Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration

Abstract Predicting and quantifying phenotypic consequences of genetic variants in rare disorders is a major challenge, particularly pertinent for ‘actionable’ genes such as thyroid hormone transporter MCT8 (encoded by the X-linked SLC16A2 gene), where loss-of-function (LoF) variants cause a rare ne...

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Main Authors: Stefan Groeneweg, Ferdy S. van Geest, Mariano Martín, Mafalda Dias, Jonathan Frazer, Carolina Medina-Gomez, Rosalie B. T. M. Sterenborg, Hao Wang, Anna Dolcetta-Capuzzo, Linda J. de Rooij, Alexander Teumer, Ayhan Abaci, Erica L. T. van den Akker, Gautam P. Ambegaonkar, Christine M. Armour, Iiuliu Bacos, Priyanka Bakhtiani, Diana Barca, Andrew J. Bauer, Sjoerd A. A. van den Berg, Amanda van den Berge, Enrico Bertini, Ingrid M. van Beynum, Nicola Brunetti-Pierri, Doris Brunner, Marco Cappa, Gerarda Cappuccio, Barbara Castellotti, Claudia Castiglioni, Krishna Chatterjee, Alexander Chesover, Peter Christian, Jet Coenen-van der Spek, Irenaeus F. M. de Coo, Regis Coutant, Dana Craiu, Patricia Crock, Christian DeGoede, Korcan Demir, Cheyenne Dewey, Alice Dica, Paul Dimitri, Marjolein H. G. Dremmen, Rachana Dubey, Anina Enderli, Jan Fairchild, Jonathan Gallichan, Luigi Garibaldi, Belinda George, Evelien F. Gevers, Erin Greenup, Annette Hackenberg, Zita Halász, Bianka Heinrich, Anna C. Hurst, Tony Huynh, Amber R. Isaza, Anna Klosowska, Marieke M. van der Knoop, Daniel Konrad, David A. Koolen, Heiko Krude, Abhishek Kulkarni, Alexander Laemmle, Stephen H. LaFranchi, Amy Lawson-Yuen, Jan Lebl, Selmar Leeuwenburgh, Michaela Linder-Lucht, Anna López Martí, Cláudia F. Lorea, Charles M. Lourenço, Roelineke J. Lunsing, Greta Lyons, Jana Krenek Malikova, Edna E. Mancilla, Kenneth L. McCormick, Anne McGowan, Veronica Mericq, Felipe Monti Lora, Carla Moran, Katalin E. Muller, Lindsey E. Nicol, Isabelle Oliver-Petit, Laura Paone, Praveen G. Paul, Michel Polak, Francesco Porta, Fabiano O. Poswar, Christina Reinauer, Klara Rozenkova, Rowen Seckold, Tuba Seven Menevse, Peter Simm, Anna Simon, Yogen Singh, Marco Spada, Milou A. M. Stals, Merel T. Stegenga, Athanasia Stoupa, Gopinath M. Subramanian, Lilla Szeifert, Davide Tonduti, Serap Turan, Joel Vanderniet, Adri van der Walt, Jean-Louis Wémeau, Anne-Marie van Wermeskerken, Jolanta Wierzba, Marie-Claire Y. de Wit, Nicole I. Wolf, Michael Wurm, Federica Zibordi, Amnon Zung, Nitash Zwaveling-Soonawala, Fernando Rivadeneira, Marcel E. Meima, Debora S. Marks, Juan P. Nicola, Chi-Hua Chen, Marco Medici, W. Edward Visser
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Language:English
Published: Nature Portfolio 2025-03-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56628-w
