Reproductive endocrinology

Luteinizing hormone β‐subunit deficiency: Report of a novel LHB likely pathogenic variant and a systematic review of the published literature

Clin Endocrinol (Oxf)Published Case report and systematic review

Authors' conclusion

We report a novel likely pathogenic LHB variant in an Asian Indian patient. The typical phenotype in male patients with LHB deficiency is delayed puberty with low testosterone, low LH, and normal to high FSH and hCG monotherapy being the best therapeutic option.

Study context

Population
Patients with selective LH β-subunit (LHB) deficiency: index Asian Indian male and published cases (10 males and 3 females)10 males, 3 females published
Outcome
Index case and published LHB deficiency phenotype
Methodological detailsPRISMA guidelines, molecular dynamics simulation
  • PRISMA guidelines
  • Molecular dynamics simulation

Pooled result

As reported in the abstract

Index case age at presentation (infertility)
36 years
Index case testosterone (low)
0.23 ng/ml
Index case LH (low)
0.44 mIU/ml
Index case follicle-stimulating hormone (FSH) (high)
22.4 mIU/ml
Published males with pathogenic LHB variants
11
Median age at presentation of males (range), most commonly delayed puberty
29 (17-38) years
Pathogenic/likely pathogenic variants reported in 9 index patients (3 in-frame deletions, 3 missense, 2 splice-site, 1 nonsense, 1 frameshift)
10

Original publication

Luteinizing hormone β‐subunit deficiency: Report of a novel LHB likely pathogenic variant and a systematic review of the published literature. Clin Endocrinol (Oxf). Published 4 May 2022. doi:10.1111/cen.14749

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