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van der Klein SAS, Bédécarrats GY, Zuidhof MJ. Modeling life-time energy partitioning in broiler breeders with differing body weight and rearing photoperiods. Poult Sci 2020; 99:4421-4435. [PMID: 32867986 PMCID: PMC7598000 DOI: 10.1016/j.psj.2020.05.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 12/29/2019] [Accepted: 05/22/2020] [Indexed: 12/01/2022] Open
Abstract
Understanding energy partitioning in broiler breeders is needed to provide efficiency indicators for breeding purposes. This study compared 4 nonlinear models partitioning metabolizable energy (ME) intake to BW, average daily gain (ADG), and egg mass (EM) and described the effect of BW and rearing photoperiod on energy partitioning. Ross 708 broiler breeders (n = 180) were kept in 6 pens, controlling individual BW of free run birds with precision feeding stations. Half of the birds in each chamber were assigned to the breeder-recommended target BW curve (Standard) or to an accelerated target BW curve reaching the 21-week BW at week 18 (High). Pairs of chambers were randomly assigned to 8L:16D, 10L:14D, or 12L:12D rearing photoschedules and photostimulated with 16L:8D at week 21. Model [I] was: MEId = a × BWb + c × ADG × BWd + e × EM + ε, where MEId = daily ME intake (kcal/day); BW in kg; ADG in g/day; EM in g/day. Models [II–IV] were nonlinear mixed versions of model [I] and included individual [II], age-related [III], or both individual and age-related [IV] random terms to explain these sources of variation in maintenance requirement (a). Differences were reported as significant at P ≤ 0.05. The mean square error was 2,111, 1,532, 1,668, and 46 for models [I–IV] respectively, inferring extra random variation was explained by incorporating 1 or 2 random terms. Estimated ME partitioned to maintenance [IV] was 130.6 ± 1.15 kcal/kg0.58, and the ME requirement for ADG and EM were 0.63 ± 0.03 kcal/g/kg0.54 and 2.42 ± 0.04 kcal/g, respectively. During the laying period, maintenance estimates were 124.2 and 137.4 kcal/kg0.58 for standard and high BW treatment, and 130.7, 132.2, and 129.5 kcal/kg0.58 for the 8L:16D, 10L:14D, or 12L:12D treatments, respectively. Although hens on the standard BW treatment with a 12L:12D rearing photoschedule were most energetically conservative, their reproductive performance was the poorest. Model IV provided a new biologically sound method for estimation of life-time energy partitioning in broiler breeders including an age-related random term.
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Affiliation(s)
- S A S van der Klein
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, T6G 2P5, Canada
| | - G Y Bédécarrats
- Department of Animal Bioscience, University of Guelph, Guelph, ON, N1G 2W1 Canada
| | - M J Zuidhof
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, T6G 2P5, Canada.
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Hadinia SH, Carneiro PRO, Fitzsimmons CJ, Bédécarrats GY, Zuidhof MJ. Post-photostimulation energy intake accelerated pubertal development in broiler breeder pullets. Poult Sci 2020; 99:2215-2229. [PMID: 32241507 PMCID: PMC7587636 DOI: 10.1016/j.psj.2019.11.065] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 11/27/2019] [Accepted: 11/27/2019] [Indexed: 01/24/2023] Open
Abstract
The effect of ME intake (MEI) on the reproductive system was evaluated. Ross 308 broiler breeder pullets (n = 140) were assigned to 2 treatments from 22 to 26 wk of age: (1) Low-energy diet fed restricted (2,807 kcal/kg, low MEI) and (2) high-energy diet fed unrestricted (3,109 kcal/kg, high MEI). Daylength was increased from 8 to 14 h at 22 wk of age with a light intensity of 30 lux. Daily palpation was used to detect sexual maturity via the presence of a hard-shelled egg in the shell gland. Expression of gonadotropin releasing hormone-I (GnRH) and gonadotropin inhibitory hormone (GnIH) genes in the hypothalamus and GnRH receptor (GnRH-RI) and GnIH receptor (GnIH-R) genes in the anterior pituitary gland of each pullet was evaluated from 22 to 26 wk of age using quantitative real time-PCR. Blood samples were taken weekly and luteinizing hormone (LH), follicle stimulating-hormone (FSH), and 17-beta-estradiol (E2) determined using commercial ELISA kits. Carcass samples were used for determination of CP and fat content. Data were analyzed using the MIXED procedure in SAS, and differences were reported where P ≤ 0.05. High MEI treatment pullets had 2.3-fold higher GnRH and 1.8-fold higher GnRH-RI mRNA levels than low MEI pullets. MEI affected neither expression of GnIH and GnIH-R nor carcass protein content. For high MEI (489 kcal/D) and low MEI treatments (258 kcal/D), respectively, from 22 to 26 wk of age (P ≤ 0.05), LH concentration was 3.05 and 1.60 ng/mL; FSH concentration was 145 and 89.3 pg/mL; E2 concentration was 429 and 266 pg/mL, and carcass lipid was 13.9 and 10.3%. The onset of lay for pullets in the high MEI treatment advanced such that 100% had laid by 26 wk of age compared with 30% in the low MEI treatment. We concluded that higher MEI advanced the activation of the hypothalamic–pituitary–gonadal axis and also increased body lipid deposition, and moreover, stimulated reproductive hormone levels which overall accelerated puberty in broiler breeder pullets.
