title: Intracellular entrapment of wild-type TSH receptor by oligomerization with mutants linked to dominant TSH resistance.
abstract: TSH resistance is one of the causes of congenital hypothyroidism with thyroid gland in situ. We recently identified families with dominant transmission of partial TSH resistance due to heterozygous inactivating mutations in TSH receptor (TSHR) gene. Although we documented a poor routing of TSHR mutants to the cell membrane, the mechanism responsible for dominant inheritance of partial TSH resistance remained unexplained. We therefore co-transfected Cos-7 cells with wild-type TSHR and mutant receptors found in these patients. A variable impairment of cAMP response to bTSH stimulation was observed, suggesting that inactive TSHR mutants can exert a dominant negative effect on wild-type TSHR. We then generated chimeric constructs of wild-type or inactive TSHR mutants fused to different reporters. By fluorescence microscopy and immunoblotting, we documented an intracellular entrapment, mainly in the endoplasmic reticulum, and reduced maturation of wild-type TSHR in the presence of inactive TSHR mutants. Finally, fluorescence resonance energy transfer and co-immunoprecipitation experiments were performed to study the molecular interactions between wild-type and mutant TSHRs. The results are in agreement with the presence of oligomers formed by wild-type and mutant receptors in the endoplasmic reticulum. Such physical interaction represents the molecular basis for the dominant negative effect of inactive TSHR mutants. These findings provide an explanation for the dominant transmission of partial TSH resistance. This is the first report linking dominant negative mutations of a G protein-coupled receptor to an abnormal endocrine phenotype in heterozygous patients.
authors.affiliation: Institute of Endocrine Sciences, University of Milan, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Calebiro
authors.forename: Tiziana
authors.initials: T
authors.lastname: de Filippis
authors.forename: Simona
authors.initials: S
authors.lastname: Lucchi
authors.forename: Cesare
authors.initials: C
authors.lastname: Covino
authors.forename: Sara
authors.initials: S
authors.lastname: Panigone
authors.forename: Paolo
authors.initials: P
authors.lastname: Beck-Peccoz
authors.forename: David
authors.initials: D
authors.lastname: Dunlap
authors.forename: Luca
authors.initials: L
authors.lastname: Persani
mesh_terms: D000818:Animals; D019556:COS Cells; D002462:Cell Membrane / Q000378:metabolism; D002522:Chlorocebus aethiops; D004721:Endoplasmic Reticulum / Q000378:metabolism; D005799:Genes, Dominant / Q000235:genetics*; D006579:Heterozygote; D047468:Immunoprecipitation; D042541:Intracellular Space / Q000378:metabolism*; D009154:Mutation / Q000235:genetics*; D010375:Pedigree; D020836:Protein Structure, Quaternary; D011989:Receptors, Thyrotropin / Q000737:chemistry* / Q000235:genetics / Q000378:metabolism*; D018382:Thyroid Hormone Resistance Syndrome / Q000235:genetics*; D013972:Thyrotropin / Q000097:blood; D014162:Transfection
chemical_list: D011989:Receptors, Thyrotropin; D013972:Thyrotropin