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Editorial
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Volume 332:183-185 January 19, 1995 Number 3
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Thyrotropin-Receptor Mutations and Thyroid Dysfunction

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This issue of the Journal contains two reports that describe patients with thyroid dysfunction caused by mutations of the thyrotropin-receptor gene. Kopp et al. describe a child in whom a gain-of-function mutation led to continuous (constitutive) activation of the receptor and hyperthyroidism.1 Sunthornthepvarakul et al. describe three sisters in whom loss-of-function mutations led to resistance to the action of thyrotropin and subclinical hypothyroidism.2 Both groups of investigators not only identified the mutations but also studied the functional activity of the abnormal gene products to document the consequences of the mutations. These studies shed new light on how thyrotropin stimulates thyroid . . . [Full Text of this Article]

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