New pathogenic thyrotropin receptor mutations decipher differentiated activity switching at a conserved helix 6 motif of family a GPCR

Abstract

Context: In this paper we report two new TSH receptor (TSHR) mutations. One mutation (Pro6396.50Leu) was identified in two siblings with congenital hypothyroidism, and a second mutation (Cys6366.47Arg) was found in a patient suffering from nonautoimmune hyperthyroidism. Both mutations are located in transmembrane helix (TMH) 6 at the conserved Cys 6.47-Trp(Met)6.48-Leu(Ala)6.49-Pro 6.50 motif of family A G protein-coupled receptors (GPCR). Objective: To study the pathogenic mechanisms, we tested patients' mutations and further side chain variations regarding their effects on TSHR signaling. Results: Substitution Pro639Leu fully inactivates the promiscuous TSHR for cAMP (Gs) and IP (Gq) signa..