De novo frameshift mutation in fibroblast growth factor 8 in a male patient with gonadotropin deficiency.

نویسندگان

  • Erina Suzuki
  • Shuichi Yatsuga
  • Maki Igarashi
  • Mami Miyado
  • Kazuhiko Nakabayashi
  • Keiko Hayashi
  • Kenichirou Hata
  • Akihiro Umezawa
  • Gen Yamada
  • Tsutomu Ogata
  • Maki Fukami
چکیده

BACKGROUND/AIMS Missense, nonsense, and splice mutations in the Fibroblast Growth Factor 8(FGF8) have recently been identified in patients with hypothalamo-pituitary dysfunction and craniofacial anomalies. Here, we report a male patient with a frameshift mutation in FGF8. CASE REPORT The patient exhibited micropenis, craniofacial anomalies, and ventricular septal defect at birth. Clinical evaluation at 16 years and 8 months of age revealed delayed puberty, hyposmia, borderline mental retardation, and mild hearing difficulty. Endocrine findings included gonadotropin deficiency and primary hypothyroidism. RESULTS Molecular analysis identified a de novo heterozygous p.S192fsX204 mutation in the last exon of FGF8. RT-PCR analysis of normal human tissues detected FGF8 expression in the genital skin, and whole-mount in situ hybridization analysis of mouse embryos revealed Fgf8 expression in the anlage of the penis. CONCLUSION The results indicate that frameshift mutations in FGF8 account for a part of the etiology of hypothalamo-pituitary dysfunction. Micropenis in patients with FGF8 abnormalities appears to be caused by gonadotropin deficiency and defective outgrowth of the anlage of the penis.

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عنوان ژورنال:
  • Hormone research in paediatrics

دوره 81 2  شماره 

صفحات  -

تاریخ انتشار 2014