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Genetics and management of congenital hypothyroidism
Abstract
Several evidences support a relevant genetic origin for Congenital Hypothyroidism (CH), however familial forms are uncommon. CH can be due to morphogenetic or functional defects and several genes have been originally associated either with thyroid dysgenesis or dyshormonogenesis, with a highly variable expressivity and a frequently incomplete penetrance of the genetic defects. The phenotype-driven genetic analyses rarely yielded positive results in more than 10% of cases, thus raising doubts on the genetic origin of CH. However, more recent unsupervised approaches with systematic Next Generation Sequencing (NGS) analysis revealed the existence of hypomorphic alleles of these candidate genes whose combination can explain a significant portion of CH cases. The co-segregation studies of the hypothyroid phenotype with multiple gene variants in pedigrees confirmed the potential oligogenic origin of CH, which finally represents a suitable explanation for the frequent sporadic occurrence of this disease.
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The oligogenic-origin hypothesis for congenital hypothyroidism could explain the sporadic occurrence, and the variable expression and penetrance of congenital hypothyroidism.
“This oligogenic-origin hypothesis for congenital hypothyroidism could explain the sporadic occurrence, and the variable expression and penetrance of congenital hypothyroidism.[55][56][57]”
From Hypothyroidism (2024) · cites this paper as [55]
Congenital hypothyroidism affects around 1 in 3000 newborns worldwide and is the most common neonatal endocrine disorder and one of the most common preventable causes of intellectual disability.
“Affecting around 1 in 3000 newborns worldwide, congenital hypothyroidism is the most common neonatal endocrine disorder and one of the most common preventable causes of intellectual disability.55”
From Hypothyroidism (2024) · cites this paper as [55]
Genetic causes identified for primary congenital hypothyroidism are primarily due to thyroid dysgenesis (<5%) and dyshormonogenesis (~50%).
“Although genetic causes identified for primary congenital hypothyroidism are primarily due to thyroid dysgenesis (<5%) and dyshormonogenesis (~50%), progress in genotyping techniques (ie, next-generation sequencing) has facilitated the discovery of various novel candidate genes and variants.55,56”
From Hypothyroidism (2024) · cites this paper as [55]
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Metadata
- Authors
- Persani, L., Rurale, G., de Filippis, T., Galazzi, E., Muzza, M., & Fugazzola, L.
- Affiliations
- University of Milan (IT)
- IRCCS Istituto Auxologico Italiano (IT)
- Corresponding author
- Persani, Luca
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 32
- Issue
- 4
- Pages
- 387-396
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W2803162570
- Cited by
- 82
- References
- 47
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 9 · 2023: 12 · 2022: 10 · 2021: 16 · 2020: 13 · 2019: 9 · 2018: 2
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Health Sciences › Medicine › Surgery › Head and Neck Anomalies
- Keywords
- congenital hypothyroidism, genetic etiology, thyroid dysgenesis, dyshormonogenesis, hypomorphic allele, oligogenic inheritance, penetrance, expressivity, candidate genes, co-segregation analysis
- MeSH terms
- Congenital Hypothyroidism, Genetic Testing, Humans, Mutation, Pedigree, Phenotype, Thyroid Dysgenesis, High-Throughput Nucleotide Sequencing
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