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Hypogonadotropic hypogonadism due to loss of function of the KiSS1-derived peptide receptor GPR54
Open accessAbstract
Hypogonadotropic hypogonadism is defined as a deficiency of the pituitary secretion of follicle-stimulating hormone and luteinizing hormone, which results in the impairment of pubertal maturation and of reproductive function. In the absence of pituitary or hypothalamic anatomical lesions and of anosmia (Kallmann syndrome), hypogonadotropic hypogonadism is referred to as isolated hypogonadotropic hypogonadism (IHH). A limited number of IHH cases are due to loss-of-function mutations of the gonadotropin-releasing hormone receptor. To identify additional gene defects leading to IHH, a large consanguineous family with five affected siblings and with a normal gonadotropin-releasing hormone receptor coding sequence was studied. Homozygosity whole-genome mapping allowed the localization of a new locus within the short arm of chromosome 19 (19p13). Sequencing of several genes localized within this region showed that all affected siblings of the family carried a homozygous deletion of 155 nucleotides in the GPR54 gene. This deletion encompassed the splicing acceptor site of intron 4-exon 5 junction and part of exon 5. The deletion was absent or present on only one allele in unaffected family members. GPR54 has been initially identified as an orphan G protein-coupled receptor with 40% homology to galanin receptors. Recently, a 54-aa peptide derived from the KiSS1 protein was identified as a ligand of GPR54. The present study shows that loss of function of GPR54 is a cause of IHH, and it identifies GPR54 and possibly KiSS1 protein-derived peptide as playing a major and previously unsuspected role in the physiology of the gonadotropic axis.
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“loss-of-function mutations in the kisspeptin receptor cause GnRH deficiency in humans and mice (16-18).”
From Kisspeptin Overcomes GnRH Neuronal Suppression Secondary to Hyperprolactinemia in Humans (2022) · cites this paper as [16]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“both humans and rodents with inactivating mutations in kisspeptin or its receptor fail to progress through puberty or show normal pulsatile LH secretion (Seminara et al., 2003;de Roux et al., 2003;Kaiser, 2015).”
From The Origin of GnRH Pulse Generation: An Integrative Mathematical-Experimental Approach (2019) · cites this paper as de Roux et al., 2003
Experimental — accuracy not yet measuredIn the citing paper
“The discovery of the kisspeptin system as a crucial component for pubertal activation of the hypothalamic-pituitary-gonadal axis occurred in 2003, when loss-of-function mutations of the KISS1R (previously known as GPR54) gene were identified in individuals with isolated hypogonadotropic hypogonadism, establishing KISS1R inactivation as a cause of this disorder (table, figure 2).42,43”
From Pubertal development and regulation (2016) · cites this paper as [42]
In the citing paper
“Two of the most important excitatory components of the GnRH network were identified with the demonstration that the genetic loss of such inputs results in failure to initiate the GnRH pulse generator at the expected time of puberty, resulting in isolated hypogonadotropic hypogonadism.42–45”
From Pubertal development and regulation (2016) · cites this paper as [42]
In the citing paper
“Although studies in animals have led to identification of regulators of GnRH such as catecholamines, GABA, and glutamate, genetic studies of patients with pubertal disorders have resulted in the identification of a major regulatory hub for the GnRH neurons—ie, the hypothalamic neurons expressing kisspeptin and neurokinin B.42–44”
From Pubertal development and regulation (2016) · cites this paper as [42]
In the citing paper
“The reproductive roles of the G-protein-coupled KiSS-1 receptor (also known as GPR54, encoded by KISS1R) and its endogenous ligand, kisspeptin 1 (encoded by KISS1) were revealed in 2003 when inactivating mutations in the KiSS-1 receptor were found in the homozygous state in members of two large, consanguineous families with a history of normosmic IHH.”
From The genetic and molecular basis of idiopathic hypogonadotropic hypogonadism (2009) · cites this paper as [34]
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BackgroundMutations in the maternally imprinted gene MKRN3 are common in familial central precocious puberty
Simon, D., Ba, I., Mekhail, N., Écosse, E., Paulsen, A., Zénaty, D., Houang, M., Jésuran-Pérelroizen, M., FILIPPO, G. D., Salerno, M., et al. (2015) · European Journal of Endocrinology · doi:10.1530/eje-15-0488 · Cited by 115
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“As is well established, the kisspeptin/KISS1 receptor (KISS1R/GPR54) system plays a major role in the central control of GnRH axis (de Roux et al., 2003; Seminara et al., 2003).”
