Normal Spermatogenesis in a Man with Mutant Luteinizing HormoneBrief Report

Men with mutations in LHB, the gene encoding the beta subunit of luteinizing hormone (LHB ), have azoospermia with absent or few fetal Leydig cells. We report a mutation in LHB in a man and his sister. The man presented with absence of virilization, undetectable luteinizing hormone, and a low serum...

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Veröffentlicht in:The New England journal of medicine 2009-11, Vol.361 (19), p.1856
Hauptverfasser: Achard, Caroline, Courtillot, Carine, Lahuna, Olivier, Méduri, Géri, Soufir, Jean-Claude, Lière, Philippe, Bachelot, Anne, Benyounes, Hassani, Schumacher, Michael, Kuttenn, Frédérique, Touraine, Philippe, Misrahi, Micheline
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container_issue 19
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container_title The New England journal of medicine
container_volume 361
creator Achard, Caroline
Courtillot, Carine
Lahuna, Olivier
Méduri, Géri
Soufir, Jean-Claude
Lière, Philippe
Bachelot, Anne
Benyounes, Hassani
Schumacher, Michael
Kuttenn, Frédérique
Touraine, Philippe
Misrahi, Micheline
description Men with mutations in LHB, the gene encoding the beta subunit of luteinizing hormone (LHB ), have azoospermia with absent or few fetal Leydig cells. We report a mutation in LHB in a man and his sister. The man presented with absence of virilization, undetectable luteinizing hormone, and a low serum testosterone level. He had complete spermatogenesis with a normal sperm count. The mutant luteinizing hormone had a low level of partial activity in vitro. We concluded that the residual luteinizing hormone activity, resulting in the expression of steroidogenic enzymes in few mature Leydig cells producing small amounts of intratesticular testosterone (20.2 ng per gram), was sufficient for complete and quantitatively normal spermatogenesis.
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subjects Androgens
Cytochrome
Dehydrogenases
Families & family life
Mutation
Penis
Spermatogenesis
Testosterone
title Normal Spermatogenesis in a Man with Mutant Luteinizing HormoneBrief Report
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