Raras
Buscar doenças, sintomas, genes...
Resistência a levotiroxina por mutação no receptor beta do hormônio tireoidiano
ORPHA:566243CID-10 · E07.8CID-11 · 5A00.00DOENÇA RARA
Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Hormônio da paratireoide (PTH), também conhecido como paratormônio ou paratirina, é um hormônio peptídico secretado pelas glândulas paratireoides. Ele desempenha um papel fundamental na regulação dos níveis séricos de cálcio e fosfato através de suas ações nos ossos, rins e intestino delgado. O PTH aumenta os níveis séricos de cálcio e é contrariado pela calcitonina. Ele também promove a síntese de calcitriol, a forma ativa da vitamina D.

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
United States
Início
All ages
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E07.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (1)
0202080013
Teste do pezinho (triagem neonatal)newborn_screening
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

📏
Crescimento
4 sintomas
🧠
Neurológico
2 sintomas
👂
Ouvidos
2 sintomas
🦴
Ossos e articulações
1 sintomas
❤️
Coração
1 sintomas

+ 10 sintomas em outras categorias

Características mais comuns

90%prev.
Nível inapropriadamente normal de hormônio tireoestimulante
Muito frequente (99-80%)
90%prev.
Bócio
Muito frequente (99-80%)
90%prev.
Taquicardia
Muito frequente (99-80%)
90%prev.
Aumento da concentração circulante de T4 livre
Muito frequente (99-80%)
55%prev.
Hiperatividade
Frequente (79-30%)
55%prev.
Transtorno do déficit de atenção com hiperatividade
Frequente (79-30%)
20sintomas
Muito frequente (4)
Frequente (10)
Ocasional (5)
Muito raro (1)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 20 características clínicas mais associadas, ordenadas por frequência.

Nível inapropriadamente normal de hormônio tireoestimulanteInappropriately normal thyroid-stimulating hormone level
Muito frequente (99-80%)90%
BócioGoiter
Muito frequente (99-80%)90%
TaquicardiaTachycardia
Muito frequente (99-80%)90%
Aumento da concentração circulante de T4 livreIncreased circulating free T4 concentration
Muito frequente (99-80%)90%
HiperatividadeHyperactivity
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Últimos 10 anos146publicações
Pico201917 papers
Linha do tempo
2026Hoje · 2026📈 2019Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

THRBThyroid hormone receptor betaDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Nuclear hormone receptor that can act as a repressor or activator of transcription. High affinity receptor for thyroid hormones, including triiodothyronine and thyroxine

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (2)
Nuclear Receptor transcription pathwaySUMOylation of intracellular receptors
MECANISMO DE DOENÇA

Thyroid hormone resistance, generalized, autosomal dominant

An autosomal dominant disease characterized by high levels of circulating thyroid hormones (T3-T4), goiter, abnormal mental functions, increased susceptibility to infections, abnormal growth and bone maturation, tachycardia and deafness. Affected individuals may also have attention deficit-hyperactivity disorders (ADHD) and language difficulties. Patients have normal or slightly elevated thyroid stimulating hormone (TSH).

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
38.7 TPM
Brain Frontal Cortex BA9
26.2 TPM
Artéria tibial
24.2 TPM
Pituitária
22.9 TPM
Córtex cerebral
18.1 TPM
OUTRAS DOENÇAS (3)
thyroid hormone resistance, generalized, autosomal recessivethyroid hormone resistance, generalized, autosomal dominantselective pituitary resistance to thyroid hormone
HGNC:11799UniProt:P10828

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 Mekinist (TRAMETINIB)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

129 variantes patogênicas registradas no ClinVar.

🧬 THRB: GRCh37/hg19 3p26.3-14.3(chr3:2263690-55016039)x3 ()
🧬 THRB: NM_001354712.2(THRB):c.959G>C (p.Arg320Pro) ()
🧬 THRB: NM_001354712.2(THRB):c.995G>A (p.Gly332Glu) ()
🧬 THRB: NM_001354712.2(THRB):c.1382A>G (p.Asp461Gly) ()
🧬 THRB: NM_001354712.2(THRB):c.22+2T>C ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 1 variantes classificadas pelo ClinVar.

