Evidence map›Paper›PMID 34714774›Full record

ArticleEuropean journal of endocrinology2021

Broad-spectrum XX and XY gonadal dysgenesis in patients with a homozygous L193S variant in PPP2R3C.

Dilek Cicek, Nick Warr, Gozde Yesil, Hatice Kocak Eker, Firdevs Bas, Sukran Poyrazoglu, Feyza Darendeliler, Gul Direk, Nihal Hatipoglu, Mehmet Eltan and 13 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in European journal of endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 4 institutions in 2 countries.

Dilek CicekDepartment of Paediatric Endocrinology and Diabetes, Erciyes University, School of Medicine, Kayseri, Turkey.
Nick WarrMammalian Genetics Unit, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Gozde YesilDepartment of Medical Genetics, Istanbul University, School of Medicine, Istanbul, Turkey.
Hatice Kocak EkerDepartment of Medical Genetics, Konya Training and Research Hospital, Konya, Turkey.
Firdevs BasDepartment of Pediatric Endocrinology and Diabetes, Istanbul University, School of Medicine, Istanbul, Turkey.
Sukran PoyrazogluDepartment of Pediatric Endocrinology and Diabetes, Istanbul University, School of Medicine, Istanbul, Turkey.
Feyza DarendelilerDepartment of Pediatric Endocrinology and Diabetes, Istanbul University, School of Medicine, Istanbul, Turkey.
Gul DirekDepartment of Paediatric Endocrinology and Diabetes, Erciyes University, School of Medicine, Kayseri, Turkey.
Nihal HatipogluDepartment of Paediatric Endocrinology and Diabetes, Erciyes University, School of Medicine, Kayseri, Turkey.
Mehmet EltanDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Zehra Yavas AbaliDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Busra Gurpinar TosunDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Sare Betul KaygusuzDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Tuba Seven MenevseDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Didem HelvaciogluDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Serap TuranDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Abdullah BereketDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.
Richard ReevesMammalian Genetics Unit, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Michelle SimonMammalian Genetics Unit, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Matthew MackenzieMary Lyon Centre, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Lydia TeboulMary Lyon Centre, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Andy GreenfieldMammalian Genetics Unit, Medical Research Council Harwell Institute, Harwell, Oxfordshire, UK.
Tulay GuranDepartment of Paediatric Endocrinology and Diabetes, Marmara University, School of Medicine, Istanbul, Turkey.ORCID 0000-0003-2658-6866
Marmara University · TRMary Lyon Centre at MRC Harwell · GBIstanbul University · TRErciyes University · TR

Funding

Medical Research Council MC_U142684167Medical Research Council MC_UP_1502/1
6 · The paper itself

Abstract

contextHomozygous and heterozygous variants in PPP2R3C are associated with syndromic 46,XY complete gonadal dysgenesis (Myo-Ectodermo-Gonadal Dysgenesis (MEGD) syndrome), and impaired spermatogenesis, respectively. This study expands the role of PPP2R3C in the aetiology of gonadal dysgenesis (GD).

methodWe sequenced the PPP2R3C gene in four new patients from three unrelated families. The clinical, laboratory, and molecular characteristics were investigated. We have also determined the requirement for Ppp2r3c in mice (C57BL6/N) using CRISPR/Cas9 genome editing.

resultsA homozygous c.578T>C (p.L193S) PPP2R3C variant was identified in one 46,XX girl with primary gonadal insufficiency, two girls with 46,XY complete GD, and one undervirilised boy with 46,XY partial GD. The patients with complete GD had low gonadal and adrenal androgens, low anti-Müllerian hormone, and high follicle-stimulating hormone and luteinizing hormone concentrations. All patients manifested characteristic features of MEGD syndrome. Heterozygous Ppp2r3c knockout mice appeared overtly normal and fertile. Inspection of homozygous embryos at 14.5, 9.5, and 8.5 days post coitum(dpc) revealed evidence of dead embryos. We conclude that loss of function of Ppp2r3c is not compatible with viability in mice and results in embryonic death from 7.5 dpc or earlier.

conclusionOur data indicate the essential roles for PPP2R3C in mouse and human development. Germline homozygous variants in human PPP2R3C are associated with distinctive syndromic GD of varying severity in both 46,XY and 46,XX individuals.

Indexed as

Amino Acid SubstitutionAnimalsChildConsanguinityEmbryo, MammalianFemaleGonadal Dysgenesis, 46,XXGonadal Dysgenesis, 46,XYHomozygoteHumansLeucineMaleMiceMice, Inbred C57BLMice, TransgenicMutation, MissenseLeucinePPP2R3C protein, humanProtein Phosphatase 2Serine

Identifiers

PMID34714774
PMCPMC8679844
OpenAlexW3210877746

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.