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Mutations in PROP1 cause familial combined pituitary hormone deficiency


Combined pituitary hormone deficiency (CPHD) in man denotes impaired production of growth hormone (GH) and one or more of the other five anterior pituitary hormones. Mutations of the pituitary transcription factor gene POU1F1 (the human homologue of mouse Pit1) are responsible for deficiencies of GH, prolactin and thyroid stimulating hormone (TSH) in Snell and Jackson dwarf mice and in man, while the production of adrenocorticotrophic hormone (ACTH), luteiniz-ing hormone (LH) and follicle stimulating hormone (FSH) is preserved. The Ames dwarf (df) mouse displays a similar phenotype, and appears to be epistatic to Snell and Jackson dwarfism. We have recently positionally cloned the putative Ames dwarf gene Prop1 (ref. 1)f which encodes a paired-like homeodomain protein that is expressed specifically in embryonic pituitary and is necessary for Pit1 expression. In this report we have identified four CPHD families with homozy-gosity or compound heterozygosity for inactivating mutations of PROP1. These mutations in the human PROP1 gene result in a gene product with reduced DNA-binding and transcriptional activation ability in comparison to the product of the murine df mutation. In contrast to individuals with POU1F1 mutations, those with PROP1 mutations cannot produce LH and FSH at a sufficient level and do not enter puberty spontaneously. Our results identify a major cause of CPHD in humans and suggest a direct or indirect role for PROP1 in the ontogenesis of pituitary gonadotropes, as well as somatotropes, lactotropes and caudomedial thyrotropes.

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  1. 1

    Sornson, M.W. et al Pituitary lineage determination by the Prophet of Pit-1 homeodomain factor defective in Ames dwarfism Nature 384, 327–333 (1996).

    CAS  Article  Google Scholar 

  2. 2

    Raskin, S. et al. Genetic mapping of the human pituitary-specific transcriptional factor gene and its analysis in familial panhypopituitary dwarfism. Hum. Genet. 98, 703–705 (1996).

    CAS  Article  Google Scholar 

  3. 3

    Bartke, A. The response of two types of dwarf mice to growth hormone, thyrotropin, and thyroxine. Gen. Comp. Endocrinol. 5, 418–426 (1965).

    CAS  Article  Google Scholar 

  4. 4

    Bartke, A. Genetic models in the study of anterior pituitary hormones, in Genetic Variation in hormone system (ed. Shire, J.) 111-126 (CRC Press, Boca Raton, 1979).

    Google Scholar 

  5. 5

    Buckwalter, M.S., Katz, R.W. & Camper, S.A. Localization of the panhypopituitary dwarf mutation (df) on mouse chromosome 11 in an intersubspecific backcross. Genomics 10, 515–526 (1991).

    CAS  Article  Google Scholar 

  6. 6

    Gage, P.J., Lossie, A.C., Scarlett, L.M., Lloyd, R.V. & Camper, S.A. Ames dwarf mice exhibit somatotrope commitment but lack growth hormone- releasing factor response. Endocrinology 136, 1161–1167 (1995).

    CAS  Article  Google Scholar 

  7. 7

    Gage, P.J., Roller, M.L., Saunders, T.L., Scarlett, L.M. & Camper, S.A. Anterior pituitary cells defective in the cell-autonomous factor, df, undergo cell lineage specification but not expansion. Development 122, 151–160 (1996).

    CAS  Google Scholar 

  8. 8

    Kappen, C., Schughart, K. & Ruddle, F.H. Early evolutionary origin of major homeodomain sequence classes. Genomics 18, 54–70 (1993).

    CAS  Article  Google Scholar 

  9. 9

    Andersen, B. et al. The Ames dwarf gene is required for Pit-1 gene activation. Dev. Biol. 172, 495–503 (1995).

    CAS  Article  Google Scholar 

  10. 10

    Tang, K., Bartke, A., Gardiner, C.S., Wagner, T.E. & Yun, J.S. Gonadotropin secretion, synthesis, and gene expression in human growth hormone transgenic mice and in Ames dwarf mice. Endocrinology 132, 2518–2524 (1993).

    CAS  Article  Google Scholar 

  11. 11

    Pf¨affle, R.W. et al. Mutation of the POU-specific domain of Pit-1 and hypopituitarism without pituitary hypoplasia. Science 257, 1118–1121 (1992).

    Article  Google Scholar 

  12. 12

    Cohen, L.E. et al. A ”hot spot“ in the Pit-1 gene responsible for combined pituitary hormone deficiency: clinical and molecular correlates. J. Clin. Endocrinol. Metab. 80, 679–684 (1995).

    CAS  PubMed  Google Scholar 

  13. 13

    Tatsumi, K. et al. Cretinism with combined hormone deficiency caused by a mutation in the PIT1 gene. Nature Genet. 1, 56–58 (1992).

    CAS  Article  Google Scholar 

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Wu, W., Cogan, J., Pfäffle, R. et al. Mutations in PROP1 cause familial combined pituitary hormone deficiency. Nat Genet 18, 147–149 (1998).

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