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2010 Fiscal Year Final Research Report

Molecular basis of congenital pituitary defect

Research Project

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Project/Area Number 20591213
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionHokkaido University

Principal Investigator

TAJIMA Toshihiro  Hokkaido University, 大学院・医学研究科, 講師 (50333597)

Project Period (FY) 2008 – 2010
Keywords小児内分泌学 / 下垂体 / 発生
Research Abstract

We analyzed 35 patients of congenital pituitary anomalies accompanying with combined pituitary hormone deficiency. As results, we identified novel mutations of the OTX2 gene (p.S136sX178, p.K75fsX103) and one novel mutation (V101A) of the LHX4 gene.
OTX2 is a transcription factor necessary for ocular and forebrain development. This study indicates that the OTX2 gene mutation is a cause of CPHD and the clinical phenotypes of OTX2 mutations involved opthalamogical and central nervous anomalies.
LHX4, a LIM-homeodomain transcription factor, is required for development of the pituitary and nervous system. A novel missense mutation (V101A) was identified. In vitro transfection studies demonstrated that this mutant was loss-of-function. An early report suggested that a poorly developed sella turcica was a characteristic feature caused by a LHX4 mutation. However, our patient had a normally developed sella turcica. Therefore, a poorly developed sella turcica is not a universal feature of patients with LHX4 mutations.

  • Research Products

    (25 results)

All 2011 2010 2009 2008

All Journal Article (14 results) (of which Peer Reviewed: 11 results) Presentation (11 results)

  • [Journal Article] Heterozygous orthodenticle homeobox 2 mutations are associated with variable pituitary phenotype.2010

    • Author(s)
      Dateki S, Kosaka K, Hasegawa K, Tanaka H, Azuma N, Yokoya S, Muroya K, Adachi M, Tajima T, Motomura K, Kinoshita E, Moriuchi H, Sato N, Fukami M, Ogata T.
    • Journal Title

      J Clin Endocrinol Metab 95

      Pages: 756-764

    • Peer Reviewed
  • [Journal Article] Loss of function mutation (V101A) in a LIM domain of the LHX4 gene causes combined pituitary hormone deficiency.2010

    • Author(s)
      Tajima T, Ishizu K, Yorifuji T.
    • Journal Title

      Exp Clin Endocrinol Diabetes 118

      Pages: 405-409

    • Peer Reviewed
  • [Journal Article] Problems in diagnosing atypical Gitelman's syndrome presenting with normomagnesaemia.2010

    • Author(s)
      Nakamura A, Shimizu C, Nagai S, Yoshida M, Aoki K, Kondo T, Miyoshi H, Wada N, Tajima T, Terauchi Y, Yoshioka N, Koike T
    • Journal Title

      Clin Endocrinol 72

      Pages: 272-276

    • Peer Reviewed
  • [Journal Article] Increased Na reabsorption via the Na-Cl cotransporter in autosomal recessive pseudohypoaldosteronism.2010

    • Author(s)
      Adachi M, Asakura Y, Muroya K, Tajima T, Fujieda K, Kuribayashi E, Uchida S
    • Journal Title

      Clin Exp Nephrol 14

      Pages: 228-232

    • Peer Reviewed
  • [Journal Article] Molecular analysis of the GATA3 gene in five Japanese patients with HDR syndrome.2010

    • Author(s)
      Nakamura A, Fujiwara F, Hasegawa Y, Ishizu K, Mabe A, Nakagawa H, Nagasaki K, Jo W, Tajima T
    • Journal Title

      Endocr J.[Epub ahead of print]

    • Peer Reviewed
  • [Journal Article] 先天性副腎過形成の成因と治療の最近の話題2010

    • Author(s)
      田島敏広、中村明枝、城和歌子、石津桂、奥原宏治、藤枝憲二
    • Journal Title

      日本小児科学会雑誌 114

      Pages: 1373-1380

    • Peer Reviewed
  • [Journal Article] 成長ホルモン分泌不全性低身長 小児の薬の使い方2010

    • Author(s)
      田島敏広
    • Journal Title

      小児内科増刊号 42

      Pages: 565-666

  • [Journal Article] 先天性複合型下垂体機能低下症2009

    • Author(s)
      田島敏広
    • Journal Title

      ゲノム医学 9

      Pages: 55-59

  • [Journal Article] OTX2 loss of function mutation causes anophthalmia and combined pituitary hormone deficiency with a small anterior and ectopic posterior pituitary.2009

    • Author(s)
      Tajima T, Ohtake A, Hoshino M, Amemiya S, Sasaki N, Ishizu K, Fujieda K
    • Journal Title

      J Clin Endocrinol Metab. 94

      Pages: 314-319

    • Peer Reviewed
  • [Journal Article] Results of neonates with elevated free thyroxine levels detected by a neonatal screening system.2009

    • Author(s)
      Tajima T, Jo W, Fujikura K, Fukushi M, Fujieda K
    • Journal Title

