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Related Experiment Videos

Variable phenotype associated with Ser505Asn-activating thyrotropin-receptor germline mutation.

D Führer1, M Mix, P Wonerow

  • 1III. Medical Department, University of Leipzig, Germany.

Thyroid : Official Journal of the American Thyroid Association
|September 11, 1999
PubMed
Summary

Activating thyrotropin-receptor (TSHR) germline mutations cause hereditary hyperthyroidism. A novel Ser505Asn TSHR mutation presented with milder, later-onset thyrotoxicosis in a pediatric case compared to prior reports.

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Area of Science:

  • Endocrinology
  • Genetics
  • Molecular Biology

Background:

  • Hereditary nonautoimmune hyperthyroidism is often caused by activating germline mutations in the thyrotropin-receptor (TSHR) gene.
  • Thirteen distinct TSHR mutations have been linked to familial and sporadic hyperthyroidism, exhibiting variable clinical severity.

Observation:

  • A 12.3-year-old girl presented with persistent thyrotoxicosis since infancy and diffuse thyroid hyperplasia.
  • The patient required continuous antithyroid medication and had negative autoimmune markers.
  • Genetic analysis revealed a novel TSHR germline mutation (Ser505Asn) in exon 10, absent in her mother.

Findings:

  • The identified Ser505Asn TSHR mutation, previously associated with severe intrauterine hyperthyroidism, manifested with a milder clinical course and later onset in this pediatric patient.

Related Experiment Videos

  • This case highlights phenotypic variability associated with the same TSHR germline mutation.
  • Implications:

    • The findings underscore the importance of genetic testing for TSHR mutations in nonautoimmune hyperthyroidism.
    • Understanding TSHR mutation variability aids in predicting disease course and managing pediatric hyperthyroidism.
    • Further research into genotype-phenotype correlations in TSHR-mediated hyperthyroidism is warranted.