Hormone-resistance syndromes can be broadly defined as conditionsresulting from reduced or absent end-organ responsiveness tobiologically active hormones. They are caused by defects inhormone receptors or post-receptor defects.1,2,3 Mutations inthe thyroid hormonereceptor gene cause resistance tothyroid hormone, which is characterized by elevated serum thyroidhormone concentrations with few or no clinical and biochemicalmanifestations of thyroid hormone excess and, most notably,normal or slightly increased thyrotropin secretion.1 Mutationsthat inactivate the thyrotropin receptor or the G (guanine nucleotidebinding)protein that couples the receptor to adenylate cyclase shouldcause thyrotropin resistance, resulting in either hypothyroidismor euthyroidism . . . [Full Text of this Article]
Case Reports
Methods
Tests of Thyroid Function
Clinical Studies
Preparation of Genomic DNA, RNA, and Complementary DNA and DNA Sequencing
Confirmation of the Mutations and Haplotyping
Construction of Wild-Type and Mutant Thyrotropin-Receptor cDNA Expression Vectors
Functional Studies of the Thyrotropin Receptors in a Transient Transfection System
Results
Discussion
Source Information
From the Departments of Medicine (T.S., Y.H., S.R.) and Pediatrics (S.R.) and the J.P. Kennedy, Jr., Mental Retardation Research Center (S.R.), University of Chicago, and the Department of Pediatrics, Loyola University (M.E.G.) all in Chicago. Presented in part at the 76th annual meeting of the Endocrine Society, Anaheim, Calif., June 1518, 1994.
Address reprint requests to Dr. Refetoff at the University of Chicago, MC 3090, 5841 S. Maryland Ave., Chicago, IL 60637.
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