Thyrotropin Receptor Gene Causing Thyroid Hypoplasia and Persistent Congenital Hypothyroidism. J. Clin. Endocrinol. Metab.
82: 3471-3480
[Abstract][Full Text]
Layman, L. C., Lee, E.-J., Peak, D. B., Namnoum, A. B., Vu, K. V., van Lingen, B. L., Gray, M. R., McDonough, P. G., Reindollar, R. H., Jameson, J. L.
(1997). Delayed Puberty and Hypogonadism Caused by Mutations in the Follicle-Stimulating Hormone {beta}-Subunit Gene. NEJM
337: 607-611
[Full Text]
Yano, K., Kohn, L. D., Saji, M., Okuno, A., Cutler, G. B. Jr.
(1997). Phe576 Plays an Important Role in the Secondary Structure and Intracellular Signaling of the Human Luteinizing Hormone/Chorionic Gonadotropin Receptor. J. Clin. Endocrinol. Metab.
82: 2586-2591
[Abstract][Full Text]
Misrahi, M., Meduri, G., Pissard, S., Bouvattier, C., Beau, I., Loosfelt, H., Jolivet, A., Rappaport, R., Milgrom, E., Bougneres, P.
(1997). Comparison of Immunocytochemical and Molecular Features with the Phenotype in a Case of Incomplete Male Pseudohermaphroditism Associated with a Mutation of the Luteinizing Hormone Receptor. J. Clin. Endocrinol. Metab.
82: 2159-2165
[Abstract][Full Text]
Zhang, F.-P., Rannikko, A. S., Manna, P. R., Fraser, H. M., Huhtaniemi, I. T.
(1997). Cloning and Functional Expression of the Luteinizing Hormone Receptor Complementary Deoxyribonucleic Acid from the Marmoset Monkey Testis: Absence of Sequences Encoding Exon 10 in Other Species. Endocrinology
138: 2481-2490
[Abstract][Full Text]
Kotlar, T. J., Young, R. H., Albanese, C., Crowley, W. F. Jr., Scully, R. E., Jameson, J. L.
(1997). A Mutation in the Follicle-Stimulating Hormone Receptor Occurs Frequently in Human Ovarian Sex Cord Tumors. J. Clin. Endocrinol. Metab.
82: 1020-1026
[Abstract][Full Text]
Fauser, B. C. J. M., van Heusden, A. M.
(1997). Manipulation of Human Ovarian Function: Physiological Concepts and Clinical Consequences. Endocr. Rev.
18: 71-106
[Abstract][Full Text]