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A case of congenital hypothyroidism combined with sensorineural hearing loss (Pendred syndrome) caused by a TPO gene defect

https://doi.org/10.14341/probl2017632110-113

Abstract

Congenital hypothyroidism is a genetically heterogeneous group of diseases caused by two mechanisms: gland dysgenesis and dyshormonogenesis. The disease pattern includes a number of syndromic forms, one of which is a combination of congenital hypothyroidism and sensorineural hearing loss (Pendred syndrome) initially associated with SLC26A4 gene defects. The article describes a patient with clinical manifestations of Pendred syndrome who was diagnosed with a TPO gene defect during a molecular genetic analysis using next generation sequencing (NGS). Therefore, a combination of congenital hypothyroidism and sensorineural hearing loss can have a different molecular basis. Our findings illustrate the value of NGS for genetic verification of the diagnosis.

About the Authors

Nina A. Makretskaya

Endocrinology Research Centre


Russian Federation

MD



Olga B. Bezlepkina

Endocrinology Research Centre


Russian Federation

MD, PhD, Professor



Olga A. Chikulaeva

Endocrinology Research Centre


Russian Federation

MD, PhD



Evgeny V. Vasilyev

Endocrinology Research Centre


Russian Federation

PhD



Vasiliy M. Petrov

Endocrinology Research Centre


Russian Federation

PhD



Ivan I. Dedov

Endocrinology Research Centre


Russian Federation

MD, PhD, Professor



Anatoly N. Tiulpakov

Endocrinology Research Centre


Russian Federation

MD, PhD



References

1. Devos H, Rodd C, Gagne N, et al. A search for the possible molecular mechanisms of thyroid dysgenesis: sex ratios and associated malformations. J Clin Endocrinol Metab. 1999;84(7):2502-2506. doi: 10.1210/jcem.84.7.5831.

2. Pendred V. Deaf-Mutism and Goitre. The Lancet. 1896;148(3808):532. doi: 10.1016/s0140-6736(01)74403-0.

3. Everett LA, Glaser B, Beck JC, et al. Pendred syndrome is caused by mutations in a putative sulphate transporter gene (PDS). Nat Genet. 1997;17(4):411-422. doi: 10.1038/ng1297-411.

4. Everett LA. A family of mammalian anion transportersand their involvement in human genetic diseases. Hum Mol Genet. 1999;8(10):1883-1891. doi: 10.1093/hmg/8.10.1883.

5. Christ S, Biebel UW, Hoidis S, et al. Hearing loss in athyroid pax8 knockout mice and effects of thyroxine substitution. Audiol Neurootol. 2004;9(2):88-106. doi: 10.1159/000076000.

6. O’Malley BW, Jr., Li D, Turner DS. Hearing loss and cochlear abnormalities in the congenital hypothyroid (hyt/hyt) mouse. Hear Res. 1995;88(1-2):181-189.

7. Johnson KR, Marden CC, Ward-Bailey P, et al. Congenital hypothyroidism, dwarfism, and hearing impairment caused by a missense mutation in the mouse dual oxidase 2 gene, Duox2. Mol Endocrinol. 2007;21(7):1593-1602. doi: 10.1210/me.2007-0085.

8. Johnson KR, Gagnon LH, Longo-Guess CM, et al. Hearing impairment in hypothyroid dwarf mice caused by mutations of the thyroid peroxidase gene. J Assoc Res Otolaryngol. 2014;15(1):45-55. doi: 10.1007/s10162-013-0427-7.

9. Wang K, Li M, Hakonarson H. ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res. 2010;38(16):e164. doi: 10.1093/nar/gkq603.

10. Pendred/BOR Homepage [Internet]. Available on URL: http://www.healthcare.uiowa.edu/labs/pendredandbor/

11. Tsukamoto K, Suzuki H, Harada D, et al. Distribution and frequencies of PDS (SLC26A4) mutations in Pendred syndrome and nonsyndromic hearing loss associated with enlarged vestibular aqueduct: a unique spectrum of mutations in Japanese. Eur J Hum Genet. 2003;11(12):916-922. doi: 10.1038/sj.ejhg.5201073.

12. Kimura S, Kotani T, McBride OW, et al. Human thyroid peroxidase: complete cDNA and protein sequence, chromosome mapping, and identification of two alternately spliced mRNAs. Proc Natl Acad Sci U S A. 1987;84(16):5555-5559. PMC298901.

13. Banga JP, Mahadevan D, Barton GJ, et al. Prediction of domain organisation and secondary structure of thyroid peroxidase, a human autoantigen involved in destructive thyroiditis. FEBS Lett. 1990;266(1-2):133-141.

14. Cetani F, Costagliola S, Tonacchera M, et al. The thyroperoxidase doublet is not produced by alternative splicing. Mol Cell Endocrinol. 1995;115(2):125-132. doi: 10.1016/0303-7207(95)03680-6.

15. Abramowicz MJ, Targovnik HM, Varela V, et al. Identification of a mutation in the coding sequence of the human thyroid peroxidase gene causing congenital goiter. J Clin Invest. 1992;90(4):1200-1204. doi: 10.1172/JCI115981.

16. Ris-Stalpers C, Bikker H. Genetics and phenomics of hypothyroidism and goiter due to TPO mutations. Mol Cell Endocrinol. 2010;322(1-2):38-43. doi: 10.1016/j.mce.2010.02.008.

17. Pfarr N, Borck G, Turk A, et al. Goitrous congenital hypothyroidism and hearing impairment associated with mutations in the TPO and SLC26A4/PDS genes. J Clin Endocrinol Metab. 2006;91(7):2678-2681. doi: 10.1210/jc.2006-0142.


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For citations:


Makretskaya N.A., Bezlepkina O.B., Chikulaeva O.A., Vasilyev E.V., Petrov V.M., Dedov I.I., Tiulpakov A.N. A case of congenital hypothyroidism combined with sensorineural hearing loss (Pendred syndrome) caused by a TPO gene defect. Problems of Endocrinology. 2017;63(2):110-113. https://doi.org/10.14341/probl2017632110-113

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)