1
Patogênica (100.0%)
VARIANTES MAIS SIGNIFICATIVAS
THRB: NM_001354712.2(THRB):c.1378G>A (p.Glu460Lys) [Pathogenic/Likely pathogenic]

Vias biológicas (Reactome)

2 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Resistência a levotiroxina por mutação no receptor beta do hormônio tireoidiano

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

[Resistance to thyroid hormone syndrome with developmental disorders in two children].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics2026 Jan 15

Patient 1, a 4-year-old boy, presented with delayed language development. Persistently elevated free triiodothyronine (FT3) and free thyroxine (FT4) were found, with normal or elevated thyroid-stimulating hormone (TSH). A de novo heterozygous mutation in the THRB gene (c.1373T>C, p.Val458Ala) was identified, and resistance to thyroid hormone syndrome (RTH) was diagnosed. No specific medication was administered, and regular follow-up was arranged. Patient 2, a 2-year-old boy, had elevated TSH detected on neonatal screening. Thyroid dysfunction persisted for 1 year and 10 months and was accompanied by growth delay and tachycardia. Genetic testing revealed a de novo heterozygous mutation in the THRB gene (c.959G>A, p.Arg320His), and pituitary-type RTH was diagnosed. Propranolol was administered for heart rate control. RTH shows marked clinical heterogeneity and is prone to misdiagnosis or missed diagnosis. For children with unexplained thyroid dysfunction and developmental disorders, early THRB gene testing helps achieve precise diagnosis and guide treatment decisions. 患儿1,男,4岁,因语言发育迟缓就诊,甲状腺功能显示游离三碘甲状腺原氨酸、游离甲状腺素持续升高,促甲状腺激素正常或升高,基因检测发现THRB基因c.1373T>C(p.Val458Ala)新生杂合突变,诊断为甲状腺激素抵抗综合征(resistance to thyroid hormone syndrome, RTH),未予特殊药物治疗,定期随访观察。患儿2,男,2岁,新生儿筛查发现促甲状腺激素升高,甲状腺功能异常持续1年10个月,伴生长迟缓及心动过速,基因检测提示THRB基因c.959G>A(p.Arg320His)新生杂合突变,诊断为垂体型RTH,予普萘洛尔控制心率。RTH临床表现异质性大,易误诊漏诊。对于不明原因甲状腺功能异常伴发育障碍的患儿,需警惕本病可能,早期THRB基因检测有助于精准诊断与治疗决策。.

#2

Thyrotroph Pituitary Neuroendocrine Tumors: Molecular Pathology, Diagnostic Challenges, and Receptor-Targeted Therapeutic Strategies.

Cancers2026 Mar 04

Thyrotroph pituitary neuroendocrine tumors (PitNETs) are rare functional pituitary tumors characterized by autonomous secretion of thyroid-stimulating hormone (TSH), leading to central hyperthyroidism. Under the 2022 World Health Organization classification, these tumors are defined as PIT1-lineage PitNETs, reflecting lineage-specific differentiation and improving pathological accuracy. Clinically, thyrotroph PitNETs often present as macroadenomas with invasive growth, making complete surgical resection challenging and necessitating multimodal treatment strategies. From a molecular oncology perspective, thyrotroph PitNETs lack recurrent driver mutations and instead exhibit heterogeneous alterations involving dysregulated cell-cycle control, impaired thyroid hormone-mediated negative feedback, and aberrant growth factor signaling. Immunohistochemically, tumor cells express PIT1 and TSH and show strong membranous expression of somatostatin receptor subtype 2, providing a biological rationale for somatostatin receptor ligand -based therapy. Somatostatin receptor ligands play a central role in the management of thyrotroph PitNETs as preoperative, adjuvant, or primary treatment and achieve effective hormonal control and tumor stabilization or shrinkage in many patients. Accurate differentiation between thyrotroph PitNETs and resistance to thyroid hormone β is essential, as these entities share biochemical features but require fundamentally different management. Advances in lineage-based tumor classification, receptor profiling, and molecular pathology have refined diagnostic strategies and enabled a more personalized, tumor-oriented therapeutic approach. This review highlights current insights into the tumor biology and treatment of thyrotroph PitNETs and discusses future perspectives for receptor-targeted and molecularly informed therapies.

#3

Identification of a novel THRB mutation causing thyroid hormone resistance syndrome.

Archives of endocrinology and metabolism2026 Apr 01

Resistance to thyroid hormone syndrome (RTHS) is a rare disorder caused by mutations in the thyroid hormone receptor beta (THRB) gene, resulting in impaired action of thyroid hormones on target tissues and organs. We report a case of a 57-year-old Chinese male who presented with palpitations and hand tremors. Laboratory tests revealed elevated serum thyroid hormone levels, while serum thyroid-stimulating hormone (TSH) levels remained within the normal range. Enhanced magnetic resonance imaging of the pituitary gland showed no abnormalities. Through genetic testing, we identified a rare heterozygous point mutation in the THRB gene, specifically c.938T>C: p.M313T. To the best of our knowledge, this mutation site has not been previously reported in the literature. Clinically, RTHS is often misdiagnosed as hyperthyroidism, leading to inappropriate treatment and potential exacerbation of thyroid hormone resistance. Therefore, accurate diagnosis of this condition is crucial. Given the rarity of RTHS, we hope that this case report will enhance the understanding of its clinical manifestations and management, particularly in patients with THRB gene mutations.

