DIO2 (deiodinase, iodothyronine, type II)
2010-06-01 Ana Luiza Maia  , Simone Magagnin Wajner  , Leonardo B Leiria   AffiliationThyroid Section, Endocrine Division, Hospital de Clinicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
DNA/RNA

Organization of the Dio2 gene: Yellow bars represent the coding region (exon) and red bars, the untranslated region.
Description
The Dio2 gene is composed of 3 exons comprising 14656 bp of the genomic DNA.
Transcription
The length of transcribed mRNA is about 6,8 kb and generates three variants of mRNA. Transcript variant 1 represents the longest transcript and encodes isoform a. Transcript variant 2 differs in the 5UTR when compared to variant 1. Both variants 1 and 2 encode isoform a. Transcript variant 3 includes an alternate in-frame exon in the coding region, compared to variant 1. Variant 3 encodes isoform b, which is longer than isoform a.
Pseudogene
No pseudogene have been described.
Proteins

Schematic representation of D2 peptide structure (not on scale). Isoform a (273 aa) and Isoform b (309 aa). In deep green transmembran domain (position 10-34). In yellow active site (position 133). In deep blue alternative sequence isoform b (position 74).
Description
The protein encoded by this gene belongs to the iodothyronine deiodinase family. This enzyme activates thyroid hormone by converting the prohormone thyroxine (T4) by outer ring deiodination to bioactive 3,3,5-triiodothyronine (T3). It is highly expressed in the thyroid, and may contribute significantly to the relative increase in thyroidal T3 production in patients with Graves disease and thyroid adenomas. This protein contains selenocysteine (Sec) residues encoded by the UGA codon, which often signals the end of process of translation. The 3UTR of Sec-containing genes have a common stem-loop structure, the sec insertion sequence (SECIS), which is necessary for the recognition of UGA as a Sec codon rather than a stop signal. Alternative splicing results in multiple transcript variants encoding different isoforms. Ubiquitination can also regulate proteins by transiently inactivating enzymatic function through conformational change in a dimeric enzyme, which can be reversed upon deubiquitination (post-translational).
Expression
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 in brain, thyroid, liver, thymus, anterior pituitary gland and brown adipose tissue. In mesothelioma cell lysates, Curcio et al. (2001) determined that endogenous DIO2 gene had an apparent molecular mass of 31 kD. In normal tissues, D2 activity/mRNA ratio is variable, but the enzyme is expressed in rodents in the developing and adult testis, heart, muscle, thyroid, BAT, brain, pituitary, thymus, skin, spinal cord, placenta, liver and pancreas. In humans D2 is expressed in brain, BAT, heart, thyroid, muscle, placenta, skin and vascular smooth muscle cells.
Localisation
Immuno location of the protein in cells showed D2 as an endoplasmic reticulum resident protein.
Function
Type 2 deiodinase converts intracellular pro-hormone-3,3,5,5-tetraiodothyronine (T4) into the active thyroid hormone 3,3,5-triiodothyronine (T3) thereby regulating intracellular levels of active T3 in target tissues.
Thermogenesis
The expression of D2 is increased in response to cold stimulation in brown adipocytes isolated from mice. Dio2 activation in the brown adipose tissue (BAT) of human newborns and rodents is known to play a role in adaptive energy expenditure during cold exposure.
Development
D2 activity is present in human placenta through all pregnancy, and is highly expressed during the first trimester. The level of activity is low in the non-pregnant uterus, but in pregnancy the level rises progressively to a maximum at gestation day 17 when it is increased threefold.
Thermogenesis
The expression of D2 is increased in response to cold stimulation in brown adipocytes isolated from mice. Dio2 activation in the brown adipose tissue (BAT) of human newborns and rodents is known to play a role in adaptive energy expenditure during cold exposure.
Development
D2 activity is present in human placenta through all pregnancy, and is highly expressed during the first trimester. The level of activity is low in the non-pregnant uterus, but in pregnancy the level rises progressively to a maximum at gestation day 17 when it is increased threefold.
Homology
Several homologues of Dio2 have been identified in Pan troglodytes and Macaca mulatta (100%). The chicken and mouse have similar domain structures with human Dio2 (97%). Human Dio2 homology with D3 is expressed in Sus scrofia, Equus caballus, Cricetus cricetus, Oryctolagus cuniculus, Pituophis deppei (92% similarity) and limited domains with human D3 and D1.