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author Stefan Groeneweg
Ferdy S. van Geest
Mariano Martín
Mafalda Dias
Jonathan Frazer
Carolina Medina-Gomez
Rosalie B. T. M. Sterenborg
Hao Wang
Anna Dolcetta-Capuzzo
Linda J. de Rooij
Alexander Teumer
Ayhan Abaci
Erica L. T. van den Akker
Gautam P. Ambegaonkar
Christine M. Armour
Iiuliu Bacos
Priyanka Bakhtiani
Diana Barca
Andrew J. Bauer
Sjoerd A. A. van den Berg
Amanda van den Berge
Enrico Bertini
Ingrid M. van Beynum
Nicola Brunetti-Pierri
Doris Brunner
Marco Cappa
Gerarda Cappuccio
Barbara Castellotti
Claudia Castiglioni
Krishna Chatterjee
Alexander Chesover
Peter Christian
Jet Coenen-van der Spek
Irenaeus F. M. de Coo
Regis Coutant
Dana Craiu
Patricia Crock
Christian DeGoede
Korcan Demir
Cheyenne Dewey
Alice Dica
Paul Dimitri
Marjolein H. G. Dremmen
Rachana Dubey
Anina Enderli
Jan Fairchild
Jonathan Gallichan
Luigi Garibaldi
Belinda George
Evelien F. Gevers
Erin Greenup
Annette Hackenberg
Zita Halász
Bianka Heinrich
Anna C. Hurst
Tony Huynh
Amber R. Isaza
Anna Klosowska
Marieke M. van der Knoop
Daniel Konrad
David A. Koolen
Heiko Krude
Abhishek Kulkarni
Alexander Laemmle
Stephen H. LaFranchi
Amy Lawson-Yuen
Jan Lebl
Selmar Leeuwenburgh
Michaela Linder-Lucht
Anna López Martí
Cláudia F. Lorea
Charles M. Lourenço
Roelineke J. Lunsing
Greta Lyons
Jana Krenek Malikova
Edna E. Mancilla
Kenneth L. McCormick
Anne McGowan
Veronica Mericq
Felipe Monti Lora
Carla Moran
Katalin E. Muller
Lindsey E. Nicol
Isabelle Oliver-Petit
Laura Paone
Praveen G. Paul
Michel Polak
Francesco Porta
Fabiano O. Poswar
Christina Reinauer
Klara Rozenkova
Rowen Seckold
Tuba Seven Menevse
Peter Simm
Anna Simon
Yogen Singh
Marco Spada
Milou A. M. Stals
Merel T. Stegenga
Athanasia Stoupa
Gopinath M. Subramanian
Lilla Szeifert
Davide Tonduti
Serap Turan
Joel Vanderniet
Adri van der Walt
Jean-Louis Wémeau
Anne-Marie van Wermeskerken
Jolanta Wierzba
Marie-Claire Y. de Wit
Nicole I. Wolf
Michael Wurm
Federica Zibordi
Amnon Zung
Nitash Zwaveling-Soonawala
Fernando Rivadeneira
Marcel E. Meima
Debora S. Marks
Juan P. Nicola
Chi-Hua Chen
Marco Medici
W. Edward Visser
author_facet Stefan Groeneweg
Ferdy S. van Geest
Mariano Martín
Mafalda Dias
Jonathan Frazer
Carolina Medina-Gomez
Rosalie B. T. M. Sterenborg
Hao Wang
Anna Dolcetta-Capuzzo
Linda J. de Rooij
Alexander Teumer
Ayhan Abaci
Erica L. T. van den Akker
Gautam P. Ambegaonkar
Christine M. Armour
Iiuliu Bacos
Priyanka Bakhtiani
Diana Barca
Andrew J. Bauer
Sjoerd A. A. van den Berg
Amanda van den Berge
Enrico Bertini
Ingrid M. van Beynum
Nicola Brunetti-Pierri
Doris Brunner
Marco Cappa
Gerarda Cappuccio
Barbara Castellotti
Claudia Castiglioni
Krishna Chatterjee
Alexander Chesover
Peter Christian
Jet Coenen-van der Spek
