DLG2 variants in patients with pubertal disorders.

DLG2 variants in patients with pubertal disorders.
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DOI:
10.1038/s41436-020-0803-8
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发表时间:
2020-08
期刊:
Genetics in medicine : official journal of the American College of Medical Genetics
影响因子:
--
通讯作者:
Baron J
Baron J
中科院分区:
其他
文献类型:
--
作者:
Jee YH;Won S;Lui JC;Jennings M;Whalen P;Yue S;Temnycky AG;Barnes KM;Cheetham T;Boden MG;Radovick S;Quinton R;Leschek EW;Aguilera G;Yanovski JA;Seminara SB;Crowley WF;Delaney A;Roche KW;Baron J

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促性腺激素释放激素 (GnRH) 神经元功能受损可导致一系列表型,从青春期延迟到孤立性低促性腺激素性性腺功能减退症 (IHH)。我们试图找出这些病症的新遗传病因。外显子组测序是在一个常染色体显性遗传、青春期明显延迟的大家庭中进行的。在 GnRH 神经元细胞系中研究了该变体的影响。在一大群 IHH 患者中寻找同一基因的变异体。我们在DLG2(编码PSD-93)中发现了一个罕见的错义变异(F900V),它与青春期延迟共分离。该变体在体外降低了 GnRH 表达。 PSD-93 是 NMDA 受体的锚定蛋白,NMDA 受体是一种谷氨酸受体,与实验动物青春期的控制有关。 F900V 变体损害了 PSD-93 和已知的结合伙伴 Fyn 之间的相互作用,Fyn 会磷酸化 NMDA 受体。在 3 个不相关的 IHH 家族中发现了 DLG2 的变体,该变体也降低了 GnRH 的表达。研究结果表明,DLG2/PSD-93 的变异会导致常染色体显性青春期延迟,也可能导致 IHH。研究结果还表明,发病机制涉及 NMDA 受体信号传导受损,从而导致 GnRH 分泌减少。
Impaired function of gonadotropin-releasing hormone (GnRH) neurons can cause a phenotypic spectrum ranging from delayed puberty to isolated hypogonadotropic hypogonadism (IHH). We sought to identify a new genetic etiology for these conditions. Exome sequencing was performed in an extended family with autosomal dominant, markedly delayed puberty. The effects of the variant were studied in a GnRH neuronal cell line. Variants in the same gene were sought in a large cohort of individuals with IHH. We identified a rare missense variant (F900V) in DLG2 (which encodes PSD-93) that co-segregated with the delayed puberty. The variant decreased GnRH expression in vitro. PSD-93 is an anchoring protein of NMDA receptors, a type of glutamate receptor that has been implicated in the control of puberty in laboratory animals. The F900V variant impaired the interaction between PSD-93 and a known binding partner, Fyn, which phosphorylates NMDA receptors. Variants in DLG2 that also decreased GnRH expression were identified in 3 unrelated families with IHH. The findings indicate that variants in DLG2/PSD-93 cause autosomal dominant delayed puberty and may also contribute to IHH. The findings also suggest that the pathogenesis involves impaired NMDA receptor signaling and consequently decreased GnRH secretion.
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