#4

Coexistence of Resistance to Thyroid Hormone and a Thyroid Stimulating Hormone-Secreting Pituitary Adenoma.

AACE endocrinology and diabetes2026

Central hyperthyroidism, characterized by elevated thyroid hormone levels with a nonsuppressed thyroid-stimulating hormone (TSH), presents a diagnostic challenge in distinguishing thyroid hormone resistance (RTH) from a TSH-secreting pituitary adenoma (TSHoma). We report a 56-year-old man with a history of atrial fibrillation, obesity, and obstructive sleep apnea who was referred to our center with a prior diagnosis of RTH made elsewhere. Laboratory testing revealed elevated free T4 (2.2 ng/dL) and total T3 (234 ng/dL) with an inappropriately normal TSH (3.1 μIU/mL). Thyrotropin receptor antibody was negative, and radioactive iodine uptake was diffusely elevated. Pituitary magnetic resonance imaging demonstrated a 6 × 9 × 9 mm pituitary microadenoma, initially raising suspicion for TSHoma. However, a preserved TSH response to thyrotropin-releasing hormone stimulation, partial TSH suppression with high-dose T3, normal TSH α-subunit and sex hormone-binding globulin levels, and a pathogenic thyroid hormone receptor beta gene mutation all supported the diagnosis of RTH. Despite these findings, the patient underwent transsphenoidal pituitary surgery, and histopathology confirmed a plurihormonal PIT-1 lineage adenoma positive for TSH, growth hormone, and prolactin. Postoperatively, the patient recovered well and was discharged home. With postoperative normalization of TSH and free T4, it is conceivable that the pituitary tumor contributed to the TSH elevation, suggesting the possibility of dual pathology-concomitant TSHoma and RTH. This case highlights the diagnostic dilemmas and overlapping features of RTH and TSHoma, emphasizing the need for comprehensive hormonal testing and genetic confirmation to avoid unnecessary surgery.

#5

Multigenerational thyroid hormone resistance due to THRβ mutation.

European heart journal. Case reports2025 Aug

Resistance to thyroid hormone (RTH) is a rare genetic disorder caused by mutations in the thyroid hormone receptors α or β (THRα, THRβ) genes, leading to impaired tissue responsiveness to thyroid hormones. While its systemic effects are well-documented, the cardiac manifestations of RTH, including hypertrophic and dilated cardiomyopathy (DCM), arrhythmias, and heart failure, are often underrecognized, particularly in cases of treatment refractory heart failure. This case report aims to highlight the importance of cardiological awareness in diagnosing and managing RTH-related cardiomyopathy. We report the case of a 50-year-old Caucasian female with a confirmed variant c.1357C > A, p.P453T mutation in the THRβ gene, presenting with recurrent goitre, hypothyroidism, and progressive cardiovascular complications. Her clinical course was marked by episodes of angina-like symptoms, atrial fibrillation, left heart failure, and severe pulmonary oedema, eventually progressing to DCM with an ejection fraction below 30%. Despite optimal guideline-directed medical therapy, her cardiac condition deteriorated, necessitating orthotopic heart transplantation. Genetic testing confirmed the same mutation in her mother, brother, and two sons, highlighting the autosomal dominant inheritance of the disease. Thyroidectomy and lifelong levothyroxine therapy, combined with post-transplant immunosuppression, further complicated her management, underscoring the systemic interplay of RTH with cardiac function. This case emphasizes the rarity and clinical significance of RTH as a potential aetiology in refractory cardiac failure. Cardiologists should maintain a high index of suspicion for thyroid dysfunction in unexplained or treatment-resistant cardiomyopathy, particularly when associated with familial thyroid disorders or arrhythmias. Early diagnosis and a multidisciplinary approach involving endocrinology and cardiology are essential for improving outcomes and tailored therapeutic strategies for patients with RTH-related cardiomyopathy.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 146

2026

Thyrotroph Pituitary Neuroendocrine Tumors: Molecular Pathology, Diagnostic Challenges, and Receptor-Targeted Therapeutic Strategies.

Cancers
2026

Identification of a novel THRB mutation causing thyroid hormone resistance syndrome.

Archives of endocrinology and metabolism
2026

Coexistence of Resistance to Thyroid Hormone and a Thyroid Stimulating Hormone-Secreting Pituitary Adenoma.

AACE endocrinology and diabetes
2026

[Resistance to thyroid hormone syndrome with developmental disorders in two children].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2025

Resistance to Thyroid Hormone Beta and Coexisting Thyroid Disease: Diagnostic and Therapeutic Challenges Illustrated by Two Cases.

