2001
DOI: 10.1086/323764
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Syndromic Short Stature in Patients with a Germline Mutation in the LIM Homeobox LHX4

Abstract: Studies of genetically engineered flies and mice have revealed the role that orthologs of the human LIM homeobox LHX4 have in the control of motor-neuron-identity assignment and in pituitary development. Remarkably, these mouse strains, which bear a targeted modification of Lhx4 in the heterozygous state, are asymptomatic, whereas homozygous animals die shortly after birth. Nevertheless, we have isolated the human LHX4 gene, as well as the corresponding cDNA sequence, to test whether it could be involved in de… Show more

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Cited by 253 publications
(159 citation statements)
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“…Magnetic resonance imaging analyses of affected family members revealed a hypoplastic pituitary, small sella turcica, chiari malformation, and an ectopic posterior pituitary (Machinis et al, 2001). The observed LHX4 mutation is a G to C transversion at a splice acceptor site predicted to result in the production of either a protein with deletion of four conserved amino acids within the HD or a truncated protein.…”
Section: Lhx4mentioning
confidence: 97%
See 1 more Smart Citation
“…Magnetic resonance imaging analyses of affected family members revealed a hypoplastic pituitary, small sella turcica, chiari malformation, and an ectopic posterior pituitary (Machinis et al, 2001). The observed LHX4 mutation is a G to C transversion at a splice acceptor site predicted to result in the production of either a protein with deletion of four conserved amino acids within the HD or a truncated protein.…”
Section: Lhx4mentioning
confidence: 97%
“…The human LHX4 gene on chromosome 1 has a similar exon/intron organization to LHX3 but longer introns result in a gene length of >45 kilobases (Machinis et al, 2001;Sloop et al, 2001c). In mice, the Lhx4 (or Gsh4) gene is expressed in the developing hindbrain, cerebral cortex, pituitary gland, and spinal cord (Li et al, 1994;Liu et al, 2002).…”
Section: Lhx4mentioning
confidence: 99%
“…Through yeast two-hybrid screening, using the synovial sarcoma-associated SSX1 C terminus as a bait, we isolated two cDNAs corresponding to the LHX4 protein, a transcription factor that is known to be involved in pituitary and motor neuron development (Sheng et al, 1997;Sharma et al, 1998;Machinis et al, 2001;Raetzman et al, 2002) and to be deregulated and/ or translocated in human chronic myeloid and acute lymphoblastic leukemias (Wu et al, 1996;Dong et al, 1997;Wu and Minden, 1997;Kawamata et al, 2002;Yamaguchi et al, 2003). In the yeast two-hybrid system, the LHX4 protein interacts equally well with the C terminus of all SSX proteins known to be involved in synovial sarcoma, that is SSX1, SSX2 and SSX4.…”
Section: Discussionmentioning
confidence: 99%
“…During normal development, the LHX4 gene is predominantly expressed in the central nervous system (Liu et al, 2002), and it was proposed that its overexpression may be associated with cellular proliferation and/or anti-apoptosis (Kawamata et al, 2002;Yamaguchi et al, 2003). Indeed, mouse knockout studies revealed that LHX4 deficiency leads to an increased apoptotic rate in Rathke's pouch, resulting in an impaired pituitary development reminiscent of human congenital pituitary hormone deficiency (CPHD; Sheng et al, 1997;Machinis et al, 2001;Raetzman et al, 2002). In addition, LHX4 was shown to have a direct stimulatory effect on for example the prolactin gene promoter.…”
Section: Discussionmentioning
confidence: 99%
“…Among them, two closely related genes, LHX3 and LHX4, are believed to share redundant biological properties. To date, there has been only one published report of a mutation of LHX4 [2]. The patient with LHX4 germline splice mutation displayed: CPHD (GH, TSH, ACTH; LH/FSH and PRL were not evaluated), anterior pituitary hypoplasia, ectopic posterior pituitary and extrapituitary manifestations that included a poorly formed sella turcica, a persistent craniopharyngeal canal and pointed cerebellar tonsils suggestive of Chiari malformation.…”
Section: Functional Relationship Between Lhx4 and Pou1f1 In Light Of mentioning
confidence: 99%