Evidence map›Paper›PMID 28633507›Full record

ArticleThe Journal of clinical endocrinology and metabolism2017

Digenic DUOX1 and DUOX2 Mutations in Cases With Congenital Hypothyroidism.

Zehra Aycan, Hakan Cangul, Marina Muzza, Veysel N Bas, Laura Fugazzola, V Krishna Chatterjee, Luca Persani, Nadia Schoenmakers

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Approach to the patient: genetics and management of congenital hypothyroidism.The Journal of clinical endocrinology and metabolism · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Patients with Thyroid Dyshormonogenesis andInternational journal of molecular sciences · 2024
    Article
  11. Review
  12. Gene mutations in children with permanent congenital hypothyroidism in Yunnan, China.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
  13. Review
  14. Review
  15. Article
  16. Silent but Not Harmless: A SynonymousFrontiers in endocrinology · 2022
    Article
  17. Review
  18. Article
  19. Review
  20. Review
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

8 authors at 5 institutions in 3 countries.

Zehra AycanDivision of Paediatric Endocrinology, Dr. Sami Ulus Woman Health and Children Research Hospital, 06080 Ankara, Turkey.
Hakan CangulDepartment of Medical Genetics, Istanbul Medipol University, International School of Medicine, 34810 Istanbul, Turkey.
Marina MuzzaEndocrine Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca' Granda Policlinico, 20122 Milan, Italy.
Veysel N BasDivision of Paediatric Endocrinology, Dr. Sami Ulus Woman Health and Children Research Hospital, 06080 Ankara, Turkey.
Laura FugazzolaDepartment of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy.
V Krishna ChatterjeeUniversity of Cambridge Metabolic Research Laboratories, Wellcome Trust-Medical Research Council Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom.
Luca PersaniDivision of Endocrinology and Metabolism, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Auxologico Italiano, 20149 Milan, Italy.
Nadia SchoenmakersUniversity of Cambridge Metabolic Research Laboratories, Wellcome Trust-Medical Research Council Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge CB2 0QQ, United Kingdom.
Dr Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi · TRMedical Research Council · GBUniversity of Milan · ITIstanbul Medipol University · TRIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

Medical Research Council MC_UU_12012/5Wellcome TrustWellcome Trust 095564/Z/11/ZWellcome Trust 100585/Z/12/Z
6 · The paper itself

Abstract

Context: The DUOX2 enzyme generates hydrogen peroxide (H2O2), a crucial electron acceptor for the thyroid peroxidase-catalyzed iodination and coupling reactions mediating thyroid hormone biosynthesis. DUOX2 mutations result in dyshormonogenetic congenital hypothyroidism (CH) that may be phenotypically heterogeneous, leading to the hypothesis that CH severity may be influenced by environmental factors (e.g., dietary iodine) and oligogenic modifiers (e.g., variants in the homologous reduced form of NAD phosphate-oxidase DUOX1). However, loss-of-function mutations in DUOX1 have not hitherto been described, and its role in thyroid biology remains undefined. Case Description: We previously described a Proband and her brother (P1, P2) with unusually severe CH associated with a DUOX2 homozygous nonsense mutation (p.R434*); P1, P2: thyrotropin >100 µU/mL [reference range (RR) 0.5 to 6.3]; and P1: free T4 (FT4) <0.09 ng/dL (RR 0.9 to 2.3). Subsequent studies have revealed a homozygous DUOX1 mutation (c.1823-1G>C) resulting in aberrant splicing and a protein truncation (p.Val607Aspfs*43), which segregates with CH in this kindred. Conclusion: This is a report of digenic mutations in DUOX1 and DUOX2 in association with CH, and we hypothesize that the inability of DUOX1 to compensate for DUOX2 deficiency in this kindred may underlie the severe CH phenotype. Our studies provide evidence for a digenic basis for CH and support the notion that oligogenicity as well as environmental modulators may underlie phenotypic variability in genetically ascertained CH.

Indexed as

Genetic Predisposition to DiseaseCodon, NonsenseCohort StudiesCongenital HypothyroidismDual OxidasesFemaleGenetic VariationGenotypeHumansInfantInfant, NewbornMaleNADPH OxidasesPedigreePhenotypeRetrospective StudiesCodon, NonsenseDual OxidasesDUOX1 protein, humanDUOX2 protein, humanNADPH Oxidases

Identifiers

PMID28633507
PMCPMC5587079
OpenAlexW2626775677

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.