Case reports in endocrinology
2025

Effects of Resmetirom on Resistance to Thyroid Hormone Receptor Mutants: Potential Basis for Therapeutic Applications.

Biological &amp; pharmaceutical bulletin
2025

Extreme resistance to thyroid hormone caused by a novel mosaic thyroid hormone receptor beta mutation.

European thyroid journal
2025

Resistance to Thyroid Hormone in Crohn's Disease: A Clinical Challenge of Refractory Thyroid Stimulating Hormone Elevation and Therapeutic Dilemmas.

Clinical case reports
2025

Multigenerational thyroid hormone resistance due to THRβ mutation.

European heart journal. Case reports
2025

Discovery of a Potent, Selective, and Multiple His435 Mutation-Sensitive Thyroid Hormone Receptor β Agonist.

Journal of medicinal chemistry
2025

Resmetirom Is an Effective Thyromimetics for the Chemical Rescue of Thyroid Hormone Receptor Mutants.

Biological &amp; pharmaceutical bulletin
2024

Thyroid hormone resistance due to a novel mutation in thyroid hormone receptor presenting as attention deficit hyperactivity disorder.

The National medical journal of India
2025

Late-Onset Thyroid Hormone Resistance Following Total Thyroidectomy for Papillary Thyroid Cancer.

Cureus
2025

Graves' Masquerade: A Case of Resistance to Thyroid Hormone (RTH) Syndrome.

Cureus
2025

Resistance to Thyroid Hormone in a Boy with a Severe, Complex, Congenital Heart Defect (CHD) Requiring Multiple Cardiac Surgeries-Whether and How to Prepare Child for the Surgery.

Journal of clinical medicine
2025

Thyroid Hormone Resistance: A Case Report of a Novel Missense Thyroid Hormone Receptor (THR) Mutation.

Cureus
2025

Clinical Characteristics and Genotype-phenotype Correlation in Turkish Patients with a Diagnosis of Resistance to Thyroid Hormone Beta.

Journal of clinical research in pediatric endocrinology
2024

Thyroid Hormone Resistance With a Novel Mutation.

Cureus
2024

R243W Mutation in Thyroid Hormone Resistance Syndrome Beta: A Case Report.

Journal of the ASEAN Federation of Endocrine Societies
2024

A Case of Thyroid Hormone Resistance Syndrome with a Novel Mutation (c.947G>a) in the THRB Gene: Experience in Diagnosis and Treatment.

International medical case reports journal
2025

Thyroid Hormone Resistance Due to Thyroid Hormone Receptor Beta (THRB) Gene Mutation.

Indian journal of pediatrics
2024

The Clinical and Genetic Diversity of Thyroid Hormone Resistance: Four Clinical Vignettes.

Hormone research in paediatrics
2024

Thyroid Hormone Resistance: A 17-Year Follow-up Case Report.

Endocrine, metabolic &amp; immune disorders drug targets
2024

Resistance to Thyroid Hormone Beta Due to THRB Mutation in a Patient Misdiagnosed With TSH-Secreting Pituitary Adenoma.

JCEM case reports
2024

Assessment of Cardiometabolic Risk Factors and Insulin Sensitivity by Hyperinsulinemic-Euglycemic Clamp in Resistance to Thyroid Hormone β Syndrome.

Thyroid : official journal of the American Thyroid Association
2024

Effective TRIAC treatment of a THRβ-mutated patient with thyroid hormone resistance.

Endocrine
2024

Truncated variants of thyroid hormone receptor beta display disease-inflicting malfunctioning at cellular level.

Experimental cell research
2024

A rare mutation in THRB gene of resistance to thyroid hormone: a case report of a Chinese pedigree.

QJM : monthly journal of the Association of Physicians
2023

Thyroid Hormone Resistance Syndrome: From Molecular Mechanisms to Its Potential Contribution to Hypertension.

Cureus
2023

Central hyperthyroidism combined with Graves' disease: case series and review of the literature.

European thyroid journal
2023

Changes in brain structure in subjects with resistance to thyroid hormone due to THRB mutations.

Thyroid research
2024

Diagnosis of Resistance to Thyroid Hormone due to a Rare Mutation in the Thyroid Hormone Receptor Beta Gene in a Patient Previously Presumed to Have Graves' Disease.

Military medicine
2023

Cardiovascular morbidity and mortality in patients in Wales, UK with resistance to thyroid hormone β (RTHβ): a linked-record cohort study.

The lancet. Diabetes &amp; endocrinology
2023

Resistance to Thyroid Hormone Beta in a Patient Born to a Mother With Undiagnosed Graves' Disease.

AACE clinical case reports
2023

Effect of the Fetal THRB Genotype on the Placenta.

