Sporadic Nonautoimmune Congenital Hyperthyroidism due to a Strong Activating Mutation of the Thyrotropin Receptor Gene

Thyroid ◽  
2000 ◽  
Vol 10 (10) ◽  
pp. 859-863 ◽  
Author(s):  
M. Tonacchera ◽  
P. Agretti ◽  
V. Rosellini ◽  
G. Ceccarini ◽  
A. Perri ◽  
...  
1997 ◽  
Vol 82 (3) ◽  
pp. 735-738 ◽  
Author(s):  
Diego Russo ◽  
Salvatore Tumino ◽  
Franco Arturi ◽  
Paolo Vigneri ◽  
Giuseppe Grasso ◽  
...  

Abstract Thyroid carcinomas, even when well differentiated, usually appear as hypofunctioning at scintigraphy. We report a case of an aggressive insular thyroid carcinoma presenting as an autonomously functioning thyroid nodule and causing severe thyrotoxicosis. The tumor was metastatic to a cervical lymph node and both lungs. An activating mutation of the TSH receptor gene in both the primary tumor and the lymph node metastasis was found, due to a base substitution at codon 633 (normal guanine at position 1896 replaced by cytosine CAC for GAC causing aspartic acid substitution by histidine). Other known oncogenes (gsp, ras, PTC/ret, trk, met, and p53) were not involved. This is the first description of an activating TSH receptor mutation in a thyroid hyperfunctioning carcinoma in which an aggressive malignant phenotype coexisted with activation of the cAMP cascade and differentiated thyroid functions.


Author(s):  
Stephanie A. Roberts ◽  
Jennifer E. Moon ◽  
Andrew Dauber ◽  
Jessica R. Smith

AbstractBackground:Primary nonautoimmune hyperthyroidism is a rare cause of neonatal hyperthyroidism. This results from an activating mutation in the thyrotropin-receptor (TSHR). It can be inherited in an autosomal dominant manner or occur sporadically as a de novo mutation. Affected individuals display a wide phenotype from severe neonatal to mild subclinical hyperthyroidism. We describe a 6-month-old boy with a de novo mutation in theMethods:Genomic DNA from the patient’s and parents’ peripheral blood leukocytes was extracted. Exons 9 and 10 of theResults:Sequencing exon 10 of theConclusions:The p.Leu512Met mutation (c.1534C>A) of the


Thyroid ◽  
2010 ◽  
Vol 20 (3) ◽  
pp. 327-332 ◽  
Author(s):  
Rita Bertalan ◽  
Ágnes Sallai ◽  
János Sólyom ◽  
Gábor Lotz ◽  
István Szabó ◽  
...  

2014 ◽  
Vol 75 (6) ◽  
pp. 749-753 ◽  
Author(s):  
Akie Nakamura ◽  
Shuntaro Morikawa ◽  
Hayato Aoyagi ◽  
Katsura Ishizu ◽  
Toshihiro Tajima

Thyroid ◽  
2009 ◽  
Vol 19 (2) ◽  
pp. 187-191 ◽  
Author(s):  
Brenda Kohn ◽  
Helmut Grasberger ◽  
Leslie L. Lam ◽  
Alfonso Massimiliano Ferrara ◽  
Samuel Refetoff

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