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- Title
Mutations in eIF4ENIF1 are associated with primary ovarian insufficiency.
- Authors
Kasippillai, Thushiga; Macarthur, Daniel G; Kirby, Andrew; Thomas, Brett; Lambalk, Cornelius B; Daly, Mark J; Welt, Corrine K
- Abstract
<bold>Context: </bold>Primary ovarian insufficiency (POI), or premature ovarian failure, results from ovarian follicle depletion with a consequent elevation of FSH levels before age 40 years. We identified a family in which 9 women in 3 consecutive generations developed menopause at approximately age 30 years. We hypothesized a genetic cause with a dominant mode of inheritance.<bold>Design: </bold>This was a family-based genetic study and a replicate group of women with POI.<bold>Setting: </bold>The study was conducted at an academic medical center.<bold>Patients: </bold>Seven affected women and an obligate carrier and 7 unaffected family members were genotyped. The genes of interest were also sequenced in 38 unrelated women with POI.<bold>Intervention: </bold>The DNA from 7 family members was subjected to whole-exome sequencing. The genotypes of interest were confirmed and genotypes of additional family members and unrelated women with POI were determined using Sanger sequencing.<bold>Main Outcome Measure: </bold>A high-impact, deleterious variant that segregated appropriately with POI in the family was required.<bold>Results: </bold>A heterozygous stop codon (Ser429X) was identified in the eukaryotic translation initiation factor 4E nuclear import factor 1 (eIF4ENIF1) in the proband and all affected women but not in the unaffected family members. The chance that such a high-impact, deleterious variant would segregate appropriately among the affected and unaffected relatives by chance is very low (P < .05). There were no additional mutations identified in eIF4ENIF1 or eIF4E in 38 unrelated women with POI.<bold>Conclusion: </bold>Data demonstrate a new gene associated with dominantly inherited POI. These results highlight the importance of translation initiation factors and their regulators in ovarian function.
- Publication
Journal of Clinical Endocrinology & Metabolism, 2013, Vol 98, Issue 9, pE1534
- ISSN
0021-972X
- Publication type
journal article
- DOI
10.1210/jc.2013-1102