The Journal of clinical endocrinology and metabolism
2023

Thyroid hormone resistance resulting from a novel mutation in the THRB gene in a Chinese child: A case report.

Medicine
2023

Resistance to thyroid hormone due to a novel mutation in the thyroid beta receptor (THRβ) gene coexisting with autoimmune thyroid disease-A case report.

Frontiers in genetics
2022

Resistance to thyroid hormone beta coexisting with papillary thyroid carcinoma-two case reports of a thyroid hormone receptor beta gene mutation and a literature review.

Frontiers in genetics
2022

Atrial Fibrillation with Heart Failure in a Case with Resistance to Thyroid Hormone Due to a Rare Thyroid Hormone Receptor β Gene Mutation.

International journal of molecular sciences
2022

Thyroid hormone resistance syndrome caused by a novel mutation in the thyroid hormone receptor-beta gene (THRB, GLU457LYS) treated with methimazole.

Clinical case reports
2022

Resistance to Thyroid Hormones: A Case-Series Study.

International journal of molecular sciences
2022

Thyroid hormone resistance syndrome due to a novel heterozygous mutation and concomitant Hashimoto's Thyroiditis: A pedigree report.

The Journal of international medical research
2022

A case of mood disorder with severe side effects of antidepressants in association with resistance to thyroid hormone beta with a THRB mutation.

Neuropsychopharmacology reports
2022

Thyroid hormone resistance: Mechanisms and therapeutic development.

Molecular and cellular endocrinology
2022

Clinically Symptomatic Resistance to Thyroid Hormone β Syndrome Because of THRB Gene Mosaicism.

The Journal of clinical endocrinology and metabolism
2022

Thyroid Hormone Receptor Isoforms Alpha and Beta Play Convergent Roles in Muscle Physiology and Metabolic Regulation.

Metabolites
2022

Discovery of a Highly Selective and H435R-Sensitive Thyroid Hormone Receptor β Agonist.

Journal of medicinal chemistry
2022

Thyroid Hormone Resistance: Multicentrical Case Series Study.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
2022

Severe Resistance to Thyroid Hormone Beta in a Patient with Athyreosis.

Thyroid : official journal of the American Thyroid Association
2022

Reduced pituitary size in subjects with mutations in the THRB gene and thyroid hormone resistance.

Endocrine connections
2021

Autoimmune thyroid disease and thyroid function test fluctuations in patients with resistance to thyroid hormone.

European journal of endocrinology
2021

Graves' disease coexisted with resistance to thyroid hormone: a case report.

Journal of medical case reports
2022

Clinical outcomes of 34 patients with resistance to thyroid hormone beta: a twenty-year experience in Japan.

Endocrine journal
2021

An Update on the Pathophysiology and Diagnosis of Inappropriate Secretion of Thyroid-Stimulating Hormone.

International journal of molecular sciences
2021

A New Mechanism in THRA Resistance: The First Disease-Associated Variant Leading to an Increased Inhibitory Function of THRA2.

International journal of molecular sciences
2021

A rare mutation of thyroid hormone receptor beta gene in thyroid hormone resistance syndrome.

Endocrinology, diabetes &amp; metabolism case reports
2021

Resistance to Thyroid Hormone Beta: A Focused Review.

Frontiers in endocrinology
2021

An overview of thyroid function tests in subjects with resistance to thyroid hormone and related disorders.

Endocrine journal
2021

TSH adenoma and syndrome of resistance to thyroid hormones-Two cases report of syndrome of inappropriate secretion of thyrotropin.

Brain and behavior
2021

Thyroid Hormone Resistance due to a Novel De Novo Mutation in Thyroid Hormone Receptor Alpha: First Case Report from the Middle East and North Africa.

Oman medical journal
2021

Resistance to thyroid hormone caused by a mutation of the thyroid β receptor gene in a family over three generations.

Endokrynologia Polska
2021

Dyslipidemia, Insulin Resistance, Ectopic Lipid Accumulation, and Vascular Function in Resistance to Thyroid Hormone β.

The Journal of clinical endocrinology and metabolism
2021

Germ Line Mutations in the Thyroid Hormone Receptor Alpha Gene Predispose to Cutaneous Tags and Melanocytic Nevi.

Thyroid : official journal of the American Thyroid Association
2021

Increased Hepatic Fat Content in Patients with Resistance to Thyroid Hormone Beta.

Thyroid : official journal of the American Thyroid Association
2020

Hypercholesterolemia in Two Siblings with Resistance to Thyroid Hormones Due to Disease-Causing Variant in Thyroid Hormone Receptor (THRB) Gene.

Medicina (Kaunas, Lithuania)
2020

Update on resistance to thyroid hormone syndromeβ.

Italian journal of pediatrics
2020

Thyroid hormone resistance syndrome with P453T mutation in thyroid hormone receptor β gene: A pedigree report.