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BackgroundEstrogenic Regulation of the GnRH Neuron
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“(2) first described amino acid mutations of KISS1R in human patients with a delay in puberty onset or an abnormality in pubertal development.”
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“12 of the kisspeptin receptor KISS1R (GPR54), lead hypogonadotropic hypogonadism in humans, and a 390 failure to enter puberty [128, 129].”
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Characterization of the kisspeptin system in human spermatozoa
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Shift in Kiss1 Cell Activity Requires Estrogen Receptor α
Frazão, R., Cravo, R. M., Donato, J., Ratra, D. V., Clegg, D. J., Elmquist, J. K., Zigman, J. M., Williams, K. W., & Elias, C. F. (2013) · Journal of Neuroscience · doi:10.1523/jneurosci.1610-12.2013 · Cited by 101
“Inactivating mutations of the KISS1/Kiss1 gene or of kisspeptin receptor (GPR54/Gpr54) gene cause lack of sexual maturation and infertility (Funes et al., 2003; Seminara et al., 2003; de Roux et al., 2003; Lapatto et al., 2007; d’Anglemont de Tassigny et al., 2007; Topaloglu et al., 2012).”
BackgroundKisspeptin and GnRH Pulse Generation
Okamura, H., Tsukamura, H., Ohkura, S., Uenoyama, Y., Wakabayashi, Y., & Maeda, K. (2013) · Advances in experimental medicine and biology · doi:10.1007/978-1-4614-6199-9_14 · Cited by 101
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“…hypogonadic phenotype in mice (d’Anglemont de Tassigny et al., 2007; Funes et al., 2003; Lapatto et al., 2007; Seminara et al., 2003) and humans (de Roux et al., 2003), indicating that kisspeptins play a pivotal role in the maturation and the regulation of the hypothalamopituitary gonadotropic…”
BackgroundNeuroanatomical Evidence That Kisspeptin Directly Regulates Isotocin and Vasotocin Neurons
Kanda, S., Akazome, Y., Mitani, Y., Okubo, K., & Oka, Y. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062776 · Cited by 101
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“J Clin Invest 117:457–463 13. de Roux N, Genin E, Carel JC, Matsuda F, Chaussain JL, Milgrom E 2003 Hypogonadotropic hypogonadism due to loss of function of the KiSS1-derived peptide receptor GPR54.”
BackgroundInfluentialNimri, R., Lebenthal, Y., Lazar, L., Chevrier, L., Phillip, M., Bar, M., Hernández, E., de Roux, N., & Gat‐Yablonski, G. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2010-1676 · Cited by 102
“In the last decade, a number ofgeneticdefects at various siteshavebeen identifiedas causing normosmic IHH (1, 2), including in the GnRH receptor (GnRHR) (3), the G protein-coupled receptor-54 (GPR54) (4, 5),thenasalembryonicLHRHfactor(NELF)(6),thefibroblast growth factor receptor-1 (FGFR1) (7), the fibroblast growth f…”
BackgroundResultInfluentialSun, L., Wang, Y., Zhao, Y., Wang, H., Li, N., & Ji, X. S. (2016) · PLoS ONE · doi:10.1371/journal.pone.0158483 · Cited by 97
“The kisspeptin/gpr54 signaling system stimulates gonadotropin release [45,46].”
BackgroundA novel neuropeptide in suppressing luteinizing hormone release in goldfish, Carassius auratus
Liu, Y., Li, S., Xing, Q., Zhou, W., Liu, X., Lin, H., Zhang, Y., & Cheng, C. H. K. (2013) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2013.04.008 · Cited by 97
Roa, J., & Tena‐Sempere, M. (2007) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2007.01.026 · Cited by 98
Hiney, J. K., Srivastava, V. K., Pine, M. D., & Dees, W. L. (2008) · Endocrinology · doi:10.1210/en.2008-0954 · Cited by 99
Luque, R. M., Córdoba‐Chacón, J., Gahete, M. D., Navarro, V. M., Tena‐Sempere, M., Kineman, R. D., & Castano, J. P. (2011) · Endocrinology · doi:10.1210/en.2010-1142 · Cited by 99
“mutations of GPR54 in humans and rodents (1, 2).”
