Savelyeva LV. Isolated hypogonadotropic hypogonadism caused by a mutation in the WDR11 gene: a clinical case report
https://doi.org/10.14341/brh12793
Abstract
Isolated hypogonadotropic hypogonadism is a heterogeneous group of rare hereditary disorders characterized by impaired gonadotropin secretion, leading to delayed or absent puberty, reduced fertility, and infertility. In recent years, significant progress has been achieved in understanding the molecular genetic mechanisms underlying hypogonadotropic hypogonadism: more than 40 candidate genes have been identified, among which the WD‑repeat containing protein 11 ( WDR11 ) gene plays a key role. Advances in genetic diagnostics and the improvement of assisted reproductive technology (ART) programs expand the possibilities for personalized therapy in patients with hypogonadotropic hypogonadism. This paper presents two clinical cases of patients from the same family with hypogonadotropic hypogonadism caused by a mutation in the WDR11 gene, demonstrating different clinical manifestations and treatment strategies.
About the Authors
D. V. IvanovaRussian Federation
Daria V. Ivanova
11 Dm.Ulyanova street, 117036 Moscow
A. N. Zvyagintseva
Russian Federation
Anastasia N. Zvyagintseva
E. V. Morozova
Russian Federation
Elena V. Morozova, MD
S. I. Motkova
Russian Federation
Svetlana I. Motkova, MD, PhD
L. V. Savelyeva
Russian Federation
Larisa V. Savelyeva, MD, PhD
References
1. Neocleous V, Fanis P, Toumba M, Tanteles GA, Schiza M, et al and Phylactou LA (2020) GnRH Deficient Patients With Congenital Hypogonadotropic Hypogonadism: Novel Genetic Findings in ANOS1, RNF216, WDR11, FGFR1, CHD7, and POLR3A Genes in a Case Series and Review of the Literature. Front. Endocrinol. 11:626. doi: https://doi.org/10.3389/fendo.2020.00626
2. Shandin AN, Tyulpakov AN. Genetics of isolated of hypogonadotropic hypogonadism. Problems of Endocrinology. 2008;54(2):27-35. (In Russ.). doi: https://doi.org/10.14341/probl200854227-35
3. Kokoreva KD, Chugunov IS, Bezlepkina OB. Molecular genetics and phenotypic features of congenital isolated hypogonadotropic hypogonadism. Problems of Endocrinology. 2021;67(4):46-56. (In Russ.). doi: https://doi.org/10.14341/probl12787
4. Kim H.G., Ahn J.W., Kurth I. и др. WDR11, a WD protein that interacts with transcription factor EMX1, is mutated in idiopathic hypogonadotropic hypogonadism and Kallmann syndrome. Am J Hum Genet. 2010;87(4):456–479. doi: https://doi.org/10.1016/j.ajhg.2010.08.002
5. Kim YJ. WDR11-mediated Hedgehog signalling defects underlie a new ciliopathy related to Kallmann syndrome / Y.J. Kim [et al.] EMBO Rep. 2018;19(2):e44632. doi: https://doi.org/10.15252/embr.201744632
6. Castro S. Delayed Puberty Due to a WDR11 Truncation at Its N-Terminal Domain Leading to a Mild Form of Ciliopathy Presenting with Dissociated Central Hypogonadism / S. Castro [et al.] J. Clin. Res. Pediatr. Endocrinol. 2022. doi: https://doi.org/10.4274/jcrpe.galenos.2022.2022-5-1
7. Adult-onset reversible idiopathic hypogonadotropic hypogonadism in male adult carrying a WDR11 missense mutation. BMJ Case Rep. 2022;15(9):e250444
8. Butz H, Nyírő G, Kurucz PA, Likó I, Patócs A. Molecular genetic diagnostics of hypogonadotropic hypogonadism: from panel design towards result interpretation in clinical practice. Hum Genet. 2021;140(1):113-134. doi: https://doi.org/10.1007/s00439-020-02148-0
9. Chernova OB, Hunyadi A, Malaj E, Pan H, Crooks C, Roe B, Cowell JK. A novel member of the WD-repeat gene family, WDR11, maps to the 10q26 region and is disrupted by a chromosome translocation in human glioblastoma cells. Oncogene. 2001;20(38):5378-92. doi: https://doi.org/10.1038/sj.onc.1204694
10. Atsushi Imai, Rie Yamada, Keigo Yasuda. WDR11 Mutations as A Potential Player of Idiopathic Hypogonadotropic Hypogonadism. Biomed J Sci & Tech Res. 28(3)-2020. BJSTR. MS.ID.004661. doi: https://doi.org/10.26717/BJSTR.2020.28.004662
11. Castro S, Brunello FG, Sansó G, Scaglia P, Esnaola Azcoiti M, Izquierdo A, Villegas F, et al. Delayed Puberty Due to a WDR11 Truncation at Its N-Terminal Domain Leading to a Mild Form of Ciliopathy Presenting With Dissociated Central Hypogonadism: Case Report. Front Pediatr. 2022;10:887658. doi: https://doi.org/10.3389/fped.2022.887658
12. Boehm U, Bouloux PM, Dattani MT, de Roux N, Dodé C, Dunkel L, et al. Expert consensus document: European Consensus Statement on congenital hypogonadotropic hypogonadism--pathogenesis, diagnosis and treatment. Nat Rev Endocrinol. 2015;11(9):547-64. doi: https://doi.org/10.1038/nrendo.2015.112
13. Topaloğlu AK, Kotan LD. Genetics of Idiopathic Hypogonadotropic Hypogonadism. J Clin Res Pediatr Endocrinol. 2025. doi: https://doi.org/10.4274/jcrpe.galenos.2025.2025-6-23
14. Morozova EV, Rozhivanov RV, Rozhivanova ER, Gaidaichuk KE, Andreeva EN, Mel’nichenko GA, Mokrysheva NG. Features of hypogonadism in men with obesity. Bulletin of Reproductive Health. 2025;4(2):31-36. (In Russ.). doi: https://doi.org/10.14341/brh12762
15. Boeri L, Capogrosso P, Salonia A. Gonadotropin Treatment for the Male Hypogonadotropic Hypogonadism. Curr Pharm Des. 2021;27(24):2775-2783. doi: https://doi.org/10.2174/1381612826666200523175806
16. Hayes F, Dwyer A, Pitteloud N. Hypogonadotropic Hypogonadism (HH) and Gonadotropin Therapy. In: Feingold KR, Adler RA, Ahmed SF, et al., eds. Endotext. South Dartmouth (MA): MDText.com, Inc.; November 25, 2013
Review
For citations:
Ivanova D.V., Zvyagintseva A.N., Morozova E.V., Motkova S.I., Savelyeva L.V. Savelyeva LV. Isolated hypogonadotropic hypogonadism caused by a mutation in the WDR11 gene: a clinical case report. Bulletin of Reproductive Health. 2026;5(2):48-52. (In Russ.) https://doi.org/10.14341/brh12793
JATS XML
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).















