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Updated: Apr 15, 2026

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
Published on: March 17, 2023
The association between rs4684677 T/A polymorphism in preproghrelin gene and predisposition to autoimmune thyroid
Anna Moniuszko1, Natalia Wawrusiewicz-Kurylonek, Anna Bossowska
1a Department of Infectious Diseases and Neuroinfections , and.
Insights
The T allele of the rs4684677 polymorphism in the preproghrelin gene is a risk factor for autoimmune thyroid diseases (AITDs) in children. This finding may help understand the genetic predisposition to Graves
Area of Science:
- Endocrinology
- Genetics
- Immunology
Background:
- The genetic factors influencing autoimmune thyroid diseases (AITDs) remain incompletely understood.
- Previous research has not definitively established a link between preproghrelin gene polymorphisms and AITDs.
Purpose of the Study:
- To investigate the association between two specific preproghrelin gene polymorphisms (rs696217 and rs4684677) and the susceptibility to Graves' disease (GD) and Hashimoto's thyroiditis (HT) in pediatric populations.
- To identify potential genetic risk factors for AITDs in children.
Main Methods:
- Genotyping of single nucleotide polymorphisms (SNPs) rs696217 and rs4684677 in the preproghrelin gene was performed using TaqMan SNP genotyping assay with real-time PCR.
- The study included 145 patients with GD, 87 with HT, and 161 healthy controls.
Main Results:
- The T allele of rs4684677 was significantly more frequent in children with HT compared to healthy controls (p = 0.002), indicating it as a risk factor (OR = 8.0).
- In female patients, the rs4684677 T allele was also more prevalent in HT cases than in controls (p = 0.02).
- No significant difference in rs696217 frequency was observed between groups, but it showed associations with anti-TSHR antibodies, anti-TG antibodies, and fT4 levels in specific patient subgroups.
Conclusions:
- The rs4684677 T/A polymorphism in the preproghrelin gene may contribute to the development of AITDs in children.
- The T allele of rs4684677 is identified as a primary genetic risk factor for pediatric AITDs.
Background:
A potential role of preproghrelin polymorphisms on autoimmune thyroid diseases (AITDs) has not been established equivocally yet.
Aim:
To estimate the association of two polymorphisms of preproghrelin gene with the predisposition to Graves' disease (GD) and Hashimoto's thyroiditis (HT) in children.
Methods:
The study was performed in 145 patients with GD, 87 with HT and 161 healthy volunteers. The two single nucleotide polymorphisms (SNPs) rs696217 (C_3151003_20) and rs4684677 (C_25607748_10) in the preproghrelin gene were genotyped by TaqMan SNP genotyping assay using the real-time PCR.
Results:
Rs4684677 T alleles were more frequent in HT patients (99% in women and 100% in men) in comparison to healthy subjects (p = 0.002) with OR = 8.0 and 95% confidence interval for OR: 1.8-206.7. In women group, rs4684677 T alleles were more frequent compared to healthy controls (99%) in HT (p = 0.02) with OR = 6.7 and 95% confidence interval for OR: 1.2-168.37. Frequency of the SNP rs696217 did not differ between the groups. There was a significant relationship between rs696217 polymorphisms and anti-TSHR antibodies level (p = 0.036) in women from GD/HT groups. A significant relationship between rs696217 polymorphisms and anti-TG antibodies level in GD women group (p = 0.038) and between rs696217 polymorphisms and fT4 concentration (p = 0.03) were found.
Conclusions:
Rs4684677 T/A polymorphisms in preproghrelin gene could contribute to development of AITDs in children and T allele is the main risk factor.
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