Evaluation of the tshr gene reveals polymorphisms associated with typical symptoms in primary congenital hypothyroidism
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Erik Artur Cortinhas Alves
, Raissa Coelho Andrade
, Carlos Eduardo de Melo Amaral , Milena Coelho Fernandes Caldato , Adriana Maria Rocha Bastos und Luiz Carlos Santana da Silva
Abstract
Primary congenital hypothyroidism (PCH) has an incidence of approximately 1 in each 3000–4000 live births. In the last two decades, nearly 50 types of the distinct inactivating mutations have already been described in the coding region of the tshr gene. The aim of present study was to investigate tshr gene mutations in patients with primary congenital hypothyroidism, analyzing a sample of 106 patients that were diagnosed with PCH. Genomic DNA was isolated from peripheral blood samples, and 10 exons from the TSH receptor were automatically sequenced. Five nucleotide alterations (P52T, N187N, A459A, L645L, and D727E. N187N and D727E polymorphisms) were associated with positive medical history. In view of the clinical, biochemical and molecular heterogeneity of the etiology of the PCH, the study of polymorphisms is critical for investigating the possible associations with prevailing symptoms of this disorder.
Acknowledgments
The authors would like to thank the patients and their parents for their participation in their study, as well as the staff at Laboratório de Genética Humana e Médica da Universidade do Estado do Pará.
Funding: Fundação de Amparo à Pesquisa do Estado do Pará (FAPESPA – grant number 236/2009); Capacitação e Aperfeiçoamento de Pessoal de Ensino Superior (CAPES) e Instituto Nacional de Genética Médica Populacional (Edital de Genética Clínica/CNPq – grant number 402050/2010-0); and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq – grant number 573993/2008-4).
Disclosure statement: The authors report no conflict of interest.
References
1. Ramos HE, Nesi-Franca S, Boldarine VT, Pereira RM, Chiamolera MI, et al. Clinical and molecular analysis of thyroid hypoplasia: a population-based approach in southern Brazil. Thyroid 2009; 19(Suppl 1):61–8.10.1089/thy.2008.0116Suche in Google Scholar PubMed
2. Fagman H, Nilsson M. Morphogenetics of early thyroid development. J Mol Endocrinol 2011;46(Suppl 1):R33–42.10.1677/JME-10-0084Suche in Google Scholar
3. Baş VN, Cangul H, Agladioglu SY, Kendall M, Cetinkaya S, et al. Mild and severe congenital primary hypothyroidism in two patients by thyrotropin receptor (TSHR) gene mutation. J Pediatr Endocrinol Metab 2012;25(Suppl 11–12):1153–6.10.1515/jpem-2012-0211Suche in Google Scholar PubMed
4. Cassio A, Nicoletti A, Rizzello A, Zazzetta E, Bal M, et al. Current loss-of-function mutations in the thyrotropin receptor gene: when to investigate, clinical effects, and treatment. J Clin Res Pediatr Endocrinol 2013;5(Suppl 1):29–39.Suche in Google Scholar
5. Carré A, Castanet M, Sura-Trueba S, Szinnai G, Van Vliet G, et al. Polymorphic length of FOXE1 alanine stretch: evidence for genetic susceptibility to thyroid dysgenesis. Hum Genet 2007;122(Suppl 5):467–76.10.1007/s00439-007-0420-5Suche in Google Scholar PubMed
6. Moia S1, Godi M, Walker GE, Roccio M, Agretti P, et al. The W520X mutation in the TSHR gene brings on subclinical hypothyroidism through an haploinsufficiency mechanism. J Endocrinol Invest 2013;36(Suppl 9):716–21.Suche in Google Scholar
7. Carvalho A, Hermanns P, Rodrigues AL, Sousa I, Anselmo J, et al. A new PAX8 mutation causing congenital hypothyroidism in three generations of a family is associated with abnormalities in the urogenital tract. Thyroid 2013;23(Suppl 9):1074–8.10.1089/thy.2012.0649Suche in Google Scholar PubMed