Irenaeus F. M. de Coo
Regis Coutant
Dana Craiu
Patricia Crock
Christian DeGoede
Korcan Demir
Cheyenne Dewey
Alice Dica
Paul Dimitri
Marjolein H. G. Dremmen
Rachana Dubey
Anina Enderli
Jan Fairchild
Jonathan Gallichan
Luigi Garibaldi
Belinda George
Evelien F. Gevers
Erin Greenup
Annette Hackenberg
Zita Halász
Bianka Heinrich
Anna C. Hurst
Tony Huynh
Amber R. Isaza
Anna Klosowska
Marieke M. van der Knoop
Daniel Konrad
David A. Koolen
Heiko Krude
Abhishek Kulkarni
Alexander Laemmle
Stephen H. LaFranchi
Amy Lawson-Yuen
Jan Lebl
Selmar Leeuwenburgh
Michaela Linder-Lucht
Anna López Martí
Cláudia F. Lorea
Charles M. Lourenço
Roelineke J. Lunsing
Greta Lyons
Jana Krenek Malikova
Edna E. Mancilla
Kenneth L. McCormick
Anne McGowan
Veronica Mericq
Felipe Monti Lora
Carla Moran
Katalin E. Muller
Lindsey E. Nicol
Isabelle Oliver-Petit
Laura Paone
Praveen G. Paul
Michel Polak
Francesco Porta
Fabiano O. Poswar
Christina Reinauer
Klara Rozenkova
Rowen Seckold
Tuba Seven Menevse
Peter Simm
Anna Simon
Yogen Singh
Marco Spada
Milou A. M. Stals
Merel T. Stegenga
Athanasia Stoupa
Gopinath M. Subramanian
Lilla Szeifert
Davide Tonduti
Serap Turan
Joel Vanderniet
Adri van der Walt
Jean-Louis Wémeau
Anne-Marie van Wermeskerken
Jolanta Wierzba
Marie-Claire Y. de Wit
Nicole I. Wolf
Michael Wurm
Federica Zibordi
Amnon Zung
Nitash Zwaveling-Soonawala
Fernando Rivadeneira
Marcel E. Meima
Debora S. Marks
Juan P. Nicola
Chi-Hua Chen
Marco Medici
W. Edward Visser
author_sort Stefan Groeneweg
collection DOAJ
description Abstract Predicting and quantifying phenotypic consequences of genetic variants in rare disorders is a major challenge, particularly pertinent for ‘actionable’ genes such as thyroid hormone transporter MCT8 (encoded by the X-linked SLC16A2 gene), where loss-of-function (LoF) variants cause a rare neurodevelopmental and (treatable) metabolic disorder in males. The combination of deep phenotyping data with functional and computational tests and with outcomes in population cohorts, enabled us to: (i) identify the genetic aetiology of divergent clinical phenotypes of MCT8 deficiency with genotype-phenotype relationships present across survival and 24 out of 32 disease features; (ii) demonstrate a mild phenocopy in ~400,000 individuals with common genetic variants in MCT8; (iii) assess therapeutic effectiveness, which did not differ among LoF-categories; (iv) advance structural insights in normal and mutated MCT8 by delineating seven critical functional domains; (v) create a pathogenicity-severity MCT8 variant classifier that accurately predicted pathogenicity (AUC:0.91) and severity (AUC:0.86) for 8151 variants. Our information-dense mapping provides a generalizable approach to advance multiple dimensions of rare genetic disorders.
