MCID: CNG608
MIFTS: 30

Congenital Hypopituitarism

Categories: Cardiovascular diseases, Endocrine diseases, Neuronal diseases, Rare diseases

Aliases & Classifications for Congenital Hypopituitarism

MalaCards integrated aliases for Congenital Hypopituitarism:

Name: Congenital Hypopituitarism 52 58
Non-Acquired Combined Pituitary Hormone Deficiency 52 58
Congenital Combined Pituitary Hormone Deficiency 52 58

Characteristics:

Orphanet epidemiological data:

58
non-acquired combined pituitary hormone deficiency
Prevalence: 1-5/10000 (Europe); Age of onset: All ages; Age of death: normal life expectancy;

Classifications:

Orphanet: 58  
Rare endocrine diseases


External Ids:

ICD10 via Orphanet 33 E23.0
Orphanet 58 ORPHA467

Summaries for Congenital Hypopituitarism

NIH Rare Diseases : 52 The following summary is from Orphanet , a European reference portal for information on rare diseases and orphan drugs. Orpha Number: 467 Definition Congenital hypopituitarism is characterized by multiple pituitary hormone deficiency, including somatotroph, thyrotroph, lactotroph, corticotroph or gonadotroph deficiencies, due to mutations of pituitary transcription factors involved in pituitary ontogenesis. Epidemiology Congenital hypopituitarism is rare compared with the high incidence of hypopituitarism induced by pituitary adenomas, transsphenoidal surgery or radiotherapy. The incidence of congenital hypopituitarism is estimated to be between 1:3000 and 1:4000 births. Clinical description Clinical presentation is variable, depending on the type and severity of deficiencies and on the age at diagnosis. If untreated, main symptoms include short stature , cognitive alterations or delayed puberty. Etiology Congenital hypopituitarism is due to mutations of several genes encoding pituitary transcription factors. Phenotype varies with the factor involved: PROP1 (somatolactotroph, thyrotroph, gonadotroph and sometimes corticotroph deficiencies; pituitary hyper and hypoplasia), POU1F1 (somatolactotroph and thyrotroph deficiencies, pituitary hypoplasia), HESX1 (variable pituitary deficiencies, septo-optic dysplasia), and less frequently LHX3 (somatolactotroph, thyrotroph and gonadotroph deficiencies, limited head and neck rotation) and LHX4 (variable pituitary deficiencies, ectopic neurohypophysis, cerebral abnormalities). Diagnostic methods A diagnosis of combined pituitary hormone deficiency (CPHD) must be suspected when evident causes of hypopituitarism (sellar tumor , postsurgical or radioinduced hypopituitarism. . .) have been ruled out. Clinical, biological and radiological work-up is very important to better determine which transcription factor should be screened. Confirmation is provided by direct sequencing of the transcription factor genes. Genetic counseling Type of transmission varies with the factor and the mutation involved (recessive transmission for PROP1 and LHX3, dominant for LHX4, autosomal or recessive for POU1F1 and HESX1). Management and treatment An appropriate replacement of hormone deficiencies is required. Strict follow-up is necessary because patients develop new deficiencies (for example late onset corticotroph deficiency in patients with PROP1 mutations). Prognosis Prognosis is equivalent to patients without pituitary deficiencies if treatment is started immediately when diagnosis is confirmed, and if a specialized follow-up is performed. Visit the Orphanet disease page for more resources.

MalaCards based summary : Congenital Hypopituitarism, also known as non-acquired combined pituitary hormone deficiency, is related to combined pituitary hormone deficiencies, genetic forms and pituitary hypoplasia. An important gene associated with Congenital Hypopituitarism is PROP1 (PROP Paired-Like Homeobox 1). Affiliated tissues include pituitary, bone and liver, and related phenotypes are endocrine/exocrine gland and nervous system

Related Diseases for Congenital Hypopituitarism

Diseases in the Hypopituitarism family:

Congenital Hypopituitarism

Diseases related to Congenital Hypopituitarism via text searches within MalaCards or GeneCards Suite gene sharing:

(show top 50) (show all 103)
# Related Disease Score Top Affiliating Genes
1 combined pituitary hormone deficiencies, genetic forms 31.0 PROP1 LHX4 HESX1 GLI2
2 pituitary hypoplasia 29.9 LHX4 HESX1
3 pituitary stalk interruption syndrome 29.7 LHX4 HESX1
4 cryptorchidism, unilateral or bilateral 29.3 PROP1 LHX4 HESX1
5 hypothyroidism 29.0 PROP1 LHX4 HESX1 GHRH
6 hypogonadotropic hypogonadism 28.9 PROP1 HESX1
7 hypopituitarism 28.9 PROP1 LHX4 HESX1 GLI2 GHRH
8 isolated growth hormone deficiency 28.8 PROP1 LHX4 HESX1 GHRH
9 holoprosencephaly 28.6 PROP1 LHX4 HESX1 GLI2
10 pituitary gland disease 28.3 PROP1 LHX4 HESX1 GHRH
11 septooptic dysplasia 28.2 PROP1 LHX4 HESX1 GLI2 GHRH
12 pituitary hormone deficiency, combined, 2 28.1 PROP1 LHX4 HESX1 GLI2 GHRH
13 non-acquired combined pituitary hormone deficiencies without extrapituitary malformations 12.7
14 disease associated with non-acquired combined pituitary hormone deficiency 12.7
15 pituitary hormone deficiency, combined, 3 12.5
16 central congenital hypothyroidism 11.2
17 hypoglycemia 10.5
18 growth hormone deficiency 10.3
19 cholestasis 10.2
20 optic nerve hypoplasia, bilateral 10.1
21 diabetes insipidus 10.1
22 cleft palate, isolated 10.0
23 bilirubin metabolic disorder 10.0
24 absence of septum pellucidum 10.0
25 hypogonadotropic hypogonadism 7 with or without anosmia 10.0
26 hypothyroidism, congenital, nongoitrous, 4 10.0
27 biliary atresia 10.0
28 neonatal jaundice 10.0
29 isolated gonadotropin-releasing hormone deficiency 10.0
30 strabismus 9.9
31 fryns microphthalmia syndrome 9.9
32 culler-jones syndrome 9.9
33 metabolic acidosis 9.9
34 microphthalmia 9.9
35 dilated cardiomyopathy 9.9
36 amenorrhea 9.9
37 hypogonadism 9.9
38 mechanical strabismus 9.9
39 48,xyyy 9.9
40 posttransplant acute limbic encephalitis 9.9
41 adamantinous craniopharyngioma 9.9 PROP1 HESX1
42 pituitary hormone deficiency, combined, 1 9.9 LHX4 HESX1
43 acth deficiency, isolated 9.8 PROP1 LHX4
44 atrial standstill 1 9.8
45 fibromatosis, gingival, with progressive deafness 9.8
46 prader-willi syndrome 9.8
47 trichorhinophalangeal syndrome, type i 9.8
48 glycogen storage disease ia 9.8
49 hypopituitarism, congenital, with central diabetes insipidus 9.8
50 shwachman-diamond syndrome 1 9.8

Graphical network of the top 20 diseases related to Congenital Hypopituitarism:



Diseases related to Congenital Hypopituitarism

Symptoms & Phenotypes for Congenital Hypopituitarism

MGI Mouse Phenotypes related to Congenital Hypopituitarism:

45
# Description MGI Source Accession Score Top Affiliating Genes
1 endocrine/exocrine gland MP:0005379 9.55 GHRH GLI2 HESX1 LHX4 PROP1
2 nervous system MP:0003631 9.35 GHRH GLI2 HESX1 LHX4 PROP1
3 respiratory system MP:0005388 8.92 GLI2 HESX1 LHX4 PROP1

Drugs & Therapeutics for Congenital Hypopituitarism

Search Clinical Trials , NIH Clinical Center for Congenital Hypopituitarism

Genetic Tests for Congenital Hypopituitarism

Anatomical Context for Congenital Hypopituitarism

MalaCards organs/tissues related to Congenital Hypopituitarism:

40
Pituitary, Bone, Liver, Testes, Hypothalamus, Bone Marrow, Whole Blood

Publications for Congenital Hypopituitarism

Articles related to Congenital Hypopituitarism:

(show top 50) (show all 187)
# Title Authors PMID Year
1
The Molecular Basis of Congenital Hypopituitarism and Related Disorders. 61
31702014 2020
2
Hypopituitarism in Patients with Blepharophimosis and FOXL2 Mutations. 61
32454486 2020
3
Hypopituitarism in five PROP1 mutation siblings: long-lasting natural course and the effects of growth hormone replacement introduction in middle adulthood. 61
32415500 2020
4
Disrupted hypothalamo-pituitary axis in association with reduced SHH underlies the pathogenesis of NOTCH-deficiency. 61
32403133 2020
5
Current management of congenital anterior cranial base encephaloceles. 61
31931391 2020
6
Development of the Pituitary Gland. 61
32163208 2020
7
Delayed diagnosis of congenital hypopituitarism associated with low socio-economic status and/or migration. 61
31691850 2020
8
Mutations in MAGEL2 and L1CAM Are Associated With Congenital Hypopituitarism and Arthrogryposis. 61
31504653 2019
9
Osteonecrosis of Femoral Head is Associated with Congenital Multiple Pituitary Hormone Deficiency: Report of Three Cases and Literature Review. 61
30966827 2019
10
Loss of function BMP4 mutation supports the implication of the BMP/TGF-β pathway in the etiology of combined pituitary hormone deficiency. 61
31120642 2019
11
Truncating RAX Mutations: Anophthalmia, Hypopituitarism, Diabetes Insipidus, and Cleft Palate in Mice and Men. 61
30811539 2019
12
Severe, persistent neonatal hypoglycemia as a presenting feature in patients with congenital hypopituitarism: a review of our case series. 61
31211689 2019
13
Genetic diagnosis of congenital hypopituitarism by a target gene panel: novel pathogenic variants in GLI2, OTX2 and GHRHR. 61
30959475 2019
14
Exome sequencing identifies a de novo FOXA2 variant in a patient with syndromic diabetes. 61
30684292 2019
15
Liver Involvement in Congenital Hypopituitarism. 61
30666560 2019
16
Congenital Hypopituitarism: Various Genes, Various Phenotypes. 61
30759489 2019
17
Prolonged neonatal hyperbilirubinaemia in a case of congenital hypopituitarism. 61
30737331 2019
18
A novel GLI2 mutation responsible for congenital hypopituitarism and polymalformation syndrome. 61
30583238 2019
19
Xq27.1 Duplication Encompassing SOX3: Variable Phenotype and Smallest Duplication Associated with Hypopituitarism to Date - A Large Case Series of Unrelated Patients and a Literature Review. 61
31678974 2019
20
Slipped capital femoral epiphysis in an adult with congenital hypopituitarism: A case report. 61
30653105 2019
21
Genome-wide methylation study of whole blood cells DNA in men with congenital hypopituitarism disease. 61
30365064 2019
22
Reduced Hepatocellular Expression of Canalicular Transport Proteins in Infants with Neonatal Cholestasis and Congenital Hypopituitarism. 61
29935878 2018
23
Identification of SLC20A1 and SLC15A4 among other genes as potential risk factors for combined pituitary hormone deficiency. 61
29261175 2018
24
Next generation sequencing panel based on single molecule molecular inversion probes for detecting genetic variants in children with hypopituitarism. 61
29739035 2018
25
Pituitary stalk interruption syndrome presenting in a euthyroid adult with short stature. 61
29904499 2018
26
Congenital hypopituitarism: how to select the patients for genetic analyses. 61
29625578 2018
27
Congenital Hypopituitarism. 61
29406008 2018
28
Pathogenic copy number variants in patients with congenital hypopituitarism associated with complex phenotypes. 61
29265571 2018
29
The central diabetes insipidus associated with septo-optic dysplasia (de Morsier syndrome). 61
30963758 2018
30
Novel FOXA2 mutation causes Hyperinsulinism, Hypopituitarism with Craniofacial and Endoderm-derived organ abnormalities. 61
28973288 2017
31
Impact of etiology, age and gender on onset and severity of hyponatremia in patients with hypopituitarism: retrospective analysis in a specialised endocrine unit. 61
28913704 2017
32
The Missing Link: A Case of Absent Pituitary Infundibulum and Ectopic Neurohypophysis in a Pediatric Patient with Heterotaxy Syndrome. 61
29299107 2017
33
A heterozygous microdeletion of 20p12.2-3 encompassing PROKR2 and BMP2 in a patient with congenital hypopituitarism and growth hormone deficiency. 61
28586151 2017
34
Rare Frequency of Mutations in Pituitary Transcription Factor Genes in Combined Pituitary Hormone or Isolated Growth Hormone Deficiencies in Korea. 61
28332357 2017
35
A Case of Congenital Hypopituitarism Associated With a 1p31 Microdeletion: A Possible Role for LEPR and JAK1. 61
29264484 2017
36
Cholestasis and hypercalcemia secondary to panhypopituitarism in a newborn. 61
29168375 2017
37
Contribution of LHX4 Mutations to Pituitary Deficits in a Cohort of 417 Unrelated Patients. 61
27820671 2017
38
Pilot Neonatal Screening Program for Central Congenital Hypothyroidism: Evidence of Significant Detection. 61
28898885 2017
39
A unique case of Shwachman-Diamond syndrome presenting with congenital hypopituitarism. 61
27754968 2016
40
Foxo1 Is Required for Normal Somatotrope Differentiation. 61
27631552 2016
41
A patient with pseudohypoaldosteronism type II complicated by congenital hypopituitarism carrying a KLHL3 mutation. 61
27780982 2016
42
HESX1 mutations in patients with congenital hypopituitarism: variable phenotypes with the same genotype. 61
27000987 2016
43
Two coexisting heterozygous frameshift mutations in PROP1 are responsible for a different phenotype of combined pituitary hormone deficiency. 61
26608600 2016
44
Cancerous leptomeningitis and familial congenital hypopituitarism. 61
26886902 2016
45
Transcription factor 7-like 1 is involved in hypothalamo-pituitary axis development in mice and humans. 61
26764381 2016
46
Agenesis of internal carotid artery associated with isolated growth hormone deficiency: a case report and literature review. 61
26481254 2015
47
Extra-Pituitary Birth Defects May Predict Diagnosis of Congenital Hypopituitarism in a Short Child. 61
27604433 2015
48
Characterization of facial phenotypes of children with congenital hypopituitarism and their parents: a matched case-control study. 61
25845580 2015
49
Molecular screening of a large cohort of Moroccan patients with congenital hypopituitarism. 61
25557026 2015
50
Novel Lethal Form of Congenital Hypopituitarism Associated With the First Recessive LHX4 Mutation. 61
25871839 2015

