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Database: OMIM
Entry: 601413
LinkDB: 601413
MIM Entry: 601413
Title:
  *601413 DEIODINASE, IODOTHYRONINE, TYPE II; DIO2
  ;;THYROXINE DEIODINASE, TYPE II; TXDI2;;
  D2
Text:
  
  DESCRIPTION
  
  Type II iodothyronine deiodinase is a selenoprotein that catalyzes the
  5-prime deiodination of thyroxine (T4) to generate an active thyroid
  hormone, 3,3-prime,5-triiodothyronine (T3) (Ohba et al., 2001).
  
  CLONING
  
  Croteau et al. (1996) identified and characterized rat and human DII
  cDNAs. Both code for selenoproteins and exhibit limited regions of
  homology with DI (DIO1; 147892) and DIII (DIO3; 601038). In the rat
  pituitary and brown adipose tissue, DII mRNA levels are altered more
  than 10-fold by changes in the thyroid hormone status of the animal.
  Northern analysis of RNA derived from human tissues revealed expression
  of DII transcripts in heart, skeletal muscle, placenta, fetal brain, and
  several regions of the adult brain.
  
  By EST database analysis, followed by 3-prime RACE of total thyroid RNA,
  Buettner et al. (1998) extended the DIO2 sequence isolated by Croteau et
  al. (1996) in the 3-prime direction and cloned full-length DIO2. The
  3-prime sequence contains several AU-rich elements. Just upstream of the
  polyadenylation signal in the 3-prime UTR is a predicted stem loop
  structure with features of a form-2 selenocysteine insertion sequence
  (SECIS), which is required to decode a UGA codon as selenocysteine.
  Northern blot analysis of thyroid mRNA detected transcripts of about 6.5
  and 7.5 kb. EST database analysis identified DIO2 clones from thyroid,
  brain, retina, placenta, breast, uterus, prostate, and skin libraries.
  In addition, DIO2 clones were found in several libraries derived from
  pooled tissues, such as fetal liver and spleen or fetal testis, B cell,
  and lung.
  
  Using Northern blot analysis, Bartha et al. (2000) detected DIO2
  transcripts of about 6.8 and 7.5 kb in thyroid, pituitary, cardiac and
  skeletal muscle, and possibly brain, but only a 7.5-kb transcript was
  detected in placenta. PCR and endonuclease digestion indicated that
  there are 4 primary transcripts in thyroid: the full-length 7.5-kb
  transcript, a 7.2-kb transcript, and 2 shorter transcripts that use
  alternate start sites just upstream of the ATG start codon.
  
  By PCR, Ohba et al. (2001) identified 2 alternatively spliced DIO2
  transcripts that include intronic sequences between the 2 invariant DIO2
  exons. These splice variants showed tissue-specific expression.
  
  By SDS-PAGE of mesothelioma cell lysates, Curcio et al. (2001)
  determined that endogenous DIO2 has an apparent molecular mass of 31 kD.
  Immunolocalization of DIO2 in this cell line showed DIO2 costaining with
  an endoplasmic reticulum resident protein.
  
  GENE FUNCTION
  
  Croteau et al. (1996) noted that thyroid hormone appears to have
  important regulatory effects in some mammalian tissues, such as the
  developing brain, the anterior pituitary gland, and brown adipose
  tissue. A relatively high proportion of the receptor-bound
  triiodothyronine is found within the tissue itself rather than in
  plasma. The expression in these tissues of type II iodothyronine
  deiodinase (symbolized DII by them), which catalyzes deiodination of
  thyroxine T4 exclusively on the outer ring (5-prime-position) to yield
  T3, suggests that DII is responsible for this 'local' production of T3
  and is thus important in influencing thyroid hormone action in these
  tissues. In addition, DII activity is markedly elevated in the
  hypothyroid state and appears to be responsible for catalyzing the
  production of a large proportion of the circulating T3 under such
  conditions. Croteau et al. (1996) noted that, from the cDNAs of
  iodothyronine deiodinase types I and III, deiodinases are known to
  contain in-frame TGATGA codons that code for selenocysteine. The
  catalytic properties and tissue patterns of expression of these
  selenoproteins differ from those of DII. Unlike DII, DI is expressed in
  liver and kidney and is capable of inner ring deiodination of sulfated
  thyroid hormone conjugates. DIII functions as an inner ring deiodinase
  to convert T4 and T3 to inactive metabolites. Its expression in placenta
  and several fetal tissues during early development suggested that it
  plays a role in preventing premature exposure of developing tissues to
  adult levels of thyroid hormones. DII also is present in several fetal
  and neonatal tissues and is essential for providing the brain with
  appropriate levels of T3 during the critical period of development.
  