BackgroundKisspeptin neurons from mice to men: similarities and differences
Goodman, R. L., & Lehman, M. N. (2012) · Endocrinology · doi:10.1210/en.2012-1550 · Cited by 103
Melatonin Controls Seasonal Breeding by a Network of Hypothalamic Targets
Revel, F. G., Masson‐Pévet, M., Pévet, P., Mikkelsen, J. D., & Simonneaux, V. (2009) · Neuroendocrinology · doi:10.1159/000219588 · Cited by 99
“Unexpectedly, key genetic studies in 2003 demonstrated that humans and mice bearing loss-of-function mutations in the GPR54 gene displayed the symptoms of idiopathic hypogonadotropic hypogonadism, with abnormal sexual development and failure to undergo puberty [”
BackgroundShibata, M., Friedman, R. L., Ramaswamy, S., & Plant, T. M. (2007) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2007.01549.x · Cited by 102
The role of KiSS-1 in the regulation of puberty in higher primates
Plant, T. M. (2006) · European Journal of Endocrinology · doi:10.1530/eje.1.02232 · Cited by 97
Kisspeptins and RFRP-3 Act in Concert to Synchronize Rodent Reproduction with Seasons
Simonneaux, V., Ancel, C., Poirel, V., & Gauer, F. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00022 · Cited by 100
“In 2003, the discovery that loss-of-function mutations of the gene encoding the Kp receptor Kiss1r/GPR54 in humans and rodents (de Roux et al., 2003; Seminara et al., 2003) prevent pubertal development and cause infertility spurred great interest in the role and mechanism of action of Kps in…”
BackgroundKisspeptin receptor agonist has therapeutic potential for female reproductive disorders
Abbara, A., Eng, P. C., Phylactou, M., Clarke, S. A., Richardson, R. E., Sykes, C. M., Phumsatitpong, C., Mills, E., Modi, M., Izzi‐Engbeaya, C. N., et al. (2020) · Journal of Clinical Investigation · doi:10.1172/jci139681 · Cited by 100
Control of GnRH secretion: One step back
Clarke, I. J. (2011) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2011.01.001 · Cited by 96
“A significant advance was the discovery that the kisspeptin receptor (and by implication, its ligand, kisspeptin) was essential for normal reproduction [39,108].”
BackgroundMartin, C., Navarro, V. M., Simavlı, S. A., Vong, L., Carroll, R. S., Lowell, B. B., & Kaiser, U. B. (2014) · Journal of Neuroscience · doi:10.1523/jneurosci.3003-13.2014 · Cited by 90
“Kisspeptin secretion is essential for pubertal progression (de Roux et al., 2003; Seminara et al., 2003), and changes in kisspeptin tone induce changes in the timing of puberty onset in rodents and humans (Navarro et al., 2004; Silveira et al., 2013).”
BackgroundMKRN3 inhibits the reproductive axis through actions in kisspeptin-expressing neurons
Abreu, A. P., Toro, C. A., Song, Y. B., Navarro, V. M., Bosch, M. A., Eren, A., Liang, J. N., Carroll, R. S., Latronico, A. C., Rønnekleiv, O. K., et al. (2020) · Journal of Clinical Investigation · doi:10.1172/jci136564 · Cited by 97
Peng, J., Tang, M., Zhang, B.-P., Zhang, P., Zhong, T., Zong, T., Yang, B., & Kuang, H. (2013) · Fertility and Sterility · doi:10.1016/j.fertnstert.2012.12.008 · Cited by 96
What controls the timing of puberty? An update on progress from genetic investigation
Gajdos, Z. K. Z., Hirschhorn, J. N., & Palmert, M. R. (2009) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0b013e328320253c · Cited by 95
Pielecka-Fortuna, J., & Moenter, S. M. (2009) · Endocrinology · doi:10.1210/en.2009-0692 · Cited by 95
Physiology of Gnrh and Gonadotropin Secretion
Marques, P., Skorupskaite, K., George, J. T., & Anderson, R. A. (2015) · Cited by 95
Ohga, H., Selvaraj, S., & Matsuyama, M. (2018) · Frontiers in Endocrinology · doi:10.3389/fendo.2018.00147 · Cited by 96
“Comp Biochem Physiol A Mol Integr Physiol (2012) 162(4):364–71.”
