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Licensed Unlicensed Requires Authentication Published by De Gruyter October 14, 2013

A truncating DUOX2 mutation (R434X) causes severe congenital hypothyroidism

  • Hakan Cangul EMAIL logo , Zehra Aycan , Michaela Kendall , Veysel N. Bas , Yaman Saglam , Timothy G. Barrett and Eamonn R. Maher


Mutations in DUOX2 have been reported to cause congenital hypothyroidism (CH), and our aim in this study was to determine the genetic basis of CH in two affected individuals coming from a consanguineous family. Because CH is usually inherited in autosomal recessive manner in consanguineous/multicase families, we adopted a two-stage strategy of genetic linkage studies and targeted sequencing of the candidate genes. First, we investigated the potential genetic linkage of the family to any known CH locus using microsatellite markers and then screened for mutations in linked genes by Sanger sequencing. The family showed potential linkage to DUOX2 locus and we detected a nonsense mutation (R434X) in both cases and the mutation segregated with disease status in the family. This study highlights the importance of molecular genetic studies in the definitive diagnosis and classification of CH, and it also suggests a new clinical testing strategy using next-generation sequencing in all primary CH cases.

Corresponding author: Dr. Hakan Cangul, Department of Medical Genetics, Bahcesehir University School of Medicine, Istanbul, Turkey, E-mail:


This study was funded by European Union under its Framework 7 programme, FP7-PEOPLE- 2009-Marie Curie-IEF. We thank the families for their participation in this study.


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Received: 2013-7-31
Accepted: 2013-9-11
Published Online: 2013-10-14
Published in Print: 2014-03-01

©2014 by Walter de Gruyter Berlin Boston

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