Mutations
Note
No germinal or somatic mutations has been described. However, the polymorphism Thr92Ala in Dio2 gene is associated with increased risk of mental retardation, insulin resistance in type 2 diabetic patients, reduced glucose availability in obese women, symptomatic osteoarthritis, Graves disease and arterial hypertension.
Implicated in
Entity name
Various cancers
Note
Although not completely understood, Dio2 gene expression and activity is altered in some tumors. It is under-expressed in papillary thyroid carcinomas (PTC). In follicular tumors, D2 activity is similar or elevated when compared to non tumoral tissues, and augmented in follicular adenomas. D2 is also highly expressed in medullar thyroid carcinoma. A higher expression of the Dio2 gene was also described in gliosarcoma, oligoastrocytoma, glioblastoma, oligodendroglioma and pituitary tumors. In contrast, meningioma does not express D2 activity. These differences might be related to the embrionary tumor origin. Mesothelioma expresses higher activity of D2, whereas osteosarcoma has diminished D2 activity.
Entity name
Insulin resistance
Note
Dio2 polymorphism Thr92Ala interacts with a polymorphism in PPAR gamma 2 gene and is associated with insulin resistance in diabetic patients. This Dio2 polymorphism is associated with a ~20% lower rate of glucose disposal in obese women than in non-obese women. Although the association between those two genes occurs in patients with insulin resistance, these results are contradictory in non diabetic population.
Entity name
Hypothyroidism
Note
Disruption in mouse Dio2 gene is associated with alterations in T4/T3 balance with elevated TSH levels, which demonstrates that the Dio2 gene is of critical importance in the feedback regulation of TSH secretion.
Entity name
Graves disease
Note
It is suggested that the Thr92Ala variant of the Dio2 gene is associated or might be in linkage disequilibrium with a functional DIO2 polymorphism which involves the development of Graves disease in a Russian population.
Entity name
Mental retardation
Note
A case control study in Chinese patients demonstrated that two allelic intronic SNPs (rs225010 (T/C) and rs225012 (A/G)) in the DIO2 gene could affect the amount of T3 available and in an iodine-deficient environment and partially determine on augmented risk of mental retardation. They found a positive association with mental retardation and the two intronic Dio2 polymorphisms but not with Dio2 Thr92Ala alone and concluded that the genetic variation in Dio2 determine the risk of development of mental retardation that could be due to alterations in the local amount of T3 available in the brain.
Entity name
Bone metabolism
Note
Dio2 is expressed in human and mouse osteoblast cells. In patients with differentiated thyroid carcinoma, the Dio2 Thr92Ala polymorphism is associated with a decreased femoral neck bone mineral density and higher bone turnover independent of serum thyroid hormone levels.
Entity name
Cardiomyopathy and arterial hypertension
Note
Dio2 gene expression is also markedly up-regulated in hearts of mice that develops hypothyroidism or eccentric hypertrophy after myocardial infarction. The Dio2 polymorphism Thr92Ala is also associated with increased risk for the development of hypertension.
Article Bibliography
| Pubmed ID | Last Year | Title | Authors |
|---|---|---|---|
| 10343107 | 1999 | Assignment of type II iodothyronine deiodinase gene (DIO2) to human chromosome band 14q24.2-->q24.3 by in situ hybridization. | Araki O et al |
| 15785240 | 2005 | Gene expression profiles reveal that DCN, DIO1, and DIO2 are underexpressed in benign and malignant thyroid tumors. | Arnaldi LA et al |
| 10614643 | 2000 | Characterization of the 5'-flanking and 5'-untranslated regions of the cyclic adenosine 3',5'-monophosphate-responsive human type 2 iodothyronine deiodinase gene. | Bartha T et al |
| 16283553 | 2005 | Adaptive activation of thyroid hormone and energy expenditure. | Bianco AC et al |
| 9837913 | 1998 | The 3'-untranslated region of human type 2 iodothyronine deiodinase mRNA contains a functional selenocysteine insertion sequence element. | Buettner C et al |
