TP63‐truncating variants cause isolated premature ovarian insufficiency. Issue 7 (29th March 2019)

• Record Type: Journal Article
• Authors: Tucker, Elena J.; Jaillard, Sylvie; Grover, Sonia R.; van den Bergen, Jocelyn; Robevska, Gorjana; Bell, Katrina M; Sadedin, Simon; Hanna, Chloe; Dulon, Jérôme; Touraine, Philippe; Sinclair, Andrew H.
• Is Part Of: Human mutation. Volume 40:Issue 7(2019)
• Page Start: 886
• Page End: 892
• Publication Date: 2019-03-29
• Subjects: POI cohort -- premature ovarian insufficiency -- PREPL -- TP63 -- whole‐exome sequencing, ovarian dysgenesis; Human chromosome abnormalities -- Periodicals; Mutation (Biology) -- Periodicals; 616.04205
• DOI: 10.1002/humu.23744
• Languages: English
• ISSNs: 1059-7794

Abstract

Abstract: Premature ovarian insufficiency involves amenorrhea and elevated follicle‐stimulating hormone before age 40, and its genetic basis is poorly understood. Here, we study 13 premature ovarian insufficiency (POI) patients using whole‐exome sequencing. We identify PREPL and TP63 causative variants, and variants in other potentially novel POI genes. PREPL deficiency is a known cause of syndromic POI, matching the patients' phenotype. A role for TP63 in ovarian biology has previously been proposed but variants have been described in multiorgan syndromes, and not isolated POI. One patient with isolated POI harbored a de novo nonsense TP63 variant in the terminal exon and an unrelated patient had a different nonsense variant in the same exon. These variants interfere with the repression domain while leaving the activation domain intact. We expand the phenotypic spectrum of TP63‐related disorders, provide a new genotype:phenotype correlation for TP63 and identify a new genetic cause of isolated POI.