Medicine
2020

Coexistence of Autoimmune Hyper- and Hypothyroidism in a Kindred with Reduced Sensitivity to Thyroid Hormone.

European thyroid journal
2021

Thyroid Hormone Receptor α Mutations Cause Heart Defects in Zebrafish.

Thyroid : official journal of the American Thyroid Association
2020

The Differential Diagnosis of Discrepant Thyroid Function Tests: Insistent Pitfalls and Updated Flow-Chart Based on a Long-Standing Experience.

Frontiers in endocrinology
2021

Cardiac complications of thyroid hormone resistance syndromes.

Annales d'endocrinologie
2020

Resistance to thyroid hormone due to a novel THRB p.Val349Ala mutation in a Taiwanese boy.

Journal of the Formosan Medical Association = Taiwan yi zhi
2020

Identification of Resistance to Exogenous Thyroxine in Humans.

Thyroid : official journal of the American Thyroid Association
2020

Patients with mutations of the Thyroid hormone beta-receptor show an ADHD-like phenotype for performance monitoring: an electrophysiological study.

NeuroImage. Clinical
2020

Diagnosing Thyrotropin-Secreting Pituitary Adenomas by Short-Term Somatostatin Analogue Test.

Thyroid : official journal of the American Thyroid Association
2021

Therapeutic applications of thyroid hormone analogues.

Annales d'endocrinologie
2020

CD5L Constitutes a Novel Biomarker for Integrated Hepatic Thyroid Hormone Action.

Thyroid : official journal of the American Thyroid Association
2020

Thyroid Hormone Analogues: An Update.

Thyroid : official journal of the American Thyroid Association
2019

A Novel G385E Variant in the Cold Region of the T3-Binding Domain of Thyroid Hormone Receptor Beta Gene and Investigations to Assess Its Clinical Significance.

European thyroid journal
2020

Structural insights revealed by two novel THRB mutations.

Endocrine
2019

Identification of a novel mutation in the thyroid hormone receptor β gene that causes thyroid hormone resistance syndrome: A case report.

Molecular medicine reports
2019

Painless destructive thyroiditis in a patient with resistance to thyroid hormone: a case report.

Thyroid research
2019

Apparent resistance to thyroid hormones: From biological interference to genetics.

Annales d'endocrinologie
2020

Unraveling the Molecular Basis for Successful Thyroid Hormone Replacement Therapy: The Need for New Thyroid Tissue- and Pathway-Specific Biomarkers.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2019

Syndromes of Resistance to Thyroid Hormone Action.

Experientia supplementum (2012)
2019

Very Severe Resistance to Thyroid Hormone β in One of Three Affected Members of a Family with a Novel Mutation in the THRB Gene.

Thyroid : official journal of the American Thyroid Association
2019

Quantifying energy expenditure in childhood: utility in managing pediatric metabolic disorders.

The American journal of clinical nutrition
2019

A Rare Case of Partial Peripheral Thyroid Hormone Resistance Due to a Point Mutation in the Membrane Integrin Α(V)Β(3) and Concomitant Hashimoto`s Thyroiditis.

Open access Macedonian journal of medical sciences
2019

Challenging diagnosis of resistance to thyroid hormone in a patient with pituitary adenoma.

BMJ case reports
2019

Non-canonical dimerization of the androgen receptor and other nuclear receptors: implications for human disease.

Endocrine-related cancer
2019

Mutational Landscape of Resistance to Thyroid Hormone Beta (RTHβ).

Molecular diagnosis &amp; therapy
2019

Insight Into Molecular Determinants of T3 vs T4 Recognition From Mutations in Thyroid Hormone Receptor α and β.

The Journal of clinical endocrinology and metabolism
2019

Thyroid hormone resistance and the value of genetics: Three case reports.

Medicine
2019

Thyroid hormone resistance from newborns to adults: a Spanish experience.

Journal of endocrinological investigation
2018

The Mutant Thyroid Hormone Receptor Beta R320P Causes Syndrome of Resistance to Thyroid Hormone.

Case reports in endocrinology
2019

Two Mutations in Thyroid Hormone Receptor Beta Gene (P453A and C36Y) in a Family with Resistance to Thyroid Hormone with Comorbid Myotonic Dystrophy.

Thyroid : official journal of the American Thyroid Association
2018

Resistance to thyroid hormone-beta co-existing with partially empty sella in a Jordanian male.

Endocrinology, diabetes &amp; metabolism case reports
2018

Resistance to thyroid hormone β in autoimmune thyroid disease: a case report and review of literature.

BMC pregnancy and childbirth
2018

Variable Clinical Characteristics and Molecular Spectrum of Patients with Syndromes of Reduced Sensitivity to Thyroid Hormone: Genetic Defects in the THRB and SLC16A2 Genes.

