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Tight linkage between the syndrome of generalized thyroid hormone resistance and the human c-erbA beta gene

S J Usala1, A E Bale, N Gesundheit

  • 1National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland 20892.

Insights

Generalized thyroid hormone resistance (GTHR) is linked to the c-erbA beta gene. This study suggests c-erbA beta mutations cause GTHR, impacting multiple bodily functions.

Area of Science:

  • Molecular Biology
  • Endocrinology
  • Genetics

Background:

  • Multiple c-erbA gene family members encode proteins that bind triiodothyronine (T3) with high affinity.
  • The precise biological roles of these diverse thyroid hormone receptors remain incompletely understood.
  • Generalized thyroid hormone resistance (GTHR) is a human condition marked by cellular insensitivity to thyroid hormone action, often linked to nuclear receptor defects.

Purpose of the Study:

  • To investigate the biological functions of c-erbA alpha and c-erbA beta genes.
  • To test the hypothesis that GTHR is caused by an abnormal c-erbA gene product.
  • To examine the c-erbA genes in members of a kindred affected with GTHR.

Main Methods:

  • Restriction enzyme analysis was used to examine gene structure in affected individuals.
  • Genetic linkage analysis was performed to determine the chromosomal location of the GTHR-conferring gene.
  • Comparison of gene structure and linkage in affected versus unaffected individuals.

Main Results:

  • Restriction enzyme analysis revealed no rearrangements or large deletions in the c-erbA genes of affected individuals.
  • The gene responsible for the GTHR phenotype was found to be tightly linked to the c-erbA beta locus on chromosome 3.
  • This linkage provides strong evidence for the c-erbA beta gene's role as a thyroid hormone receptor in humans.

Conclusions:

  • The c-erbA beta gene is strongly implicated as a critical thyroid hormone receptor in humans.
  • A mutant c-erbA beta phenotype is suggested as the cause of GTHR, leading to abnormalities in the central nervous system, pituitary, liver, metabolism, and growth.

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