We use cookies

Essential storage keeps the site working (sign-in, theme, this choice). We'd also like to load Google Analytics to understand, in aggregate, how the site is used — never your genetic data. See our Cookie Policy.

DIO1 rs2235544: What Your Genotype Means

rs2235544
Trait
Limited evidenceGene: DIO1

The rs2235544 variant is a common genetic change located within the DIO1 gene. It is statistically associated with variations in the peripheral conversion of thyroxine (T4) to triiodothyronine (T3), influencing the balance of these thyroid hormones in the blood.

What each genotype means

C/CModerate attention

Increased thyroid hormone conversion

This genotype is associated with higher activity of the D1 enzyme, which may lead to a higher ratio of free T3 to free T4 in your blood. This is a normal genetic variation that influences how your body processes thyroid hormones, rather than a sign of thyroid disease. If you have concerns about your thyroid function or hormone levels, please discuss them with your healthcare provider.

The C allele is common globally, and this homozygous genotype is found in a significant portion of the population across most ancestries.

C/TLower attention

Average thyroid hormone conversion

This genotype represents a common variation in the DIO1 gene that influences the peripheral conversion of T4 to T3. Research indicates that individuals with this profile typically show intermediate enzyme activity levels compared to those with the CC or TT genotypes. This is a normal biological variation; please consult your clinician if you have questions regarding your thyroid health or hormone testing.

This heterozygous genotype is frequently observed in global populations, reflecting the high prevalence of both the C and T alleles.

T/TModerate attention

Lower thyroid hormone conversion

This genotype is associated with relatively lower D1 enzyme activity, which may result in a lower ratio of free T3 to free T4 compared to other genotypes. This is a normal genetic variation and does not indicate a thyroid disorder. As thyroid hormone balance is complex, please discuss any symptoms or lab results with your healthcare provider to determine if further evaluation is appropriate.

The T allele is common, and this genotype is found at a substantial frequency across diverse global populations.

Understanding the rs2235544 Variant

The rs2235544 variant is a single nucleotide polymorphism (SNP) situated in the third intron of the DIO1 gene. In genetics, an intron is a non-coding region of a gene that is transcribed into RNA but removed before the final protein is produced. While it does not directly alter the amino acid sequence of the resulting protein, variants in these regions can sometimes influence how a gene is regulated or expressed. Research has identified rs2235544 as a significant genetic marker for thyroid hormone metabolism. It has been studied extensively for its role in the enzymatic conversion processes that maintain the delicate balance of thyroid hormones circulating throughout the body. Because this variant is common, it serves as a useful tool for researchers investigating how individual genetic differences contribute to the wide range of normal thyroid hormone levels observed in the general population.

The Role of the DIO1 Gene

The DIO1 gene provides instructions for making an enzyme called type 1 iodothyronine deiodinase (D1). This enzyme plays a critical role in the endocrine system by facilitating the conversion of the prohormone thyroxine (T4) into the biologically active hormone triiodothyronine (T3). T3 is the primary form of thyroid hormone that exerts effects on tissues throughout the body, influencing metabolic rate, heart function, and muscle activity. By regulating the conversion of T4 to T3, the D1 enzyme helps ensure that tissues receive the appropriate amount of active hormone. Because the body relies on this conversion process to maintain homeostasis, any factor—genetic or environmental—that alters the efficiency of the D1 enzyme can potentially shift the ratio of T3 to T4 in the bloodstream. Understanding this pathway is essential for grasping how genetic variations like rs2235544 may influence physiological traits related to metabolism.

Research Associations and Evidence

Scientific studies have established a strong statistical association between the rs2235544 variant and the ratio of free T3 to free T4 in the blood. Specifically, the C-allele of this SNP has been linked to increased D1 enzymatic activity, which results in a higher free T3/T4 ratio, increased levels of free T3, and decreased levels of free T4 and reverse T3. This association has reached genome-wide levels of significance in large-scale studies. Importantly, research indicates that this variant does not appear to affect serum thyroid-stimulating hormone (TSH) levels, which are typically used by clinicians to screen for thyroid dysfunction. While the evidence for this association is robust, it is important to note that these findings describe population-level trends rather than individual clinical outcomes. The impact of this variant on specific health traits, such as basal metabolic rate or physical training adaptation, remains an area of ongoing research with limited evidence.

Population Frequency

The rs2235544 variant is widely distributed across global populations. The minor allele (C allele) has a frequency of approximately 0.40 to 0.45, meaning that the variant is quite common. Because of this high frequency, individuals may carry one or two copies of the C allele, leading to a diverse distribution of genotypes within any given population. This prevalence allows researchers to conduct large-scale association studies to confirm the variant's influence on thyroid hormone levels across different ancestral backgrounds. While the frequency is relatively stable, it is always possible for minor variations to exist between specific ethnic or geographic groups. Understanding these frequencies helps scientists contextualize the impact of the variant on a global scale, though it does not change the fundamental biological association between the SNP and the D1 enzyme's function.

Interpreting Your Genetic Information

Genetic information regarding the rs2235544 variant provides insight into your biological predispositions, but it should not be used for medical diagnosis or self-treatment. The associations described in scientific literature are statistical in nature and do not account for the complex interplay of other genes, lifestyle factors, or environmental influences that determine your actual thyroid hormone levels. If you are concerned about your thyroid health or are currently taking thyroid hormone replacement medication, it is essential to discuss your results with a qualified clinician or pharmacist. They can interpret your genetic data in the context of your clinical history, symptoms, and standard blood tests. Never make changes to your medication dosage or health regimen based on genetic reports alone. Professional medical guidance is necessary to ensure that any decisions regarding your health are safe, accurate, and appropriate for your specific needs.

How common is this variant?

The minor allele (C allele) of rs2235544 has a frequency of approximately 0.40–0.45 across global populations.

Frequently asked questions

Does rs2235544 mean I have a thyroid disease?

No, this variant is a common genetic marker associated with normal variations in thyroid hormone levels. It is not a diagnostic test for thyroid disease, and having a specific genotype does not mean you have a medical condition.

Can I use this information to adjust my thyroid medication?

No. You should never adjust your medication dosage based on genetic information. Always consult with your doctor or pharmacist before making any changes to your prescribed treatment.

Does this variant affect my TSH levels?

Current research indicates that the rs2235544 variant does not have a significant effect on serum TSH levels. TSH is a different marker typically used by doctors to assess thyroid function.

Is the association between this SNP and thyroid hormones strong?

Yes, studies have shown a statistically significant association between this variant and the ratio of free T3 to free T4. However, this is a population-level association and may not reflect the exact hormone levels in every individual.

Sources & further reading

Educational information only, last refreshed 10/19/2026. Not medical advice — these associations describe population statistics, not individual predictions.

Curious what your genotype is for rs2235544?

Upload a raw DNA file from 23andMe, AncestryDNA, MyHeritage, or FamilyTreeDNA and see this variant — plus thousands more — interpreted in your full report.

Get my report — $29