Psychomotor Retardation Caused by a Defective Thyroid Hormone Transporter: Report of Two Families with Different MCT8 Mutations

Background/Aims: Monocarboxylate transporter 8 (MCT8) is essential for thyroid hormone (TH) transport in the brain. Mutations in MCT8 are associated with the Allan-Herndon-Dudley syndrome (AHDS), characterized by severe psychomotor retardation and altered serum thyroid parameters. Here we report two...

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Veröffentlicht in:Hormone research in paediatrics 2014-01, Vol.82 (4), p.261-271
Hauptverfasser: Anık, Ahmet, Kersseboom, Simone, Demir, Korcan, Çatlı, Gönül, Yiş, Uluç, Böber, Ece, van Mullem, Alies, van Herebeek, Ramona E.A., Hız, Semra, Abacı, Ayhan, Visser, Theo J.
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container_end_page 271
container_issue 4
container_start_page 261
container_title Hormone research in paediatrics
container_volume 82
creator Anık, Ahmet
Kersseboom, Simone
Demir, Korcan
Çatlı, Gönül
Yiş, Uluç
Böber, Ece
van Mullem, Alies
van Herebeek, Ramona E.A.
Hız, Semra
Abacı, Ayhan
Visser, Theo J.
description Background/Aims: Monocarboxylate transporter 8 (MCT8) is essential for thyroid hormone (TH) transport in the brain. Mutations in MCT8 are associated with the Allan-Herndon-Dudley syndrome (AHDS), characterized by severe psychomotor retardation and altered serum thyroid parameters. Here we report two novel mutations in MCT8 and discuss the clinical findings. Case Report and Results: We describe 4 males with AHDS from two unrelated families varying in age from 1.5 to 11 years. All 4 patients presented with typical clinical signs of AHDS, including severe psychomotor retardation, axial hypotonia, lack of speech, diminished muscle mass, increased muscle tone, hyperreflexia, myopathic facies, high T3, low T4 and rT3, and normal/mildly elevated TSH levels. Comparison of patients at different ages suggests the progressive nature of AHDS. Genetic analyses identified a novel missense MCT8 mutation (p.G495A) in family 1 and a 2.8-kb deletion comprising exons 3 and 4 in family 2. Functional analysis of p.G495A revealed impaired TH transport varying from 20 to 85% depending on the cell context. Conclusion: Here we report 4 AHDS patients in unrelated Turkish families harboring novel MCT8 mutations. Despite the widely different mutations, the clinical phenotypes are very similar and findings support the progressive nature of AHDS.
doi_str_mv 10.1159/000365191
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Mutations in MCT8 are associated with the Allan-Herndon-Dudley syndrome (AHDS), characterized by severe psychomotor retardation and altered serum thyroid parameters. Here we report two novel mutations in MCT8 and discuss the clinical findings. Case Report and Results: We describe 4 males with AHDS from two unrelated families varying in age from 1.5 to 11 years. All 4 patients presented with typical clinical signs of AHDS, including severe psychomotor retardation, axial hypotonia, lack of speech, diminished muscle mass, increased muscle tone, hyperreflexia, myopathic facies, high T3, low T4 and rT3, and normal/mildly elevated TSH levels. Comparison of patients at different ages suggests the progressive nature of AHDS. Genetic analyses identified a novel missense MCT8 mutation (p.G495A) in family 1 and a 2.8-kb deletion comprising exons 3 and 4 in family 2. Functional analysis of p.G495A revealed impaired TH transport varying from 20 to 85% depending on the cell context. Conclusion: Here we report 4 AHDS patients in unrelated Turkish families harboring novel MCT8 mutations. Despite the widely different mutations, the clinical phenotypes are very similar and findings support the progressive nature of AHDS.</description><identifier>ISSN: 1663-2818</identifier><identifier>EISSN: 1663-2826</identifier><identifier>DOI: 10.1159/000365191</identifier><identifier>PMID: 25247785</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Child ; Child, Preschool ; DNA Mutational Analysis ; Gene Deletion ; Humans ; Infant ; Intellectual Disability - etiology ; Intellectual Disability - genetics ; Male ; Mental Retardation, X-Linked - genetics ; Mental Retardation, X-Linked - metabolism ; Mental Retardation, X-Linked - psychology ; Monocarboxylic Acid Transporters - genetics ; Monocarboxylic Acid Transporters - metabolism ; Muscle Hypotonia - genetics ; Muscle Hypotonia - metabolism ; Muscle Hypotonia - psychology ; Muscular Atrophy - genetics ; Muscular Atrophy - metabolism ; Muscular Atrophy - psychology ; Mutation - genetics ; Mutation, Missense - genetics ; Original Paper ; Pedigree ; Thyroid Hormones - blood</subject><ispartof>Hormone research in paediatrics, 2014-01, Vol.82 (4), p.261-271</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>2014 S. Karger AG, Basel.