Hormone research in paediatrics
2019

A Novel Thyroid Hormone Receptor Beta Mutation (G357R) in a Family with Resistance to Thyroid Hormone Beta: Extending the Borders of the "Hot" Region in the THRB Gene.

Thyroid : official journal of the American Thyroid Association
2019

Resistance to thyroid hormone with a mutation of the thyroid β receptor gene in an eight-month-old infant - a case report.

Endokrynologia Polska
2018

Clinical and Molecular Characteristics of Eight Israeli Families with Thyroid Hormone Receptor Beta Mutations.

The Israel Medical Association journal : IMAJ
2018

Role of Leucine 341 in Thyroid Hormone Receptor Beta Revealed by a Novel Mutation Causing Thyroid Hormone Resistance.

Thyroid : official journal of the American Thyroid Association
2018

Resistance to thyroid hormone accompanied by atrial fibrillation.

Endocrinology, diabetes &amp; metabolism case reports
2018

Pathological Interactions Between Mutant Thyroid Hormone Receptors and Corepressors and Their Modulation by a Thyroid Hormone Analogue with Therapeutic Potential.

Thyroid : official journal of the American Thyroid Association
2018

Thyroid Hormone Resistance in Identical Twin Sisters with Atrial Fibrillation: Case Report and Review of the Literature.

Journal of endocrinology and diabetes
2018

Assessing the clinical and molecular diagnosis of inherited forms of impaired sensitivity to thyroid hormone from a single tertiary center.

Endocrine
2018

Human Genetics of Thyroid Hormone Receptor Beta: Resistance to Thyroid Hormone Beta (RTHβ).

Methods in molecular biology (Clifton, N.J.)
2018

Pituitary resistance to thyroid hormone caused by a novel mutation (H435A) in the thyroid hormone receptor beta: A case report.

Medicine
2018

Graves' disease coexisting with resistance to thyroid hormone: a rare case.

Clinical case reports
2018

Nuclear Import and Export of the Thyroid Hormone Receptor.

Vitamins and hormones
2017

[Clinical characteristics of thyroid hormone resistance syndrome in two cases with different subtypes].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2017

Noncanonical thyroid hormone signaling mediates cardiometabolic effects in vivo.

Proceedings of the National Academy of Sciences of the United States of America
2017

RESISTANCE TO THYROID HORMONES: A NOVEL MUTATION OF THE THYROID HORMONE RECEPTOR β GENE IN AN ALGERIAN FAMILY.

Acta endocrinologica (Bucharest, Romania : 2005)
2017

Prenatal Diagnosis of Resistance to Thyroid Hormone and Its Clinical Implications.

The Journal of clinical endocrinology and metabolism
2017

Novel Mutation (T273R) in Thyroid Hormone Receptor β Gene Provides Further Insight into Cryptic Negative Regulation by Thyroid Hormone.

Folia biologica
2017

Retinal Photoreceptor Functions Are Compromised in Patients With Resistance to Thyroid Hormone Syndrome (RTHβ).

The Journal of clinical endocrinology and metabolism
2017

The syndrome of central hypothyroidism and macroorchidism: IGSF1 controls TRHR and FSHB expression by differential modulation of pituitary TGFβ and Activin pathways.

Scientific reports
2017

Therapeutic applications of thyroid hormone analogues in resistance to thyroid hormone (RTH) syndromes.

Molecular and cellular endocrinology
2016

A new TRβ mutation in resistance to thyroid hormone syndrome.

Hormones (Athens, Greece)
2017

Thyroid hormone resistance syndrome - own experiences.

Pediatric endocrinology, diabetes, and metabolism
2016

A Case of Resistance to Thyroid Hormone (RTH) with a Negative Family History with Diagnosis Based on Persistent Palpitations.

Journal of UOEH
2017

Gene expression of T3-regulated genes in a mouse model of the human thyroid hormone resistance.

Life sciences
2016

Resistance to Thyroid Hormone Complicated with Type 2 Diabetes and Cardiomyopathy in a Patient with a TRβ Mutation.

Internal medicine (Tokyo, Japan)
2016

Not all elevated hormones are toxic: A case of thyroid hormone resistance.

Journal of family medicine and primary care
2017

In vivo Functional Consequences of Human THRA Variants Expressed in the Zebrafish.

Thyroid : official journal of the American Thyroid Association
2016

A Novel Thyroid Hormone Receptor Beta Gene Mutation (G251V) in a Thai Patient with Resistance to Thyroid Hormone Coexisting with Pituitary Incidentaloma.

Thyroid : official journal of the American Thyroid Association
2016

Syndrome of Reduced Sensitivity to Thyroid Hormones: Two Case Reports and a Literature Review.