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spelling doaj-art-0de7590ce33f4dff8cde3e316c92a6e62025-08-20T03:01:38ZengNature PortfolioNature Communications2041-17232025-03-0116112110.1038/s41467-025-56628-wMapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integrationStefan Groeneweg0Ferdy S. van Geest1Mariano Martín2Mafalda Dias3Jonathan Frazer4Carolina Medina-Gomez5Rosalie B. T. M. Sterenborg6Hao Wang7Anna Dolcetta-Capuzzo8Linda J. de Rooij9Alexander Teumer10Ayhan Abaci11Erica L. T. van den Akker12Gautam P. Ambegaonkar13Christine M. Armour14Iiuliu Bacos15Priyanka Bakhtiani16Diana Barca17Andrew J. Bauer18Sjoerd A. A. van den Berg19Amanda van den Berge20Enrico Bertini21Ingrid M. van Beynum22Nicola Brunetti-Pierri23Doris Brunner24Marco Cappa25Gerarda Cappuccio26Barbara Castellotti27Claudia Castiglioni28Krishna Chatterjee29Alexander Chesover30Peter Christian31Jet Coenen-van der Spek32Irenaeus F. M. de Coo33Regis Coutant34Dana Craiu35Patricia Crock36Christian DeGoede37Korcan Demir38Cheyenne Dewey39Alice Dica40Paul Dimitri41Marjolein H. G. Dremmen42Rachana Dubey43Anina Enderli44Jan Fairchild45Jonathan Gallichan46Luigi Garibaldi47Belinda George48Evelien F. Gevers49Erin Greenup50Annette Hackenberg51Zita Halász52Bianka Heinrich53Anna C. Hurst54Tony Huynh55Amber R. Isaza56Anna Klosowska57Marieke M. van der Knoop58Daniel Konrad59David A. Koolen60Heiko Krude61Abhishek Kulkarni62Alexander Laemmle63Stephen H. LaFranchi64Amy Lawson-Yuen65Jan Lebl66Selmar Leeuwenburgh67Michaela Linder-Lucht68Anna López Martí69Cláudia F. Lorea70Charles M. Lourenço71Roelineke J. Lunsing72Greta Lyons73Jana Krenek Malikova74Edna E. Mancilla75Kenneth L. McCormick76Anne McGowan77Veronica Mericq78Felipe Monti Lora79Carla Moran80Katalin E. Muller81Lindsey E. Nicol82Isabelle Oliver-Petit83Laura Paone84Praveen G. Paul85Michel Polak86Francesco Porta87Fabiano O. Poswar88Christina Reinauer89Klara Rozenkova90Rowen Seckold91Tuba Seven Menevse92Peter Simm93Anna Simon94Yogen Singh95Marco Spada96Milou A. M. Stals97Merel T. Stegenga98Athanasia Stoupa99Gopinath M. Subramanian100Lilla Szeifert101Davide Tonduti102Serap Turan103Joel Vanderniet104Adri van der Walt105Jean-Louis Wémeau106Anne-Marie van Wermeskerken107Jolanta Wierzba108Marie-Claire Y. de Wit109Nicole I. Wolf110Michael Wurm111Federica Zibordi112Amnon Zung113Nitash Zwaveling-Soonawala114Fernando Rivadeneira115Marcel E. Meima116Debora S. Marks117Juan P. Nicola118Chi-Hua Chen119Marco Medici120W. Edward Visser121Academic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreDepartment of Clinical Biochemistry (CIBICI-CONICET), Faculty of Chemical Sciences, National University of CórdobaDepartment of Systems Biology, Harvard Medical SchoolDepartment of Systems Biology, Harvard Medical SchoolDepartment of Internal Medicine, Erasmus University Medical CenterAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreCenter for Multimodal Imaging and Genetics, University of California San DiegoAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreDepartment of Psychiatry and Psychotherapy, University Medicine GreifswaldDivision of Pediatric Endocrinology, Faculty of Medicine, Dokuz Eylul UniversityDepartment of Paediatrics, Division of Endocrinology, Erasmus Medical Centre -Sophia Children’s HospitalDepartment of Paediatric Neurology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation TrustRegional Genetics Program, Children’s Hospital of Eastern Ontario and Children’s Hospital of Eastern Ontario Research Institute, University of OttawaCentrul Medical Dr. Bacos CosmaUniversity of LouisvilleCarol Davila University of Medicine, Department of Clinical Neurosciences, Paediatric Neurology Discipline IIDivision of Endocrinology and Diabetes, Children’s Hospital of PhiladelphiaDiagnostic Laboratory for Endocrinology, Department of Internal Medicine, Erasmus Medical CenterAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreUnit of Neuromuscular and Neurodegenerative Disorders, Bambino Gesu’ Children’s Research Hospital IRCCSDepartment of Pediatrics, Division of Pediatric Cardiology, Erasmus Medical Centre - Sophia Children’s HospitalDepartment of Translational Medicine, Federico II UniversityGottfried Preyer’s Children HospitalResearch Area for Innovative Therapies in Endocrinopathies, Bambino Gesù Children’s Hospital, IRCCSDepartment of Translational Medicine, Federico II UniversityUnit of Medical Genetics and Neurogenetics, Fondazione IRCCS Istituto Neurologico Carlo BestaDepartment of Neurology, Clinica Meds, School of Medicine, Universidad Finis TerraeWellcome Trust-Medical Research Council Institute of Metabolic Science, University of CambridgeDivision of Endocrinology, The Hospital for Sick Children and Department of Paediatrics, University of TorontoEast Kent Hospitals University NHS Foundation TrustDepartment of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center (Radboudumc)Department