{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T03:29:50Z","timestamp":1779247790244,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,4,27]],"date-time":"2013-04-27T00:00:00Z","timestamp":1367020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Pituitary stalk interruption syndrome (<jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content>) is rare and its clinical features and pathogenesis are poorly understood. This study characterized the clinical and genetic features of <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> in Chinese patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and patients<\/jats:title><jats:p>Clinical data of 58 patients with <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> and 46 patients with <jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> deficiency but a normal pituitary stalk (<jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content>) were retrospectively analysed. <jats:italic><jats:styled-content style=\"fixed-case\">HESX<\/jats:styled-content>1<\/jats:italic>,<jats:italic> <jats:styled-content style=\"fixed-case\">LHX<\/jats:styled-content>4<\/jats:italic>,<jats:italic> <jats:styled-content style=\"fixed-case\">OTX<\/jats:styled-content>2<\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>3<\/jats:italic> polymorphisms were screened in 33 <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> patients, and <jats:italic><jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content>1<\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">GHRHR<\/jats:styled-content><\/jats:italic> in 4 <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Deficiency of <jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content> was 100% in both <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content> groups. Other deficiency rates for <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content> groups were as follows: <jats:styled-content style=\"fixed-case\">ACTH<\/jats:styled-content>, 77\u00b76% and 23\u00b79%; <jats:styled-content style=\"fixed-case\">TSH<\/jats:styled-content>, 43\u00b71% and 10\u00b79%; <jats:styled-content style=\"fixed-case\">LH<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">FSH<\/jats:styled-content>, 94\u00b72% and 47\u00b74%; and combined pituitary hormone, 93\u00b71% and 41\u00b73% respectively. In <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content> patients, the percentages of anterior pituitary hypoplasia were 98\u00b73% and 54\u00b73%, pituitary stalk abnormality were 100% and 0%, and ectopic neurohypophysis were 91\u00b74% and 0%. A novel heterozygous sequence variant (c.142A&gt;T, p.T48S) was found in <jats:italic><jats:styled-content style=\"fixed-case\">HESX<\/jats:styled-content>1<\/jats:italic> in one <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> patient, 3 polymorphisms (c.63T&gt;C, p.G21G; c.450C&gt;T, p.N150N; and c.983A&gt;G, p.N328S) in <jats:italic><jats:styled-content style=\"fixed-case\">LHX<\/jats:styled-content>4<\/jats:italic> in 7, 1 and 31 <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> patients, respectively, and a hemizygous polymorphism (c.157G&gt;C, p.V53L) in <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>3<\/jats:italic> in one <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> patient. No <jats:italic><jats:styled-content style=\"fixed-case\">OTX<\/jats:styled-content>2<\/jats:italic> abnormality was detected in <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content> patients, and no <jats:italic><jats:styled-content style=\"fixed-case\">GH<\/jats:styled-content>1<\/jats:italic> or <jats:italic><jats:styled-content style=\"fixed-case\">GHRHR<\/jats:styled-content><\/jats:italic> polymorphisms in <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with <jats:styled-content style=\"fixed-case\">NPS<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> PSIS<\/jats:styled-content> patients had more severe anterior pituitary hormone deficiency, lower anterior pituitary hormone secretion and higher probability of abnormal pituitary morphology. <jats:italic><jats:styled-content style=\"fixed-case\">HESX<\/jats:styled-content>1<\/jats:italic>,<jats:italic> <jats:styled-content style=\"fixed-case\">LHX<\/jats:styled-content>4<\/jats:italic> and <jats:italic><jats:styled-content style=\"fixed-case\">SOX<\/jats:styled-content>3<\/jats:italic> polymorphisms may be associated with <jats:styled-content style=\"fixed-case\">PSIS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.12116","type":"journal-article","created":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T06:28:12Z","timestamp":1354343292000},"page":"86-92","source":"Crossref","is-referenced-by-count":26,"title":["Pituitary stalk interruption syndrome in 58 <scp>C<\/scp>hinese patients: clinical features and genetic analysis"],"prefix":"10.1111","volume":"79","author":[{"given":"Yan","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Endocrinology Chinese PLA General Hospital Beijing 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