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甲状腺发育不良的分子病因:系统评价。

The molecular causes of thyroid dysgenesis: a systematic review.

机构信息

Department of Clinical Medicine and Surgery, University of Naples "Federico II", Via S. Pansini, 5 - 80131 Naples, Italy.

出版信息

J Endocrinol Invest. 2013 Sep;36(8):654-64. doi: 10.3275/8973. Epub 2013 May 22.

DOI:10.3275/8973
PMID:23698639
Abstract

BACKGROUND

Congenital hypothyroidism (CH) is a frequent disease occurring with an incidence of about 1/2500 newborns/year. In 80-85% of the cases CH is caused by alterations in thyroid morphogenesis, generally indicated by the term "thyroid dysgenesis" (TD). TD is generally a sporadic disease, but in about 5% of the cases a genetic origin has been demonstrated. In these cases, mutations in genes playing a role during thyroid morphogenesis (NKX2-1, PAX8, FOXE1, NKX2-5, TSHR) have been reported.

AIM

This work reviews the main steps of thyroid morphogenesis and all the genetic alterations associated with TD and published in the literature.

摘要

背景

先天性甲状腺功能减退症(CH)是一种常见疾病,发病率约为每 2500 名新生儿中有 1 例。80-85%的 CH 是由甲状腺形态发生改变引起的,通常被称为“甲状腺发育不良”(TD)。TD 通常是一种散发性疾病,但约 5%的病例具有遗传起源。在这些情况下,已经报道了在甲状腺形态发生过程中起作用的基因(NKX2-1、PAX8、FOXE1、NKX2-5、TSHR)发生突变。

目的

本研究综述了甲状腺形态发生的主要步骤以及文献中报道的与 TD 相关的所有遗传改变。

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1
The molecular causes of thyroid dysgenesis: a systematic review.甲状腺发育不良的分子病因:系统评价。
J Endocrinol Invest. 2013 Sep;36(8):654-64. doi: 10.3275/8973. Epub 2013 May 22.
2
Identification of a novel pax8 gene sequence variant in four members of the same family: from congenital hypothyroidism with thyroid hypoplasia to mild subclinical hypothyroidism.同一家庭四名成员中新型PAX8基因序列变异的鉴定:从伴有甲状腺发育不全的先天性甲状腺功能减退到轻度亚临床甲状腺功能减退。
BMC Endocr Disord. 2014 Aug 22;14:69. doi: 10.1186/1472-6823-14-69.
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本文引用的文献