8. Williamson S, Kirkpatrick M, Greene S, Goudie D. A novel mutation of nkx2-1 affecting 2 generations with hypothyroidism and choreoathetosis: part of the spectrum of brain-thyroid-lung syndrome. J Child Neurol 2014;29(Suppl 5):666–9.10.1177/0883073813518243Suche in Google Scholar PubMed
9. Cangul H, Morgan NV, Forman JR, Saglam H, Aycan Z, et al. Novel TSHR mutations in consanguineous families with congenital nongoitrous hypothyroidism. Clin Endocrinol (Oxf) 2010;73(Suppl 5):671–7.10.1111/j.1365-2265.2010.03849.xSuche in Google Scholar PubMed
10. Alves EA, Cruz CM, Pimentel CP, Ribeiro RC, Santos AK, et al. High frequency of D727E polymorphisms in exon 10 of the TSHR gene in Brazilian patients with congenital hypothyroidism. J Pediatr Endocrinol Metab 2010;23(Suppl 12):1321–8.10.1515/jpem.2010.206Suche in Google Scholar PubMed
11. Ho SC, Goh SS, Khoo DH. Association of Graves’ disease with intragenic polymorphism of the thyrotropin receptor gene in a cohort of Singapore patients of multi-ethnic origins. Thyroid 2003;13(Suppl 6):523–8.10.1089/105072503322238773Suche in Google Scholar PubMed
12. Palos F, Perez O, Alvarez-Iglesias V, Cameselle J, Barreiro F, et al. Study of the prevalence and mechanisms of action of TSH receptor and Gs protein alpha-subunit mutations, in toxic multinodular goiter and toxic adenoma from Galicia (Spain). Endocrine Abstracts, 11, 809.Suche in Google Scholar
13. Tonacchera M, Cetani F, Costagliola S, Van Sande J, Refetoff S, et al. Functional characteristics of a variant thyrotropin receptor. Eur J Biochem 1996;238(Suppl 2):490–4.10.1111/j.1432-1033.1996.0490z.xSuche in Google Scholar PubMed
14. Kotsa KD, Watson PF, Weetman AP. No association between a thyrotropin receptor gene polymorphism and Graves’ disease in the female population. Thyroid 1997;7(Suppl 1):31–3.10.1089/thy.1997.7.31Suche in Google Scholar PubMed
15. Allahabadia A, Heward JM, Mijovic C, Carr-Smith J, Daykin J, et al. Lack of association between polymorphism of the thyrotropin receptor gene and Graves’ disease in United Kingdom and Hong Kong Chinese patients: case control and family-based studies. Thyroid 1998;8(Suppl 9):777–80.10.1089/thy.1998.8.777Suche in Google Scholar PubMed
16. Sunthornthepvarakul T, Kitvitayasak S, Ngowngarmaratana S, Konthong P, Deerochanawong C, et al. Lack of association between a polymorphism of human thyrotropin receptor gene and autoimmune thyroid disease. J Med Assoc Thai 1999;82(Suppl 12):1214–9.Suche in Google Scholar
17. Simanainen J, Kinch A, Westermark K, Winsa B, Bengtsson M, et al. Analysis of mutations in exon 1 of the human thyrotropin receptor gene: high frequency of the D36H and P52T polymorphic variants. Thyroid 1999;9(Suppl 1):7–11.10.1089/thy.1999.9.7Suche in Google Scholar PubMed
18. Kaczur V, Takács M, Szalai C, Falus A, Nagy Z, et al. Analysis of the genetic variability of the 1st (CCC/ACC, P52T) and the 10th exons (bp 1012-1704) of the TSH receptor gene in Graves’ disease. Eur J Immunogenet 2000;27(Suppl 1):17–23.10.1046/j.1365-2370.2000.00187.xSuche in Google Scholar PubMed
19. Chou HT, Shi YR, Chang CT, Tsai FJ.The polymorphisms of codon 727 and 52 of thyroid-stimulating hormone receptor gene are not associated with mitral valve prolapse syndrome in Taiwan Chinese. Jpn Heart J 2002;43:655–66.10.1536/jhj.43.655Suche in Google Scholar PubMed
20. Esperante SA, Rivolta CM, Caputo M, González-Sarmiento R, Targovnik HM. Identification and characterization of new variants of three associated SNPs and a microsatellite in the TSH receptor gene which are useful for genetic studies. Mol Cell Probes 2008;22(Suppl 5–6):281–6.10.1016/j.mcp.2008.06.003Suche in Google Scholar PubMed
21. Yuan ZF, Mao HQ, Luo YF, Wu YD, Shen Z, et al. Thyrotropin receptor and thyroid transcription factor-1 genes variant in Chinese children with congenital hypothyroidism. Endocr J 2008;55(Suppl 2):415–23.10.1507/endocrj.K07E-064Suche in Google Scholar PubMed
22. Ismail SI, Mahmoud IS, Al-Ardah M, Abdelnour A, Younes NA. Detection of combined genomic variants in a Jordanian family with familial nonautoimmune hyperthyroidism. J Genet 2009;88(Suppl 2):233–8.10.1007/s12041-009-0032-zSuche in Google Scholar PubMed
23. Lönn S, Bhatti P, Alexander BH, Pineda MA, Doody MM, et al. Papillary thyroid cancer and polymorphic variants in TSHR- and RET-related genes: a nested case-control study within a cohort of U.S. radiologic technologists. Cancer Epidemiol Biomarkers Prev 2007;16(Suppl 1):174–7.10.1158/1055-9965.EPI-06-0665Suche in Google Scholar PubMed
24. Gabriel EM, Bergert ER, Grant CS, van Heerden JA, Thompson GB, et al. Germline polymorphism of codon 727 of human thyroid-stimulating hormone receptor is associated with toxic multinodular goiter. J Clin Endocrinol Metab 1999;84(Suppl 9):3328–35.10.1210/jc.84.9.3328Suche in Google Scholar
25. Sykiotis GP, Neumann S, Georgopoulos NA, Sgourou A, Papachatzopoulou A, et al. Functional significance of the thyrotropin receptor germline polymorphism D727E. Biochem Biophys Res Commun 2003;301(Suppl 4):1051–6.10.1016/S0006-291X(03)00071-8Suche in Google Scholar
26. van der Deure WM, Appelhof BC, Peeters RP, Wiersinga WM, Wekking EM, et al. Polymorphisms in the brain-specific thyroid hormone transporter OATP1C1 are associated with fatigue and depression in hypothyroid patients. Clin Endocrinol (Oxf) 2008;69(Suppl 5):804–11.10.1111/j.1365-2265.2008.03267.xSuche in Google Scholar PubMed
27. Hansen PS, van der Deure WM, Peeters RP, Iachine I, Fenger M, et al. The impact of a TSH receptor gene polymorphism on thyroid-related phenotypes in a healthy Danish twin population. Clin Endocrinol (Oxf) 2007;66(Suppl 6):827–32.10.1111/j.1365-2265.2007.02820.xSuche in Google Scholar PubMed
28. Peeters RP, van der Deure WM, van den Beld AW, van Toor H, Lamberts SW, et al. The Asp727Glu polymorphism in the TSH receptor is associated with insulin resistance in healthy elderly men. Clin Endocrinol (Oxf) 2007;66(Suppl 6):808–15.10.1111/j.1365-2265.2007.02817.xSuche in Google Scholar PubMed
29. Inoue N, Watanabe M, Katsumata Y, Hidaka Y, Iwatani Y. Different genotypes of a functional polymorphism of the TSHR gene are associated with the development and severity of Graves’ and Hashimoto’s diseases. Tissue Antigens 2013; 82(Suppl 4):288–90.10.1111/tan.12190Suche in Google Scholar PubMed
30. Bayram B, Sonmez R, Bozari S, Onlu H, Turkoglu Z, et al. The association between development and progression of multinodular goiter and thyroid-stimulating hormone receptor gene D727E and P52T polymorphisms. Genet Test Mol Biomarkers 2013;17(Suppl 2):109–14.10.1089/gtmb.2012.0263Suche in Google Scholar PubMed
31. Louwerens M, Appelhof BC, Verloop H, Medici M, Peeters RP, et al. Fatigue and fatigue-related symptoms in patients treated for different causes of hypothyroidism. Eur J Endocrinol 2012;167(Suppl 6):809–15.10.1530/EJE-12-0501Suche in Google Scholar PubMed
32. Xie J, Pannain S, Pohlenz J, Weiss RE, Moltz K, et al. Resistance to thyrotropin (TSH) in three families is not associated with mutations in the TSH receptor or TSH. J Clin Endocrinol Metab 1997;82(Suppl 12):3933–40.10.1210/jc.82.12.3933Suche in Google Scholar
33. Tonacchera M, Perri A, De Marco G, Agretti P, Banco ME, et al. Low prevalence of thyrotropin receptor mutations in a large series of subjects with sporadic and familial nonautoimmune subclinical hypothyroidism. J Clin Endocrinol Metab 2004;89(Suppl 11):5787–93.10.1210/jc.2004-1243Suche in Google Scholar PubMed
34. Brust ES1, Beltrao CB, Chammas MC, Watanabe T, Sapienza MT, et al. Absence of mutations in PAX8, NKX2.5, and TSH receptor genes in patients with thyroid dysgenesis. Arq Bras Endocrinol Metabol 2012;56:173–7.10.1590/S0004-27302012000300004Suche in Google Scholar
