An inherited mutation associated with functional deficiency of the alpha-subunit of the guanine nucleotide-binding protein Gs in pseudo- and pseudopseudohypoparathyroidism.

Abstract

Pseudohypoparathyroidism type Ia (PSP) is a disorder characterized by Albright's osteodystrophy, secondary hyperparathyroidism, lowered Gs activity, and resistance of the urinary cAMP excretion to exogenous PTH. The patients had raised basal serum levels of TSH and/or excessive TSH response to TRH. Here we have described a 38-bp deletion at the exon 1/intron 1 boundary of one Gs alpha allele in two mothers with pseudo-PSP and in six offsprings with PSP of a kindred with Albright's osteodystrophy. The deletion eliminates the splice donor site of exon 1. The pseudo-PSP patients presented decreased Gs activity, but normal urinary cAMP responses to PTH and normal TSH levels and responses to TRH. As monitored during 22 yr, they had normal serum levels of calcium and PTH. The findings demonstrate the same inherited functional defect of Gs alpha in two female patients with pseudo-PSP and in six of their offspring with PSP. The pathogenesis of clinical hypoparathyroidism remains to be clarified.

• Authors: J A Fischer, F Egert, E Werder, W Born
• Journal: The Journal of clinical endocrinology and metabolism (J Clin Endocrinol Metab) Vol. 83 Issue 3 Pg. 935-8 (Mar 1998) ISSN: 0021-972X [Print] United States
• PMID: 9506752 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Thyrotropin-Releasing Hormone
• Thyrotropin
• GTP-Binding Proteins

Topics

• Adolescent
• Adult
• Alleles
• Base Sequence
• Child
• Child, Preschool
• Female
• GTP-Binding Proteins (genetics)
• Gene Deletion
• Humans
• Infant
• Male
• Middle Aged
• Mutation (genetics)
• Pedigree
• Polymerase Chain Reaction
• Pseudohypoparathyroidism (blood, genetics)
• Pseudopseudohypoparathyroidism (blood, genetics)
• Thyrotropin (blood)
• Thyrotropin-Releasing Hormone