Table 7.2.9.2
Genetic defects associated with hypogonadotropic hypogonadism
Gene Condition/phenotype Locus Inheritance Site of defect OMIM number

Isolated hormone abnormalities

KAL1

KS, renal agenesis, synkinesia

Xp22.3

X-linked recessive

Hypothalamus

308700

NELF

KS

9q34.3

Hypothalamus, olfactory apparatus

608137

GPR54

nIHH

19p13.3

AR

Hypothalamus

604161

KISS-1

nIHH

1q32

AR

Hypothalamus

603286

FGFR-1

nIHH and KS, cleft lip and palate, facial dysmorphism

8p11.2–11.1

AD, AR,? dosage effect

Hypothalamus

136350

GnRH1

nIHH

8p21–11.2

AR

Hypothalamus

152760

GnRH

No known mutations

8p21–11.2

?

GnRHR

nIHH

4q21.2

AR

Pituitary

138850

PROK2

KS and nIHH, severe sleep disorder, obesity

3p21.1

AD

Hypothalamus, olfactory bulb

607002

PROKR2

KS and nIHH

20p13

AD, AR

Hypothalamus, olfactory bulb

607123

TAC3

nIHH

12q13–21

AR

Hypothalamus

162330

TACR3

nIHH

4q25

AR/AD

Hypothalamus

162332

Leptin

HH and obesity

7q31.3

AR

Hypothalamus

164160

Leptin R

HH and obesity

1q31

AR

Hypothalamus

601007

DAX-1

AHC and HH

Xp21

X-linked

Hypothalamus, pituitary

300200

PC-1

Obesity and HH, ACTH deficiency, hypoglycaemia, gastrointestinal sx

5q15–21

AR

Widespread, including hypothalamus

162150

LHβ

Isolated LH deficiency, delayed puberty

19q13.32

AR

Pituitary

152780

FSHβ

Isolated FSH deficiency, primary amenorrhoea, defective spermatogenesis

11p13

AR

Pituitary

136530

Combined pituitary hormone deficiency

PROP1

GH, TSH, LH, FSH, prolactin, and evolving ACTH deficiencies

5q

AR

Pituitary

601538

Specific syndrome

HESX1

SOD and other pituitary deficits including HH

3q21.1–21.2

AR, AD

Pituitary

601802

SOX3

Pituitary hormone deficits including HH, mental retardation

Xq26.3

X-linked

Hypothalamus, pituitary

313430

SOX2

An/micro-ophthalmia, anterior pituitary hypoplasia, HH, oesophageal atresia

3q26.3–27

X-linked

Hypothalamus, pituitary

184429

GLI2

Holoprosencephaly with MPHD including HH, multiple midline defects

2q14

AD, AR

Hypothalamus, pituitary

165230

LHX3

Variable CPHD including HH, limited neck rotation

9q34.3

AR

Pituitary

600577

CHD7

CHARGE syndrome, may have Kallmann syndrome as primary feature

8q12.1

AD, de novo

Hypothalamus

608892

Gene Condition/phenotype Locus Inheritance Site of defect OMIM number

Isolated hormone abnormalities

KAL1

KS, renal agenesis, synkinesia

Xp22.3

X-linked recessive

Hypothalamus

308700

NELF

KS

9q34.3

Hypothalamus, olfactory apparatus

608137

GPR54

nIHH

19p13.3

AR

Hypothalamus

604161

KISS-1

nIHH

1q32

AR

Hypothalamus

603286

FGFR-1

nIHH and KS, cleft lip and palate, facial dysmorphism

8p11.2–11.1

AD, AR,? dosage effect

Hypothalamus

136350

GnRH1

nIHH

8p21–11.2

AR

Hypothalamus

152760

GnRH

No known mutations

8p21–11.2

?

GnRHR

nIHH

4q21.2

AR

Pituitary

138850

PROK2

KS and nIHH, severe sleep disorder, obesity

3p21.1

AD

Hypothalamus, olfactory bulb

607002

PROKR2

KS and nIHH

20p13

AD, AR

Hypothalamus, olfactory bulb

607123

TAC3

nIHH

12q13–21

AR

Hypothalamus

162330

TACR3

nIHH

4q25

AR/AD

Hypothalamus

162332

Leptin

HH and obesity

7q31.3

AR

Hypothalamus

164160

Leptin R

HH and obesity

1q31

AR

Hypothalamus

601007

DAX-1

AHC and HH

Xp21

X-linked

Hypothalamus, pituitary

300200

PC-1

Obesity and HH, ACTH deficiency, hypoglycaemia, gastrointestinal sx

5q15–21

AR

Widespread, including hypothalamus

162150

LHβ

Isolated LH deficiency, delayed puberty

19q13.32

AR

Pituitary

152780

FSHβ

Isolated FSH deficiency, primary amenorrhoea, defective spermatogenesis

11p13

AR

Pituitary

136530

Combined pituitary hormone deficiency

PROP1

GH, TSH, LH, FSH, prolactin, and evolving ACTH deficiencies

5q

AR

Pituitary

601538

Specific syndrome

HESX1

SOD and other pituitary deficits including HH

3q21.1–21.2

AR, AD

Pituitary

601802

SOX3

Pituitary hormone deficits including HH, mental retardation

Xq26.3

X-linked

Hypothalamus, pituitary

313430

SOX2

An/micro-ophthalmia, anterior pituitary hypoplasia, HH, oesophageal atresia

3q26.3–27

X-linked

Hypothalamus, pituitary

184429

GLI2

Holoprosencephaly with MPHD including HH, multiple midline defects

2q14

AD, AR

Hypothalamus, pituitary

165230

LHX3

Variable CPHD including HH, limited neck rotation

9q34.3

AR

Pituitary

600577

CHD7

CHARGE syndrome, may have Kallmann syndrome as primary feature

8q12.1

AD, de novo

Hypothalamus

608892

ACTH, adrenocorticotropic hormone; AD, autosomal dominant; AHC, adrenal hypoplasia congenita; AR, autosomal recessive; CRH, corticotropin-releasing hormone; FSH, follicle-stimulating hormone; GH, growth hormone; HH, hypogonadotropic hypogonadism; KS, Kallmann syndrome; LH, luteinizing hormone; MPHD, multiple pituitary hormone deficiency; nIHH, normosmic idiopathic hypogonadotropic hypogonadism; OMIM, online mendelian inheritance in man; R, receptor; SOD, septo-optic dysplasia; TSH, thyroid stimulating hormone; XL, X-linked;

Adapted from Mehta and Dattani (14).

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