Hypogonadotropic hypogonadism in an adult female with a heterozygous hypomorphic mutation of SOX2

Naoko Sato, Yusuke Kamachi, Hisato Kondoh, Yuichi Shima, Ken Ichirou Morohashi, Reiko Horikawa, Tsutomu Ogata

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42 Citations (Scopus)


Objective: Heterozygous SOX2 mutations have recently been reported to cause isolated hypogonadotropic hypogonadism (HH), in addition to ocular and brain abnormalities. Here, we report a further case with a heterozygous hypomorphic SOX2 mutation and isolated HH. Patient: The patient was a 28-year-old Japanese female with congenital right anophthalmia and poor pubertal development, who was found to have HH by a gonadotropin-releasing hormone test (peak serum LH, 2.3 mIU/ml; peak serum FSH, 2.9 mIU/ml). Other pituitary hormones were normal. Methods: We performed mutation analysis of SOX2 and functional studies of mutant SOX2 protein using the core enhancer sequence of the chicken δ-1-crystallin gene (DC5) and that of the mouse nestin gene (Nes30). Results: A heterozygous missense mutation (224T>A, Leu75Gln) was identified in the DNA-binding domain. The mutant SOX2 protein had a severely reduced (approximately 10%) DNA-binding affinity and a markedly diminished (20-30%) transactivation potential with no dominant negative effect. Conclusions: The results provide further support for the positive role of SOX2 in the regulation of gonadotropin production.

Original languageEnglish
Pages (from-to)167-171
Number of pages5
JournalEuropean journal of endocrinology
Issue number2
Publication statusPublished - Feb 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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