Thyroid hemiagenesis is a rare variant of thyroid dysgenesis with a familial component but without Pax8 mutations in a cohort of 22 cases.

Abstract:

:Thyroid hemiagenesis is a rare form of thyroid dysgenesis of which some familial cases have been reported, including one associated with a heterozygous mutation in the Pax8 gene. However, the physiopathology remains not well known. The objectives of this study were 1) to describe the clinical features, 2) to look for familial clustering, and 3) to search for Pax8 mutations in a relatively large cohort of affected patients. A family history of thyroid dysgenesis was found in nine patients (40%), whose affected relatives had ectopic thyroid (n = 4), athyreosis (n = 1), thyroid hemiagenesis (n = 2), or thyroglossal duct cysts (n = 2). Screening for Pax8 mutations identified abnormal migration profiles by SSCP analysis in 3 patients, but direct sequencing did not show coding region mutations in any of the 22 patients. In conclusion, this study provides the first evidence that thyroid hemiagenesis can occur as a familial disorder associated with any form of thyroid dysgenesis. This finding supports both a common underlying mechanism to the various abnormalities in thyroid development and a role for genetic factors; however, our results from Pax8 analysis suggest that this gene may not be a key factor.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Castanet M,Leenhardt L,Léger J,Simon-Carré A,Lyonnet S,Pelet A,Czernichow P,Polak M

doi

10.1203/01.PDR.0000161409.04177.36

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

908-13

issue

6

eissn

0031-3998

issn

1530-0447

pii

01.PDR.0000161409.04177.36

journal_volume

57

pub_type

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