" /> Thyroid dyshormonogenesis 2a - CISMeF





Preferred Label : Thyroid dyshormonogenesis 2a;

Symbol : TDH2A;

CISMeF acronym : TDH2A;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Thyroid peroxidase deficiency; Hypothyroidism, congenital, due to dyshormonogenesis, 2a; Thyroid hormonogenesis, genetic defect in, 2a; Iodide peroxidase deficiency;

Description : Approximately 10% of patients with congenital hypothyroidism harbor inborn errors of metabolism in one of the steps for thyroid hormone synthesis in thyrocytes (Vono-Toniolo et al., 2005). The most prevalent cause of thyroid dyshormonogenesis is TPO deficiency (Park and Chatterjee, 2005). Defects in TPO cause a severe form of congenital hypothyroidism characterized by a complete and immediate release of accumulated radioiodide from the thyroid after sodium perchlorate administration (Bakker et al., 2000). This release of radioiodide represents total iodine organification defect (TIOD), a disruption of the process by which iodide present in the thyroid is oxidized by hydrogen peroxide and bound to tyrosine residues in thyroglobulin (TG; 188450) to form iodotyrosine.;

Inheritance : Autosomal recessive;

Molecular basis : Caused by mutations in the thyroid peroxidase gene (TPO, 606765.0001);

Laboratory abnormalities : Rapid radioactive iodide (RAI) discharge after thiocyanate or perchlorate; Thyroid peroxidase defect; Tyrosine iodination defect;

Prefixed ID : #274500;

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30/04/2025


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