Case reports in endocrinology
2017

Resistance to Thyroid Hormone - A Novel Mutation in THRβ-Gene from India.

Indian journal of pediatrics
2016

Coexistence of resistance to thyroid hormone and ectopic thyroid: ten-year follow-up.

Archives of endocrinology and metabolism
2016

Thyroid hormone resistance syndrome caused by heterozygous A317T mutation in thyroid hormone receptor β gene: Report of one Chinese pedigree and review of the literature.

Medicine
2016

Coexistence of resistance to thyroid hormone and papillary thyroid carcinoma.

Endocrinology, diabetes &amp; metabolism case reports
2016

[Impaired sensitivity to thyroid hormone].

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
2016

Patterns of thyroid hormone receptor expression in zebrafish and generation of a novel model of resistance to thyroid hormone action.

Molecular and cellular endocrinology
2016

Successful every-other-day liothyronine therapy for severe resistance to thyroid hormone beta with a novel THRB mutation; case report.

BMC endocrine disorders
2016

Periodic Paralysis as a New Phenotype of Resistance to Thyroid Hormone Syndrome in a Chinese Male Adult.

The Journal of clinical endocrinology and metabolism
2016

Thyroid Hormone Receptor α Plays an Essential Role in Male Skeletal Muscle Myoblast Proliferation, Differentiation, and Response to Injury.

Endocrinology
2015

A Rare Mutation in Patients With Resistance to Thyroid Hormone and Review of Therapeutic Strategies.

The American journal of the medical sciences
2015

TBL1XR1 in physiological and pathological states.

American journal of clinical and experimental urology
2015

Characteristics of patients with late manifestation of resistance thyroid hormone syndrome: a single-center experience.

Endocrine
2015

A Patient With a Thyrotropin-Secreting Microadenoma and Resistance to Thyroid Hormone (P453T).

The Journal of clinical endocrinology and metabolism
2015

Two Novel Mutations in the Thyroid Hormone Receptor β in Patients with Resistance to Thyroid Hormone (RTH β): Clinical, Biochemical, and Molecular Data.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
2015

Thyroid hormone resistance syndrome due to mutations in the thyroid hormone receptor α gene (THRA).

Journal of medical genetics
2014

Resistance to thyroid hormone due to a novel mutation of thyroid hormone receptor beta gene.

Annals of pediatric endocrinology &amp; metabolism
2014

A case of thyroid hormone resistance: a rare mutation.

Arquivos brasileiros de endocrinologia e metabologia
2015

A novel mutation of thyroid hormone receptor β in exon 10 in a case of thyroid hormone-resistant non-Hodgkin's lymphoma of the thyroid.

Oncology letters

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. [Resistance to thyroid hormone syndrome with developmental disorders in two children].
    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics· 2026· PMID 41582758mais citado
  2. Thyrotroph Pituitary Neuroendocrine Tumors: Molecular Pathology, Diagnostic Challenges, and Receptor-Targeted Therapeutic Strategies.
    Cancers· 2026· PMID 41827771mais citado
  3. Identification of a novel THRB mutation causing thyroid hormone resistance syndrome.
    Archives of endocrinology and metabolism· 2026· PMID 41649337mais citado
  4. Coexistence of Resistance to Thyroid Hormone and a Thyroid Stimulating Hormone-Secreting Pituitary Adenoma.
    AACE endocrinology and diabetes· 2026· PMID 41641293mais citado
  5. Multigenerational thyroid hormone resistance due to THR&#x3b2; mutation.
    European heart journal. Case reports· 2025· PMID 40761432mais citado
  6. Effects of Resmetirom on Resistance to Thyroid Hormone Receptor Mutants: Potential Basis for Therapeutic Applications.
    Biol Pharm Bull· 2025· PMID 41161771recente
  7. Extreme resistance to thyroid hormone caused by a novel mosaic thyroid hormone receptor beta mutation.
    Eur Thyroid J· 2025· PMID 41159509recente
  8. Discovery of a Potent, Selective, and Multiple His435 Mutation-Sensitive Thyroid Hormone Receptor β Agonist.
    J Med Chem· 2025· PMID 40539969recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:566243(Orphanet)
  2. MONDO:0700478(MONDO)
  3. Variantes catalogadas(ClinVar)
  4. Busca completa no PubMed(PubMed)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Compêndio · Raras BR

Resistência a levotiroxina por mutação no receptor beta do hormônio tireoidiano

ORPHA:566243 · MONDO:0700478
Prevalência
Unknown
Herança
Autosomal recessive
CID-10
E07.8 · Outros transtornos especificados da tireóide
CID-11
Início
All ages
Prevalência
0.0 (United States)
MedGen
UMLS
C1840364
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