Discordance in the Dependence on Kisspeptin Signaling in Mini Puberty vs Adolescent Puberty: Human Genetic Evidence.

TitleDiscordance in the Dependence on Kisspeptin Signaling in Mini Puberty vs Adolescent Puberty: Human Genetic Evidence.
Publication TypeJournal Article
Year of Publication2018
AuthorsShahab, M, Lippincott, M, Chan, Y-M, Davies, A, Merino, PM, Plummer, L, Mericq, V, Seminara, S
JournalJ Clin Endocrinol Metab
Volume103
Issue4
Pagination1273-1276
Date Published2018 04 01
ISSN1945-7197
KeywordsCryptorchidism, Follicle Stimulating Hormone, Follow-Up Studies, Humans, Infant, Kisspeptins, Luteinizing Hormone, Male, Mutation, Missense, Penis, Receptors, Kisspeptin-1, Sexual Maturation, Signal Transduction, Testosterone
Abstract

Context: Hypothalamic kisspeptin signaling plays a critical role in the initiation and maintenance of reproductive function. Biallelic mutations in the coding sequence of KISS1R (GPR54) have been identified in patients with idiopathic hypogonadotropic hypogonadism, but it is unknown whether biallelic variants can also be associated with related reproductive disorders.

Case Description: A missense homozygous variant (c.890G>T p.R297L) in KISS1R was identified in a child who presented with microphallus and bilateral cryptorchidism. This variant has been reported to reduce, but not abolish, postreceptor signaling in vitro. Biochemical evaluation during the neonatal period revealed low testosterone levels. By 11 years and 8 months, the boy began demonstrating increases in testicular volume. By 17 years and 3 months, his testicular volume was 20 mL; his penile length was 7.3 cm; and he had adult levels of circulating gonadotropins and testosterone.

Conclusion: This case report associates biallelic loss-of-function mutations in KISS1R with normal timing of adolescent puberty. Because these coding sequence variants occurred in a patient with microphallus and cryptorchidism, they demonstrate different levels of dependence of the hypothalamic-pituitary-gonadal cascade on kisspeptin signaling at distinct times in the reproductive life span. The suppression of the hypothalamic-pituitary-gonadal cascade during early life but not adolescence suggests that the mini puberty of infancy depends more on kisspeptin-induced, gonadotropin-releasing hormone-induced luteinizing hormone secretion than does adolescent puberty.

DOI10.1210/jc.2017-02636
Alternate JournalJ. Clin. Endocrinol. Metab.
PubMed ID29452377
Grant ListP50 HD028138 / HD / NICHD NIH HHS / United States
UM1 HG006504 / HG / NHGRI NIH HHS / United States
2013110 / / Doris Duke Charitable Foundation / United States
S10 OD018521 / OD / NIH HHS / United States
R01 HD043341 / HD / NICHD NIH HHS / United States