Table 2.
Phenotypic and Genotypic Characteristics of Women With IHH Treated With iv GnRH
Subject no. | Age, y | BMI, kg/m2 | Baseline Study | Partial Puberty | Olfactory Phenotype | Nonreproductive Phenotype | Gonadotropin Levels (d 1–7)a |
Genetics |
||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
FSH | LH | Gene | Variant | Functional Data (Reference) | Prediction Programsb | |||||||
Normal response | ||||||||||||
1 | 20.0 | 22.7 | A | N | nIHH | High arched palate, scoliosis | TACR3 | p.W208X | Nonsense | |||
2 | 22.8 | 21.3 | A | N | nIHH | Neg | ||||||
3 | 36.9 | 23.5 | P | Y | nIHH | Cleft lip and palate, widely-spaced teeth | Neg | |||||
4 | 28.9 | 20.0 | A | N | nIHH | Partial empty sella | N.A. | |||||
5 | 36.4 | 28.3 | P | Y | nIHH | Marfanoid habitus | Neg | |||||
6 | 17.6 | 18.0 | A | N | KS | Ocular defect | CHD7 | c.3202–5 T>C (splice) | 0c | |||
7 | 26.6 | 33.6 | A | Y | KS | Ocular defect, short fourth metacarpal | FGFR1 | p.L630P | 4 | |||
8 | 33.2 | 18.0 | A | N | KS | Neg | ||||||
9 | 38.6 | 25.4 | P | Y | KS | Hearing loss | KAL1 | p.K185N | 2 | |||
10 | 31.5 | 18.8 | A | N | KS | Neg | ||||||
11 | 23.0 | 21.7 | P | N | KS | N.A. | ||||||
12 | 16.8 | 21.5 | P | N | KS | Neg | ||||||
13 | 18.5 | 18.9 | A | N | KS | Clinodactyly | Neg | |||||
14 | 31.8 | 25.9 | P | Y | KS | Neg | ||||||
15 | 25.5 | 24.3 | P | Y | nIHH | N.A. | ||||||
16 | 41.9 | 35.6 | P | Y | nIHH | Neg | ||||||
17 | 28.5 | 22.1 | P | N | nIHH | Neg | ||||||
18 | 23.8 | 25.6 | A | N | nIHH | TAC3 | p.R80S | 4 | ||||
19 | 38.6 | 18.2 | A | N | KS | Flat nasal bridge, PDA, hypoplastic fifth finger (CHAR syndrome) | N.A. | |||||
20 | 32.2 | 26.5 | P | Y | KS | Neg | ||||||
21 | 34.8 | 18.1 | A | Y | nIHH | N.A. | ||||||
22 | 19.9 | 26.9 | A | Y | KS | Widely-spaced teeth | CHD7 | p.L373F | 1 | |||
Abnormal, pituitary resistance | ||||||||||||
23 | 23.4 | 20.9 | A | Y | nIHH | ↓ | ↓ | Neg | ||||
24 | 27.9 | 21.7 | P | N | KS | Short fourth metacarpal | NI | ↓ | FGFR1, GNRHR | p.R470L; p.Q106R, p.R262 (all partiald) | (26, 35, 37) | |
25 | 39.4 | 42.8 | A | Y | KS | Clinodactyly, flat nasal bridge | ↓ | ↓ | Neg | |||
26 | 30.0 | 23.3 | A | N | nIHH | Partial empty sella | NI | ↓ | PROKR2 | p.L173R (partial) | (25) | |
27 | 35.5 | 28.2 | A | Y | nIHH | ↓ | ↓ | GNRHR | p.M1T + p.R139H (complete); p.Q106R (partial) | Start codon (35) | ||
28 | 29.9 | 43.8 | A | Y | nIHH | ↓ | ↓ | Neg | ||||
29 | 43.0 | 36.0 | A | Y | nIHH | Widely-spaced teeth | ↓ | ↓ | Neg | |||
30 | 27.1 | 37.7 | A | Y | KS | NI | ↓ | Neg | ||||
31 | 33.5 | 27.7 | A | Y | nIHH | ↓ | ↓ | N.A. | ||||
32 | 17.6 | 26.4 | A | N | KS | ↓ | ↓ | Neg | ||||
33 | 32.3 | 32.4 | A | Y | KS | Syndactyly, pes planus | ↓ | ↓ | Neg | |||
34 | 26.7 | 20.1 | P | Y | nIHH | NI | ↓ | GNRHR | p.N10K+p.Q11K (partial); p.P320L (complete) | (34, 36) | ||
Abnormal, ovarian resistance | ||||||||||||
35 | 41.0 | 22.3 | A | N | nIHH | ↑ | ↑ | Neg | ||||
36 | 35.9 | 22.8 | A | N | nIHH | Mitral valve prolapse | ↑ | ↑ | Neg | |||
37 | 31.2 | 28.9 | A | N | nIHH | Cleft palate | ↑ | NI | Neg | |||
63-year-old woman | ||||||||||||
38 | 63.0 | 23.5 | A | N | nIHH | ↑ | ↑ | PROK2 | p.155fsX1 (complete) | (32) |
Abbreviations: A, apulsatile; KS, Kallmann's (anosmic or hyposmic IHH); N, no; N.A., DNA sample not available; Neg, negative; NI, normal; nIHH, normosmic IHH; P, pulsatile; Y, yes; ↑, high; ↓, low.
Gonadotropin levels during the first week of GnRH treatment relative to normal IHH responders.
Number of prediction programs (of 5) predicting this mutation to be deleterious.
A single prediction program, Human Splicing Finder, does not predict that this variant will alter splicing.
Refers to partial or complete loss of function.