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@ARTICLE{Pelletier:164192,
      author       = {Pelletier, Félixe and Perrier, Stefanie and Cayami, Ferdy
                      K and Mirchi, Amytice and Saikali, Stephan and Tran, Luan T
                      and Ulrick, Nicole and Guerrero, Kether and Rampakakis,
                      Emmanouil and van Spaendonk, Rosalina M L and Naidu,
                      Sakkubai and Pohl, Daniela and Gibson, William T and Demos,
                      Michelle and Goizet, Cyril and Tejera-Martin, Ingrid and
                      Potic, Ana and Fogel, Brent L and Brais, Bernard and
                      Sylvain, Michel and Sébire, Guillaume and Lourenço,
                      Charles Marques and Bonkowsky, Joshua L and
                      Catsman-Berrevoets, Coriene and Pinto, Pedro S and
                      Tirupathi, Sandya and Strømme, Petter and de Grauw, Ton and
                      Gieruszczak-Bialek, Dorota and Kragelöh-Mann, Ingeborg and
                      Mierzewska, Hanna and Philippi, Heike and Rankin, Julia and
                      Atik, Tahir and Banwell, Brenda and Benko, William S and
                      Blaschek, Astrid and Bley, Annette and Boltshauser, Eugen
                      and Bratkovic, Drago and Brozova, Klara and Cimas, Icíar
                      and Clough, Christopher and Corenblum, Bernard and
                      Dinopoulos, Argirios and Dolan, Gail and Faletra, Flavio and
                      Fernandez, Raymond and Fletcher, Janice and Garcia Garcia,
                      Maria Eugenia and Gasparini, Paolo and Gburek-Augustat,
                      Janina and Gonzalez Moron, Dolores and Hamati, Aline and
                      Harting, Inga and Hertzberg, Christoph and Hill, Alan and
                      Hobson, Grace M and Innes, A Micheil and Kauffman, Marcelo
                      and Kirwin, Susan M and Kluger, Gerhard and Kolditz, Petra
                      and Kotzaeridou, Urania and La Piana, Roberta and Liston,
                      Eriskay and McClintock, William and McEntagart, Meriel and
                      McKenzie, Fiona and Melançon, Serge and Misbahuddin, Anjum
                      and Suri, Mohnish and Monton, Fernando I and Moutton,
                      Sebastien and Murphy, Raymond P J and Nickel, Miriam and
                      Onay, Hüseyin and Orcesi, Simona and Özkınay, Ferda and
                      Patzer, Steffi and Pedro, Helio and Pekic, Sandra and Pineda
                      Marfa, Mercedes and Pizzino, Amy and Plecko, Barbara and
                      Poll-The, Bwee Tien and Popovic, Vera and Rating, Dietz and
                      Rioux, Marie-France and Rodriguez Espinosa, Norberto and
                      Ronan, Anne and Ostergaard, John R and Rossignol, Elsa and
                      Sanchez-Carpintero, Rocio and Schossig, Anna and Senbil,
                      Nesrin and Sønderberg Roos, Laura K and Stevens, Cathy A
                      and Synofzik, Matthis and Sztriha, László and Tibussek,
                      Daniel and Timmann, Dagmar and Tonduti, Davide and van de
                      Warrenburg, Bart P and Vázquez-López, Maria and
                      Venkateswaran, Sunita and Wasling, Pontus and Wassmer,
                      Evangeline and Webster, Richard I and Wiegand, Gert and
                      Yoon, Grace and Rotteveel, Joost and Schiffmann, Raphael and
                      van der Knaap, Marjo S and Vanderver, Adeline and
                      Martos-Moreno, Gabriel Á and Polychronakos, Constantin and
                      Wolf, Nicole I and Bernard, Geneviève},
      title        = {{E}ndocrine and {G}rowth {A}bnormalities in 4{H}
                      {L}eukodystrophy {C}aused by {V}ariants in {POLR}3{A},
                      {POLR}3{B}, and {POLR}1{C}.},
      journal      = {The journal of clinical endocrinology $\&$ metabolism},
      volume       = {106},
      number       = {2},
      issn         = {0021-972X},
      address      = {Oxford},
      publisher    = {Oxford University Press},
      reportid     = {DZNE-2022-00848},
      pages        = {e660 - e674},
      year         = {2021},
      abstract     = {4H or POLR3-related leukodystrophy is an autosomal
                      recessive disorder typically characterized by
                      hypomyelination, hypodontia, and hypogonadotropic