of Toxicogenomics, Unit Clinical Genomics, Maastricht University, MHeNs School for Mental Health and NeuroscienceDepartment of Pediatric Endocrinology and Diabetology, University HospitalCarol Davila University of Medicine, Department of Clinical Neurosciences, Paediatric Neurology Discipline IIJohn Hunter Children’s Hospital, Hunter Medical Research Institute, University of NewcastleDepartment of Paediatric Neurology, Clinical Research Facility, Lancashire Teaching Hospitals NHS TrustDivision of Pediatric Endocrinology, Faculty of Medicine, Dokuz Eylul UniversityGenomics Institute Mary Bridge Children’s Hospital, MultiCare Health SystemCarol Davila University of Medicine, Department of Clinical Neurosciences, Paediatric Neurology Discipline IIThe Department of Oncology and Metabolism, The University of Sheffield, Western BankDivision of Paediatric Radiology, Erasmus Medical Centre – Sophia’s Children HospitalMedanta Superspeciality HospitalDepartment of Neuropediatrics, University Children’s Hospital, University of ZurichDepartment of Diabetes and Endocrinology, Women’s and Children’s HospitalPlymouth Hospitals NHS TrustUPMC Children’s Hospital of PittsburghDepartment of Endocrinology, St. John’s Medical College HospitalCentre for Endocrinology, William Harvey Research institute, Queen Mary University of LondonDepartment of Pediatrics, Division of Pediatric Endocrinology, University of Alabama at BirminghamDepartment of Neuropediatrics, University Children’s Hospital, University of ZurichPediatric Center, Semmelweis University BudapestDepartment of Neuropediatrics, University Children’s Hospital, University of ZurichDepartment of Genetics, University of Alabama at BirminghamDepartment of Endocrinology & Diabetes, Queensland Children’s Hospital, South BrisbaneDivision of Endocrinology and Diabetes, Children’s Hospital of PhiladelphiaDepartment of Pediatrics, Hematology and Oncology, Medical University of GdańskDepartment of Paediatric Neurology, Erasmus Medical CentreDivision of Pediatric Endocrinology and Diabetology and Children’s Research Center, University Children’s Hospital, University of ZurichDepartment of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center (Radboudumc)Institute of Experimental Paediatric Endocrinology, Charité-Universitätsmedizin BerlinDepartment of Paediatric Endocrinology, SRCC Children’s HospitalInstitute of Clinical Chemistry and Department of Pediatrics, Inselspital, University Hospital BernDepartment of Pediatrics, Doernbecher Children’s Hospital, Oregon Health & Sciences UniversityGenomics Institute Mary Bridge Children’s Hospital, MultiCare Health SystemDepartment of Paediatrics, Second Faculty of Medicine, Charles University, University Hospital MotolAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreDivision of Neuropediatrics and Muscular Disorders, Department of Pediatrics and Adolescent Medicine, University Hospital FreiburgAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreTeaching Hospital of Universidade Federal de PelotasNational Reference Center for Rare Diseases, Faculdade de Medicina de São José do Rio PretoDepartment of Child Neurology, University Medical Center Groningen, University of GroningenWellcome Trust-Medical Research Council Institute of Metabolic Science, University of CambridgeDepartment of Paediatrics, Second Faculty of Medicine, Charles University, University Hospital MotolDivision of Endocrinology and Diabetes, Children’s Hospital of PhiladelphiaDepartment of Pediatrics, Division of Pediatric Endocrinology, University of Alabama at BirminghamWellcome Trust-Medical Research Council Institute of Metabolic Science, University of CambridgeInstitute of Maternal and Child Research, University of Chile, Santiago, Chile, Department of Pediatrics, Clinica Las CondesPediatric Endocrinology Group, Sabara Children’s HospitalWellcome Trust-Medical Research Council Institute of Metabolic Science, University of CambridgeHeim Pal National Pediatric InstituteDepartment of Pediatrics, Doernbecher Children’s Hospital, Oregon Health & Sciences UniversityDepartment of Paediatric Endocrinology and Genetics, Children’s Hospital, Toulouse University HospitalEndocrinology and Diabetology Unit, Bambino Gesù Children’s Hospital, IRCCSDepartment of Paediatrics, Christian Medical CollegePaediatric Endocrinology, Diabetology and Gynaecology, Department, Necker Children’s University Hospital, Imagine Institute Affiliate, Université de Paris CitéDepartment of Paediatrics, AOU Città della Salute e della Scienza di Torino, University of TorinoMedical Genetics Service, Hospital de Clínicas de Porto AlegreDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children’s Hospital, Medical FacultyDepartment of Paediatrics, Second Faculty of Medicine, Charles University, University Hospital MotolJohn Hunter Children’s Hospital, Hunter Medical Research