Pituitary & hypothalamus

Phenotype and genotype of 23 patients with hypopituitarism and pathogenic GLI2 variants

Eur J EndocrinolPublished Genotype-phenotype cohort study

Authors' conclusion

In this large multicentric international cohort, GLI2 was the most frequently identified genetic cause of syndromic CH with constant association of pituitary stalk interruption syndrome or extrapituitary clinical features. In addition to polydactyly and neurocognitive disorders, cardiac and renal abnormalities were also frequently observed and should be investigated further. The variable expression of GLI2-associated phenotypes justifies further research in this area.

Study context

Population
Patients with congenital hypopituitarism screened for GLI2 variants (GENHYPOPIT)
Participants
717 index cases
Outcome
GLI2 variants and phenotype
Methodological detailsmulticentric, international, next-generation sequencing panel
  • Multicentric
  • International
  • Next-generation sequencing panel

Main finding

As reported in the abstract

GLI2 variants identified in index cases
39
Pathogenic and likely pathogenic GLI2 variants
17
Patients with P GLI2 variants (17 index cases, 6 relatives), all with PSIS or extrapituitary manifestations
23
GLI2 variants as the most frequent genetic cause in syndromic hypopituitarism
68%
Truncating variants
88% (15/17)
De novo variants
45%
Hypopituitarism among patients with GLI2 variant
21/23, 91%
Isolated GHD
21.7% (5/23)
Kallmann syndrome
2 patients
Pituitary morphological abnormalities
84%
Neurocognitive disorders
38%
Hexadactyly
27%

Observational data: associations, not effects.

Original publication

Phenotype and genotype of 23 patients with hypopituitarism and pathogenic GLI2 variants. Eur J Endocrinol. Published 13 February 2025. doi:10.1093/ejendo/lvaf015

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