LGR4 deficiency results in delayed puberty through impaired Wnt/β-catenin signaling
File(s)jci.insight.133434.sd.pdf (3.66 MB)
Supporting information
OA Location
Author(s)
Type
Journal Article
Abstract
The initiation of puberty is driven by an upsurge in hypothalamic gonadotropin-releasing hormone (GnRH) secretion. In turn, GnRH secretion upsurge depends on the development of a complex GnRH neuroendocrine network during embryonic life. Although delayed puberty (DP) affects up to 2% of the population, is highly heritable, and is associated with adverse health outcomes, the genes underlying DP remain largely unknown. We aimed to discover regulators by whole-exome sequencing of 160 individuals of 67 multigenerational families in our large, accurately phenotyped DP cohort. LGR4 was the only gene remaining after analysis that was significantly enriched for potentially pathogenic, rare variants in 6 probands. Expression analysis identified specific Lgr4 expression at the site of GnRH neuron development. LGR4 mutant proteins showed impaired Wnt/β-catenin signaling, owing to defective protein expression, trafficking, and degradation. Mice deficient in Lgr4 had significantly delayed onset of puberty and fewer GnRH neurons compared with WT, whereas lgr4 knockdown in zebrafish embryos prevented formation and migration of GnRH neurons. Further, genetic lineage tracing showed strong Lgr4-mediated Wnt/β-catenin signaling pathway activation during GnRH neuron development. In conclusion, our results show that LGR4 deficiency impairs Wnt/β-catenin signaling with observed defects in GnRH neuron development, resulting in a DP phenotype.
Date Issued
2020-06-04
Date Acceptance
2020-04-23
Citation
JCI insight, 2020, 5 (11), pp.1-17
ISSN
2379-3708
Publisher
American Society for Clinical Investigation
Start Page
1
End Page
17
Journal / Book Title
JCI insight
Volume
5
Issue
11
Copyright Statement
© 2020, Mancini et
al. This is an open access article
published under the terms of the
Creative Commons Attribution 4.0
International License.
al. This is an open access article
published under the terms of the
Creative Commons Attribution 4.0
International License.
Sponsor
Wellcome Trust
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32493844
PII: 133434
Grant Number
WT/104955/Z/14/Z
Subjects
Endocrinology
G-protein coupled receptors
Molecular genetics
Neuroendocrine regulation
Reproductive Biology
Publication Status
Published
Coverage Spatial
United States
Article Number
ARTN e133434
Date Publish Online
2020-06-04