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Open Access Article

International Journal of Clinical Research. 2022; 6: (4) ; 41-45 ; DOI: 10.12208/j.ijcr.20220151.

A case of Congenital hypogonadotropic hypogonadism caused by FLRT3 gene mutation report and literature review
FLRT3基因突变致先天性促性腺功能减退症1例报道并文献复习

作者: 王爱萍 *, 周焕珍, 陈星宇

昆明市第一人民医院儿童生长发育管理中心 云南昆明

*通讯作者: 王爱萍,单位:昆明市第一人民医院儿童生长发育管理中心 云南昆明;

发布时间: 2022-06-30 总浏览量: 488

摘要

目的 报道1例FLRT3基因新发杂合变异导致先天性促性腺功能减退症病例。方法 回顾分析1例先天性促性腺功能减退症患儿的临床资料,并检索相关文献,总结其基因型及临床特点。结果 患儿女,16岁,存在无月经初潮表现。基因分析显示患儿FLRT3基因有一个新发杂合变异c.1484T>C(p.V495A),为错义变异。结论 许多基因突变与先天性促性腺功能减退症有关,尤其应注意关注“FGF8表达合成基因组”基因的突变。

关键词: FLRT3基因;先天性促性腺功能减退症;突变;文献复习

Abstract

Objective: To report a case of congenital hypogonadotropic hypogonadism with a new heterozygous variation in FLRT3 gene. Method The clinic data of congenital hypogonadotropic hypogonadism in a child were retrospectively analyzed ,the related literatures were reviewed and its clinical features and genotypes were summarized.
Results A girl, sixteen years old, had no menarche. Gene analysis showed that there was a new heterozygous variation in the FLRT3 gene of the girl, c.1484T>C(p.V495A),which was missense variants.
Conclusion  s A number of genes are associated with congenital GnRH deficiency,and need pay attention to variation in the FGF8 synexpression.

Key words: FLRT3 Gene; Congenital Hypogonadotropic Hypogonadism; Mutation; Literature Review

参考文献 References

[1] Bianco SD and Kaiser UB. The genetic and molecular basis of idiopathic hypogonadotropic hypogonadism[J]. Nat Rev Endocrinol, 2009,5(10):569–576.

[2] Topaloglu AK, Kotan LD. Genetics of Hypogonadotropic Hypogonadism [J]. Endocr Dev, 2016, 29:36-39.

[3] Tsang M,Friesel R,Kudoh T, et al. Identification of Sef, a novel modulator of FGF signalling[J]. Nat Cell Biol. 2002,4(2):165–169.

[4] Falardeau J, Chung WC, Beenken A, et al. Decreased FGF8 signaling causes deficiency of gonadotropin- releasing hormone in humans and mice[J]. J Clin Invest, 2008, 118(8):2822–2831.

[5] Chung WC, Moyle SS and Tsai PS. Fibroblast growth factor 8 signaling through fibroblast growth factor receptor1 is required for the emergence of gonadotropin- releasing hormone neurons[J]. Endocrinology ,2008, 149(10): 4997–5003.

[6] Miraoui H, Dwyer A and Pitteloud N. Role of fibroblast growth factor (FGF) signaling in the neuroendocrine control of human reproduction[J]. Mol Cell Endocrinol, 2011, 346(1-2): 37–43.

[7] Tsang M, Friesel R, Kudoh T, et al. Identification of Sef, a novel modulator of FGF signalling[J]. Nat Cell Biol,2002,4(2):165–169.

[8] Kawauchi S, Shou J, Santos R, et al.Fgf8 expression defines a morphogenetic center required for olfactory neurogenesis and nasal cavity development in the mouse[J]. Development,2005,132(23):5211–5223.

[9] Tucker ES, Lehtinen MK, Maynard T, et al.Proliferative and transcriptional identity of distinct classes of neural precursors in the mammalian olfactory epithelium[J]. Development,2010,37(15):2471–2481.

[10] Tornberg J, Sykiotis GP, Keefe K, et al.Heparan sulfate 6-O-sulfotransferase 1, a gene involved in extracellular sugar modifications, is mutated in patients with idiopathic hypogonadotrophic hypogonadism[J]. Proc Natl Acad. Sci USA ,2011,108(28):11524–11529.

[11] Hichem M, Andrew AD, Gerasimos PS,et al.Mutations in FGF17,IL17RD,DUSP6,SPRY4,and FLRT3 are identified in individuals with congenital hypogonadotropic hypogonadism[J]. Am J Hum Genet, 2013,92(5):725-743.

[12] 中华医学会内分泌学会性腺学组,特发性低促性腺激素性腺功能减退症诊治专家共识,中华内科杂志,2015, 54(8):739-744.

引用本文

王爱萍, 周焕珍, 陈星宇, FLRT3基因突变致先天性促性腺功能减退症1例报道并文献复习[J]. 国际临床研究杂志, 2022; 6: (4) : 41-45.