Human Molecular Genetics, 2002, Vol. 11, No. 19 2309-2318
© 2002 Oxford University Press
Mutations of the GREAT gene cause cryptorchidism
1Department of Obstetrics and Gynecology, 2Scott Department of Urology, 3Department of Molecular and Cellular Biology and 4Human and Molecular Genetics Department, Baylor College of Medicine, Houston, TX 77030, USA and 5Reproduction, Fertility and Populations, Institut Pasteur, 75724, Paris Cedex 15, France
Received May 20, 2002; Accepted July 17, 2002
In humans, failure of testicular descent (cryptorchidism) is one of the most frequent congenital malformations, affecting 13% of newborn boys. The clinical consequences of this abnormality are infertility in adulthood and a significantly increased risk of testicular malignancy. Recently, we described a mouse transgene insertional mutation, crsp, causing high intraabdominal cryptorchidism in homozygous males. A candidate gene Great (G-protein-coupled receptor affecting testis descent), was identified within the transgene integration site. Great encodes a seven-transmembrane receptor with a close similarity to the glycoprotein hormone receptors. The Great gene is highly expressed in the gubernaculum, the ligament that controls testicular movement during development, and therefore may be responsible for mediating hormonal signals that affect testicular descent. Here we show that genetic targeting of the Great gene in mice causes infertile bilateral intraabdominal cryptorchidism. The mutant gubernaculae fail to differentiate, indicating that the Great gene controls their development. Mutation screening of the human GREAT gene was performed using DHPLC analysis of the genomic DNA from 60 cryptorchid patients. Nucleotide variations in GREAT cDNA were found in both the patient and the control populations. A unique missense mutation (T222P) in the ectodomain of the GREAT receptor was identified in one of the patients. This mutant receptor fails to respond to ligand stimulation, implicating the GREAT gene in the etiology in some cases of cryptorchidism in humans.
* To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Baylor College of Medicine, 6550 Fannin Street, Suite 861, Houston, TX 77030, USA. Tel: +1 7137986087; Fax: +1 7137985074; Email: agoulnik{at}bcm.tmc.edu
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