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Affiliation(s)
- S H Hadinia
- Department of Agricultural, Food and Nutritional Science, 410 Agriculture/Forestry Centre, University of Alberta, Edmonton, AB, Canada, T6G 2P5
| | - P R O Carneiro
- Department of Agricultural, Food and Nutritional Science, 410 Agriculture/Forestry Centre, University of Alberta, Edmonton, AB, Canada, T6G 2P5
| | - C J Fitzsimmons
- Department of Agricultural, Food and Nutritional Science, 410 Agriculture/Forestry Centre, University of Alberta, Edmonton, AB, Canada, T6G 2P5; Agriculture and Agri-Food Canada, Edmonton, AB, Canada
| | - G Y Bédécarrats
- Department of Animal Biosciences, University of Guelph, Guelph, ON, Canada
| | - M J Zuidhof
- Department of Agricultural, Food and Nutritional Science, 410 Agriculture/Forestry Centre, University of Alberta, Edmonton, AB, Canada, T6G 2P5.
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van der Klein SAS, Hadinia SH, Robinson FE, Bédécarrats GY, Zuidhof MJ. A model of pre-pubertal broiler breeder estradiol-17β levels predicts advanced sexual maturation for birds with high body weight or short juvenile day-length exposure. Poult Sci 2019; 98:5137-5145. [PMID: 31002115 PMCID: PMC6748754 DOI: 10.3382/ps/pez224] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 03/26/2019] [Indexed: 11/20/2022] Open
Abstract
As broiler breeders face increased reproductive challenges specifically related to overfeeding, a clear understanding of the physiological effects of BW and rearing photoperiod on reproductive development is needed. The objective was to use mathematical models to compare plasma estradiol-17β (E2) concentration to characterize the effect of BW and rearing photoperiod on E2 levels. A 2 × 3 factorial arrangement of treatments was used. Hens (n = 180) were fed with a precision feeding system to allocate feed individually to achieve the breeder-recommended BW curve (Standard) or to a BW curve reaching the 21 wk target at 18 wk (High). Hens were on 8L:16D, 10L:14D, or 12L:12D photoschedules during rearing and were photostimulated at 21 wk. Age at first egg (AFE) was recorded. Plasma E2 levels were determined weekly between week 20 and 28. Two modified Gompertz models described E2 level as a function of (a) chronological or (b) physiological (relative to AFE) age. Timing of E2-inflection point was compared between models and treatments. Differences were reported as significant at P ≤ 0.05. The chronological age model inferred that High BW reduced the duration between the E2-inflection point and AFE, whereas the physiological age model inferred that High BW only reduced the duration between photostimulation and the E2-inflection point. Hens on the Standard BW treatment had a longer period between photostimulation and the E2-inflection point compared to hens on the High-BW treatment (11.03 vs. 1.50 wk, respectively, based on physiological age). Hens on the 12L:12D photoschedule had a longer period between photostimulation and the E2-inflection point compared to hens on the 8L:16D or 10L:14D photoschedule, both in the Standard and High BW (28.91 vs. 1.78 and 2.40 wk, 2.65 vs. 0.93 and 0.94 wk, respectively, based on physiological age). The described methodology and results provide quantitative insight into E2 dynamics and serves as a model for future endocrinological studies in poultry reproduction.
