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Influence of dietary iodine deficiency on the thyroid gland in Slc26a4-null mutant mice.
[pendred syndrome]
Pendred
syndrome
(
PDS
)
is
an
autosomal
recessive
disorder
characterized
by
sensorineural
hearing
impairment
and
variable
degree
of
goitrous
enlargement
of
the
thyroid
gland
with
a
partial
defect
in
iodine
organification
.
The
thyroid
function
phenotype
can
range
from
normal
function
to
overt
hypothyroidism
.
It
is
caused
by
loss
-of-function
mutations
in
the
SLC
26
A
4
(
PDS
)
gene
.
The
severity
of
the
goiter
has
been
postulated
to
depend
on
the
amount
of
dietary
iodine
intake
.
However
,
direct
evidence
has
not
been
shown
to
support
this
hypothesis
.
Because
Slc
26
a
4
-
null
mice
have
deafness
but
do
not
develop
goiter
,
we
fed
the
mutant
mice
a
control
diet
or
an
iodine-
deficient
diet
to
evaluate
whether
iodine
deficiency
is
a
causative
environmental
factor
for
goiter
development
in
PDS
.
We
evaluated
the
thyroid
volume
in
histological
sections
with
the
use
of
three
-dimensional
reconstitution
software
,
we
measured
serum
levels
of
total
tri
-iodothyronine
(
TT
3
)
and
total
thyroxine
(
TT
4
)
levels
,
and
we
studied
the
thyroid
gland
morphology
by
transmission
electron
microscopy
.
TT
4
levels
became
low
but
TT
3
levels
did
not
change
significantly
after
eight
weeks
of
an
iodine-
deficient
diet
compared
to
levels
in
the
control
diet
animals
.
Even
in
Slc
26
a
4
-
null
mice
fed
an
iodine-
deficient
diet
,
the
volume
of
the
thyroid
gland
did
not
increase
although
the
size
of
each
epithelial
cell
increased
with
a
concomitant
decrease
of
thyroid
colloidal
area
.
An
iodine-
deficient
diet
did
not
induce
goiter
in
Slc
26
a
4
-
null
mice
,
suggesting
that
other
environmental
,
epigenetic
or
genetic
factors
are
involved
in
goiter
development
in
PDS
.
Diseases
Validation
Diseases presenting
"hypothyroidism"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenomyeloneuropathy
alpha-thalassemia
aromatase deficiency
congenital adrenal hyperplasia
cowden syndrome
cushing syndrome
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
hirschsprung disease
inclusion body myositis
kallmann syndrome
pendred syndrome
proteus syndrome
pyruvate dehydrogenase deficiency
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated