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Functional significance of the thyrotropin receptor germline polymorphism D727E

Gerasimos P Sykiotis1, Susanne Neumann, Neoklis A Georgopoulos

  • 1Department of Biochemistry, School of Medicine, University of Patras, 26110, Patras, Greece.

Insights

A novel mutation in the thyrotropin receptor (TSHR) was found in toxic thyroid adenoma, causing constitutive activation. A co-occurring germline polymorphism surprisingly reduced this activation, impacting G-alpha protein signaling.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Genetics

Background:

  • Toxic thyroid adenomas are often caused by activating mutations in the thyrotropin receptor (TSHR).
  • Understanding these mutations is key to diagnosing and treating hyperthyroidism.

Purpose of the Study:

  • To identify and characterize novel somatic mutations in TSHR associated with toxic thyroid adenoma.
  • To investigate the functional impact of a specific TSHR mutation (A593N) and its interaction with a germline polymorphism (D727E).

Main Methods:

  • Somatic mutation identification in toxic thyroid adenoma tissue.
  • Site-directed mutagenesis to create TSHR variants (A593N, D727E, A593N/D727E).
  • Functional analysis of TSHR mutants in transiently transfected COS-7 cells, measuring cAMP cascade activation.

Main Results:

  • A novel somatic mutation, A593N, was identified in TSHR, leading to constitutive activation of the cAMP cascade.
  • The germline polymorphism D727E alone did not affect TSHR activity.
  • The double mutant (A593N/D727E) showed reduced constitutive activity compared to A593N alone, indicating amelioration of G-alpha protein activation.

Conclusions:

  • The A593N mutation is a gain-of-function mutation causing constitutive TSHR activation in toxic thyroid adenoma.
  • The D727E polymorphism modulates the effect of the A593N mutation, reducing its signaling output.
  • This interaction highlights the complex genetic factors influencing thyroid hormone regulation.

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