Mutant prolactin receptor and familial hyperprolactinemia

Hyperprolactinemia that is not associated with gestation or the puerperium is usually due to tumors in the anterior pituitary gland and occurs occasionally in hereditary multiple endocrine neoplasia syndromes. Here, we report data from three sisters with hyperprolactinemia, two of whom presented wit...

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Main Authors: Newey, P, Gorvin, C, Cleland, S, Willberg, C, Bridge, M, Azharuddin, M, Drummond, R, van der Merwe, P, Klenerman, P, Bountra, C, Thakker, R
Format: Journal article
Language:English
Published: Massachusetts Medical Society 2013
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author Newey, P
Gorvin, C
Cleland, S
Willberg, C
Bridge, M
Azharuddin, M
Drummond, R
van der Merwe, P
Klenerman, P
Bountra, C
Thakker, R
author_facet Newey, P
Gorvin, C
Cleland, S
Willberg, C
Bridge, M
Azharuddin, M
Drummond, R
van der Merwe, P
Klenerman, P
Bountra, C
Thakker, R
author_sort Newey, P
collection OXFORD
description Hyperprolactinemia that is not associated with gestation or the puerperium is usually due to tumors in the anterior pituitary gland and occurs occasionally in hereditary multiple endocrine neoplasia syndromes. Here, we report data from three sisters with hyperprolactinemia, two of whom presented with oligomenorrhea and one with infertility. These symptoms were not associated with pituitary tumors or multiple endocrine neoplasia but were due to a heterozygous mutation in the prolactin receptor gene, PRLR, resulting in an amino acid change from histidine to arginine at codon 188 (His188Arg). This substitution disrupted the high-affinity ligand-binding interface of the prolactin receptor, resulting in a loss of downstream signaling by Janus kinase 2 (JAK2) and signal transducer and activator of transcription 5 (STAT5). Thus, the familial hyperprolactinemia appears to be due to a germline, loss-of-function mutation in PRLR, resulting in prolactin insensitivity.
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spelling oxford-uuid:948eebb6-1812-4a84-8fad-5ba9bc0f94ce2022-03-26T23:40:19ZMutant prolactin receptor and familial hyperprolactinemiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:948eebb6-1812-4a84-8fad-5ba9bc0f94ceEnglishSymplectic Elements at OxfordMassachusetts Medical Society2013Newey, PGorvin, CCleland, SWillberg, CBridge, MAzharuddin, MDrummond, Rvan der Merwe, PKlenerman, PBountra, CThakker, RHyperprolactinemia that is not associated with gestation or the puerperium is usually due to tumors in the anterior pituitary gland and occurs occasionally in hereditary multiple endocrine neoplasia syndromes. Here, we report data from three sisters with hyperprolactinemia, two of whom presented with oligomenorrhea and one with infertility. These symptoms were not associated with pituitary tumors or multiple endocrine neoplasia but were due to a heterozygous mutation in the prolactin receptor gene, PRLR, resulting in an amino acid change from histidine to arginine at codon 188 (His188Arg). This substitution disrupted the high-affinity ligand-binding interface of the prolactin receptor, resulting in a loss of downstream signaling by Janus kinase 2 (JAK2) and signal transducer and activator of transcription 5 (STAT5). Thus, the familial hyperprolactinemia appears to be due to a germline, loss-of-function mutation in PRLR, resulting in prolactin insensitivity.
spellingShingle Newey, P
Gorvin, C
Cleland, S
Willberg, C
Bridge, M
Azharuddin, M
Drummond, R
van der Merwe, P
Klenerman, P
Bountra, C
Thakker, R
Mutant prolactin receptor and familial hyperprolactinemia
title Mutant prolactin receptor and familial hyperprolactinemia
title_full Mutant prolactin receptor and familial hyperprolactinemia
title_fullStr Mutant prolactin receptor and familial hyperprolactinemia
title_full_unstemmed Mutant prolactin receptor and familial hyperprolactinemia
title_short Mutant prolactin receptor and familial hyperprolactinemia
title_sort mutant prolactin receptor and familial hyperprolactinemia
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