  Salvatore et al. (1996) reported that type 2 iodothyronine deiodinase
  (referred to as D2 by them) is highly expressed in human thyroid at
  levels 50- to 150-fold higher than in placenta. D2 mRNA was especially
  high in thyroids from Graves patients and in follicular adenomas.
  Stimulated thyroids had higher D2 to D1 (i.e., TXDI1) mRNA ratios than
  normal or multinodular glands, suggesting differential regulation of D1
  and D2 expression. They concluded that intrathyroidal T4-to-T3
  conversion by D2 may contribute significantly to the relative increase
  in thyroidal T3 production in patients with Graves disease, toxic
  adenomas, and, perhaps, iodine deficiency.
  
  Buettner et al. (1998) confirmed that the SECIS element in the 3-prime
  UTR of DIO2 has SECIS activity. A fragment containing the stem loop
  structure and the SECIS element hybridized to DIO2 mRNA in human
  thyroid. A G-to-A mutation in the essential AUGA motif in the SECIS
  element abolished SECIS activity. Transfection of the DIO2 coding region
  plus the 3-prime UTR in human embryonic kidney cells or injection of
  DIO2 cRNA in Xenopus oocytes resulted in expression of DIO2 with
  deiodinase activity. The distance between the SECIS element and the UGA
  codon affected DIO2 activity.
  
  Bartha et al. (2000) identified a canonical cAMP response element (CRE)
  in the DIO2 promoter region that drove cAMP-dependent expression of a
  reporter gene. Primary human thyroid cell cultures increased basal
  expression of DIO2 in response to forskolin, confirming the cAMP
  responsiveness of the endogenous DIO2 gene.
  
  Curcio et al. (2001) found that selenium depletion reduced the basal
  endogenous DIO2 activity in a mesothelioma cell line. This depletion
  could be reversed by selenium supplementation in a dose- and
  time-dependent fashion. DIO2 activity also increased following exposure
  to a nonhydrolyzable cAMP analog. Exposure to the thyroxine substrate
  increased the degradation of DIO2, resulting in decreased DIO2 activity.
  The short half-life of endogenous DIO2 (less than 1 hr) and the
  increased degradation of DIO2 in the presence of thyroxine were reduced
  or eliminated by exposure to proteasome inhibitors.
  
  Thyroid hormone signaling during a postnatal period in the mouse is
  essential for cochlear development and the subsequent onset of hearing.
  To study the control of this temporal dependency, Campos-Barros et al.
  (2000) investigated the role of iodothyronine deiodinases, which in
  target tissues convert the prohormone thyroxine into T3, the active
  ligand for the thyroid hormone receptor (see 190120). They found that D2
  activity rose dramatically in the mouse cochlea to peak around postnatal
  day 7 (P7), after which activity declined by P10. This activity peaked a
  few days before the onset of hearing, suggesting a role for D2 in
  amplifying local T3 levels at a critical stage of cochlear development.
  A mouse cochlear D2 cDNA was isolated and shown to have near identity to
  rat D2. In situ hybridization localized D2 mRNA in periosteal connective
  tissue in the modiolus, the cochlear outer capsule, and the septal
  divisions between the turns of the cochlea. D2 expression in these
  regions that give rise to the bony labyrinth was complementary to
  thyroid hormone receptor expression in the sensory epithelium. Thus, the
  connective tissue may control deiodination of thyroxine and release of
  T3 to confer a paracrine-like control of thyroid hormone receptor
  activation. These results suggested that temporal and spatial control of
  ligand availability conferred by D2 provides an important level of
  regulation of the thyroid hormone receptor pathways required for
  cochlear maturation.
  
  DIO2 mRNA is abundant in the human thyroid but very low in adult rat
  thyroid, whereas DIO1 activity is high in both. To understand the
  molecular regulation of these genes in thyroid cells, Gereben et al.
  (2001) studied the effect of TITF1 (NKX2-1; 600635) and PAX8 (167415) on
  the transcriptional activity of the deiodinase promoters. Both the
  approximately 6.5-kb human DIO2 sequence and its most 3-prime 633 bp
  were activated 10-fold by transiently expressed TITF1 in COS-7 cells,
  but human DIO1 was unaffected. Surprisingly, the response of the rat
  DIO2 gene to TITF1 was only 3-fold despite the 73% identity with the
  proximal 633-bp region of human DIO2, including complete conservation of
  a functional cAMP response element at -90. Neither human nor rat DIO2
  nor human DIO1 was induced by PAX8. Two sites in human DIO2, both of
  which are absent in rat DIO2, have significant affinity for, and are
  required for the full response to, TITF1.
  