Variations for Congenital Hypopituitarism

Expression for Congenital Hypopituitarism

Search GEO for disease gene expression data for Congenital Hypopituitarism.

Pathways for Congenital Hypopituitarism

GO Terms for Congenital Hypopituitarism

Cellular components related to Congenital Hypopituitarism according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 nuclear chromatin GO:0000790 8.8 PROP1 LHX4 HESX1

Biological processes related to Congenital Hypopituitarism according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 negative regulation of transcription by RNA polymerase II GO:0000122 9.54 PROP1 HESX1 GLI2
2 negative regulation of apoptotic process GO:0043066 9.43 PROP1 LHX4 GLI2
3 animal organ morphogenesis GO:0009887 9.32 PROP1 LHX4
4 dorsal/ventral pattern formation GO:0009953 9.16 PROP1 GLI2
5 adenohypophysis development GO:0021984 8.96 PROP1 GHRH
6 pituitary gland development GO:0021983 8.8 PROP1 HESX1 GLI2

Molecular functions related to Congenital Hypopituitarism according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 DNA binding GO:0003677 9.67 PROP1 LHX4 HESX1 GLI2
2 RNA polymerase II proximal promoter sequence-specific DNA binding GO:0000978 9.5 PROP1 HESX1 GLI2
3 chromatin binding GO:0003682 9.43 PROP1 HESX1 GLI2
4 protein C-terminus binding GO:0008022 9.4 PROP1 HESX1
5 DNA-binding transcription activator activity, RNA polymerase II-specific GO:0001228 9.33 PROP1 LHX4 GLI2
6 DNA-binding transcription factor activity, RNA polymerase II-specific GO:0000981 9.26 PROP1 LHX4 HESX1 GLI2
7 sequence-specific DNA binding GO:0043565 8.92 PROP1 LHX4 HESX1 GLI2

Sources for Congenital Hypopituitarism

3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
17 EFO
18 ExPASy
19 FMA
28 GO
29 GTR
30 HMDB
31 HPO
32 ICD10
33 ICD10 via Orphanet
34 ICD9CM
35 IUPHAR
36 KEGG
37 LifeMap
39 LOVD
41 MedGen
43 MeSH
44 MESH via Orphanet
45 MGI
48 NCI
49 NCIt
50 NDF-RT
53 NINDS
54 Novoseek
56 OMIM
57 OMIM via Orphanet
61 PubMed
63 QIAGEN
68 SNOMED-CT via HPO
69 TGDB
70 Tocris
71 UMLS
72 UMLS via Orphanet
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