Reproductive endocrinology

Penetrance of pathogenic genetic variants associated with premature ovarian insufficiency

Nat MedPublished Genetic association study

Authors' conclusion

Collectively, our results suggest that, for the vast majority of women, POI is not caused by autosomal dominant variants either in genes previously reported or currently evaluated in clinical diagnostic panels.

Study context

Population
Women in the UK Biobank with exome sequence data; 2,231 (1.14%) reported natural menopause <40 yearsUK Biobank
Participants
104,733 women
Outcome
Penetrance of variants in ≈100 previously reported POI genes
Methodological detailsexome sequence data, UK Biobank
  • Exome sequence data
  • UK Biobank

Main finding

As reported in the abstract

Penetrance of heterozygous variants in reported POI genes

Protein-truncating variants found in reproductively healthy women

99.9%

13,699 out of 13,708

Further findings

Haploinsufficiency effects on age at menopause

Years

TWNK: earlier menopause, P = 1.59 × 10-6
1.54
SOHLH2: earlier menopause, P = 1.03 × 10-4
3.48

Original publication

Penetrance of pathogenic genetic variants associated with premature ovarian insufficiency. Nat Med. Published 22 June 2023. doi:10.1038/s41591-023-02405-5

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