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Affiliation(s)
- S A S van der Klein
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - S H Hadinia
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - F E Robinson
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - G Y Bédécarrats
- Department of Animal Biosciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - M J Zuidhof
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
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van der Klein SAS, Bédécarrats GY, Robinson FE, Zuidhof MJ. Early photostimulation at the recommended body weight reduced broiler breeder performance. Poult Sci 2018; 97:3736-3745. [PMID: 29878188 PMCID: PMC6142863 DOI: 10.3382/ps/pey215] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Accepted: 05/03/2018] [Indexed: 12/20/2022] Open
Abstract
To synchronize the onset of sexual maturity in the face of high BW variation, the age at photostimulation has been increasing in the broiler breeder industry. This experiment studied the effects of increased BW and earlier photostimulation on broiler breeder reproductive performance where within-treatment BW uniformity was very high. The experiment tested BW and age at photostimulation treatments in a 2 × 2 factorial arrangement. Hens (n = 120) were fed with a precision feeding system to allocate feed individually following the breeder-recommended target BW (Standard) or to a 22% heavier target BW curve reaching the Standard 21 wk BW at 18 wk (High). Hens were photostimulated at either 18 wk (18WK) or 21 wk (21WK) with a 16L:8D photoschedule. Age at first egg (AFE) and individual egg production to 55 wk were recorded. Differences were reported as significant if P ≤ 0.05. The AFE was decreased and maturation interval between photostimulation and AFE was shorter for hens on the High BW treatment compared to the Standard BW treatment (178.1 vs. 194.7 d and 41.8 vs. 58.2 d, respectively). Hens on the 21WK treatment had a decreased AFE compared to the 18WK treatment (177.0 d vs. 195.9 d) and their maturation interval was shorter (30.0 d vs. 69.9 d). The CV for AFE was higher in the 18WK treatment compared to the 21WK treatment (28.2% vs. 11.2%). Total egg production was higher for hens on the High BW treatment compared to the Standard BW treatment (129.4 vs. 92.8, respectively). Total egg production was higher for hens on the 21WK treatment compared to the 18WK treatment (138.4 vs. 83.8, respectively). Egg weight of Standard BW × 18WK hens was lower compared to High BW × 18WK hens. Current recommended breeder BW may be too low for optimal sexual maturation after photostimulation. It is concluded that even when BW variation is minimized, photostimulation at 18 wk of age is not recommended.
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Affiliation(s)
- S A S van der Klein
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - G Y Bédécarrats
- Department of Animal Biosciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - F E Robinson
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - M J Zuidhof
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
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van der Klein SAS, Bédécarrats GY, Zuidhof MJ. The effect of rearing photoperiod on broiler breeder reproductive performance depended on body weight. Poult Sci 2018; 97:3286-3294. [PMID: 29878187 PMCID: PMC6093749 DOI: 10.3382/ps/pey199] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 05/03/2018] [Indexed: 11/20/2022] Open
Abstract
Body weight (BW) and rearing photoperiod are important factors affecting sexual maturation rate and reproductive performance in broiler breeders. The current experiment used a 2 × 3 factorial arrangement of treatments to study the interaction between BW and rearing photoperiod on reproductive performance in group housed broiler breeder hens, while minimizing variation in BW. Hens (n = 180) were fed with a precision feeding system to allocate feed individually to achieve the breeder-recommended target curve (Standard) or to a target curve that reached the 21 wk BW at 18 wk (High). Hens were on 8L:16D, 10L:14D, or 12L:12D photoschedules during rearing and were photostimulated at 21 wk with a 16L:8D photoschedule. Sexual maturity (defined as age at first egg) and individual egg production to 55 wk were recorded. At 55 wk, proportional weights of individual body components were determined by dissection. Differences were reported as significant at P ≤ 0.05. A significant interaction between BW and rearing photoschedule affected age at sexual maturity and egg production. In the High BW treatment, age at sexual maturity did not differ between hens under the 8L:16D and 10L:14D photoschedules (173 vs. 172 d, respectively). In the Standard BW treatment, the 12L:12D rearing photoperiod delayed sexual maturity compared with the 8L:16D rearing photoperiod (266 vs. 180 d, respectively). All hens on the High BW treatment laid at least 1 egg before the end of the experiment. Conversely, 3.3, 18.1, and 37.6% of Standard BW hens on the 8L:16D, 10L:14D, and 12L:12D photoschedules, respectively, never commenced egg production. At the end of the experiment, proportional breast weight was higher and proportional fatpad weight was lower in Standard compared to High BW hens (25.8 vs. 27.5% and 2.4 vs. 1.5% of BW, respectively). We conclude that increased BW partially counters the effect of longer photoschedules on sexual maturity in broiler breeders and that dissipation of the photorefractory state depends on BW.
