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Human Molecular Genetics, 2002, Vol. 11, No. 17 2051-2059
© 2002 Oxford University Press

A novel loss-of-function mutation in TTF-2 is associated with congenital hypothyroidism, thyroid agenesis and cleft palate

Mireille Castanet1,{dagger}, Soo-Mi Park2,{dagger}, Aaron Smith2, Michel Bost3, Juliane Léger1, Stanislas Lyonnet4, Anna Pelet4, Paul Czernichow1, Krishna Chatterjee2 and Michel Polak1,*

1Paediatric Endocrinology Unit and INSERM U457, Paris, France, 2Department of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK, 3Department of Pediatrics, CHU, Grenoble and 4INSERM U393, Paris, France

Received May 22, 2002; Accepted June 24, 2002

Thyroid dysgenesis is the most common cause of congenital hypothyroidism (CH) and its genetic basis is largely unknown. Here, we describe the second homozygous missense mutation in TTF-2 (or FOXE1), a transcription factor that has been implicated in thyroid development. Two male siblings, born to consanguineous parents, presented with CH, athyreosis and cleft palate and were found to be homozygous for a mutation corresponding to a serine to asparagine substitution at codon 57 (S57N) in the forkhead DNA binding domain of TTF-2. Their heterozygous parents were unaffected and this mutation was not found in 31 unrelated cases of athyreosis or normal controls. Consistent with its location, the S57N TTF-2 mutant protein showed impaired DNA binding and partial loss of transcriptional function. Such incomplete loss of TTF-2 function may account for the absence of choanal atresia and bifid epiglottis in our patients, anomalies which were present together with CH and cleft palate in two other individuals with the only other, more deleterious, TTF-2 mutation (A65V) described previously. Our observations support the role of TTF-2 in both thyroid and palate development but suggest phenotypic heterogeneity of this syndromic form of CH.

* To whom correspondence should be addressed at: Paediatric Endocrinology Unit and INSERM U 457, Hospital Robert Debré, 48 Bd Serurier, 75019 PARIS. Tel: 33 140032143; Fax: 33 140032429; Email: michel.polak{at}rdb.ap-hop-paris.fr

{dagger} The authors wish it to be known that, in their opinion, the first two authors should be regarded as joint First Authors.


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