| 10655523 | 2000 | Type 2 iodothyronine deiodinase expression in the cochlea before the onset of hearing. | Campos-Barros A et al |
| 15797963 | 2005 | The type 2 deiodinase A/G (Thr92Ala) polymorphism is associated with decreased enzyme velocity and increased insulin resistance in patients with type 2 diabetes mellitus. | Canani LH et al |
| 17389255 | 2007 | Type 2 deiodinase Thr92Ala polymorphism is not associated with arterial hypertension in type 2 diabetes mellitus patients. | Canani LH et al |
| 9723885 | 1998 | Genomic characterization of the coding region of the human type II 5'-deiodinase gene. | Celi FS et al |
| 15542398 | 2004 | Screening of SNPs at 18 positional candidate genes, located within the GD-1 locus on chromosome 14q23-q32, for susceptibility to Graves' disease: a TDT study. | Chistiakov DA et al |
| 8755651 | 1996 | Cloning of the mammalian type II iodothyronine deiodinase. A selenoprotein differentially expressed and regulated in human and rat brain and other tissues. | Croteau W et al |
| 11425850 | 2001 | The human type 2 iodothyronine deiodinase is a selenoprotein highly expressed in a mesothelioma cell line. | Curcio C et al |
| 12865408 | 2003 | Deubiquitination of type 2 iodothyronine deiodinase by von Hippel-Lindau protein-interacting deubiquitinating enzymes regulates thyroid hormone activation. | Curcio-Morelli C et al |
| 18198294 | 2007 | Interaction of DIO2 T92A and PPARgamma2 P12A polymorphisms in the modulation of metabolic syndrome. | Fiorito M et al |
| 16131325 | 2005 | The roles of the iodothyronine deiodinases in mammalian development. | Galton VA et al |
| 18815314 | 2008 | Cellular and molecular basis of deiodinase-regulated thyroid hormone signaling. | Gereben B et al |
| 15471965 | 2005 | Type 2 iodothyronine selenodeiodinase is expressed throughout the mouse skeleton and in the MC3T3-E1 mouse osteoblastic cell line during differentiation. | Gouveia CH et al |
| 17224473 | 2007 | Ala92 type 2 deiodinase allele increases risk for the development of hypertension. | Gumieniak O et al |
| 15286152 | 2004 | Positive association of the DIO2 (deiodinase type 2) gene with mental retardation in the iodine-deficient areas of China. | Guo TW et al |
| 20200941 | 2010 | The type 2 deiodinase Thr92Ala polymorphism is associated with increased bone turnover and decreased femoral neck bone mineral density. | Heemstra KA et al |
| 17381351 | 2007 | The type 2 deiodinase (DIO2) A/G polymorphism is not associated with glycemic traits: the Framingham Heart Study. | Maia AL et al |
| 18285610 | 2008 | Lack of association between the type 2 deiodinase A/G polymorphism and hypertensive traits: the Framingham Heart Study. | Maia AL et al |
| 16127464 | 2005 | Type 2 iodothyronine deiodinase is the major source of plasma T3 in euthyroid humans. | Maia AL et al |
| 11872697 | 2002 | Association between a novel variant of the human type 2 deiodinase gene Thr92Ala and insulin resistance: evidence of interaction with the Trp64Arg variant of the beta-3-adrenergic receptor. | Mentuccia D et al |
| 18514391 | 2008 | Type 2 iodothyronine deiodinase is highly expressed in medullary thyroid carcinoma. | Meyer EL et al |
| 11179199 | 2001 | Thyroid hormone activation in human vascular smooth muscle cells: expression of type II iodothyronine deiodinase. | Mizuma H et al |
| 15650076 | 2005 | Expression of type 2 iodothyronine deiodinase in human osteoblast is stimulated by thyrotropin. | Morimura T et al |
| 11181535 | 2001 | Thyrotropin receptors in brown adipose tissue: thyrotropin stimulates type II iodothyronine deiodinase and uncoupling protein-1 in brown adipocytes. | Murakami M et al |
| 11165050 | 2001 | Identification of two novel splicing variants of human type II iodothyronine deiodinase mRNA. | Ohba K et al |
| 19190113 | 2009 | Common variation in the DIO2 gene predicts baseline psychological well-being and response to combination thyroxine plus triiodothyronine therapy in hypothyroid patients. | Panicker V et al |