35. Liu RD, Chen RX, Li WR, Huang YL, Li WH, et al. The Glu727 allele of thyroid stimulating hormone receptor gene is associated with osteoporosis. N Am J Med Sci 2012;4(Suppl 7):300–4.10.4103/1947-2714.98588Suche in Google Scholar PubMed PubMed Central
©2016 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- EDITORIAL
- Newborn screening of metabolic disorders
- Current and future perspective of newborn screening: an Indian scenario
- Hawkinsinuria in two unrelated Greek newborns: identification of a novel variant, biochemical findings and treatment
- Leptin and neuropeptide Y levels in newborns
- Markers of bone metabolism, serum leptin levels and bone mineral density in preterm babies
- Adipokines in umbilical cord blood from children born large for gestational age
- REVIEW
- Diabetes insipidus in children
- ORIGINAL ARTICLES
- Essential oils reduce autonomous response to pain sensation during self-monitoring of blood glucose among children with diabetes
- The prevalence of melanocortin-4 receptor gene mutations in Slovak obese children and adolescents
- Physical activity does not attenuate the relationship between daily cortisol and metabolic syndrome in obese youth
- Evaluation of the tshr gene reveals polymorphisms associated with typical symptoms in primary congenital hypothyroidism
- The effect of tamoxifen on pubertal bone development in adolescents with pubertal gynecomastia
- Effects of methylphenidate on appetite and growth in children diagnosed with attention deficit and hyperactivity disorder
- CASE REPORTS
- An unusual case of hereditary nephrogenic diabetes insipidus (HNDI) affecting mother and daughter
- Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome and celiac disease in a 13-year-old girl: further evidence for autoimmunity?
- Prepubertal gynecomastia and chronic lavender exposure: report of three cases
- An adolescent girl referred with Cushing syndrome – does she or does she not have the syndrome?
Artikel in diesem Heft
- Frontmatter
- EDITORIAL
- Newborn screening of metabolic disorders
- Current and future perspective of newborn screening: an Indian scenario
- Hawkinsinuria in two unrelated Greek newborns: identification of a novel variant, biochemical findings and treatment
- Leptin and neuropeptide Y levels in newborns
- Markers of bone metabolism, serum leptin levels and bone mineral density in preterm babies
- Adipokines in umbilical cord blood from children born large for gestational age
- REVIEW
- Diabetes insipidus in children
- ORIGINAL ARTICLES
- Essential oils reduce autonomous response to pain sensation during self-monitoring of blood glucose among children with diabetes
- The prevalence of melanocortin-4 receptor gene mutations in Slovak obese children and adolescents
- Physical activity does not attenuate the relationship between daily cortisol and metabolic syndrome in obese youth
- Evaluation of the tshr gene reveals polymorphisms associated with typical symptoms in primary congenital hypothyroidism
- The effect of tamoxifen on pubertal bone development in adolescents with pubertal gynecomastia
- Effects of methylphenidate on appetite and growth in children diagnosed with attention deficit and hyperactivity disorder
- CASE REPORTS
- An unusual case of hereditary nephrogenic diabetes insipidus (HNDI) affecting mother and daughter
- Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome and celiac disease in a 13-year-old girl: further evidence for autoimmunity?
- Prepubertal gynecomastia and chronic lavender exposure: report of three cases
- An adolescent girl referred with Cushing syndrome – does she or does she not have the syndrome?