Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats

Abstract Background Primary congenital hypothyroidism (CH) is a rare endocrine disorder in cats with a largely unknown genetic cause. Objectives Describe the clinical presentation of CH in 11 affected cats and identify the causal genetic variant. Animals Eleven CH‐cats from 10 unrelated families, 11...

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Main Authors: Mario Van Poucke, Emilie Van Renterghem, Mark E. Peterson, Marit F. van denBerg, Emmelie Stock, Luc J. Peelman, Sylvie Daminet
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16524
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author Mario Van Poucke
Emilie Van Renterghem
Mark E. Peterson
Marit F. van denBerg
Emmelie Stock
Luc J. Peelman
Sylvie Daminet
author_facet Mario Van Poucke
Emilie Van Renterghem
Mark E. Peterson
Marit F. van denBerg
Emmelie Stock
Luc J. Peelman
Sylvie Daminet
author_sort Mario Van Poucke
collection DOAJ
description Abstract Background Primary congenital hypothyroidism (CH) is a rare endocrine disorder in cats with a largely unknown genetic cause. Objectives Describe the clinical presentation of CH in 11 affected cats and identify the causal genetic variant. Animals Eleven CH‐cats from 10 unrelated families, 11 CH‐free family members, 21 unrelated CH‐free cats, and 155 unrelated nondiagnosed cats from different breeds. Methods Case control study of CH‐cats and their siblings (2019‐2021). Diagnosis was based on low to low‐normal serum thyroxine (T4) concentrations, high thyroid‐stimulating hormone (TSH) concentrations and clinical signs compatible with CH. We identified the causal variant using Sanger sequencing, genotyping via PCR‐RFLP and variant interpretation using ACMG/AMP guidelines. Results All CH‐cats (5 weeks‐8 years) had disproportionate dwarfism. A goiter was not palpable in all. Thyroid scintigraphy with radiopertechnetate showed abnormally high uptake by thyroid glands, whereas scintigraphy with radioiodine showed abnormally low uptake, compatible with a defect in iodine organification by thyroid peroxidase (TPO). All cases were homozygous for TPO variant XM_006930524.4:c.430G>A(p.(Gly144Arg)), while none of the CH‐free cats were. All sampled parents were heterozygous for this recessive variant. This variant was found in 15 cat breeds with an estimated allele frequency of 9%. Conclusions and Clinical Importance Disproportionate dwarfism, abnormally high TSH and abnormally low to low‐normal T4 concentrations are diagnostic for CH in cats. All cases had dyshormonogenesis demonstrated by thyroid scintigraphy. This novel TPO missense variant (not described in humans) causes CH in cats and awareness of it can assist in diagnosis and breeding.
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spelling doaj.art-e7251c019fa541309670891d91f272302022-12-22T02:05:57ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762022-09-013651597160610.1111/jvim.16524Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in catsMario Van Poucke0Emilie Van Renterghem1Mark E. Peterson2Marit F. van denBerg3Emmelie Stock4Luc J. Peelman5Sylvie Daminet6Department of Veterinary and Biosciences, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumDepartment of Small Animals, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumAnimal Endocrine Clinic New York New York USADepartment of Small Animals, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumDepartment of Morphology, Imaging, Orthopedics, Rehabilitation and Nutrition, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumDepartment of Veterinary and Biosciences, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumDepartment of Small Animals, Faculty of Veterinary Medicine Ghent University Merelbeke BelgiumAbstract Background Primary congenital hypothyroidism (CH) is a rare endocrine disorder in cats with a largely unknown genetic cause. Objectives Describe the clinical presentation of CH in 11 affected cats and identify the causal genetic variant. Animals Eleven CH‐cats from 10 unrelated families, 11 CH‐free family members, 21 unrelated CH‐free cats, and 155 unrelated nondiagnosed cats from different breeds. Methods Case control study of CH‐cats and their siblings (2019‐2021). Diagnosis was based on low to low‐normal serum thyroxine (T4) concentrations, high thyroid‐stimulating hormone (TSH) concentrations and clinical signs compatible with CH. We identified the causal variant using Sanger sequencing, genotyping via PCR‐RFLP and variant interpretation using ACMG/AMP guidelines. Results All CH‐cats (5 weeks‐8 years) had disproportionate dwarfism. A goiter was not palpable in all. Thyroid scintigraphy with radiopertechnetate showed abnormally high uptake by thyroid glands, whereas scintigraphy with radioiodine showed abnormally low uptake, compatible with a defect in iodine organification by thyroid peroxidase (TPO). All cases were homozygous for TPO variant XM_006930524.4:c.430G>A(p.(Gly144Arg)), while none of the CH‐free cats were. All sampled parents were heterozygous for this recessive variant. This variant was found in 15 cat breeds with an estimated allele frequency of 9%. Conclusions and Clinical Importance Disproportionate dwarfism, abnormally high TSH and abnormally low to low‐normal T4 concentrations are diagnostic for CH in cats. All cases had dyshormonogenesis demonstrated by thyroid scintigraphy. This novel TPO missense variant (not described in humans) causes CH in cats and awareness of it can assist in diagnosis and breeding.https://doi.org/10.1111/jvim.16524CHdyshormonogenesisendocrinologyfelinegoiterTPO
spellingShingle Mario Van Poucke
Emilie Van Renterghem
Mark E. Peterson
Marit F. van denBerg
Emmelie Stock
Luc J. Peelman
Sylvie Daminet
Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
Journal of Veterinary Internal Medicine
CH
dyshormonogenesis
endocrinology
feline
goiter
TPO
title Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
title_full Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
title_fullStr Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
title_full_unstemmed Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
title_short Association of recessive c.430G>A (p.(Gly144Arg)) thyroid peroxidase variant with primary congenital hypothyroidism in cats
title_sort association of recessive c 430g a p gly144arg thyroid peroxidase variant with primary congenital hypothyroidism in cats
topic CH
dyshormonogenesis
endocrinology
feline
goiter
TPO
url https://doi.org/10.1111/jvim.16524
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