Pediatric endocrinology

Large-scale screening and functional study of DUOXA2 variant in 599 Chinese patients with congenital hypothyroidism

Eur J EndocrinolPublished Genetic screening and functional study

Authors' conclusion

Our study greatly expanded the variant spectrum of the DUOXA2 gene. Pedigree and in vitro functional studies improved the accuracy of genetic counseling. The genotype-phenotype relationship of DUOXA2 broadened the understanding of the CH phenotype spectrum.

Study context

Population
Chinese patients with congenital hypothyroidism (CH)
Participants
599 patients
Comparison
DUOXA2-mutated vs nonmutated CH patients
Outcome
DUOXA2 variants detected
Methodological detailstargeted next-generation sequencing or whole exome sequencing, in vitro functional analysis
  • Targeted next-generation sequencing or whole exome sequencing
  • In vitro functional analysis

Main finding

As reported in the abstract

Variants detected in DUOXA2 (6 novel)

13

Variant carrying rate

6.7%

40/599

Variants disrupting DUOX2 enzyme activity, impairing H2O2 production

10

Further findings

Oligogenic mutation patterns within the DUOX system

Oligogenic mutation patterns within the DUOX system were prevalent among Chinese CH patients

Genotype-phenotype relationship

DUOXA2-mutated cases were milder and more likely to have normal thyroid size than nonmutated cases

Original publication

Large-scale screening and functional study of DUOXA2 variant in 599 Chinese patients with congenital hypothyroidism. Eur J Endocrinol. Published 13 June 2025. doi:10.1093/ejendo/lvaf123

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