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Updated: Jun 13, 2026

Determination of Reproductive Competence by Confirming Pubertal Onset and Performing a Fertility Assay in Mice and Rats
Published on: October 13, 2018
Intrauterine growth retardation associated with precocious puberty and sertoli cell hyperplasia
M B Lodish1, L A Gartner, P Albini
1Section on Endocrinology Genetics, Program on Developmental Endocrinology Genetics, Eunice Kennedy Shriver National Institute of Child Health & Human Development, and Pediatric Endocrinology Inter-Institute Training Program, National Institutes of Health, Bethesda, MD, USA. lodishma@mail.nih.gov
Insights
This study details a child with Russell-Silver syndrome-like features and precocious puberty. The condition was linked to specific genetic and cellular changes in the testicles, explaining early development.
Area of Science:
- Endocrinology
- Genetics
- Pediatric Endocrinology
Background:
- Russell-Silver syndrome (RSS) is characterized by intrauterine and postnatal growth retardation, with some patients exhibiting precocious puberty.
- The underlying mechanisms for precocious puberty in RSS have remained largely unexplained.
Observation:
- A child with an RSS-like phenotype presented with precocious puberty and an immature cryptorchid testicle.
- Hyperplastic Sertoli cells within the testicle were found to be aneuploid, specifically carrying trisomy 8.
- This trisomy 8 mosaicism was confined to the Sertoli cells and not detected in other tissues.
Findings:
- Sertoli cell hyperplasia was associated with somatic trisomy 8 mosaicism.
- Cultured Sertoli cells demonstrated excess aromatization, indicating increased estrogen production.
- These findings provide a mechanism for gonadotropin-independent precocious puberty.
Implications:
- This research clarifies a potential mechanism for precocious puberty in Russell-Silver syndrome-like phenotypes.
- Highlights the role of somatic chromosomal abnormalities in specific cell types and endocrine function.
- Suggests that increased aromatase activity in hyperplastic Sertoli cells can drive early pubertal development.
Abstract:
The original description of patients with Russell-Silver syndrome included precocious puberty, the mechanism of which was unclear. We describe a child with a Russell-Silver syndrome-like phenotype who presented with precocious puberty that was associated with hyperplasia of the Sertoli cells. The patient was found to have an immature cryptorchid testicle; hyperplastic Sertoli cells were also aneuploid carrying trisomy 8. This chromosomal abnormality was present in Sertoli cells only and could not be detected in peripheral lymphocytes, tunica vaginalis, or other, normal, testicular tissue. Sertoli cells in culture showed excess aromatization providing an explanation for the rapid advancement of the patient's bone age. We conclude that in a patient with a Russell-Silver syndrome-like phenotype, Sertoli cell hyperplasia was associated with somatic trisomy 8, increased aromatization, and gonadotropin-independent precocious puberty.
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