</rights><rights>Copyright (c) 2014 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-8c78d6028f61e754d619037aafda75dfb4af462213e28b3937fc94e0b65982bd3</citedby><cites>FETCH-LOGICAL-c362t-8c78d6028f61e754d619037aafda75dfb4af462213e28b3937fc94e0b65982bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2422,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25247785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anık, Ahmet</creatorcontrib><creatorcontrib>Kersseboom, Simone</creatorcontrib><creatorcontrib>Demir, Korcan</creatorcontrib><creatorcontrib>Çatlı, Gönül</creatorcontrib><creatorcontrib>Yiş, Uluç</creatorcontrib><creatorcontrib>Böber, Ece</creatorcontrib><creatorcontrib>van Mullem, Alies</creatorcontrib><creatorcontrib>van Herebeek, Ramona E.A.</creatorcontrib><creatorcontrib>Hız, Semra</creatorcontrib><creatorcontrib>Abacı, Ayhan</creatorcontrib><creatorcontrib>Visser, Theo J.</creatorcontrib><title>Psychomotor Retardation Caused by a Defective Thyroid Hormone Transporter: Report of Two Families with Different MCT8 Mutations</title><title>Hormone research in paediatrics</title><addtitle>Horm Res Paediatr</addtitle><description>Background/Aims: Monocarboxylate transporter 8 (MCT8) is essential for thyroid hormone (TH) transport in the brain. Mutations in MCT8 are associated with the Allan-Herndon-Dudley syndrome (AHDS), characterized by severe psychomotor retardation and altered serum thyroid parameters. Here we report two novel mutations in MCT8 and discuss the clinical findings. Case Report and Results: We describe 4 males with AHDS from two unrelated families varying in age from 1.5 to 11 years. All 4 patients presented with typical clinical signs of AHDS, including severe psychomotor retardation, axial hypotonia, lack of speech, diminished muscle mass, increased muscle tone, hyperreflexia, myopathic facies, high T3, low T4 and rT3, and normal/mildly elevated TSH levels. Comparison of patients at different ages suggests the progressive nature of AHDS. Genetic analyses identified a novel missense MCT8 mutation (p.G495A) in family 1 and a 2.8-kb deletion comprising exons 3 and 4 in family 2. Functional analysis of p.G495A revealed impaired TH transport varying from 20 to 85% depending on the cell context. 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Mutations in MCT8 are associated with the Allan-Herndon-Dudley syndrome (AHDS), characterized by severe psychomotor retardation and altered serum thyroid parameters. Here we report two novel mutations in MCT8 and discuss the clinical findings. Case Report and Results: We describe 4 males with AHDS from two unrelated families varying in age from 1.5 to 11 years. All 4 patients presented with typical clinical signs of AHDS, including severe psychomotor retardation, axial hypotonia, lack of speech, diminished muscle mass, increased muscle tone, hyperreflexia, myopathic facies, high T3, low T4 and rT3, and normal/mildly elevated TSH levels. Comparison of patients at different ages suggests the progressive nature of AHDS. Genetic analyses identified a novel missense MCT8 mutation (p.G495A) in family 1 and a 2.8-kb deletion comprising exons 3 and 4 in family 2. Functional analysis of p.G495A revealed impaired TH transport varying from 20 to 85% depending on the cell context. Conclusion: Here we report 4 AHDS patients in unrelated Turkish families harboring novel MCT8 mutations. Despite the widely different mutations, the clinical phenotypes are very similar and findings support the progressive nature of AHDS.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>25247785</pmid><doi>10.1159/000365191</doi><tpages>11</tpages></addata></record>
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subjects Child
Child, Preschool
DNA Mutational Analysis
Gene Deletion
Humans
Infant
Intellectual Disability - etiology
Intellectual Disability - genetics
Male
Mental Retardation, X-Linked - genetics
Mental Retardation, X-Linked - metabolism
Mental Retardation, X-Linked - psychology
Monocarboxylic Acid Transporters - genetics
Monocarboxylic Acid Transporters - metabolism
Muscle Hypotonia - genetics
Muscle Hypotonia - metabolism
Muscle Hypotonia - psychology
Muscular Atrophy - genetics
Muscular Atrophy - metabolism
Muscular Atrophy - psychology
Mutation - genetics
Mutation, Missense - genetics
Original Paper
Pedigree
Thyroid Hormones - blood
title Psychomotor Retardation Caused by a Defective Thyroid Hormone Transporter: Report of Two Families with Different MCT8 Mutations
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