                      hypogonadism, caused by biallelic pathogenic variants in
                      POLR3A, POLR3B, POLR1C, and POLR3K. The endocrine and growth
                      abnormalities associated with this disorder have not been
                      thoroughly investigated to date.To systematically
                      characterize endocrine abnormalities of patients with 4H
                      leukodystrophy.An international cross-sectional study was
                      performed on 150 patients with genetically confirmed 4H
                      leukodystrophy between 2015 and 2016. Endocrine and growth
                      abnormalities were evaluated, and neurological and other
                      non-neurological features were reviewed. Potential
                      genotype/phenotype associations were also investigated.This
                      was a multicenter retrospective study using information
                      collected from 3 predominant centers.A total of 150 patients
                      with 4H leukodystrophy and pathogenic variants in POLR3A,
                      POLR3B, or POLR1C were included.Variables used to evaluate
                      endocrine and growth abnormalities included pubertal
                      history, hormone levels (estradiol, testosterone, stimulated
                      LH and FSH, stimulated GH, IGF-I, prolactin, ACTH, cortisol,
                      TSH, and T4), and height and head circumference charts.The
                      most common endocrine abnormalities were delayed puberty
                      (57/74; $77\%$ overall, $64\%$ in males, $89\%$ in females)
                      and short stature (57/93; $61\%),$ when evaluated according
                      to physician assessment. Abnormal thyroid function was
                      reported in $22\%$ (13/59) of patients.Our results confirm
                      pubertal abnormalities and short stature are the most common
                      endocrine features seen in 4H leukodystrophy. However, we
                      noted that endocrine abnormalities are typically
                      underinvestigated in this patient population. A prospective
                      study is required to formulate evidence-based
                      recommendations for management of the endocrine
                      manifestations of this disorder.},
      keywords     = {Adolescent / Adult / Biological Variation, Population /
                      Child / Child, Preschool / Cohort Studies / Cross-Sectional
                      Studies / DNA-Directed RNA Polymerases: genetics / Endocrine
                      System Diseases: epidemiology / Endocrine System Diseases:
                      etiology / Endocrine System Diseases: genetics / Female /
                      Genetic Heterogeneity / Growth Disorders: epidemiology /
                      Growth Disorders: etiology / Growth Disorders: genetics /
                      Hereditary Central Nervous System Demyelinating Diseases:
                      complications / Hereditary Central Nervous System
                      Demyelinating Diseases: epidemiology / Hereditary Central
                      Nervous System Demyelinating Diseases: genetics / Humans /
                      Hypogonadism: epidemiology / Hypogonadism: etiology / Infant
                      / Infant, Newborn / Male / Mitochondrial Diseases:
                      complications / Mitochondrial Diseases: epidemiology /
                      Mitochondrial Diseases: genetics / Mutation / RNA Polymerase
                      III: genetics / Retrospective Studies / Young Adult / 4H
                      leukodystrophy (Other) / POLR3-related leukodystrophy
                      (Other) / hypogonadotropic hypogonadism (Other) /
                      hypomyelination (Other) / DNA-Directed RNA Polymerases (NLM
                      Chemicals) / POLR1C protein, human (NLM Chemicals) / POLR3A
                      protein, human (NLM Chemicals) / POLR3B protein, human (NLM
                      Chemicals) / RNA Polymerase III (NLM Chemicals)},
      cin          = {AG Gasser},
      ddc          = {610},
      cid          = {I:(DE-2719)1210000},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:33005949},
      pmc          = {pmc:PMC7823228},
      doi          = {10.1210/clinem/dgaa700},
      url          = {https://pub.dzne.de/record/164192},
}