Alteration of thyroid gland morphogenesis (thyroid dysgenesis) is a fr
equent human malformation. Among the one in three to four thousand new
borns in which congenital hypothyroidism is detected, 80% have either
an ectopic, small and sublingual thyroid, or have no thyroid tissue(1)
. Most of these cases appear sporadically, although a few cases of rec
urring familial thyroid dysgenesis have been described(2). The lack of
evidence for hereditary thyroid dysgenesis may be due to the severity
of the hypothyroid phenotype. Neonatal screening and early thyroid ho
rmone therapy have eliminated most of the clinical consequences of hyp
othyroidism such that the heritability of this condition may become ap
parent in the near future. We have recently cloned cDNA encoding a for
khead domain-containing transcription factor, TTF-2, and have located
the position of the gene, designated Titf2, to mouse chromosome 4 (ref
. 3). Titf2 is expressed in the developing thyroid, in most of the for
egut endoderm and in craniopharyngeal ectoderm, including Rathke's pou
ch(3). Expression of Titf2 in thyroid cell precursors is down-regulate
d as they cease migration, suggesting that this factor is involved in
the process of thyroid gland morphogenesis. Here we show that Titf2-nu
ll mutant mice exhibit cleft palate and either a sublingual or complet
ely absent thyroid gland. Thus, mutation of Titf2(-/-) results in neon
atal hypothyroidism that shows similarity to thyroid dysgenesis in hum
ans.