Evidence map›Paper›PMID 21367925›Full record

ArticleThe Journal of clinical endocrinology and metabolism2011

A single copy of the recently identified dual oxidase maturation factor (DUOXA) 1 gene produces only mild transient hypothyroidism in a patient with a novel biallelic DUOXA2 mutation and monoallelic DUOXA1 deletion.

Imge Hulur, Pia Hermanns, Claudia Nestoris, Sabine Heger, Samuel Refetoff, Joachim Pohlenz, Helmut Grasberger

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 62 citations in OpenAlex.

  1. Review
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  5. Review
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  11. Persistent goiter with congenital hypothyroidism due to mutation in DUOXA2 gene.Annals of pediatric endocrinology & metabolism · 2020
    Article
  12. Frontiers in endocrinology · 2020
    Article
  13. Thyroid : official journal of the American Thyroid Association · 2019
    Article
  14. Identification of Two Missense Mutations inFrontiers in endocrinology · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Defects of Thyroid Hormone Synthesis and Action.Endocrinology and metabolism clinics of North America · 2017
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Imge HulurDepartment of Medicine, University of Chicago, Chicago, Illinois 60637, USA.
Pia Hermanns
Claudia Nestoris
Sabine Heger
Samuel Refetoff
Joachim Pohlenz
Helmut Grasberger
University of Chicago · USJohannes Gutenberg University Mainz · DEEndokrinologikum · DEKinderkrankenhaus auf der Bult · DE

Funding

THYROID PHYSIOLOGY STUDIES OF INHERITED DISORDERSR01DK015070 · NIDDK · UNIVERSITY OF CHICAGO · PI ANTONIO C BIANCO, Alexandra Mihaela Dumitrescu · 1986 to 2026
$8.1M
INTERGRATED CLINICAL AND BASIC ENDOCRINOLOGY RESEARCHT32DK007011 · NIDDK · UNIVERSITY OF CHICAGO · PI Raghavendra G Mirmira · 1986 to 2026
$5.8M
THYROID PHYSIOLOGY STUDIES OF INHERITED DISORDERSR37DK015070 · NIDDK · UNIVERSITY OF CHICAGO · PI REFETOFF, SAMUEL · 1989 to 2015
$5.6M
PURCHASING OF A GENETISCAN FOR AUTOMATED KARYOTYPINGS10RR004999 · NCRR · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI PATHAK, S · 1988 to 1988
–
NCRR NIH HHS RR04999NIDDK NIH HHS DK07011NIDDK NIH HHS DK15070NIDDK NIH HHS R01 DK015070NIDDK NIH HHS R37 DK015070NIDDK NIH HHS T32 DK007011
6 · The paper itself

Abstract

contextDual oxidases (DUOX1 and DUOX2) play a crucial role in the generation of hydrogen peroxide required in the oxidation of iodide and the synthesis of thyroid hormone. Heterodimerization with specific maturation factors (DUOXA1 and DUOXA2) is essential for the maturation and function of the DUOX enzyme complexes. Biallelic loss-of-function mutations of DUOX2 result in congenital hypothyroidism (CH), whereas a single reported case of homozygous DUOXA2 mutation (Y246X) has been associated with mild CH.

objectiveWe now report an infant with transient CH due to a complex genetic alteration of the DUOX/DUOXA system.

resultsOur patient was born to euthyroid nonconsanguineous parents and presented with an elevated TSH and enlarged thyroid gland at neonatal screening. Genetic analysis revealed a missense mutation (C189R) on the maternal DUOXA2 allele. The mutant DUOXA2 protein showed complete loss-of-function in reconstituting DUOX2 in vitro. The apparent C189R homozygosity of the proband in the absence of the same mutation in the father led to detailed gene mapping, revealing an approximately 43-kb pair deletion encompassing DUOX2, DUOXA1, and DUOXA2. Thus, in addition to being deficient in DUOXA2, the proband lacks one allele of DUOX2 and DUOXA1 but has two functioning DUOX1 alleles.

conclusionThe transient CH in the presence of only one functional maturation factor allele indicates a high level of functional redundancy in the DUOX/DUOXA system.

Indexed as

AllelesBlotting, WesternCells, CulturedDNADual OxidasesGene DeletionGene DosageGenetic VectorsHeterozygoteHumansHypothyroidismInfant, NewbornMaleMembrane ProteinsMutation, MissenseNADPH OxidasesDNADual OxidasesDUOX1 protein, humanDUOXA2 protein, humanMembrane ProteinsNADPH OxidasesThyrotropin

Identifiers

PMID21367925
PMCPMC3085204
OpenAlexW1972279248

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.