  Watanabe et al. (2006) showed that the administration of bile acids to
  mice increased energy expenditure in brown adipose tissue, preventing
  obesity and resistance to insulin. This novel metabolic effect of bile
  acids is critically dependent on the induction of the cAMP-dependent
  thyroid hormone activating enzyme type 2 iodothyronine deiodinase (D2),
  shown by the loss of this effect in D2-null mice. Treatment of brown
  adipocytes and human skeletal myocytes with bile acids increased D2
  activity and oxygen consumption. These effects are independent of
  FXR-alpha (see 603826), and instead are mediated by increased cAMP
  production that stems from the binding of bile acids with the G
  protein-coupled receptor TGR5 (610147). In both rodents and humans, the
  most thermogenically important tissues are specifically targeted by this
  mechanism since they coexpress D2 and TGR5. Watanabe et al. (2006)
  concluded that the bile acid-TGR5-cAMP-D2 signaling pathway is therefore
  a crucial mechanism for fine-tuning energy homeostasis that can be
  targeted to improve metabolic control.
  
  GENE STRUCTURE
  
  Celi et al. (1998) determined that the coding region of the DIO2 gene
  covers 8.1 kb and contains 2 exons separated by a long intron.
  
  Bartha et al. (2000) determined that the 5-prime UTR of the DIO2 gene
  contains a functional CRE. It also has an AP1 (165160) site, several
  TATA or TATA-like sequences, and 3 transcriptional start sites. Bartha
  et al. (2000) identified a DIO2 splice variant that uses intronic
  sequences in addition to the 2 exons described by Celi et al. (1998).
  
  Ohba et al. (2001) determined that the long intronic sequence of the
  DIO2 gene contains 2 alternatively spliced sequences used by some DIO2
  splice variants.
  
  MAPPING
  
  By radiation hybrid analysis, Celi et al. (1998) mapped the DIO2 gene to
  chromosome 14q24.3. Using FISH, Araki et al. (1999) mapped the DIO2 gene
  to chromosome 14q24.2-q24.3.
  
  ANIMAL MODEL
  
  DIO2 is a selenoenzyme that catalyzes the conversion of T4 to T3 via
  5-prime-deiodination. It is expressed in the pituitary, brain, brown
  adipose tissue, and the reproductive tract. To examine the physiologic
  role of DIO2, Schneider et al. (2001) developed a mouse strain lacking
  Dio2 activity. Mice homologous for the targeted deletion (Dio2 knockout
  mice) had no gross phenotypic abnormalities, and development and
  reproductive function appeared normal, except for mild growth
  retardation (9%) in males. Serum T4 and TSH levels were both elevated
  significantly (40% and 100%, respectively) in the Dio2 knockout mice,
  suggesting that the pituitary gland is resistant to the feedback effect
  of plasma T4. This was supported by finding that serum TSH levels in
  hypothyroid wildtype mice were suppressed by administration of either T4
  or T3, but only T3 was effective in the Dio2 mouse.
  
  Ng et al. (2004) found that D2-deficient mice had defective auditory
  function, retarded differentiation of the cochlear inner sulcus and
  sensory epithelium, and deformity of the tectorial membrane. They
  concluded that the similarity of the D2-deficient phenotype to that
  caused by deletion of thyroid hormone receptor genes suggests that D2 is
  essential for hearing and that D2 confers on the cochlea the ability to
  stimulate its own T3 response at a critical developmental period.
  
References:
  1. Araki, O.; Murakami, M.; Morimura, T.; Kamiya, Y.; Hosoi, Y.; Kato,
  Y.; Mori, M.: Assignment of type II iodothyronine deiodinase gene
  (DIO2) to human chromosome band 14q24.2-q24.3 by in situ hybridization. Cytogene  t.
  Cell Genet. 84: 73-74, 1999.
  
  2. Bartha, T.; Kim, S.-W.; Salvatore, D.; Gereben, B.; Tu, H. M.;
  Harney, J. W.; Rudas, P.; Larsen, P. R.: Characterization of the
  5-prime-flanking and 5-prime-untranslated regions of the cyclic adenosine
  3-prime,5-prime-monophosphate-responsive human type 2 iodothyronine
  deiodinase gene. Endocrinology 141: 229-237, 2000.
  
