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对患有甲状腺失调和TSH受体 (TSHR) 缺陷的患者进行遗传和功能研究
Diego Yeste1,2,3, Noelia Baz-Redón1,2, María Antolín4
1Growth and Development Group, Vall d'Hebron Institut de Recerca (VHIR)-Pediatric Endocrinology Section, Hospital Universitari Vall d'Hebron (HUVH), 08035 Barcelona, Spain.
International journal of molecular sciences
|September 28, 2024
概括
在TSH受体 (TSHR) 的遗传缺陷导致甲状腺问题. 这项研究在五名患者中发现了六种TSHR变异,证实了它们的致病性,并改善了甲状腺失调和失调激素发生的基因型-表型相关性.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 儿科内分泌学 儿科内分泌学
背景情况:
- 在TSH受体 (TSHR) 的遗传缺陷导致甲状腺失调和/或dyshormonogenesis,呈现广泛的先天性甲状腺功能低下症.
- 有超过250种TSHR变异的记录,但许多缺乏体外表征,阻碍了基因型-表型相关性.
研究的目的:
- 为了基因鉴定患有由于TSHR缺陷而导致甲状腺失调的儿科患者.
- 对已识别的TSHR变体进行体外功能研究,以确定基因型-表型关系.
主要方法:
- 使用高通量基因组组对160名患有甲状腺失调的儿科患者进行分析.
- 在体外功能测定测量TSH依赖的cAMP响应元素激活对于已识别的TSHR变体.
主要成果:
- 在5名患有轻度或重度甲状腺激素变异的患者中,发现了6种TSHR变异,包括2种新型变异.
- 每个变体都表现出不同的体外功能特征,从部分有害到完全有害.
- 该研究发现,3.13%的甲状腺双激素生成患者具有候选TSHR变体.
结论:
- 在体外功能研究对于确认TSHR变异的致病性至关重要.
- 了解患者的特定基因型对于准确诊断确认甲状腺激素生成是必不可少的.
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