Institute, University of NewcastleMarmara University School of Medicine Department of Pediatric EndocrinologyRoyal Children’s Hospital/University of MelbourneDepartment of Paediatrics, Christian Medical CollegeDepartment of Paediatric Cardiology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation TrustDepartment of Paediatrics, AOU Città della Salute e della Scienza di Torino, University of TorinoAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentrePaediatric Endocrinology, Diabetology and Gynaecology, Department, Necker Children’s University Hospital, Imagine Institute Affiliate, Université de Paris CitéJohn Hunter Children’s Hospital, Hunter Medical Research Institute, University of NewcastlePediatric Center, Semmelweis University BudapestChild Neurology Unit - C.O.A.L.A. (Center for diagnosis and treatment of leukodystrophies), V. Buzzi Children’s HospitalMarmara University School of Medicine Department of Pediatric EndocrinologyJohn Hunter Children’s Hospital, Hunter Medical Research Institute, University of NewcastlePrivate paediatric Neurology practice Dr A van der WaltUniversity of LilleDepartment of Paediatrics, FlevoziekenhuisDepartment of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Medical University of GdańskDepartment of Paediatric Neurology, Erasmus Medical CentreDepartment of Child Neurology, Amsterdam Leukodystrophy Center, Emma Children’s Hospital, Amsterdam University Medical Centers, Vrije Universiteit AmsterdamUniversity Children’s Hospital Regensburg (KUNO), University of Regensburg, Campus St. HedwigChild Neurology Unit, Fondazione IRCCS, Istituto Neurologico Carlo BestaPediatric Endocrinology Unit, Kaplan Medical center, Rehovot and the Hebrew University of JerusalemEmma Children’s Hospital, Department of Paediatric Endocrinology, Amsterdam UMC, University of AmsterdamDepartment of Internal Medicine, Erasmus University Medical CenterAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreDepartment of Systems Biology, Harvard Medical SchoolDepartment of Clinical Biochemistry (CIBICI-CONICET), Faculty of Chemical Sciences, National University of CórdobaCenter for Multimodal Imaging and Genetics, University of California San DiegoAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreAcademic Center for Thyroid Diseases, Department of Internal Medicine, Erasmus Medical CentreAbstract Predicting and quantifying phenotypic consequences of genetic variants in rare disorders is a major challenge, particularly pertinent for ‘actionable’ genes such as thyroid hormone transporter MCT8 (encoded by the X-linked SLC16A2 gene), where loss-of-function (LoF) variants cause a rare neurodevelopmental and (treatable) metabolic disorder in males. The combination of deep phenotyping data with functional and computational tests and with outcomes in population cohorts, enabled us to: (i) identify the genetic aetiology of divergent clinical phenotypes of MCT8 deficiency with genotype-phenotype relationships present across survival and 24 out of 32 disease features; (ii) demonstrate a mild phenocopy in ~400,000 individuals with common genetic variants in MCT8; (iii) assess therapeutic effectiveness, which did not differ among LoF-categories; (iv) advance structural insights in normal and mutated MCT8 by delineating seven critical functional domains; (v) create a pathogenicity-severity MCT8 variant classifier that accurately predicted pathogenicity (AUC:0.91) and severity (AUC:0.86) for 8151 variants. Our information-dense mapping provides a generalizable approach to advance multiple dimensions of rare genetic disorders.https://doi.org/10.1038/s41467-025-56628-w
spellingShingle Stefan Groeneweg
Ferdy S. van Geest
Mariano Martín
Mafalda Dias
Jonathan Frazer
Carolina Medina-Gomez
Rosalie B. T. M. Sterenborg
Hao Wang
Anna Dolcetta-Capuzzo
Linda J. de Rooij
Alexander Teumer
Ayhan Abaci
Erica L. T. van den Akker
Gautam P. Ambegaonkar
Christine M. Armour
Iiuliu Bacos
Priyanka Bakhtiani
Diana Barca
Andrew J. Bauer
Sjoerd A. A. van den Berg
Amanda van den Berge
Enrico Bertini
Ingrid M. van Beynum
Nicola Brunetti-Pierri
Doris Brunner
Marco Cappa
Gerarda Cappuccio
Barbara Castellotti
Claudia Castiglioni
Krishna Chatterjee
Alexander Chesover
Peter Christian
Jet Coenen-van der Spek
Irenaeus F. M. de Coo
Regis Coutant
Dana Craiu
Patricia Crock
Christian DeGoede
Korcan Demir
Cheyenne Dewey
Alice Dica
Paul Dimitri
Marjolein H. G. Dremmen
Rachana Dubey
Anina Enderli
Jan Fairchild
Jonathan Gallichan
Luigi Garibaldi
Belinda George
Evelien F. Gevers
Erin Greenup
Annette Hackenberg
Zita Halász
Bianka Heinrich
Anna C. Hurst
Tony Huynh
Amber R. Isaza
Anna Klosowska
Marieke M. van der Knoop
Daniel Konrad
David A. Koolen
Heiko Krude
Abhishek Kulkarni
Alexander Laemmle
Stephen H. LaFranchi
Amy Lawson-Yuen
Jan Lebl
Selmar Leeuwenburgh
Michaela Linder-Lucht
Anna López Martí
Cláudia F. Lorea
Charles M. Lourenço