1
Congenital hypothyroidism with eutopic thyroid gland: analysis of clinical and biochemical features at diagnosis and after re-evaluation.先天性甲状腺功能减退伴甲状腺组织正常:诊断时及重新评估后的临床和生化特征分析。
J Clin Endocrinol Metab. 2013 Apr;98(4):1395-402. doi: 10.1210/jc.2012-3174. Epub 2013 Feb 20.
2
The Italian screening program for primary congenital hypothyroidism: actions to improve screening, diagnosis, follow-up, and surveillance.意大利原发性先天性甲状腺功能减退症筛查计划:改进筛查、诊断、随访和监测的措施。
J Endocrinol Invest. 2013 Mar;36(3):195-203. doi: 10.3275/8849. Epub 2013 Feb 12.
3
Identification and functional characterization of a novel mutation in the NKX2-1 gene: comparison with the data in the literature.
恶性和非恶性异位纵隔甲状腺的个性化管理:一种提议的十项算法方法
Cancers (Basel). 2024 May 14;16(10):1868. doi: 10.3390/cancers16101868.
4
Hypothyroidism in Patients with Down Syndrome: Prevalence and Association with Congenital Heart Defects.唐氏综合征患者的甲状腺功能减退症:患病率及其与先天性心脏病的关联。
Children (Basel). 2024 Apr 25;11(5):513. doi: 10.3390/children11050513.
5
Investigation of the impact of nonsynonymous mutations on thyroid peroxidase dimer.研究非 synonymous 突变对甲状腺过氧化物酶二聚体的影响。
PLoS One. 2023 Sep 12;18(9):e0291386. doi: 10.1371/journal.pone.0291386. eCollection 2023.
6
Combined genetic screening and traditional newborn screening to improve the screening efficiency of congenital hypothyroidism.联合基因筛查与传统新生儿筛查以提高先天性甲状腺功能减退症的筛查效率。
Front Pediatr. 2023 May 12;11:1185802. doi: 10.3389/fped.2023.1185802. eCollection 2023.
7
Tongue Base Ectopic Thyroid Tissue-Is It a Rare Encounter?舌根部异位甲状腺组织——罕见的发现?
Medicina (Kaunas). 2023 Feb 8;59(2):313. doi: 10.3390/medicina59020313.
8
PAX8 in the Junction between Development and Tumorigenesis.PAX8 在发育与肿瘤发生的交界处。
Int J Mol Sci. 2022 Jul 3;23(13):7410. doi: 10.3390/ijms23137410.
9
Resistance to thyroid hormone in a child with thyroid agenesis: A case report with review of the literature.一名甲状腺缺如儿童的甲状腺激素抵抗:病例报告并文献复习
Ann Med Surg (Lond). 2022 Apr 6;77:103569. doi: 10.1016/j.amsu.2022.103569. eCollection 2022 May.
10
Deficiency of Thyroid Hormone Reduces Voltage-Gated Na Currents as Well as Expression of Na/K-ATPase in the Mouse Hippocampus.甲状腺激素缺乏减少小鼠海马中的电压门控 Na 电流和 Na/K-ATPase 的表达。
Int J Mol Sci. 2022 Apr 8;23(8):4133. doi: 10.3390/ijms23084133.
鉴定并功能分析 NKX2-1 基因中的一个新突变:与文献数据的比较。
Thyroid. 2013 Jun;23(6):675-82. doi: 10.1089/thy.2012.0267.
4
Novel NKX2.1 mutation associated with hypothyroidism and lethal respiratory failure in a full-term neonate.与甲状腺功能减退和足月新生儿致死性呼吸衰竭相关的新型 NKX2.1 突变。
J Perinatol. 2013 Feb;33(2):157-60. doi: 10.1038/jp.2012.50.
5
Two cases of thyroid dysgenesis caused by different novel PAX8 mutations in the DNA-binding region: in vitro studies reveal different pathogenic mechanisms.两例因 DNA 结合区不同新的 PAX8 突变引起的甲状腺发育不全:体外研究揭示不同的致病机制。
Thyroid. 2013 Jul;23(7):791-6. doi: 10.1089/thy.2012.0141. Epub 2013 Jan 11.
6
The ambiguous role of NKX2-5 mutations in thyroid dysgenesis.NKX2-5 突变在甲状腺发育不全中的模棱两可作用。
PLoS One. 2012;7(12):e52685. doi: 10.1371/journal.pone.0052685. Epub 2012 Dec 28.
7
TSHR is the main causative locus in autosomal recessively inherited thyroid dysgenesis.促甲状腺激素受体是常染色体隐性遗传甲状腺发育不全的主要致病位点。
J Pediatr Endocrinol Metab. 2012;25(5-6):419-26. doi: 10.1515/jpem-2012-0053.
8
Absence of mutations in PAX8, NKX2.5, and TSH receptor genes in patients with thyroid dysgenesis.甲状腺发育不全患者中PAX8、NKX2.5和促甲状腺激素受体基因无突变。
Arq Bras Endocrinol Metabol. 2012 Apr;56(3):173-7. doi: 10.1590/s0004-27302012000300004.
9
Thyroid transcription factor 1, a homeodomain containing transcription factor, contributes to regulating periodic oscillations in GnRH gene expression.甲状腺转录因子 1 是一种含有同源结构域的转录因子,有助于调节 GnRH 基因表达的周期性振荡。
J Neuroendocrinol. 2012 Jun;24(6):916-29. doi: 10.1111/j.1365-2826.2012.02302.x.
10
Screening of PAX8 mutations in Chinese patients with congenital hypothyroidism.筛查中国先天性甲状腺功能减退症患者的 PAX8 突变。
J Endocrinol Invest. 2012 Nov;35(10):889-92. doi: 10.3275/8239. Epub 2012 Jan 31.