BackgroundMorrison, A., Fleming, S., & Levy, M. J. (2020) · Clinical Endocrinology · doi:10.1111/cen.14399 · Cited by 108
True, C. A., Kirigiti, M. A., Kievit, P., Grove, K. L., & Smith, M. S. (2011) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2011.02144.x · Cited by 93
Losa-Ward, S. M., Todd, K. L., Sullivan, A. W., Cao, J., Mickens, J. A., & Patisaul, H. B. (2010) · Reproductive Toxicology · doi:10.1016/j.reprotox.2010.10.002 · Cited by 93
“Humans (or mice) with a mutated form of Kiss1r fail to enter puberty and remain hypogonadal throughout life [5–6].”
BackgroundIwasa, T., Matsuzaki, T., Murakami, M., FUJISAWA, S., Kinouchi, R., Gereltsetseg, G., Kuwahara, A., Yasui, T., & Irahara, M. (2010) · The Journal of Physiology · doi:10.1113/jphysiol.2009.183558 · Cited by 95
“In humans, mutations in the gene for the kisspeptin receptor, Kiss1r, were identified in patients with idiopathic hypogonadotropic hypogonadism (de Roux et al. 2003; Seminara et al. 2003).”
BackgroundPlant, T. M. (2012) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2012.02.002 · Cited by 93
Gonadotropin-releasing hormone plasticity: A comparative perspective
Stevenson, T. J., Hahn, T. P., MacDougall‐Shackleton, S. A., & Ball, G. F. (2012) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2012.09.001 · Cited by 94
“In 2003, the endogenous receptor for the neuropeptide kisspeptin (KiSS1), GPR54, was identified, along with the observation that endogenous and genetically engineered mutation of the Gpr54 gene was associated with hypogonadotropic hypogonadism (De Roux et al., 2003; Seminara et al., 2003).”
BackgroundDevelopmental Changes in the Expression of Kisspeptin mRNA in Rat Hypothalamus
Takumi, K., Iijima, N., & Ozawa, H. (2010) · Journal of Molecular Neuroscience · doi:10.1007/s12031-010-9430-1 · Cited by 94
“Following the discovery of inactivating mutations in the GPR-54 gene associated with hypogonadotropic-hypogonadism in humans ( de Roux et al. 2003; Seminara et al. 2003), accumulating evidence has suggested the pivotal role of kisspeptin/GPR-54 system in mammalian reproductive functions.”
BackgroundInfluentialEndocrine Dysregulation in Anorexia Nervosa Update
Miller, K. K. (2011) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-1222 · Cited by 98
“Acute, but not chronic, administration of kisspeptin has been shown to result in gonadotropin release in women with hypothalamic amenorrhea (21), and inactivating mutations cause pubertal failure (22, 23).”
BackgroundEvans, J. J., & Anderson, G. M. (2012) · Human Reproduction Update · doi:10.1093/humupd/dms004 · Cited by 101
Chehab, F. F. (2014) · Journal of Endocrinology · doi:10.1530/joe-14-0413 · Cited by 93
“Kisspeptin emerged as a primary puberty candidate factor following the findings that subjects with hypogonadotropic hypogonadism carry mutations in the kisspeptin receptor GPR54 (KISS1R; de Roux et al. 2003, Seminara et al. 2003, Semple et al. 2005).”
Castellano, J. M., Navarro, V. M., Roa, J., Pineda, R., Sanchez-Garrido, M. A., García-Galiano, D., Vigo, E., Diéguez, C., Aguilar, E., Pinilla, L., et al. (2008) · Endocrinology · doi:10.1210/en.2008-0849 · Cited by 94
“aspects of reproductive maturation and function (11, 12).”
