Thyroid disease

DYRK1A Expression and Thyroid Dysfunction in Subjects With Down Syndrome

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

DYRK1A expression is overexpressed in individuals with Down syndrome with hypothyroidism, encompassing both early-onset non-autoimmune and later-onset autoimmune forms.

Study context

Population
Individuals with Down syndrome with or without hypothyroidism, and non-DS comparators, tertiary care setting72 Down Syndrome (DS) included
Exposure
DYRK1A expression in DS with hypothyroidism vs DS with euthyroidism, congenital hypothyroidism without DS, autoimmune hypothyroidism without DS and healthy controls
  • DS with hypothyroidismn = 48
  • DS with euthyroidismn = 24
Outcome
DYRK1A gene expression in relation to age of onset and autoimmune status in DS with hypothyroidism
Methodological detailstertiary care setting
  • Tertiary care setting

Main finding

As reported in the abstract

DYRK1A expression (fold vs comparator)

Fold higher expression

6.33 fold

P < 0.0001

DS with hypothyroidism vs DS with euthyroidism · higher with DS with hypothyroidism

Fold higher expression, anti-TPO-positive

5.17 fold

P < 0.0001

DS with hypothyroidism vs Healthy controls

Fold higher expression, anti-TPO-negative

7.27 fold

P < 0.0001

DS with hypothyroidism vs Healthy controls

Observational data: associations, not effects.

Further findings

Thyroid status and anti-TPO in DS

Primary hypothyroidism among 72 DS
48 (66.7%)
Anti-TPO negative among DS with hypothyroidism
28 (58.3%)
Hypothyroidism detected below 1 year of age, all anti-TPO-negative
20 patients
Onset after 3 years of age, anti-TPO positive
20 (71.4%) of 28

Original publication

DYRK1A Expression and Thyroid Dysfunction in Subjects With Down Syndrome. Clin Endocrinol (Oxf). Published 29 January 2026. doi:10.1111/cen.70099

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