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Affiliation(s)
- S A S van der Klein
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
| | - G Y Bédécarrats
- Department of Animal Biosciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - M J Zuidhof
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB T6G 2P5, Canada
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McFarlane HO, Joseph NT, Maddineni SR, Ramachandran R, Bédécarrats GY. Development, validation, and utilization of a novel antibody specific to the type III chicken gonadotropin-releasing hormone receptor. Domest Anim Endocrinol 2011; 40:110-8. [PMID: 21093197 DOI: 10.1016/j.domaniend.2010.09.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2010] [Revised: 09/14/2010] [Accepted: 09/19/2010] [Indexed: 11/21/2022]
Abstract
Two gonadotropin-releasing hormone receptors (GnRH-Rs) have been characterized in chickens to date: cGnRH-R-I and cGnRH-R-III, with cGnRH-R-III being the predominant pituitary form. The purpose of the present study was to first validate a novel antibody for the specific detection of cGnRH-R-III and second, using this antibody, detect changes in cGnRH-R-III protein levels in the pituitary gland of male and female chickens during a reproductive cycle. The localization of cGnRH-R-III within the anterior pituitary gland was also determined. Western blotting of pituitary extracts and transiently transfected COS-7 cell lysates revealed that our antibody is highly specific to cGnRH-R-III protein. Similarly, when used in immunocytochemistry, this antibody specifically detects cells expressing cGnRH-R-III and not cGnRH-R-I. Western blot analyses of chicken pituitary gland homogenates show that cGnRH-R-III protein levels are significantly greater in sexually mature birds than in immature birds or birds at the end of a reproductive cycle (P < 0.0001). A similar pattern was observed for both males and females. Additionally, the antibody was able to detect cGnRH-R-III in cells along the periphery of the cephalic and caudal lobes of the anterior pituitary where the cells containing the gonadotropins are located. In summary, we successfully validated a novel antibody to cGnRH-R-III and showed levels of cGnRH-R-III protein in the pituitary fluctuate with respect to the reproductive status in both male and female chickens.
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Affiliation(s)
- H O McFarlane
- Department of Animal and Poultry Science, University of Guelph, 50 Stone Road East, Guelph, Ontario, Canada
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Abstract
In the turkey industry, molting is traditionally achieved by reducing photoperiod and withdrawing feed and water for several days. Although it is the most effective method, this practice is discouraged in Canada and alternative strategies need to be established. Thyroid hormone levels naturally change during molt, and dietary thyroxine (T4) supplementation was previously shown to induce molt in chickens. This study aimed at evaluating the effectiveness of supplemental dietary T4 in inducing molt in spent turkey breeder hens. One hundred twenty 75-wk-old hens were randomly divided into 4 groups (5 floor pens/replicates, 5 hens each) with the control group kept under a 14-h photoperiod and fed a breeder's diet throughout, whereas hens from the 3 other groups were supplemented with 40 ppm (45.76 mg/kg) T4 for 10 d. One treatment group was maintained under 14 h of light and fed a breeder's diet, whereas the 2 others were subjected to a drop in photoperiod to 6 h during or after supplementation and then were fed a maintenance diet. Egg production, feed intake, BW, molt, and plasma levels of T4, prolactin, and luteinizing hormone were measured. All treated hens ceased laying by d 20; however, several individuals spontaneously returned to lay when left on 14 h of light, suggesting incomplete involution of the reproductive tract. Supplementation significantly reduced feed consumption and induced rapid BW loss. All hens returned to their initial weight by the end of the experiment. Most treated hens initiated molt by d 8 of supplementation and all completed molt by d 37. Plasma T4 in treated hens increased significantly by d 3 (P < 0.05) and remained significantly higher than in controls until d 9 (P < 0.01). Levels returned to initial values by d 35. Prolactin levels did not appear to be influenced by T4 but were mainly dependent on photoperiod and reproductive stage, whereas luteinizing hormone levels remained low throughout. In summary, dietary supplementation with 40 ppm (45.76 mg/kg) T4 was successful in inducing molt in turkey breeder hens. However, dropping the photoperiod was necessary to completely reset the reproductive system.