BackgroundDudek, M., Kolodziejski, P. A., Pruszyńska‐Oszmałek, E., Sassek, M., Ziarniak, K., Nowak, K. W., & Sliwowska, J. H. (2016) · Neuropeptides · doi:10.1016/j.npep.2016.01.005 · Cited by 96
Metastin and its G protein-coupled receptor, GPR54: Critical pathway modulating GnRH secretion
Seminara, S. B. (2005) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2005.10.001 · Cited by 91
Bakker, J., Pierman, S., & González-Martı́nez, D. (2009) · Hormones and Behavior · doi:10.1016/j.yhbeh.2009.11.005 · Cited by 91
“In recent years, the Kiss1 gene product, kisspeptin, has been proposed as an upstream regulator of the GnRH system as human patients did not enter into puberty due to a mutation in the GPR54 gene (de Roux et al., 2003), which encodes the kisspeptin receptor, named GPR54 (now named Kiss1r).”
RFamide Peptides: Structure, Function, Mechanisms and Pharmaceutical Potential
Findeisen, M., Rathmann, D., & Beck‐Sickinger, A. G. (2011) · Pharmaceuticals · doi:10.3390/ph4091248 · Cited by 89
Estrogen Regulates KiSS1 Gene Expression through Estrogen Receptor α and SP Protein Complexes
Li, D., Mitchell, D., Luo, J., Yi, Z., Cho, S.-G., Guo, J., Li, X., Ning, G., Wu, X., & Liu, M. (2007) · Endocrinology · doi:10.1210/en.2007-0154 · Cited by 90
Gill, J. C., Navarro, V. M., Kwong, C., Noel, S. D., Martin, C., Xu, S., Clifton, D. K., Carroll, R. S., Steiner, R. A., & Kaiser, U. B. (2012) · Endocrinology · doi:10.1210/en.2012-1529 · Cited by 90
Activation of Neuropeptide FF Receptors by Kisspeptin Receptor Ligands
Oishi, S., Misu, R., Tomita, K., Setsuda, S., Masuda, R., Ohno, H., Naniwa, Y., Ieda, N., Inoue, N., Ohkura, S., et al. (2010) · ACS Medicinal Chemistry Letters · doi:10.1021/ml1002053 · Cited by 90
Kisspeptin and GPR54: Discovery of a Novel Pathway in Reproduction
Seminara, S. B., & Crowley, W. F. (2008) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2008.01731.x · Cited by 90
Metadata
- Authors
- de Roux, N., Genin, E., Carel, J.-C., Matsuda, F., Chaussain, J.-L., & Milgrom, E.
- Affiliations
- Institut National de la Santé et de la Recherche Médicale Unité 135, Unité de Recherches Hormones Gènes et Reproduction, Hôpital de Bicêtre, 94275 Le Kremlin-Bicêtre, France; Institut National de la Santé et de la Recherche Médicale Unité 584, Hormone Targets, Faculté de Médecine Necker Enfants Malades, 75015 Paris, France; Institut National de la Santé et de la Recherche Médicale Unité 535, Génétique Epidémiologique et Structure des Populations Humaines, Hôpital de Bicêtre, 94275 Le Kremlin-Bicêtre...
- Hôpital Necker-Enfants Malades (FR)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2003-08-27
- Volume
- 100
- Issue
- 19
- Pages
- 10972-10976
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC196911
- OpenAlex
- W2143506157
- Cited by
- 2,431
- References
- 29
- Citations by year
- 2026: 36 · 2025: 65 · 2024: 99 · 2023: 78 · 2022: 123 · 2021: 115 · 2020: 130 · 2019: 120 · 2018: 144 · 2017: 121 · 2016: 127 · 2015: 133 · 2014: 137 · 2013: 147 · 2012: 153
- FWCI
- 45.57
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- isolated hypogonadotropic hypogonadism, GPR54, loss-of-function mutations, chromosome 19p13, consanguineous family, GnRH receptor, orphan G protein-coupled receptor, gonadotropic axis, aberrant splicing, follicle-stimulating hormone, luteinizing hormone
- MeSH terms
- Receptors, Kisspeptin-1, Base Sequence, Consanguinity, Female, Genotype, Humans, Hypogonadism, Male, Pedigree, DNA Primers, Receptors, Neuropeptide, Receptors, G-Protein-Coupled
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