PMID- 19890128 OWN - NLM STAT- MEDLINE DCOM- 20091113 LR - 20131121 IS - 1533-4406 (Electronic) IS - 0028-4793 (Linking) VI - 361 IP - 19 DP - 2009 Nov 5 TI - Normal spermatogenesis in a man with mutant luteinizing hormone. PG - 1856-63 LID - 10.1056/NEJMoa0805792 [doi] AB - Men with mutations in LHB, the gene encoding the beta subunit of luteinizing hormone (LHB), have azoospermia with absent or few fetal Leydig cells. We report a mutation in LHB in a man and his sister. The man presented with absence of virilization, undetectable luteinizing hormone, and a low serum testosterone level. He had complete spermatogenesis with a normal sperm count. The mutant luteinizing hormone had a low level of partial activity in vitro. We concluded that the residual luteinizing hormone activity, resulting in the expression of steroidogenic enzymes in few mature Leydig cells producing small amounts of intratesticular testosterone (20.2 ng per gram), was sufficient for complete and quantitatively normal spermatogenesis. CI - Copyright 2009 Massachusetts Medical Society. FAU - Achard, Caroline AU - Achard C AD - INSERM Unite 854, University Paris South 11, France. FAU - Courtillot, Carine AU - Courtillot C FAU - Lahuna, Olivier AU - Lahuna O FAU - Meduri, Geri AU - Meduri G FAU - Soufir, Jean-Claude AU - Soufir JC FAU - Liere, Philippe AU - Liere P FAU - Bachelot, Anne AU - Bachelot A FAU - Benyounes, Hassani AU - Benyounes H FAU - Schumacher, Michael AU - Schumacher M FAU - Kuttenn, Frederique AU - Kuttenn F FAU - Touraine, Philippe AU - Touraine P FAU - Misrahi, Micheline AU - Misrahi M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - N Engl J Med JT - The New England journal of medicine JID - 0255562 RN - 0 (Luteinizing Hormone, beta Subunit) RN - 3XMK78S47O (Testosterone) RN - 9002-67-9 (Luteinizing Hormone) SB - IM MH - Adult MH - Female MH - Humans MH - Luteinizing Hormone/deficiency/metabolism MH - Luteinizing Hormone, beta Subunit/*genetics MH - Male MH - *Mutation MH - Pedigree MH - Sequence Analysis, DNA MH - *Spermatogenesis MH - Testis/cytology MH - Testosterone/deficiency EDAT- 2009/11/06 06:00 MHDA- 2009/11/17 06:00 CRDT- 2009/11/06 06:00 PHST- 2009/11/06 06:00 [entrez] PHST- 2009/11/06 06:00 [pubmed] PHST- 2009/11/17 06:00 [medline] AID - 361/19/1856 [pii] AID - 10.1056/NEJMoa0805792 [doi] PST - ppublish SO - N Engl J Med. 2009 Nov 5;361(19):1856-63. doi: 10.1056/NEJMoa0805792.