BMPR1A and BMPR1B Missense Mutations Cause Primary Ovarian Insufficiency

Lucie Renault, Liliana C. Patiño, Françoise Magnin, Brigitte Delemer, Jacques Young, Paul Laissue, Nadine Binart, Isabelle Beau

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

15 Citas (Scopus)


CONTEXT: Primary ovarian insufficiency (POI) is a frequently occurring disorder affecting approximately 1% of women under 40 years of age. POI, which is characterized by the premature depletion of ovarian follicles and elevated plasma levels of follicle-stimulating hormone, leads to infertility. Although various etiological factors have been described, including chromosomal abnormalities and gene mutations, most cases remain idiopathic. OBJECTIVE: To identify and to functionally validate new sequence variants in 2 genes that play a key role in mammalian ovarian function, BMPR1A and BMPR1B (encoding for bone morphogenic protein receptor), leading to POI. METHODS: The impact on bone morphogenic protein (BMP) signaling of BMPR1A and BMPR1B variants, previously identified by whole-exome sequencing on 69 women affected by isolated POI, was established by different in vitro functional experiments. RESULTS: We demonstrate that the BMPR1A-p.Arg442His and BMPR1B-p.Phe272Leu variants are correctly expressed and located but lead to an impairment of downstream BMP signaling. CONCLUSION: In accordance with infertility observed in mice lacking Bmpr1a in the ovaries and in Bmpr1b-/- mice, our results unveil, for the first time, a link between BMPR1A and BMPR1B variants and the origin of POI. We show that BMP signaling impairment through specific BMPR1A and BMPR1B variants is a novel pathophysiological mechanism involved in human POI. We consider that BMPR1A and BMPR1B variants constitute genetic biomarkers of the origin of POI and have clinical utility.

Idioma originalInglés estadounidense
Páginas (desde-hasta)e1449–e1457
Número de páginas8
PublicaciónThe Journal of clinical endocrinology and metabolism
Fecha en línea anticipadanov. 26 2019
EstadoPublicada - abr. 1 2020

Áreas temáticas de ASJC Scopus

  • Endocrinología, diabetes y metabolismo
  • Bioquímica
  • Endocrinología
  • Bioquímica clínica
  • Bioquímica médica


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