Somatic Mutation of TRß Can Cause a Defect in Negative Regulation of TSH in a TSH-Secreting Pituitary Tumor
Shinichiro Ando,
Nicholas J. Sarlis,
Edward H. Oldfield and
Paul M. Yen
Molecular Regulation and Neuroendocrinology Section, Clinical
Endocrinology Branch, National Institute of Diabetes and Digestive and
Kidney Diseases (S.A., N.J.S., P.M.Y.), and Surgical Neurology Branch,
National Institute of Neurological Disorders and Stroke (E.H.O.),
National Institutes of Health, Bethesda, Maryland 20892
Address all correspondence and requests for reprints to: Paul M. Yen, M.D., Molecular Regulation and Neuroendocrinology Section, Clinical Endocrinology Branch, National Institutes of Health, Building 10, Room 8D12, Bethesda, Maryland 20892. E-mail: pauly{at}intra.niddk.nih.gov
Abstract
In patients with TSH-secreting tumors (TSHomas), serum TSH is
poorlysuppressed by thyroid hormone. The mechanism for this defectin
negative regulation of TSH secretion is not known. To investigatethe
possibility of a somatic mutation of TR causing this defect,we
performed mutational analysis of TRß by RT-PCRusing RNA obtained
from five surgically resected TSHomas. Inone TSHoma, we identified a
somatic mutation in the ligand-bindingdomain of TRß that caused a
His to Tyr substitutionat codon 435 of TRß1 corresponding to codon
450 ofTRß2. Interestingly, this mutation occurred in thesame codon
as two mutations (TRßH435L and H435Q) previouslyidentified in
patients with the syndrome of resistance to thyroidhormone. This
mutant TRß had impaired T3 binding and
T3-mediatednegative regulation. It also blocked the
negative regulationby wild-type TRß2 on glycoprotein hormone
-subunitand TSHß reporter genes in cotransfection studies.Our
results demonstrate that somatic mutation of TRßoccurred in a TSHoma
and was probably responsible for the defectin negative regulation of
TSH by thyroid hormone in the tumor.
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