Roelineke J. Lunsing
Greta Lyons
Jana Krenek Malikova
Edna E. Mancilla
Kenneth L. McCormick
Anne McGowan
Veronica Mericq
Felipe Monti Lora
Carla Moran
Katalin E. Muller
Lindsey E. Nicol
Isabelle Oliver-Petit
Laura Paone
Praveen G. Paul
Michel Polak
Francesco Porta
Fabiano O. Poswar
Christina Reinauer
Klara Rozenkova
Rowen Seckold
Tuba Seven Menevse
Peter Simm
Anna Simon
Yogen Singh
Marco Spada
Milou A. M. Stals
Merel T. Stegenga
Athanasia Stoupa
Gopinath M. Subramanian
Lilla Szeifert
Davide Tonduti
Serap Turan
Joel Vanderniet
Adri van der Walt
Jean-Louis Wémeau
Anne-Marie van Wermeskerken
Jolanta Wierzba
Marie-Claire Y. de Wit
Nicole I. Wolf
Michael Wurm
Federica Zibordi
Amnon Zung
Nitash Zwaveling-Soonawala
Fernando Rivadeneira
Marcel E. Meima
Debora S. Marks
Juan P. Nicola
Chi-Hua Chen
Marco Medici
W. Edward Visser
Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
Nature Communications
title Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
title_full Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
title_fullStr Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
title_full_unstemmed Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
title_short Mapping variants in thyroid hormone transporter MCT8 to disease severity by genomic, phenotypic, functional, structural and deep learning integration
title_sort mapping variants in thyroid hormone transporter mct8 to disease severity by genomic phenotypic functional structural and deep learning integration
url https://doi.org/10.1038/s41467-025-56628-w
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AT haowang mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annadolcettacapuzzo mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT lindajderooij mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT alexanderteumer mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT ayhanabaci mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT ericaltvandenakker mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT gautampambegaonkar mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT christinemarmour mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT iiuliubacos mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT priyankabakhtiani mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT dianabarca mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT andrewjbauer mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT sjoerdaavandenberg mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT amandavandenberge mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT enricobertini mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT ingridmvanbeynum mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT nicolabrunettipierri mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT dorisbrunner mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marcocappa mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT gerardacappuccio mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT barbaracastellotti mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT claudiacastiglioni mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT krishnachatterjee mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT alexanderchesover mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT peterchristian mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT jetcoenenvanderspek mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT irenaeusfmdecoo mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT regiscoutant mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT danacraiu mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT patriciacrock mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT christiandegoede mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT korcandemir mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT cheyennedewey mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT alicedica mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT pauldimitri mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marjoleinhgdremmen mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT rachanadubey mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT aninaenderli mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT janfairchild mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT jonathangallichan mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT luigigaribaldi mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT belindageorge mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT evelienfgevers mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT eringreenup mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annettehackenberg mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT zitahalasz mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT biankaheinrich mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annachurst mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT tonyhuynh mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT amberrisaza mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annaklosowska mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT mariekemvanderknoop mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT danielkonrad mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT davidakoolen mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT heikokrude mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT abhishekkulkarni mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT alexanderlaemmle mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT stephenhlafranchi mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT amylawsonyuen mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT janlebl mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT selmarleeuwenburgh mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT michaelalinderlucht mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annalopezmarti mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT claudiaflorea mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT charlesmlourenco mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT roelinekejlunsing mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT gretalyons mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT janakrenekmalikova mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT ednaemancilla mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT kennethlmccormick mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annemcgowan mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT veronicamericq mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT felipemontilora mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT carlamoran mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT katalinemuller mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT lindseyenicol mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT isabelleoliverpetit mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT laurapaone mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT praveengpaul mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT michelpolak mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT francescoporta mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT fabianooposwar mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT christinareinauer mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT klararozenkova mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT rowenseckold mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT tubasevenmenevse mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT petersimm mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annasimon mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT yogensingh mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marcospada mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT milouamstals mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT mereltstegenga mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT athanasiastoupa mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT gopinathmsubramanian mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT lillaszeifert mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT davidetonduti mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT serapturan mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT joelvanderniet mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT adrivanderwalt mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT jeanlouiswemeau mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT annemarievanwermeskerken mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT jolantawierzba mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marieclaireydewit mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT nicoleiwolf mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT michaelwurm mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT federicazibordi mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT amnonzung mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT nitashzwavelingsoonawala mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT fernandorivadeneira mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marcelemeima mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT deborasmarks mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT juanpnicola mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT chihuachen mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT marcomedici mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration
AT wedwardvisser mappingvariantsinthyroidhormonetransportermct8todiseaseseveritybygenomicphenotypicfunctionalstructuralanddeeplearningintegration