Pituitary & hypothalamus

CCDC149 : a novel gene associated with hypopituitarism and neurodevelopmental impairment

Eur J EndocrinolPublished Genetic and mechanistic study

Authors' conclusion

Our study is the first to report CCDC149 variants in association with CH.

Study context

Population
Congenital hypopituitarism patients with no known genetic aetiology2 pedigrees · 3 patients
Outcome
CCDC149 variants and phenotypes
Methodological detailsnext generation sequencing, human embryonic expression profiling, CRISPR-Cas9 knock-out mouse model
  • Next generation sequencing
  • Human embryonic expression profiling
  • CRISPR-Cas9 knock-out mouse model

Main finding

As reported in the abstract

  • Two novel homozygous CCDC149 frameshifts (p.Gly278*, p.Leu222*) identified in two unrelated Congenital Hypopituitarism (CH) pedigrees (three patients)
  • Patient phenotypes: Growth hormone deficiency (GHD), hypogonadotropic hypogonadism, developmental delay/autism
  • Severe scoliosis in one pedigree; small anterior pituitary on MRI in the other
  • Human embryonic CCDC149 localized to developing hypothalamo-pituitary region at Carnegie stages 16-23
  • Ccdc149-null mice recapitulated patient phenotypes, incl. growth impairment and reduced fertility vs wild-type littermates

Original publication

CCDC149 : a novel gene associated with hypopituitarism and neurodevelopmental impairment. Eur J Endocrinol. Published 5 August 2026. doi:10.1093/ejendo/lvag140

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