Ontology highlight
ABSTRACT: Context
Loss-of-function mutations in the maternally imprinted genes, MKRN3 and DLK1, are associated with central precocious puberty (CPP). Mutations in MKRN3 are the most common known genetic etiology of CPP.Objective
This work aimed to screen patients with CPP for MKRN3 and DLK1 mutations and analyze the effects of identified mutations on protein function in vitro.Methods
Participants included 84 unrelated children with CPP (79 girls, 5 boys) and, when available, their first-degree relatives. Five academic medical institutions participated. Sanger sequencing of MKRN3 and DLK1 5' upstream flanking and coding regions was performed on DNA extracted from peripheral blood leukocytes. Western blot analysis was performed to assess protein ubiquitination profiles.Results
Eight heterozygous MKRN3 mutations were identified in 9 unrelated girls with CPP. Five are novel missense mutations, 2 were previously identified in patients with CPP, and 1 is a frameshift variant not previously associated with CPP. No pathogenic variants were identified in DLK1. Girls with MKRN3 mutations had an earlier age of initial pubertal signs and higher basal serum luteinizing hormone and follicle-stimulating hormone compared to girls with CPP without MRKN3 mutations. Western blot analysis revealed that compared to wild-type MKRN3, mutations within the RING finger domain reduced ubiquitination whereas the mutations outside this domain increased ubiquitination.Conclusion
MKRN3 mutations were present in 10.7% of our CPP cohort, consistent with previous studies. The novel identified mutations in different domains of MKRN3 revealed different patterns of ubiquitination, suggesting distinct molecular mechanisms by which the loss of MRKN3 results in early pubertal onset.
SUBMITTER: Magnotto JC
PROVIDER: S-EPMC10653150 | biostudies-literature | 2023 Jun
REPOSITORIES: biostudies-literature
Magnotto John C JC Mancini Alessandra A Bird Keisha K Montenegro Luciana L Tütüncüler Filiz F Pereira Sidney A SA Simas Vitoria V Garcia Leonardo L Roberts Stephanie A SA Macedo Delanie D Magnuson Melissa M Gagliardi Priscila P Mauras Nelly N Witchel Selma F SF Carroll Rona S RS Latronico Ana Claudia AC Kaiser Ursula B UB Abreu Ana Paula AP
The Journal of clinical endocrinology and metabolism 20230601 7
<h4>Context</h4>Loss-of-function mutations in the maternally imprinted genes, MKRN3 and DLK1, are associated with central precocious puberty (CPP). Mutations in MKRN3 are the most common known genetic etiology of CPP.<h4>Objective</h4>This work aimed to screen patients with CPP for MKRN3 and DLK1 mutations and analyze the effects of identified mutations on protein function in vitro.<h4>Methods</h4>Participants included 84 unrelated children with CPP (79 girls, 5 boys) and, when available, their ...[more]