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Affiliation(s)
- V A L Gulde
- University of Guelph, Department of Animal and Poultry Science, Guelph, Ontario, Canada, N1G 2W1
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Kang Z, Bédécarrats GY, Zadworny D. Expression patterns of the prolactin receptor gene in chicken lymphoid tissues during embryogenesis and posthatch period. Poult Sci 2007; 86:2404-12. [PMID: 17954592 DOI: 10.3382/ps.2007-00235] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Prolactin (PRL) is a pituitary hormone with multiple homeostatic roles among vertebrates. Although it has mainly been studied in relation to its role during the initiation and maintenance of incubation behavior in avian species, it has also been shown to act on the immune system. In this study, levels of PRL receptor (PRLR) mRNA were quantified by real-time PCR, and tissue expression was localized by in situ hybridization in primary and secondary lymphoid organs. Prolactin receptor was shown to be expressed in the bursa follicles, thymus lobules, and splenic pulp at all stages of development examined. Levels of PRLR expression were consistently higher in the bursa of Fabricius when compared with other lymphoid organs, suggesting that PRL acts primarily on bursal development. Furthermore, levels of PRLR mRNA appeared to fluctuate during embryogenesis, with a significant increase observed at embryonic day 19 in the bursa, at 7 d of age in the thymus, and on hatching day in the spleen. Thus, PRL might play an important role during the development of the immune system in chickens.
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Affiliation(s)
- Z Kang
- Department of Animal and Poultry Science, University of Guelph, Guelph, Ontario, Canada, N1G 2W1
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Beranova M, Oliveira LM, Bédécarrats GY, Schipani E, Vallejo M, Ammini AC, Quintos JB, Hall JE, Martin KA, Hayes FJ, Pitteloud N, Kaiser UB, Crowley WF, Seminara SB. Prevalence, phenotypic spectrum, and modes of inheritance of gonadotropin-releasing hormone receptor mutations in idiopathic hypogonadotropic hypogonadism. J Clin Endocrinol Metab 2001; 86:1580-8. [PMID: 11297587 DOI: 10.1210/jcem.86.4.7395] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Mutations in the GnRH receptor (GNRHR) have been described as a cause of reproductive failure in a subset of patients with idiopathic hypogonadotropic hypogonadism (IHH). Given the apparent rarity of these mutations, we set out to determine the frequency and distribution of GNRHR mutations in a heterogeneous population of patients with IHH who were well characterized with respect to diagnosis, phenotype, and mode of inheritance and to define their distribution within the receptor protein. One hundred and eight probands with IHH were screened for mutations in the coding sequence of GNRHR. Forty-eight of the 108 patients had a normal sense of smell, whereas the remaining 60 had anosmia or hyposmia (Kallmann syndrome). Exon segments in the GNRHR were screened for mutations using temperature gradient gel electrophoresis, and all mutations were confirmed by direct sequencing. Five unrelated probands (3 men and 2 women), all normosmic, were documented to have changes in the coding sequence of the GNRHR. Two of these probands were from a subgroup of 5 kindreds consistent with a recessive mode of inheritance, establishing a GNRHR mutation frequency of 2 of 5 (40%) in patients with normosmic, autosomal recessive IHH. The remaining 3 probands with GNRHR mutations were from a subgroup of 18 patients without evidence of familial involvement, indicating a prevalence of 3 of 18 (16.7%) in patients with sporadic IHH and a normal sense of smell. Among the five individuals bearing GNRHR mutations, a broad spectrum of phenotypes was noted, including testicular sizes in the male that varied from prepubertal to the normal adult male range. Three probands had compound heterozygous mutations, and two had homozygous mutations. Of the eight DNA sequence changes identified, four were novel: Thr(32)Ile, Cys(200)Tyr, Leu(266)Arg, and Cys(279)TYR: COS-7 cells transiently transfected with complementary DNAs encoding the human GNRHR containing each of these four novel mutations failed to respond to GnRH agonist stimulation. We conclude that 1) the spectrum of phenotypes in patients with GNRHR mutations is much broader than originally anticipated; 2) the frequency of GNRHR mutations may be more common than previously appreciated in familial cases of normosmic IHH and infrequent in sporadic cases; and 3) functional mutations of the GNRHR are distributed widely throughout the protein.
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Affiliation(s)
- M Beranova
- Reproductive Endocrine Unit, Harvard-wide Reproductive Endocrine Sciences Center, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
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