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Journal of Clinical Endocrinology & Metabolism , doi:10.1210/jc.2004-2148
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The Journal of Clinical Endocrinology & Metabolism Vol. 90, No. 5 2898-2903
Copyright © 2005 by The Endocrine Society

Multiple SNPs in Intron 7 of Thyrotropin Receptor Are Associated with Graves’ Disease

Hitomi Hiratani, Donald W. Bowden, Satoshi Ikegami, Senji Shirasawa, Akira Shimizu, Yoshinori Iwatani and Takashi Akamizu

Department of Experimental Therapeutics (H.H., S.I., A.S., T.A.), Translational Research Center, Kyoto University Hospital, Kyoto University School of Medicine, Kyoto 606-8507, Japan; Department of Clinical Laboratory Science (H.H., Y.I.), School of Allied Health Science, Osaka University, Osaka 565-0871, Japan; Department of Pathology (S.S.), International Medical Center of Japan, Tokyo 162-8655, Japan; and Department of Biochemistry (D.W.B.), Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157

Address all correspondence and requests for reprints to: Takashi Akamizu, Translational Research Center, Kyoto University Hospital, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto 606-8507, Japan. E-mail: akamizu{at}kuhp.kyoto-u.ac.jp.

Our previous studies using microsatellite markers near or in the TSH receptor (TSHR) gene revealed significant association between autoimmune thyroid disease (AITD) in Japanese patients and TSHR microsatellite alleles. In the present study, we performed a case-control analysis of AITD using single-nucleotide polymorphisms (SNPs) spaced 3–50 kb apart spanning the TSHR gene. We observed significant associations between AITD/Graves’ disease (GD)/Hashimoto’s thyroiditis and multiple SNPs. Specifically, the SNP JST022302 and several adjacent SNPs in intron 7 of the TSHR gene were significantly associated with GD (P = 0.039–0.0004) but not Hashimoto’s thyroiditis. Furthermore, we identified three haplotype blocks around intron 7 by linkage disequilibrium analysis. A single SNP haplotype [AATG(CT)6(TT)AG] in the haplotype block including JST022302 showed significant association with GD in haplotype case-control analysis (P = 0.0058). These findings suggest that alleles of intron 7 of the TSHR gene contribute to GD susceptibility.




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