TSHR
A large number of activating mutations of the hTSHR
have been identified in individuals with autonomously
functioning thyroid adenomas (somatic mutations) or
autosomal dominant nonautoimmune hyperthyroidism
(germ-line mutations).
A number of loss-of-function hTSHR mutations have
been identified in individuals with nonautoimmune
congenital hypothyroidism, where the degree of
hypothyroidism correlates with the extent of target cell
unresponsiveness to TSH.
LHR
Numerous activating mutations of the hLHR have been
identified in boys with gonadotropin-independent pre-
cocious puberty (testotoxicosis). In these cases, the
constitutively active hLHRs inappropriately stimulate
testosterone production in Leydig cells under conditions
of prepubertal levels of LH. Only one hLHR mutation,
D578H, has been found to also cause Leydig cell
adenomas. Unlike the other hLHR activating mutations,
D578H was somatic rather than germ-line in origin.
Although it was initially postulated that D578H may
activate a pathway(s) different from those activated by
the other constitutively active hLHRs, such differences
have not yet been observed. Therefore, as with the
hTHSR, tumor formation by D578H may be due to its
somatic origin.
Many different loss-of-function hLHR mutations
have been identified in genetic males with micropenis
(partial loss-of-function) or pseudohermaphroditism
(severe loss-of-function). In the latter case, the individual
presents with female external genitalia but fails to
undergo breast development or menstruation at the time
of puberty. Female siblings with homozygous or
compound heterozygous loss-of-function LHR
mutations are infertile.
FSHR
Only one naturally occurring activating mutation of the
hFSHR has been reported. This mutation was found in a
hypophysectomized male receiving testosterone sup-
plementation who exhibited normal spermatogenesis.
Studies of this mutant in cell culture, however, have led
to disparate results on whether or not it is truly
activating. Surprisingly, activating FSHR mutations
have not been found in granulosa cell tumors examined
thus far. The paucity of naturally occurring activating
mutations of the hFSHR may reflect the lack of a readily
detectable pathophysiological state in males or females
arising from a constitutively active hFSHR and/or to the
relative resistance of the hFSHR to mutation-induced
constitutive activity.
The first loss-of-function hFSHR mutation was
identified in a population of Finnish women with
primary amenorrhea due to ovarian failure. Cells
expressing the recombinant form of this hFSHR mutant
display no responsiveness to FSH. Surprisingly, men
homozygous for this mutation were not infertile,
although their fertility may have been impaired some-
what. Therefore, although FSH plays an important role
in spermatogenesis, these observations raised ongoing
debates regarding its absolute requirement. Since then,
other loss-of-function mutations of the hFSHR have
been identified in women with varying degrees of
FSH resistance.
SEE ALSO THE FOLLOWING ARTICLES
G Protein-Coupled Receptor Kinases and Arrestins †
Glycoproteins, N-linked
GLOSSARY
chorionic gonadotropin (CG) A hormone secreted by the placenta
that is nearly identical to the pituitary hormone LH and is, there-
fore, recognized by the LH receptor. Also, choriogonadotropin.
follicle-stimulating hormone (FSH) A pituitary hormone recognized
by the FSH receptor. Also, follitropin.
glycoprotein hormones The structurally related hormones TSH, LH,
CG, and FSH. The glycoprotein hormone receptors are the LH,
FSH, and TSH receptors.
gonadotropins LH, CG, and FSH; members of the glycoprotein
hormone family that act upon the gonads. The gonadotropin
receptors are the LH and FSH receptors.
G protein-coupled receptors (GPCRs) A class of membrane receptors
that contain seven transmembrane regions and mediate their
actions through the activation of G proteins.
luteinizing hormone (LH) A pituitary hormone recognized by the LH
receptor. Also, lutropin.
thyroid-stimulating hormone (TSH) A pituitary hormone recognized
by the TSH receptor. Also, thyrotropin.
FURTHER READING
Ascoli, M., Fanelli, F., and Segaloff, D. L. (2002). The lutropin/
choriogonadotropin receptor, a 2002 perspective. Endocr. Rev. 23,
141–174.
Davies, T., Marians, R., and Latif, R. (2002). The TSH receptor reveals
itself. J. Clin. Invest. 110, 161–164.
Hsu, S. Y., and Hsueh, A. J. (2000). Discovering new hormones,
receptors and signaling mediators in the genomic era. Mol.
Endocrinol. 14, 594–604.
Latronico, A., and Segaloff, D. L. (1999). Naturally occurring
mutations of the luteinizing-hormone receptor: Lessons learned
about reproductive physiology and G protein-coupled receptors.
Amer. J. Hum. Genet. 65, 949– 958.
Paschke, R., and Ludgate, M. (1997). The thyrotropin receptor in
thyroid diseases. N. Engl. J. Med. 337, 1675– 1681.
Rapoport, B., Chazenbalk, G. D., Jaume, J. C., and McLachlan, S. M.
(1998). The thyrotropin (TSH) receptor: Interaction with TSH and
autoantibodies. Endocr. Rev. 19, 673–716.
Simoni, M., Gromoll, J., and Nieschlag, E. (1997). The follicle-
stimulating hormone receptor: Biochemistry, molecular biology,
physiology, and pathophysiology. Endocr. Rev. 18, 739–773.
TSH, LH AND FSH RECEPTORS 185