Understanding the genetic complexity of puberty timing across the allele frequency spectrum

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  • Katherine A. Kentistou
  • Lena R. Kaisinger
  • Stasa Stankovic
  • Marc Vaudel
  • Edson Mendes de Oliveira
  • Andrea Messina
  • Robin G. Walters
  • Xiaoxi Liu
  • Alexander S. Busch
  • Hannes Helgason
  • Deborah J. Thompson
  • Federico Santoni
  • Konstantin M. Petricek
  • Yassine Zouaghi
  • Isabel Huang-Doran
  • Daniel F. Gudbjartsson
  • Eirik Bratland
  • Kuang Lin
  • Eugene J. Gardner
  • Yajie Zhao
  • Raina Y. Jia
  • Chikashi Terao
  • Marjorie J. Riggan
  • Manjeet K. Bolla
  • Mojgan Yazdanpanah
  • Nahid Yazdanpanah
  • Jonathan P. Bradfield
  • Linda Broer
  • Archie Campbell
  • Daniel I. Chasman
  • Diana L. Cousminer
  • Nora Franceschini
  • Lude H. Franke
  • Giorgia Girotto
  • Chunyan He
  • Marjo Riitta Järvelin
  • Peter K. Joshi
  • Yoichiro Kamatani
  • Robert Karlsson
  • Jian’an Luan
  • Kathryn L. Lunetta
  • Reedik Mägi
  • Massimo Mangino
  • Sarah E. Medland
  • Qin Wang
  • Ellen A. Nøhr

Pubertal timing varies considerably and is associated with later health outcomes. We performed multi-ancestry genetic analyses on ~800,000 women, identifying 1,080 signals for age at menarche. Collectively, these explained 11% of trait variance in an independent sample. Women at the top and bottom 1% of polygenic risk exhibited ~11 and ~14-fold higher risks of delayed and precocious puberty, respectively. We identified several genes harboring rare loss-of-function variants in ~200,000 women, including variants in ZNF483, which abolished the impact of polygenic risk. Variant-to-gene mapping approaches and mouse gonadotropin-releasing hormone neuron RNA sequencing implicated 665 genes, including an uncharacterized G-protein-coupled receptor, GPR83, which amplified the signaling of MC3R, a key nutritional sensor. Shared signals with menopause timing at genes involved in DNA damage response suggest that the ovarian reserve might signal centrally to trigger puberty. We also highlight body size-dependent and independent mechanisms that potentially link reproductive timing to later life disease.

Original languageEnglish
JournalNature Genetics
Volume56
Issue number7
Pages (from-to)1397-1411
Number of pages15
ISSN1061-4036
DOIs
Publication statusPublished - 2024

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© The Author(s) 2024. corrected publication 2024.

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