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Endocrine Reviews 21 (5): 551-583
Copyright © 2000 by The Endocrine Society

Mutations of Gonadotropins and Gonadotropin Receptors: Elucidating the Physiology and Pathophysiology of Pituitary-Gonadal Function

Axel P. N. Themmen1 and Ilpo T. Huhtaniemi

Department of Endocrinology and Reproduction (A.P.N.T.), Erasmus University Rotterdam, 3000 DR Rotterdam, The Netherlands; and Department of Physiology (I.T.H.), University of Turku, 20520 Turku, Finland

The recent unraveling of structures of genes for the gonadotropin subunits and gonadotropin receptors has provided reproductive endocrinologists with new tools to study normal and pathological functions of the hypothalamic-pituitary-gonadal axis. Rare inactivating mutations that produce distinctive phenotypes of isolated LH or FSH deficiency have been discovered in gonadotropin subunit genes. In addition, there is a common polymorphism in the LHß subunit gene with possible clinical significance as a contributing factor to pathologies of LH-dependent gonadal functions. Both activating and inactivating mutations have been detected in the gonadotropin receptor genes, a larger number in the LH receptor gene, but so far only a few in the gene for the FSH receptor. These mutations corroborate and extend our knowledge of clinical consequences of gonadotropin resistance and inappropriate gonadotropin action. The information obtained from human mutations has been complemented by animal models with disrupted or inappropriately activated gonadotropin ligand or receptor genes. These clinical and experimental genetic disease models form a powerful tool for exploring the physiology and pathophysiology of gonadotropin function and provide an excellent example of the power of molecular biological approaches in the study of pathogenesis of diseases.




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H. F. Vischer, J. C. M. Granneman, and J. Bogerd
Opposite Contribution of Two Ligand-Selective Determinants in the N-Terminal Hormone-Binding Exodomain of Human Gonadotropin Receptors
Mol. Endocrinol., October 1, 2003; 17(10): 1972 - 1981.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
K. H. Burns, G. E. Owens, S. C. Ogbonna, J. H. Nilson, and M. M. Matzuk
Expression Profiling Analyses of Gonadotropin Responses and Tumor Development in the Absence of Inhibins
Endocrinology, October 1, 2003; 144(10): 4492 - 4507.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
N. de Roux, E. Genin, J.-C. Carel, F. Matsuda, J.-L. Chaussain, and E. Milgrom
Hypogonadotropic hypogonadism due to loss of function of the KiSS1-derived peptide receptor GPR54
PNAS, September 16, 2003; 100(19): 10972 - 10976.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
T. Hirakawa and M. Ascoli
A Constitutively Active Somatic Mutation of the Human Lutropin Receptor Found in Leydig Cell Tumors Activates the Same Families of G Proteins as Germ Line Mutations Associated with Leydig Cell Hyperplasia
Endocrinology, September 1, 2003; 144(9): 3872 - 3878.
[Abstract] [Full Text] [PDF]


