A novel mutation of thyroid hormone receptor beta (I431V) impairs corepressor release, and induces thyroid hormone resistance syndrome

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Detalles Bibliográficos
Autor Principal: Azevedo, Monalisa Ferreira
Data de Publicación: 2008
Outros autores: Barra, Gustavo Barcelos, Medeiros, Ligiane Dantas de, Simeoni, Luiz Alberto, Naves, Luciana Ansaneli, Neves, Francisco de Assis Rocha
Formato: Article
Idioma: eng
Fonte: Repositório Institucional da UnB
Download full: http://repositorio.unb.br/handle/10482/6822
https://dx.doi.org/10.1590/S0004-27302008000800016
Summary: ABSTRACT: Resistance to thyroid hormone (RTH) is a rare disorder characterized by variable tissue hyporesponsiveness to thyroid hormone, usually caused by mutations in the thyroid hormone receptor beta (TRβ). We describe a large Brazilian family harboring a novel mutation affecting TRβ gene and inducing RTH. A 14-year-old girl was found to have elevated free T4 and free T3 plasma concentrations in coexistence with unsuppressed TSH and a questionable goiter. The diagnosis of RTH was verifi ed by identifi cation of a novel mutation (I431V) in the TRβ gene. Sixteen asymptomatic relatives of the proposita are also affected by the mutation. Functional studies showed that I431V mutation exerts dominant-negative effect on wild type TRβ, mainly by impairment of ligand-dependent release of corepressor SMRT. The presence of this mutation reduces potency, but does not affect effi cacy of thyroid hormone action, in accordance with the clinical picture of eumetabolism of the affected individuals. _______________________________________________________________________________ RESUMO