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Original Paper
Horm Res 2008;70:236–239
DOI: 10.1159/000151596
No Association between T222P/LGR8
Mutation and Cryptorchidism in the
Moroccan Population
Brahim El Houate
a
Hassan Rouba
a
Laila Imken
a
Hicham Sibai
b
Abdelaziz Chafik
c
Redouane Boulouiz
a
Elbakkay Chadli
a
Mohmmed Hassar
a
Ken McElreavey
d
Abdelhamid Barakat
a
a
Human Genetic Laboratory, Pasteur Institute of Morocco, Casablanca,
b
Service of Visceral Surgery, CHU Ibn Rochd
Morocco, Casablanca,
c
Laboratoire d’Anthropogénétique et Biostatistique, Université Chouaib Doukali Eljadida,
Eljadida, Morocco;
d
Reproduction, Fertility and Population, Pasteur Institute of Paris, Paris, France
present in the Moroccan population, but an association be-
tween cryptorchidism and the T222P mutation was not
found. Copyright © 2008 S. Karger AG, Basel
Introduction
Cryptorchidism is the most common genital problem
encountered in pediatrics. Cryptorchidism means hid-
den testis and refers to an undescended or maldescended
testis. Predisposing factors include prematurity, low birth
weight, small size for gestational age, twinning, and ma-
ternal exposure to estrogen during the first trimester [1].
Patients with cryptorchidism are at increased risk of tes-
ticular tumor development and reduced fertility. Strong
evidence demonstrates a genetic component to cryptor-
chidism in mice [2–4] . Mutation of the genes encoding
either INSL3 (insulin-like hormone) or its receptor LGR8
(also known as GREAT), compromises the transabdomi-
nal phase of testicular descent, causing cryptorchidism.
The INSL3:LGR8 system is implicated in testicular de-
scent via gubernacular development. LGR8 mRNA was
Key Words
Cryptorchidism LGR8 T222P mutation
Abstract
Background: Cryptorchidism is the most common genital
anomaly in men. The INSL3/LGR8 system is involved in tes-
ticular descent via gubernacular development. INSL3 binds
with high affinity to its receptor LGR8 and receptor activa-
tion is associated with cAMP signaling. Analysis of human
INSL3 and LGR8 mutations confirms that some cases of crypt-
orchidism are caused by mutations in these genes. The
T222P mutation is the only one within the LGR8 gene associ-
ated with the cryptorchidism phenotype. A strong associa-
tion of the T222P mutation with cryptorchidism was found
in an Italian population. Due to the same mutation being
found in patients within the Mediterranean area, a possible
founder effect of this mutation is supposed. Methods: We
screened 109 patients with cryptorchidism and 250 controls
in a Moroccan population. Results: We found that 3 of the
109 patients tested carry the T222P mutation and 4 individu-
als in the control group also carry the mutation. Conclu-
sions: Our results show in fact that the same mutation is
Received: July 4, 2007
Accepted: January 10, 2008
Published online: September 5, 2008
HORMONE
RESEARCH
Abdelhamid Barakat
Department of Human Genetics, Institut Pasteur du Maroc
1, Place Abou Kacem Ez-Zahraoui – BP 120
Casablanca (Morocco)
Tel. +212 2243 4470, Fax + 212 2226 0957, E-Mail hamid.barakat@pasteur.ma
© 2008 S. Karger AG, Basel
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