CAJ | 학술논문

目的：对山东地区由甲状腺异位导致的先天性甲状腺功能减退症（CH）患儿 TSHR 基因第10外显子进行突变筛查，阐明山东地区CH患者TSHR基因突变类型和特点。方法以89例甲状腺异位导致CH的患儿为研究对象，采集外周血提取DNA，PCR扩增第10外显子，采用直接测序的方法对TSHR基因进行突变筛查。结果在89例研究对象第10外显子测序结果中，发现1个错义突变 c.1269G＞A （p.V424I），1个SNP位点（rs1991517，c.2181G＞C，变异频率18.5%）。对小鼠、大鼠、猫、猪、牛、斑马鱼和人的TSHR蛋白进行同源性比较，结果表明第424密码子编码的氨基酸位于TSHR的保守区，该位点的缬氨酸被异亮氨酸取代（p.V424I）。结论山东地区甲状腺异位导致CH的患者中，TSHR基因第10外显子突变率较低。
목적：대산동지구유갑상선이위도치적선천성갑상선공능감퇴증（CH）환인 TSHR 기인제10외현자진행돌변사사，천명산동지구CH환자TSHR기인돌변류형화특점。방법이89례갑상선이위도치CH적환인위연구대상，채집외주혈제취DNA，PCR확증제10외현자，채용직접측서적방법대TSHR기인진행돌변사사。결과재89례연구대상제10외현자측서결과중，발현1개착의돌변 c.1269G＞A （p.V424I），1개SNP위점（rs1991517，c.2181G＞C，변이빈솔18.5%）。대소서、대서、묘、저、우、반마어화인적TSHR단백진행동원성비교，결과표명제424밀마자편마적안기산위우TSHR적보수구，해위점적힐안산피이량안산취대（p.V424I）。결론산동지구갑상선이위도치CH적환자중，TSHR기인제10외현자돌변솔교저。
Objective We studied mutations from exon 10 of TSHR gene in patients with congenital hypothyroidism secondary to ectopy, and identified genetic characteristics of TSHR gene mutations, which plays an important role in gene diagnosis and prenatal diagnosis. Methods After collecting blood samples from 89 babies with congenital hypothyroidism, we extracted genomic DNA and detected exon 10 mutations by PCR as well as direct sequencing. Results A missense mutation c.1269 G>A(p.V424I) and a SNP(rs1991517, c.2181 G>C) were found according to direct sequencing of 89 subjects. From the NCBI website, we obtained the TSHR family protein-sequence of various species, including Homo sapiens, Mus musculus, Rattus norvegicus, Danio rerio, Felis catus, Sus scrofa and Bos taurus. Using DNAMAN software, we achieved multiple sequence alignment of the TSHR family of different species. We found that codon 424 where the mutation(p.V424I) was identified, was located in highly conserved region of TSHR. Conclusions We report a heterozygous missense mutation and a SNP in TSHR gene in two out of 89 unrelated CH patients, showing that TSHR gene exon10 mutation rate is relatively low, probably not a main cause of congenital hypothyroidism with ectopy in Shandong province.