Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.

<h4>Background</h4>The cause of isolated gonadotropin-independent precocious puberty (PP) with an ovarian cyst is unknown in the majority of cases. Here, we describe 11 new cases of peripheral PP and, based on phenotypes observed in mouse models, we tested the hypothesis that mutations i...

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Autores principales: Raja Brauner, Anu Bashamboo, Sébastien Rouget, Marie Goulet, Pascal Philibert, Hélène Sarda-Thibault, Christine Trivin, Micheline Misrahi, Charles Sultan, Ken McElreavey
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Publicado: Public Library of Science (PLoS) 2010
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spelling oai:doaj.org-article:7f36b6ec732441faa8a6520bfd8b36cc2021-12-02T20:20:29ZClinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.1932-620310.1371/journal.pone.0011282https://doaj.org/article/7f36b6ec732441faa8a6520bfd8b36cc2010-06-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20593028/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The cause of isolated gonadotropin-independent precocious puberty (PP) with an ovarian cyst is unknown in the majority of cases. Here, we describe 11 new cases of peripheral PP and, based on phenotypes observed in mouse models, we tested the hypothesis that mutations in the GNAS1, NR5A1, LHCGR, FSHR, NR5A1, StAR, DMRT4 and NOBOX may be associated with this phenotype.<h4>Methodology/principal findings</h4>11 girls with gonadotropin-independent PP were included in this study. Three girls were seen for a history of prenatal ovarian cyst, 6 girls for breast development, and 2 girls for vaginal bleeding. With one exception, all girls were seen before 8 years of age. In 8 cases, an ovarian cyst was detected, and in one case, suspected. One other case has polycystic ovaries, and the remaining case was referred for vaginal bleeding. Four patients had a familial history of ovarian anomalies and/or infertility. Mutations in the coding sequences of the candidate genes GNAS1, NR5A1, LHCGR, FSHR, NR5A1, StAR, DMRT4 and NOBOX were not observed.<h4>Conclusions/significance</h4>Ovarian PP shows markedly different clinical features from central PP. Our data suggest that mutations in the GNAS1, NR5A1, LHCGR, FSHR StAR, DMRT4 and NOBOX genes are not responsible for ovarian PP. Further research, including the identification of familial cases, is needed to understand the etiology of ovarian PP.Raja BraunerAnu BashambooSébastien RougetMarie GouletPascal PhilibertHélène Sarda-ThibaultChristine TrivinMicheline MisrahiCharles SultanKen McElreaveyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 5, Iss 6, p e11282 (2010)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Raja Brauner
Anu Bashamboo
Sébastien Rouget
Marie Goulet
Pascal Philibert
Hélène Sarda-Thibault
Christine Trivin
Micheline Misrahi
Charles Sultan
Ken McElreavey
Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
description <h4>Background</h4>The cause of isolated gonadotropin-independent precocious puberty (PP) with an ovarian cyst is unknown in the majority of cases. Here, we describe 11 new cases of peripheral PP and, based on phenotypes observed in mouse models, we tested the hypothesis that mutations in the GNAS1, NR5A1, LHCGR, FSHR, NR5A1, StAR, DMRT4 and NOBOX may be associated with this phenotype.<h4>Methodology/principal findings</h4>11 girls with gonadotropin-independent PP were included in this study. Three girls were seen for a history of prenatal ovarian cyst, 6 girls for breast development, and 2 girls for vaginal bleeding. With one exception, all girls were seen before 8 years of age. In 8 cases, an ovarian cyst was detected, and in one case, suspected. One other case has polycystic ovaries, and the remaining case was referred for vaginal bleeding. Four patients had a familial history of ovarian anomalies and/or infertility. Mutations in the coding sequences of the candidate genes GNAS1, NR5A1, LHCGR, FSHR, NR5A1, StAR, DMRT4 and NOBOX were not observed.<h4>Conclusions/significance</h4>Ovarian PP shows markedly different clinical features from central PP. Our data suggest that mutations in the GNAS1, NR5A1, LHCGR, FSHR StAR, DMRT4 and NOBOX genes are not responsible for ovarian PP. Further research, including the identification of familial cases, is needed to understand the etiology of ovarian PP.
format article
author Raja Brauner
Anu Bashamboo
Sébastien Rouget
Marie Goulet
Pascal Philibert
Hélène Sarda-Thibault
Christine Trivin
Micheline Misrahi
Charles Sultan
Ken McElreavey
author_facet Raja Brauner
Anu Bashamboo
Sébastien Rouget
Marie Goulet
Pascal Philibert
Hélène Sarda-Thibault
Christine Trivin
Micheline Misrahi
Charles Sultan
Ken McElreavey
author_sort Raja Brauner
title Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
title_short Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
title_full Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
title_fullStr Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
title_full_unstemmed Clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
title_sort clinical, biological and genetic analysis of prepubertal isolated ovarian cyst in 11 girls.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/7f36b6ec732441faa8a6520bfd8b36cc
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