Pediatric endocrinology

Contributions of Common Genetic Variants to Constitutional Delay of Puberty and Idiopathic Hypogonadotropic Hypogonadism

J Clin Endocrinol MetabPublished Case-control study

Authors' conclusion

Common genetic variants that influence pubertal timing in the general population contribute strongly to the genetics of CDP, weakly to normosmic IHH, and potentially not at all to KS. These findings demonstrate that the common-variant genetics of CDP and normosmic IHH are largely but not entirely distinct.

Study context

Population
Individuals with constitutional delay of puberty (CDP), normosmic idiopathic hypogonadotropic hypogonadism (IHH) or Kallmann syndrome (KS); controls from unrelated studies
Comparison
CDP, normosmic IHH and KS cohorts vs controls
  • CDPn = 80
  • Normosmic IHHn = 301
  • KSn = 348
Outcome
PGS based on genome-wide association studies for timing of male pubertal hallmarks and age at menarche (AAM)

Main finding

As reported in the abstract

PGS for male pubertal hallmarks and AAM vs controls
CDP · higher polygenic scores (PGS) with CDP
Cohen's d (male hallmarks PGS) 0.67; P = 1 × 10-10
CDP · higher PGS with CDP
Cohen's d (age at menarche (AAM) PGS) 0.85; P = 1 × 10-16
Normosmic IHH · higher PGS with normosmic IHH
Cohen's d (male hallmarks PGS) 0.20; P = 0.003
Normosmic IHH
Cohen's d (AAM PGS) 0.10; P = 0.055
KS · no difference
Cohen's d (male hallmarks PGS) 0.05; P = 0.45
KS · no difference
Cohen's d (AAM PGS) 0.03; P = 0.56

Observational data: associations, not effects.

Original publication

Contributions of Common Genetic Variants to Constitutional Delay of Puberty and Idiopathic Hypogonadotropic Hypogonadism. J Clin Endocrinol Metab. Published 13 March 2024. doi:10.1210/clinem/dgae166

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