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Thyrotropin receptor and thyroid transcription factor-1 genes variant in Chinese children with congenital
Zhe Feng Yuan1, Hua Qing Mao, Yan Fei Luo
1Department of Child Health Care, The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Insights
Genetic analysis in Chinese children with congenital hypothyroidism (CH) identified novel thyrotropin receptor (TSHR) gene variants. Mutations in the TSHR and thyroid transcription factor-1 (TTF-1) genes were found to be rare in this population.
Area of Science:
- Genetics
- Endocrinology
- Pediatrics
Background:
- Congenital hypothyroidism (CH) is a common endocrine disorder in neonates.
- Genetic factors play a crucial role in the etiology of CH.
- The thyrotropin receptor (TSHR) and thyroid transcription factor-1 (TTF-1) genes are key regulators of thyroid hormone synthesis.
Purpose of the Study:
- To investigate mutations and variants in the TSHR and TTF-1 genes in Chinese children diagnosed with CH.
- To determine the frequency of these genetic alterations in the studied population.
Main Methods:
- Molecular analysis involving polymerase chain reaction (PCR) amplification and sequencing of the coding regions of TSHR and TTF-1 genes.
- Comparison of genetic sequences between CH patients and a control group of normal children.
Main Results:
- Three heterozygous variants (Pro52Thr, Gly245Ser, Val689Gly) in the TSHR gene were identified in Chinese children with CH.
- Polymorphisms were observed in TSHR gene exon 10 (C/G at nucleotide 2181) and exon 7 (T/C at nucleotide 561).
- No mutations or polymorphisms were detected in the coding region of the TTF-1 gene in CH patients or controls.
Conclusions:
- Novel heterozygous variants of the TSHR gene were identified in Chinese children with CH.
- TSHR gene polymorphisms exist in this population.
- Mutations/variants in TSHR and TTF-1 genes appear to be infrequent causes of CH in Chinese children.
Abstract:
The aim of the present study was to investigate the mutation/variant of thyrotropin receptor (TSHR) and thyroid transcription factor-1 (TTF-1) genes in Chinese children with congenital hypothyroidism (CH). Seventy-nine and forty-nine Chinese children with CH were enrolled for molecular analysis of the TSHR gene and TTF-1 gene, respectively. One hundred normal children were evaluated as control. The coding regions of TSHR and TTF-1 genes were amplified by polymerase chain reaction and sequenced. Sequencing of the TSHR gene revealed a compound heterozygous variants (Pro52Thr/Val689Gly) and a heterozygous variant (Gly245Ser) in 2 of 79 patients. In 30 patients and 33 controls the normal cytosine at position 2181 in exon 10 of TSHR gene was replaced by a guanineCresulting in the replacement of Asp (727) by Glu. In 47 patients and 50 controls, the normal thymidine at position 561 in exon 7 of TSHR gene was replaced by a cytosine. This substitution did not change the amino acid in position 187. Sequencing of the TTF-1 gene revealed no mutation or polymorphism in 49 patients and 100 controls. In conclusion, three heterozygous variants (Pro52Thr, Gly245Ser, Val689Gly) of TSHR gene were firstly detected in Chinese children with CH. There were polymorphisms in exon 10 at nucleotide 2181 (C/G) and in exon 7 at nucleotide 561 (T/C) in TSHR gene. No mutation or polymorphism was detected in the coding region of TTF-1 gene. The mutation/variant of TSHR and TTF-1 genes is relatively rare in Chinese children with CH.
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