| 17452445 | 2007 | Ubiquitination-induced conformational change within the deiodinase dimer is a switch regulating enzyme activity. | Sagar GD et al |
| 8770868 | 1996 | Type 2 iodothyronine deiodinase is highly expressed in human thyroid. | Salvatore D et al |
| 11731615 | 2001 | Targeted disruption of the type 2 selenodeiodinase gene (DIO2) results in a phenotype of pituitary resistance to T4. | Schneider MJ et al |
| 14664714 | 2003 | Hypothyroidism induces type 2 iodothyronine deiodinase expression in mouse heart and testis. | Wagner MS et al |
| 17592020 | 2007 | Type 2 iodothyronine deiodinase is highly expressed in germ cells of adult rat testis. | Wajner SM et al |
| 20453157 | 2010 | Up-regulation of type 2 iodothyronine deiodinase in dilated cardiomyopathy. | Wang YY et al |
| 18451493 | 2008 | Cold-induced changes in gene expression in brown adipose tissue: implications for the activation of thermogenesis. | Watanabe M et al |
| 18468505 | 2008 | Iodothyronine deiodinase enzyme activities in bone. | Williams AJ et al |
| 11721329 | 2001 | [Thyroid hormones, obesity and brown adipose tissue thermogenesis]. | Zaninovich AA et al |
Other Information
Locus ID:
NCBI: 1734
MIM: 601413
HGNC: 2884
Ensembl: ENSG00000211448
Variants:
dbSNP: 1734
ClinVar: 1734
TCGA: ENSG00000211448
COSMIC: DIO2
RNA/Proteins
Expression (GTEx)
Pathways
PharmGKB
| Entity ID | Name | Type | Evidence | Association | PK | PD | PMIDs |
|---|---|---|---|---|---|---|---|
| PA445857 | Thyroid Neoplasms | Disease | VariantAnnotation | not associated | PD | ||
| PA450221 | levothyroxine | Chemical | VariantAnnotation | not associated | PD |
References
| Pubmed ID | Year | Title | Citations |
|---|---|---|---|
| 37740545 | 2024 | Association of DIO2 and MCT10 Polymorphisms With Persistent Symptoms in LT4-Treated Patients in the UK Biobank. | 0 |
| 38339190 | 2024 | Effect of DIO2 Gene Polymorphism on Thyroid Hormone Levels and Its Correlation with the Severity of Schizophrenia in a Pakistani Population. | 0 |
| 38911040 | 2024 | The Thr92Ala polymorphism in the type 2 deiodinase gene is linked to depression in patients with COVID-19 after hospital discharge. | 0 |
| 37740545 | 2024 | Association of DIO2 and MCT10 Polymorphisms With Persistent Symptoms in LT4-Treated Patients in the UK Biobank. | 0 |
| 38339190 | 2024 | Effect of DIO2 Gene Polymorphism on Thyroid Hormone Levels and Its Correlation with the Severity of Schizophrenia in a Pakistani Population. | 0 |
| 38911040 | 2024 | The Thr92Ala polymorphism in the type 2 deiodinase gene is linked to depression in patients with COVID-19 after hospital discharge. | 0 |
| 36528108 | 2023 | Single-cell profiling of the microenvironment in decidual tissue from women with missed abortions. | 3 |
| 36646987 | 2023 | Association between DIO2 Thr92Ala polymorphism and hypertension in patients with hypothyroidism: Korean Genome and Epidemiology Study. | 0 |
| 37059745 | 2023 | Polymorphisms within DIO2 and GADD45A genes increase the risk of liver disease progression in chronic hepatitis b carriers. | 0 |
| 36528108 | 2023 | Single-cell profiling of the microenvironment in decidual tissue from women with missed abortions. | 3 |
| 36646987 | 2023 | Association between DIO2 Thr92Ala polymorphism and hypertension in patients with hypothyroidism: Korean Genome and Epidemiology Study. | 0 |
| 37059745 | 2023 | Polymorphisms within DIO2 and GADD45A genes increase the risk of liver disease progression in chronic hepatitis b carriers. | 0 |
| 35256049 | 2022 | Crosstalk between CpG Methylation and Polymorphisms (CpG-SNPs) in the Promotor Region of DIO2 in Kashin-Beck Disease. | 2 |
| 35739305 | 2022 | Type 2 deiodinase p.Thr92Ala polymorphism does not affect the severity of obesity and weight loss after bariatric surgery. | 1 |
| 35964788 | 2022 | Association between phenols and thyroid hormones: The role of iodothyronine deiodinase genes. | 5 |
Citation
Ana Luiza Maia ; Simone Magagnin Wajner ; Leonardo B Leiria
DIO2 (deiodinase, iodothyronine, type II)
Atlas Genet Cytogenet Oncol Haematol. 2010-06-01
Online version: http://atlasgeneticsoncology.org/gene/44390/dio2
