ESPE Abstracts (2019) 92 P1-111

Pituitary, Neuroendocrinology and Puberty

PROKR2 in Girls with Idiopathic Central Precocious Puberty

Anna Grandone1, Caterina Luongo1, Alessandra Cassio2, Mariacarolina Salerno3, Gianluca Tornese4, Adalgisa Festa5, Emanuele Miraglia del Giudice1, Grazia Cirillo1


1Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy. 2University of Bologna, Bologna, Italy. 3University Federico II, Naples, Italy. 4Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy. 5Università degli Studi della Campania "Luigi Vanvitelli", naples, Italy

Introduction: PROKR2 is a 384-amino acid G-protein-coupled receptors (GPCR) that regulates GnRH secretion in the hypothalamus. PROKR2 mutations have been described as cause of a certain percentage of of hypogonadotropic hypogonadism and Kallmann syndrome.

In 2017 a heterozygous frameshift gain of function mutation of PROKR2 was identified in a 3.5-year-old girl with central precocious puberty (CPP).

The aim of our study was to perform a mutation screening of such gene in girls with "early" onset CPP (first signs of puberty occurred ≤ 6 years of age).

Materials and Methods: We enrolled 25 girls with idiopathic CPP with pubertal basal LH level or pubertal LH response to GnRH testing (mean age at first observation 5.5 years, range 2-7; mean age at first occurrence of thelarche 5 years old, range 1-6).

Results: No rare variants were identified. Five polymorphisms were found (rs6076809, rs8116897, rS3746684, rs3746682, rs3746683). All except one (i.e. rs3746682) had a minor allele frequency (MAF) similar to that reported in literature. rs3746682 presented a MAF higher than described in The Exome Aggregation Consortium (ExAC) (0.84 in our population vs 0.25 from ExAC).

Conclusions: Our data suggest that mutations in PROKR2 gene are not a frequent cause of central precocious puberty in girls, even in subjects with a very early onset CPP. As for other G-protein-coupled receptors (i.e. GPR54), gain of function mutations affecting these kind of hypothalamic regulating factors are a very rare cause of CPP in girls. The significance of the different MAF of rs3746682 polymorphism has to be investigated in larger samples of patients and controls.

Volume 92

58th Annual ESPE

Vienna, Austria
19 Sep 2019 - 21 Sep 2019

European Society for Paediatric Endocrinology 

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