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NEJMHome page
C. Vasseur, P. Rodien, I. Beau, A. Desroches, C. Gerard, L. de Poncheville, S. Chaplot, F. Savagner, A. Croue, E. Mathieu, et al.
A Chorionic Gonadotropin-Sensitive Mutation in the Follicle-Stimulating Hormone Receptor as a Cause of Familial Gestational Spontaneous Ovarian Hyperstimulation Syndrome
N. Engl. J. Med., August 21, 2003; 349(8): 753 - 759.
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J. Clin. Endocrinol. Metab.Home page
G. Meduri, P. Touraine, I. Beau, O. Lahuna, A. Desroches, M. C. Vacher-Lavenu, F. Kuttenn, and M. Misrahi
Delayed Puberty and Primary Amenorrhea Associated with a Novel Mutation of the Human Follicle-Stimulating Hormone Receptor: Clinical, Histological, and Molecular Studies
J. Clin. Endocrinol. Metab., August 1, 2003; 88(8): 3491 - 3498.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
A. Ulloa-Aguirre, C. Timossi, J. Barrios-de-Tomasi, A. Maldonado, and P. Nayudu
Impact of Carbohydrate Heterogeneity in Function of Follicle-Stimulating Hormone: Studies Derived from in Vitro and in Vivo Models
Biol Reprod, August 1, 2003; 69(2): 379 - 389.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
K. Tajima, A. Dantes, Z. Yao, K. Sorokina, F. Kotsuji, R. Seger, and A. Amsterdam
Down-Regulation of Steroidogenic Response to Gonadotropins in Human and Rat Preovulatory Granulosa Cells Involves Mitogen-Activated Protein Kinase Activation and Modulation of DAX-1 and Steroidogenic Factor-1
J. Clin. Endocrinol. Metab., May 1, 2003; 88(5): 2288 - 2299.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
N. C. Zachos, R. B. Billiar, E. D. Albrecht, and G. J. Pepe
Developmental Regulation of Follicle-Stimulating Hormone Receptor Messenger RNA Expression in the Baboon Fetal Ovary
Biol Reprod, May 1, 2003; 68(5): 1911 - 1917.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
H. F. Vischer, J. C. M. Granneman, M. J. Noordam, S. Mosselman, and J. Bogerd
Ligand Selectivity of Gonadotropin Receptors. ROLE OF THE beta -STRANDS OF EXTRACELLULAR LEUCINE-RICH REPEATS 3 AND 6 OF THE HUMAN LUTEINIZING HORMONE RECEPTOR
J. Biol. Chem., April 25, 2003; 278(18): 15505 - 15513.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
B. L. Powell, D. Piersma, M. E. Kevenaar, I. L. van Staveren, A. P. N. Themmen, B. J. Iacopetta, and E. M. J. J. Berns
Luteinizing Hormone Signaling and Breast Cancer: Polymorphisms and Age of Onset
J. Clin. Endocrinol. Metab., April 1, 2003; 88(4): 1653 - 1657.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
H. Shinozaki, V. Butnev, Y.-X. Tao, K. L. Ang, M. Conti, and D. L. Segaloff
Desensitization of Gs-Coupled Receptor Signaling by Constitutively Active Mutants of the Human Lutropin/Choriogonadotropin Receptor
J. Clin. Endocrinol. Metab., March 1, 2003; 88(3): 1194 - 1204.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Haywood, J. Spaliviero, M. Jimemez, N. J. C. King, D. J. Handelsman, and C. M. Allan
Sertoli and Germ Cell Development in Hypogonadal (hpg) Mice Expressing Transgenic Follicle-Stimulating Hormone Alone or in Combination with Testosterone
Endocrinology, February 1, 2003; 144(2): 509 - 517.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
L. A. Allen, J. C. Achermann, P. Pakarinen, T. J. Kotlar, I. T. Huhtaniemi, J. L. Jameson, T. D. Cheetham, and S. G. Ball
A novel loss of function mutation in exon 10 of the FSH receptor gene causing hypergonadotrophic hypogonadism: clinical and molecular characteristics
Hum. Reprod., February 1, 2003; 18(2): 251 - 256.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
H.F. Vischer and J. Bogerd
Cloning and Functional Characterization of a Gonadal Luteinizing Hormone Receptor Complementary DNA from the African Catfish (Clarias gariepinus)
Biol Reprod, January 1, 2003; 68(1): 262 - 271.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
R. A. Anderson and D. T. Baird
Male Contraception
Endocr. Rev., December 1, 2002; 23(6): 735 - 762.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
M. Conti
Specificity of the Cyclic Adenosine 3',5'-Monophosphate Signal in Granulosa Cell Function
Biol Reprod, December 1, 2002; 67(6): 1653 - 1661.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. Pakarinen, S. Kimura, F. El-Gehani, L. J. Pelliniemi, and I. Huhtaniemi
Pituitary Hormones Are Not Required for Sexual Differentiation of Male Mice: Phenotype of the T/ebp/Nkx2.1 Null Mutant Mice
Endocrinology, November 1, 2002; 143(11): 4477 - 4482.
[Abstract] [Full Text] [PDF]


