SOX2 haploinsufficiency is associated with slow progressing hypothalamo‐pituitary tumours

KS Alatzoglou, CL Andoniadou, D Kelberman… - Human …, 2011 - Wiley Online Library
KS Alatzoglou, CL Andoniadou, D Kelberman, CR Buchanan, J Crolla, MC Arriazu…
Human mutation, 2011Wiley Online Library
SOX2 is an early developmental transcription factor and marker of stem cells that has
recently been implicated in the development of the pituitary gland. Heterozygous SOX2
mutations have been described in patients with hypopituitarism and severe ocular
abnormalities. In the majority of published cases, the pituitary gland is either small or normal
in size. Here, we report two unrelated patients with SOX2 haploinsufficiency (a heterozygous
gene deletion and a novel c. 143TC> AA/p. F48X mutation) who developed nonprogressive …
Abstract
SOX2 is an early developmental transcription factor and marker of stem cells that has recently been implicated in the development of the pituitary gland. Heterozygous SOX2 mutations have been described in patients with hypopituitarism and severe ocular abnormalities. In the majority of published cases, the pituitary gland is either small or normal in size. Here, we report two unrelated patients with SOX2 haploinsufficiency (a heterozygous gene deletion and a novel c.143TC>AA/p.F48X mutation) who developed nonprogressive pituitary tumors of early onset, suggesting a congenital etiology. The truncating mutation resulted in significant loss of function and impaired nuclear localization of the mutant protein, in addition to a failure to repress β‐catenin transcriptional activity in vitro. This is the first indication that SOX2 haploinsufficiency is implicated in the generation of pituitary tumors with distinct clinical characteristics, possibly mediated via its effects on the Wnt signaling pathway. 32:1376–1380, 2011. ©2011 Wiley Periodicals, Inc.
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