      Pediatr Res 66

      Pages: 312-316

    • Peer Reviewed
  • [Journal Article] 複合型下垂体機能不全 小児疾患診療のための病態生理2008

    • Author(s)
      田島敏広
    • Journal Title

      小児内科 40

      Pages: 661-666

  • [Journal Article] Prenatal diagnosis and treatment of steroid 21-hydroxylase deficiency.2008

    • Author(s)
      田島敏広, 藤枝憲二
    • Journal Title

      Clin Pediatr Endocrinol. 17

      Pages: 95-102

    • Peer Reviewed
  • [Journal Article] Case study of a 15-year-old boy with McCune-Albright syndrome combined with pituitary gigantism : effect of octreotide-long acting release (LAR) and cabergoline therapy.2008

    • Author(s)
      Tajima T, Tsubaki J, Ishizu K, Jo W, Ishi N, Fujieda K
    • Journal Title

      Endocr J. 55

      Pages: 595-599

    • Peer Reviewed
  • [Journal Article] Four Japanese patients with adrenal hypoplasia congenita and hypogonadotropic hypogonadism caused by DAX-1 gene mutations : mutant DAX-1 failed to repress steroidogenic acute regulatory protein (StAR) and luteinizing hormone beta-subunit gene promoter activity.2008

    • Author(s)
      Okuhara K, Abe S, Kondo T, Fujita K, Koda N, Mochizuki H, Fujieda K, Tajima T
    • Journal Title

      Endocr J. 55

      Pages: 97-103

    • Peer Reviewed
  • [Presentation] 思春期発来異常へのアプローチ2011

    • Author(s)
      田島敏広
    • Organizer
      第20回臨床内分泌up date
    • Place of Presentation
      札幌
    • Year and Date
      2011-01-29
  • [Presentation] Dr Kenji Fujieda Memorial Lecture2010

    • Author(s)
      田島敏広
    • Organizer
      49^<th> Annual Meeting of the European Society for Pediatric Endocrinology
    • Place of Presentation
      プラハ
    • Year and Date
      2010-09-24
  • [Presentation] Longitudinal growth of patients with 21-hydroxylase deficiency.2010

    • Author(s)
      Nakamura A, Jo W, Ishizu K, Tajima T, Fujieda K
    • Organizer
      International Symposium on Pediatric Endocrinology
    • Place of Presentation
      東京
    • Year and Date
      2010-03-31
  • [Presentation] Molecular basis and clinical phenotypes caused by OTX2 gene defects in combined pituitary hormone deficiency.2010

    • Author(s)
      Tajima T, Nakamura A, Ishizu K, Jo W
    • Organizer
      14th International Congress of Endocrinology.
    • Place of Presentation
      京都
    • Year and Date
      2010-03-29
  • [Presentation] Cytochrome P450scc as a cause of congenital adrenal hyperplasia (lipoid CAH)2010

    • Author(s)
      田島敏広, 藤枝憲二
    • Place of Presentation
      京都
    • Year and Date
      2010-03-28
  • [Presentation] 思春期発来異常をめくる諸問題2009

    • Author(s)
      田島敏広
    • Organizer
      第43回日本小児内分泌学会学術集会
    • Place of Presentation
      宇都宮
    • Year and Date
      2009-10-03
  • [Presentation] Clinical and molecular genetic spectrum of lipoid CAH and noncalssic lipoid CAH.2009

    • Author(s)
      田島敏広, 藤枝憲二
    • Organizer
      LWPES/ESPE 8^<th> Joint Meeting Global Care in Pediatric Endocrinology
    • Place of Presentation
      ニューヨーク
    • Year and Date
      2009-09-13
  • [Presentation] 新生児スクリーニングで見つかる先天性副腎過形成症-健やかな成長を目指して-2009

    • Author(s)
      田島敏広
    • Organizer
      第36回日本マススクリーニング学会
    • Place of Presentation
      札幌
    • Year and Date
      2009-08-21
  • [Presentation] 先天性副腎過形成症のトランジッションについて2009

    • Author(s)
      田島敏広、藤枝憲二
    • Organizer
      第19回臨床内分泌代謝up date
    • Place of Presentation
      東京
    • Year and Date
      2009-03-14
  • [Presentation] Two novel mutations of the oTX2 causes anophthalmia, pituitary ectopic posterior lobe and combined pituitary hormone deficiency.2008

    • Author(s)
      Tajima T, Ishidu K, Otake A, Amamiya S, Kosaka K, Hoshino M
    • Organizer
      90^<th> annual meeting of Endocrine Society.
    • Place of Presentation
      サンフランシスコ
    • Year and Date
      2008-06-17
  • [Presentation] 下垂体形成異常におけるOTX2の役割2008

    • Author(s)
      田島敏広、石津桂、星野正也、大竹明、雨宮伸、佐々木望、藤枝憲二
    • Organizer
      第81回日本内分泌学会学術総会
    • Place of Presentation
      青森
    • Year and Date
      2008-05-17

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Published: 2012-01-26   Modified: 2016-04-21  

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