  3. Buettner, C.; Harney, J. W.; Larsen, P. R.: The 3-prime-untranslated
  region of human type 2 iodothyronine deiodinase mRNA contains a functional
  selenocysteine insertion sequence element. J. Biol. Chem. 273: 33374-33378,
  1998.
  
  4. Campos-Barros, A.; Amma, L. L.; Faris, J. S.; Shailam, R.; Kelley,
  M. W.; Forrest, D.: Type 2 iodothyronine deiodinase expression in
  the cochlea before the onset of hearing. Proc. Nat. Acad. Sci. 97:
  1287-1292, 2000.
  
  5. Celi, F. S.; Canettieri, G.; Yarnall, D. P.; Burns, D. K.; Andreoli,
  M.; Shuldiner, A. R.; Centanni, M.: Genomic characterization of the
  coding region of the human type II 5-prime-deiodinase gene. Molec.
  Cell. Endocr. 141: 49-52, 1998.
  
  6. Croteau, W.; Davey, J. C.; Galton, V. A.; St. German, D. L.: Cloning
  of the mammalian type II iodothyronine deiodinase: a selenoprotein
  differentially expressed and regulated in human and rat brain and
  other tissues. J. Clin. Invest. 98: 405-417, 1996.
  
  7. Curcio, C.; Baqui, M. M. A.; Salvatore, D.; Rihn, B. H.; Mohr,
  S.; Harney, J. W.; Larsen, P. R.; Bianco, A. C.: The human type 2
  iodothyronine deiodinase is a selenoprotein highly expressed in a
  mesothelioma cell line. J. Biol. Chem. 276: 30183-30187, 2001.
  
  8. Gereben, B.; Salvatore, D.; Harney, J. W.; Tu, H. M.; Larsen, P.
  R.: The human, but not rat, dio2 gene is stimulated by thyroid transcription
  factor-1 (TTF-1). Molec. Endocr. 15: 112-124, 2001.
  
  9. Ng, L.; Goodyear, R. J.; Woods, C. A.; Schneider, M. J.; Diamond,
  E.; Richardson, G. P.; Kelley, M. W.; St. Germain, D. L.; Galton,
  V. A.; Forrest, D.: Hearing loss and retarded cochlear development
  in mice lacking type 2 iodothyronine deiodinase. Proc. Nat. Acad.
  Sci. 101: 3474-3479, 2004.
  
  10. Ohba, K.; Yoshioka, T.; Muraki, T.: Identification of two novel
  splicing variants of human type II iodothyronine deiodinase mRNA. Molec.
  Cell. Endocr. 172: 169-175, 2001.
  
  11. Salvatore, D.; Tu, H.; Harney, J. W.; Larsen, P. R.: Type 2 iodothyronine
  deiodinase is highly expressed in human thyroid. J. Clin. Invest. 98:
  962-968, 1996.
  
  12. Schneider, M. J.; Fiering, S. N.; Pallud, S. E.; Parlow, A. F.;
  St. Germain, D. L.; Galton, V. A.: Targeted disruption of the type
  2 selenodeiodinase gene (DIO2) results in a phenotype of pituitary
  resistance to T4. Molec. Endocr. 15: 2137-2148, 2001.
  
  13. Watanabe, M.; Houten, S. M.; Mataki, C.; Christoffolete, M. A.;
  Kim, B. W.; Sato, H.; Messaddeq, N.; Harney, J. W.; Ezaki, O.; Kodama,
  T.; Schoonjans, K.; Bianco, A. C.; Auwerx, J.: Bile acids induce
  energy expenditure by promoting intracellular thyroid hormone activation. Nature   439:
  484-489, 2006.
  
Contributors: 
  Ada Hamosh - updated: 8/1/2006
  Patricia A. Hartz - updated: 12/6/2004
  John A. Phillips, III - updated: 8/5/2002
  John A. Phillips, III - updated: 8/3/2001
  Victor A. McKusick - updated: 2/22/2000
  
Creation Date: 
  Victor A. McKusick: 9/5/1996
  
Edit Dates: 
  wwang: 03/12/2010
  alopez: 8/3/2006
  terry: 8/1/2006
  mgross: 12/9/2004
  mgross: 12/6/2004
  tkritzer: 12/2/2004
  terry: 11/3/2004
  cwells: 8/5/2002
  alopez: 8/3/2001
  mcapotos: 3/15/2000
  mcapotos: 3/13/2000
  terry: 2/22/2000
  terry: 6/4/1998
  carol: 5/2/1998
  alopez: 6/11/1997
  jenny: 4/8/1997
  mark: 10/16/1996
  terry: 10/9/1996
  mark: 9/6/1996
  
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