Department of Endocrinology and Metabolism, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian 350001, P.R. China.
Int J Mol Med. 2013 Feb;31(2):467-70. doi: 10.3892/ijmm.2012.1223. Epub 2012 Dec 24.
Congenital hypothyroidism (CH) is caused by thyroid hormone deficiency present at birth. DUOXA2 (dual oxidase maturation factor 2) is one of the prerequisites for thyroid hormone synthesis. The present study explored the novel mutations of DUOXA2 in CH patients. Genomic DNA was extracted from peripheral blood of 47 unrelated CH patients, their family members and 100 healthy controls. All 6 exons and their flanking sequences of the DUOXA2 gene were PCR amplified and sequenced. Sequencing results were compared with the standard. Compound heterozygosity with DUOXA2 gene mutations at c.413-414insA (Y138X) and c.738C>G (Y246X) was identified in one patient, and absent in 100 healthy controls. Among them, the c.413‑414insA (Y138X) mutation was a novel one. The patient with the c.413-414insA (Y138X) mutation had mild CH symptoms. This study is the first to report a novel c.413-414insA (Y138X) mutation for CH, thereby expanding the mutational spectrum of the DUOXA2 gene.
先天性甲状腺功能减退症(CH)是由出生时存在的甲状腺激素缺乏引起的。DUOXA2(双氧化酶成熟因子 2)是甲状腺激素合成的前提之一。本研究探讨了 CH 患者 DUOXA2 的新突变。从 47 名无关 CH 患者、其家庭成员和 100 名健康对照者的外周血中提取基因组 DNA。PCR 扩增并测序 DUOXA2 基因的所有 6 个外显子及其侧翼序列。将测序结果与标准进行比较。在一名患者中鉴定出 DUOXA2 基因 c.413-414insA(Y138X)和 c.738C>G(Y246X)的复合杂合突变,而在 100 名健康对照者中不存在。其中,c.413-414insA(Y138X)突变是一种新的突变。携带 c.413-414insA(Y138X)突变的患者有轻度 CH 症状。本研究首次报道了 CH 的新型 c.413-414insA(Y138X)突变,从而扩展了 DUOXA2 基因的突变谱。