Circulating MKRN3 levels decline prior to pubertal onset and through puberty: a longitudinal study of healthy girls
Abstract
CONTEXT: Puberty is initiated by a complex interaction of suppressing and stimulating factors. Genetic studies of familial central precocious puberty have suggested makorin ring finger protein 3 (MKRN3) as a major inhibitor of GnRH secretion during childhood. Furthermore, genetic variation near MKRN3 (rs12148769) affects age at menarche in healthy girls. OBJECTIVE: The purpose of this study was to evaluate whether serum levels of MKRN3 declined before pubertal onset in healthy girls. DESIGN: This was a population-based longitudinal study of healthy Danish girls and a cohort study of early maturing girls. SETTING: The study was performed in the general community and in a tertiary referral center for pediatric endocrinology. PATIENTS OR OTHER PARTICIPANTS: Healthy girls (n = 38) aged 9.3 years (range, 5.9-11.3 years) at baseline and followed for 6.0 years (2.7-7.6 years) (2006-2014) with blood sampling every 6 months and early maturing girls (n = 13) with breast development ay <8.3 years of age were included. MAIN OUTCOME MEASURES: Serum levels of MKRN3 were measured in 354 samples (median, 9 per girl; range, 2-14 per girl), and genotyping of variants near MKRN3 (rs12148769 and rs12439354) was performed. RESULTS: MKRN3 concentrations declined preceding pubertal onset; the geometric mean (95% confidence interval) 3 years before pubertal onset vs the last visit before pubertal onset was 304 pg/mL (264-350 pg/mL) vs 257 pg/mL (243-273 pg/mL), corresponding to a reduction of 15% (1-27%) (P = .033). In prepubertal girls, circulating MKRN3 correlated negatively with gonadotropin levels: for FSH, r = -0.262 (P = .015) and for LH, r = -0.226 (P = .037). After adjustment, MKRN3 levels were lower in early maturing girls than in age-matched prepubertal girls: 171 pg/mL (<25-333 pg/mL) vs 262 pg/mL (94-624 pg/mL) (P = .051). Genetic variants near MKRN3 did not correlate with serum levels of MKRN3. CONCLUSIONS: Declining levels of circulating MKRN3 preceded pubertal onset. The negative correlation between MKRN3 and gonadotropins further supports MKRN3 as a major regulator of hypothalamic GnRH secretion during childhood. Undetectable or low MKRN3 levels were observed in a subgroup of patients with early onset of puberty.
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MKRN3 is the most common genetic defect associated with central precocious puberty so far; families with central precocious puberty from several different ethnic groups harbour mutations in this gene.
“MKRN3 is the most common genetic defect associated with central precocious puberty so far; families with central precocious puberty from several different ethnic groups harbour mutations in this gene.52,71–76”
From Pubertal development and regulation (2016) · cites this paper as [72]
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- Authors
- Hagen, C. P., Sørensen, K., Mieritz, M. G., Johannsen, T. H., Almstrup, K., & Juul, A.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Hagen, Casper P.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2015-05
- Volume
- 100
- Issue
- 5
- Pages
- 1920-1926
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2114009937
- Cited by
- 86
- References
- 28
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 12 · 2019: 13 · 2018: 7 · 2017: 6 · 2016: 10 · 2015: 3
- FWCI
- 9.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Keywords
- MKRN3, puberty onset, serum biomarkers, GnRH secretion, gonadotropins, follicle-stimulating hormone, luteinizing hormone, age at menarche, prepubertal girls, breast development
- MeSH terms
- Adolescent, Child, Child, Preschool, Female, Follicle Stimulating Hormone, Genotype, Humans, Luteinizing Hormone, Longitudinal Studies, Prospective Studies, Puberty, Puberty, Precocious, Ribonucleoproteins, Ubiquitin-Protein Ligases, Healthy Volunteers
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