Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism

Primary congenital hypothyroidism (CH) is a common neonatal endocrine disorder characterized by elevated concentrations of thyroid stimulating hormone (TSH) and low concentrations of free thyroxine (FT4). PAX8 and NKX2-1 are important transcription factors involved in thyroid development. In this st...

Full description

Bibliographic Details
Main Authors: Menglin Li, Zhuo Li, Miaomiao Chen, Zhiqing Hu, Miaojin Zhou, Lingqian Wu, Chunhua Zhang, Desheng Liang
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/1/786
_version_ 1797625586098634752
author Menglin Li
Zhuo Li
Miaomiao Chen
Zhiqing Hu
Miaojin Zhou
Lingqian Wu
Chunhua Zhang
Desheng Liang
author_facet Menglin Li
Zhuo Li
Miaomiao Chen
Zhiqing Hu
Miaojin Zhou
Lingqian Wu
Chunhua Zhang
Desheng Liang
author_sort Menglin Li
collection DOAJ
description Primary congenital hypothyroidism (CH) is a common neonatal endocrine disorder characterized by elevated concentrations of thyroid stimulating hormone (TSH) and low concentrations of free thyroxine (FT4). PAX8 and NKX2-1 are important transcription factors involved in thyroid development. In this study, we detected three novel variants in <i>PAX8</i> (c.149A > C and c.329G > A) and <i>NKX2-1</i> (c.706A > G) by whole exome sequencing (WES) in three unrelated CH patients with variable phenotypes. The results of Western blot and immunofluorescence analysis showed that the three variants had no effect on protein expression and subcellular localization. However, the results of the electrophoretic mobility shift assay (EMSA) and dual-luciferase reporter assay suggested that the three variants in PAX8 and NKX2-1 both affected their DNA-binding ability and reduced their transactivation capacity. Moreover, a dominant-negative effect in K236E−NKX2-1 was identified by dual-luciferase reporter assay. To sum up, our findings extend our knowledge of the current mutation spectrum of <i>PAX8</i> and <i>NKX2-1</i> and provide important information for diagnosing, treating, and preventing CH in these families.
first_indexed 2024-03-11T09:58:28Z
format Article
id doaj.art-fd872a3c43cd4d25a86b78c0c5f16fff
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T09:58:28Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-fd872a3c43cd4d25a86b78c0c5f16fff2023-11-16T15:38:28ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-0124178610.3390/ijms24010786Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital HypothyroidismMenglin Li0Zhuo Li1Miaomiao Chen2Zhiqing Hu3Miaojin Zhou4Lingqian Wu5Chunhua Zhang6Desheng Liang7Center for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaCenter for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha 410078, ChinaPrimary congenital hypothyroidism (CH) is a common neonatal endocrine disorder characterized by elevated concentrations of thyroid stimulating hormone (TSH) and low concentrations of free thyroxine (FT4). PAX8 and NKX2-1 are important transcription factors involved in thyroid development. In this study, we detected three novel variants in <i>PAX8</i> (c.149A > C and c.329G > A) and <i>NKX2-1</i> (c.706A > G) by whole exome sequencing (WES) in three unrelated CH patients with variable phenotypes. The results of Western blot and immunofluorescence analysis showed that the three variants had no effect on protein expression and subcellular localization. However, the results of the electrophoretic mobility shift assay (EMSA) and dual-luciferase reporter assay suggested that the three variants in PAX8 and NKX2-1 both affected their DNA-binding ability and reduced their transactivation capacity. Moreover, a dominant-negative effect in K236E−NKX2-1 was identified by dual-luciferase reporter assay. To sum up, our findings extend our knowledge of the current mutation spectrum of <i>PAX8</i> and <i>NKX2-1</i> and provide important information for diagnosing, treating, and preventing CH in these families.https://www.mdpi.com/1422-0067/24/1/786congenital hypothyroidism<i>PAX8</i><i>NKX2-1</i>whole exome sequencing (WES)novel variantsfunctional study
spellingShingle Menglin Li
Zhuo Li
Miaomiao Chen
Zhiqing Hu
Miaojin Zhou
Lingqian Wu
Chunhua Zhang
Desheng Liang
Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
International Journal of Molecular Sciences
congenital hypothyroidism
<i>PAX8</i>
<i>NKX2-1</i>
whole exome sequencing (WES)
novel variants
functional study
title Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
title_full Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
title_fullStr Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
title_full_unstemmed Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
title_short Novel Missense Variants in <i>PAX8</i> and <i>NKX2-1</i> Cause Congenital Hypothyroidism
title_sort novel missense variants in i pax8 i and i nkx2 1 i cause congenital hypothyroidism
topic congenital hypothyroidism
<i>PAX8</i>
<i>NKX2-1</i>
whole exome sequencing (WES)
novel variants
functional study
url https://www.mdpi.com/1422-0067/24/1/786
work_keys_str_mv AT menglinli novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT zhuoli novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT miaomiaochen novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT zhiqinghu novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT miaojinzhou novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT lingqianwu novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT chunhuazhang novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism
AT deshengliang novelmissensevariantsinipax8iandinkx21icausecongenitalhypothyroidism