Evidence map›Paper›PMID 31332729›Full record

ArticleMetabolic brain disease2019

Novel mutations in SLC16A2 associated with a less severe phenotype of MCT8 deficiency.

Silvia Masnada, Stefan Groenweg, Veronica Saletti, Luisa Chiapparini, Barbara Castellotti, Ettore Salsano, W Edward Visser, Davide Tonduti

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Metabolic brain disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
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  11. Clinical and Functional Consequences of C-Terminal Variants in MCT8: A Case Series.The Journal of clinical endocrinology and metabolism · 2021
    Article
  12. Review
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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.

Silvia MasnadaPediatric Neurology Unit, V. Buzzi Children's Hospital, Via Castelvetro 32, 20154, Milan, Italy.
Stefan GroenwegDepartment of Internal Medicine, Academic Center for Thyroid Diseases, Erasmus MC, University Medical Center, CN, Rotterdam, The Netherlands.
Veronica SalettiChild Neurology Department, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Luisa ChiappariniNeuroradiology Unit, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Barbara CastellottiUnit of Genetics of Neurodegenerative and Metabolic Diseases, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Ettore SalsanoUnit of Neurodegenerative and Neurometabolic Rare Diseases, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
W Edward VisserDepartment of Internal Medicine, Academic Center for Thyroid Diseases, Erasmus MC, University Medical Center, CN, Rotterdam, The Netherlands.
Davide TondutiPediatric Neurology Unit, V. Buzzi Children's Hospital, Via Castelvetro 32, 20154, Milan, Italy. davidetondu@hotmail.com.ORCID 0000-0001-9371-7454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the thyroid hormone transporter MCT8 cause severe intellectual and motor disability and abnormal serum thyroid function tests, a syndrome known as MCT8 deficiency (or: Allan-Herndon-Dudley syndrome, AHDS). Although the majority of patients are unable to sit or walk independently and do not develop any speech, some are able to walk and talk in simple sentences. Here, we report on two cases with such a less severe clinical phenotype and consequent gross delay in diagnosis. Genetic analyses revealed two novel hemizygous mutations in the SLC16A2 gene resulting in a p.Thr239Pro and a p.Leu543Pro substitution in the MCT8 protein. In vitro studies in transiently transfected COS-1 and JEG-3 cells, and ex vivo studies in patient-derived fibroblasts revealed substantial residual uptake capacity of both mutant proteins (Leu543Pro > Thr239Pro), providing an explanation for the less severe clinical phenotype. Both mutations impair MCT8 protein stability and interfere with proper subcellular trafficking. In one of the patients calcifications were observed in the basal ganglia at the age of 29 years; an abnormal neuroradiological feature at this age that has been linked to untreated (congenital) hypothyroidism and neural cretinism. Our studies extend on previous work by identifying two novel pathogenic mutations in SLC16A2 gene resulting in a mild clinical phenotype.

Indexed as

MutationPhenotypeBrainChildGenotypeHumansMagnetic Resonance ImagingMaleMonocarboxylic Acid TransportersMuscle HypotoniaMuscular AtrophySymportersTomography, X-Ray ComputedX-Linked Intellectual DisabilityYoung AdultMonocarboxylic Acid TransportersSLC16A2 protein, humanSymportersCerebral calcificationsLeukoencephalopathyMCT8MCT8 deficiencyThyroid hormoneThyroid hormone transporter

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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.