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Mol Hum ReprodHome page
T. Lamminen, M. Jiang, P. R. Manna, P. Pakarinen, H. Simonsen, R. J. Herrera, and I. Huhtaniemi
Functional study of a recombinant form of human LH{beta}-subunit variant carrying the Gly102Ser mutation found in Asian populations
Mol. Hum. Reprod., October 1, 2002; 8(10): 887 - 892.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
S. B. Rulli, A. Kuorelahti, O. Karaer, L. J. Pelliniemi, M. Poutanen, and I. Huhtaniemi
Reproductive Disturbances, Pituitary Lactotrope Adenomas, and Mammary Gland Tumors in Transgenic Female Mice Producing High Levels of Human Chorionic Gonadotropin
Endocrinology, October 1, 2002; 143(10): 4084 - 4095.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
K. H. Burns and M. M. Matzuk
Minireview: Genetic Models for the Study of Gonadotropin Actions
Endocrinology, August 1, 2002; 143(8): 2823 - 2835.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
U. Pfeffer, D. Bisacchi, M. Morini, R. Benelli, S. Minghelli, A. Vacca, D. M. Noonan, and A. Albini
Human Chorionic Gonadotropin Inhibits Kaposi's Sarcoma Associated Angiogenesis, Matrix Metalloprotease Activity, and Tumor Growth
Endocrinology, August 1, 2002; 143(8): 3114 - 3121.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
Y.-X. Tao, D. Mizrachi, and D. L. Segaloff
Chimeras of the Rat and Human FSH Receptors (FSHRs) Identify Residues that Permit or Suppress Transmembrane 6 Mutation-Induced Constitutive Activation of the FSHR via Rearrangements of Hydrophobic Interactions Between Helices 6 and 7
Mol. Endocrinol., August 1, 2002; 16(8): 1881 - 1892.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
S. Y. Hsu, K. Nakabayashi, and A. Bhalla
Evolution of Glycoprotein Hormone Subunit Genes in Bilateral Metazoa: Identification of Two Novel Human Glycoprotein Hormone Subunit Family Genes, GPA2 and GPB5
Mol. Endocrinol., July 1, 2002; 16(7): 1538 - 1551.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
C. Betterle, C. Dal Pra, F. Mantero, and R. Zanchetta
Autoimmune Adrenal Insufficiency and Autoimmune Polyendocrine Syndromes: Autoantibodies, Autoantigens, and Their Applicability in Diagnosis and Disease Prediction
Endocr. Rev., June 1, 2002; 23(3): 327 - 364.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. C. Achermann, G. Ozisik, J. J. Meeks, and J. L. Jameson
Genetic Causes of Human Reproductive Disease
J. Clin. Endocrinol. Metab., June 1, 2002; 87(6): 2447 - 2454.
[Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. W. M. Martens, S. Lumbroso, M. Verhoef-Post, V. Georget, A. Richter-Unruh, M. Szarras-Czapnik, T. E. Romer, H. G. Brunner, A. P. N. Themmen, and Ch. Sultan
Mutant Luteinizing Hormone Receptors in a Compound Heterozygous Patient with Complete Leydig Cell Hypoplasia: Abnormal Processing Causes Signaling Deficiency
J. Clin. Endocrinol. Metab., June 1, 2002; 87(6): 2506 - 2513.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
M. Ascoli, F. Fanelli, and D. L. Segaloff
The Lutropin/Choriogonadotropin Receptor, A 2002 Perspective
Endocr. Rev., April 1, 2002; 23(2): 141 - 174.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
G. Smits, C. Govaerts, I. Nubourgh, L. Pardo, G. Vassart, and S. Costagliola
Lysine 183 and Glutamic Acid 157 of the TSH Receptor: Two Interacting Residues with a Key Role in Determining Specificity toward TSH and Human CG
Mol. Endocrinol., April 1, 2002; 16(4): 722 - 735.
[Abstract] [Full Text] [PDF]


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Mol Hum ReprodHome page
A. Rannikko, P. Pakarinen, P. R. Manna, I. Beau, M. Misrahi, K. Aittomaki, and I. Huhtaniemi
Functional characterization of the human FSH receptor with an inactivating Ala189Val mutation
Mol. Hum. Reprod., April 1, 2002; 8(4): 311 - 317.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. Richter-Unruh, H. T. Wessels, U. Menken, M. Bergmann, K. Schmittmann-Ohters, J. Schaper, S. Tappeser, and B. P. Hauffa
Male LH-Independent Sexual Precocity in a 3.5-Year-Old Boy Caused by a Somatic Activating Mutation of the LH Receptor in a Leydig Cell Tumor
J. Clin. Endocrinol. Metab., March 1, 2002; 87(3): 1052 - 1056.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
E. Doherty, P. Pakarinen, A. Tiitinen, A. Kiilavuori, I. Huhtaniemi, S. Forrest, and K. Aittomaki
A Novel Mutation in the FSH Receptor Inhibiting Signal Transduction and Causing Primary Ovarian Failure
J. Clin. Endocrinol. Metab., March 1, 2002; 87(3): 1151 - 1155.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
T. Hirakawa, C. Galet, and M. Ascoli
MA-10 Cells Transfected with the Human Lutropin/Choriogonadotropin Receptor (hLHR): A Novel Experimental Paradigm to Study the Functional Properties of the hLHR
Endocrinology, March 1, 2002; 143(3): 1026 - 1035.
[Abstract] [Full Text] [PDF]


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Hum Mol GenetHome page
P. R. Manna, L. Joshi, V. N. Reinhold, M. L. Aubert, N. Suganuma, K. Pettersson, and I. T. Huhtaniemi
Synthesis, purification and structural and functional characterization of recombinant form of a common genetic variant of human luteinizing hormone
Hum. Mol. Genet., February 1, 2002; 11(3): 301 - 315.
[Abstract] [Full Text] [PDF]




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