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Related Concept Videos

Hypothyroidism II: Pathophysiology01:23

Hypothyroidism II: Pathophysiology

Hypothyroidism is a disorder characterized by insufficient production of thyroid hormones, which regulate metabolism, energy balance, and multiple organ systems.TypesHypothyroidism is classified based on the level of dysfunction. Primary hypothyroidism results from intrinsic thyroid gland dysfunction, causing reduced hormone production despite normal or increased stimulation. Secondary hypothyroidism arises from inadequate thyroid-stimulating hormone (TSH) secretion by the pituitary. Tertiary...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...

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Selenocysteine insertion sequence binding protein 2 (Sbp2) in the sex-specific regulation of selenoprotein gene expression in mouse pancreatic islets.

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Clinical recognition and evaluation of patients with inherited serum thyroid hormone-binding protein mutations.

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Related Experiment Video

Updated: Jun 2, 2026

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
04:39

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model

Published on: March 17, 2023

Inherited defects of thyroid hormone metabolism.

A M Dumitrescu1, S Refetoff

  • 1Department of Medicine, University of Chicago Medical Center, Chicago, IL, 60637, USA.

Annales D'Endocrinologie
|April 23, 2011
PubMed
Summary

Genetic defects in selenocysteine insertion sequence binding protein 2 (SBP2) disrupt thyroid hormone metabolism. Mutations in SBP2 cause varying degrees of selenoprotein deficiency, impacting thyroid function and growth.

Area of Science:

  • Biochemistry
  • Endocrinology
  • Genetics

Background:

  • Thyroid hormone metabolism relies on iodothyronine deiodinases (Ds), which are selenoproteins.
  • Inherited defects in human deiodinases are unknown, but selenium (Se) and selenoprotein synthesis are crucial.
  • Selenocysteine insertion sequence binding protein 2 (SBP2) is essential for selenoprotein synthesis.

Purpose of the Study:

  • To summarize the clinical presentation and molecular consequences of SBP2 gene mutations.
  • To investigate the impact of SBP2 mutations on selenoprotein synthesis and thyroid hormone metabolism.
  • To explore the phenotype spectrum associated with SBP2 deficiency.

Main Methods:

  • Clinical case identification and characterization.
  • Genetic analysis of SBP2 mutations.

Related Experiment Videos

Last Updated: Jun 2, 2026

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
04:39

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model

Published on: March 17, 2023

  • In vivo and in vitro studies on SBP2 function and selenoprotein expression.
  • Main Results:

    • Identified mutations in the SBP2 gene in families with transient growth retardation and abnormal thyroid function tests.
    • Demonstrated that SBP2 mutations lead to partial or severe deficiency in selenoprotein synthesis.
    • Observed a correlation between SBP2 deficiency severity and clinical phenotype, including thyroid hormone levels and growth.

    Conclusions:

    • Mutations in the SBP2 gene are the cause of inherited defects affecting selenoprotein synthesis.
    • SBP2 deficiency impacts thyroid hormone metabolism and can lead to significant clinical manifestations.
    • Further research into SBP2 function and selenoprotein biology is warranted.