Table 3.

Human and Mice Phenotypes Due to DLK1 Deficiency

Human Phenotype
Mouse Phenotype
Comparison (DLK1 Mutated vs Idiopathic CPPa)
Temple SyndromeMonogenic CPP Due to DLK1 DefectsIdiopathic CPPDlk1 KOPa
Origin of studyJapan/United KingdomBrazil/United KingdomBrazilUnited States
Number of women32/511020
Median age (range), yChildren and adults23 (16–63)16.7 (15–27)
Genetic basisUPD(14)mat, epimutation, microdeletionDLK1 deletion and frameshiftsUnknownGeneration of DLK1-null mice
Short stature, %79–94300Pre-postnatal growth retardationNot applicable
Eye and bone alterations, %10 (syndactyly)Blepharophimosis and rib alterations
Overweight/obesity, %11–496035+<0.001
Hyperlipidemia, %10–23500+Not applicable
Insulin resistance % 
(HOMA-IR >2.7)+7015+<0.001
Type 2 diabetes mellitus %11–20300+Not applicable
CPP, %76–86100100
Menarche, yUntreated: 7·8b12
Treated: 11·6b
PCOS/infertility, %Not applicable20100.047
ReferencesKagami et al. (16)Ioannides et al. (15)Dauber et al. (18) Current studyCurrent studyMoon et al. (19)Sul (25)Current study
Human Phenotype
Mouse Phenotype
Comparison (DLK1 Mutated vs Idiopathic CPPa)
Temple SyndromeMonogenic CPP Due to DLK1 DefectsIdiopathic CPPDlk1 KOPa
Origin of studyJapan/United KingdomBrazil/United KingdomBrazilUnited States
Number of women32/511020
Median age (range), yChildren and adults23 (16–63)16.7 (15–27)
Genetic basisUPD(14)mat, epimutation, microdeletionDLK1 deletion and frameshiftsUnknownGeneration of DLK1-null mice
Short stature, %79–94300Pre-postnatal growth retardationNot applicable
Eye and bone alterations, %10 (syndactyly)Blepharophimosis and rib alterations
Overweight/obesity, %11–496035+<0.001
Hyperlipidemia, %10–23500+Not applicable
Insulin resistance % 
(HOMA-IR >2.7)+7015+<0.001
Type 2 diabetes mellitus %11–20300+Not applicable
CPP, %76–86100100
Menarche, yUntreated: 7·8b12
Treated: 11·6b
PCOS/infertility, %Not applicable20100.047
ReferencesKagami et al. (16)Ioannides et al. (15)Dauber et al. (18) Current studyCurrent studyMoon et al. (19)Sul (25)Current study

Metabolic features were compared between women with DLK1 mutations and idiopathic CPP.

Abbreviations: +, present; −, absent; HOMA-IR, homeostatic model assessment of insulin resistance; KO, knockout; UPD, maternal uniparental disomy of chromosome 14.

a

DLK1-mutated vs idiopathic CPP (χ2 test).

b

Age (y) of the menarche in treated and untreated affected women.

Table 3.

Human and Mice Phenotypes Due to DLK1 Deficiency

Human Phenotype
Mouse Phenotype
Comparison (DLK1 Mutated vs Idiopathic CPPa)
Temple SyndromeMonogenic CPP Due to DLK1 DefectsIdiopathic CPPDlk1 KOPa
Origin of studyJapan/United KingdomBrazil/United KingdomBrazilUnited States
Number of women32/511020
Median age (range), yChildren and adults23 (16–63)16.7 (15–27)
Genetic basisUPD(14)mat, epimutation, microdeletionDLK1 deletion and frameshiftsUnknownGeneration of DLK1-null mice
Short stature, %79–94300Pre-postnatal growth retardationNot applicable
Eye and bone alterations, %10 (syndactyly)Blepharophimosis and rib alterations
Overweight/obesity, %11–496035+<0.001
Hyperlipidemia, %10–23500+Not applicable
Insulin resistance % 
(HOMA-IR >2.7)+7015+<0.001
Type 2 diabetes mellitus %11–20300+Not applicable
CPP, %76–86100100
Menarche, yUntreated: 7·8b12
Treated: 11·6b
PCOS/infertility, %Not applicable20100.047
ReferencesKagami et al. (16)Ioannides et al. (15)Dauber et al. (18) Current studyCurrent studyMoon et al. (19)Sul (25)Current study
Human Phenotype
Mouse Phenotype
Comparison (DLK1 Mutated vs Idiopathic CPPa)
Temple SyndromeMonogenic CPP Due to DLK1 DefectsIdiopathic CPPDlk1 KOPa
Origin of studyJapan/United KingdomBrazil/United KingdomBrazilUnited States
Number of women32/511020
Median age (range), yChildren and adults23 (16–63)16.7 (15–27)
Genetic basisUPD(14)mat, epimutation, microdeletionDLK1 deletion and frameshiftsUnknownGeneration of DLK1-null mice
Short stature, %79–94300Pre-postnatal growth retardationNot applicable
Eye and bone alterations, %10 (syndactyly)Blepharophimosis and rib alterations
Overweight/obesity, %11–496035+<0.001
Hyperlipidemia, %10–23500+Not applicable
Insulin resistance % 
(HOMA-IR >2.7)+7015+<0.001
Type 2 diabetes mellitus %11–20300+Not applicable
CPP, %76–86100100
Menarche, yUntreated: 7·8b12
Treated: 11·6b
PCOS/infertility, %Not applicable20100.047
ReferencesKagami et al. (16)Ioannides et al. (15)Dauber et al. (18) Current studyCurrent studyMoon et al. (19)Sul (25)Current study

Metabolic features were compared between women with DLK1 mutations and idiopathic CPP.

Abbreviations: +, present; −, absent; HOMA-IR, homeostatic model assessment of insulin resistance; KO, knockout; UPD, maternal uniparental disomy of chromosome 14.

a

DLK1-mutated vs idiopathic CPP (χ2 test).

b

Age (y) of the menarche in treated and untreated affected women.

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