Exp Clin Endocrinol Diabetes 2010; 118(9): 586-590
DOI: 10.1055/s-0029-1237708
Article

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

A Novel GNAS1 Mutation in a German Family with Albright's Hereditary Osteodystrophy

A. Klagge1 , B. Jessnitzer1 , R. Pfaeffle2 , M. Stumvoll1 , D. Fuhrer1
  • 1Department of Internal Medicine, Division of Endocrinology and Nephrology, University of Leipzig, Leipzig, Germany
  • 2University Children's Hospital, Leipzig, Germany
Further Information

Publication History

received 03.06.2009 first decision 22.07.2009

accepted 30.07.2009

Publication Date:
23 October 2009 (online)

Abstract

Albright's hereditary osteodystrophy (AHO) is an inherited disorder and results from heterozygous loss of function mutation within the human Gsα gene (GNAS1). AHO appears in two phenotypes, that may occur within the same family. Pseudohypoparathyroidism type Ia (PHP Ia) comprises the clinical features of AHO associated with parathyroid hormone (PTH) resistance while pseudo-pseudohypoparathyroidism (PPHP) includes AHO features without PTH resistance. In the present study we report a mother and a daughter with PPHP and PHP Ia respectively. The 13 exons of GNAS1 were analysed by PCR and direct sequencing. We identified a heterozygous missense mutation in exon 1. This novel mutation results in a stop at codon 35 and a truncated non-functional GNAS1 protein.

References

  • 1 Wilson LC, Trembath RC. Albright's hereditary osteodystrophy.  J Med Genet. 1994;  31 779-784
  • 2 Albright F, Forbes AP, Henneman PH. Pseudopseudohypoparathyroidism.  Trans Assoc Am Physicians. 1952;  65 337-350
  • 3 Davies SJ, Hughes HE. Imprinting in Albright's hereditary osteodystrophy.  J Med Genet. 1993;  30 101-103
  • 4 Wilson LC, Oude Luttikhuis ME, Clayton PT. et al . Parental origin of Gs alpha gene mutations in Albright's hereditary osteodystrophy.  J Med Genet. 1994;  31 835-839
  • 5 Houslay MD. G-protein linked receptors: a family probed by molecular cloning and mutagenesis procedures.  Clin Endocrinol (Oxf). 1992;  36 525-534
  • 6 Spiegel AM, Shenker A, Weinstein LS. Receptor-effector coupling by G proteins: implications for normal and abnormal signal transduction.  Endocr Rev. 1992;  13 536-565
  • 7 Spiegel AM, Weinstein LS, Shenker A. Abnormalities in G protein-coupled signal transduction pathways in human disease.  J Clin Invest. 1993;  92 1119-1125
  • 8 Farfel Z, Brickman AS, Kaslow HR. et al . Defect of receptor-cyclase coupling protein in psudohypoparathyroidism.  N Engl J Med. 1980;  303 237-242
  • 9 Levine MA. et al . Deficient activity of guanine nucleotide regulatory protein in erythrocytes from patients with pseudohypoparathyroidism.  Biochem Biophys Res Commun. 1980;  94 1319-1324
  • 10 Levine MA. et al . Resistance to multiple hormones in patients with pseudohypoparathyroidism. Association with deficient activity of guanine nucleotide regulatory protein.  Am J Med. 1983;  74 545-556
  • 11 Levine MA, Modi WS, O’Brien SJ. Mapping of the gene encoding the alpha subunit of the stimulatory G protein of adenylyl cyclase (GNAS1) to 20q13.2–q13.3 in human by in situ hybridization.  Genomics. 1991;  11 478-479
  • 12 Rickard SJ, Wilson LC. Analysis of GNAS1 and overlapping transcripts identifies the parental origin of mutations in patients with sporadic Albright hereditary osteodystrophy and reveals a model system in which to observe the effects of splicing mutations on translated and untranslated messenger RNA.  Am J Hum Genet. 2003;  72 961-974
  • 13 Ahmed SF. et al . GNAS1 mutational analysis in pseudohypoparathyroidism.  Clin Endocrinol (Oxf). 1998;  49 525-531
  • 14 Aldred MA, Trembath RC. Activating and inactivating mutations in the human GNAS1 gene.  Hum Mutat. 2000;  16 183-189
  • 15 Aldred MA. et al . Constitutional deletion of chromosome 20q in two patients affected with albright hereditary osteodystrophy.  Am J Med Genet. 2002;  113 167-172
  • 16 Farfel Z. et al . Pseudohypoparathyroidism, a novel mutation in the betagamma-contact region of Gsalpha impairs receptor stimulation.  J Biol Chem. 1996;  271 19653-19655
  • 17 Fischer JA, Egert F, Werder E. et al . An inherited mutation associated with functional deficiency of the alpha-subunit of the guanine nucleotide-binding protein Gs in pseudo- and pseudopseudohypoparathyroidism.  J Clin Endocrinol Metab. 1998;  83 935-938
  • 18 Miric A, Vechio JD, Levine MA. Heterogeneous mutations in the gene encoding the alpha-subunit of the stimulatory G protein of adenylyl cyclase in Albright hereditary osteodystrophy.  J Clin Endocrinol Metab. 1993;  76 1560-1568
  • 19 Patten JL. et al . Mutation in the gene encoding the stimulatory G protein of adenylate cyclase in Albright's hereditary osteodystrophy.  N Engl J Med. 1990;  322 1412-1419
  • 20 Schuster V, Eschenhagen T, Kruse K. et al . Endocrine and molecular biological studies in a German family with Albright hereditary osteodystrophy.  Eur J Pediatr. 1993;  152 185-189
  • 21 Schwindinger WF, Miric A, Zimmerman D. et al . A novel Gs alpha mutant in a patient with Albright hereditary osteodystrophy uncouples cell surface receptors from adenylyl cyclase.  J Biol Chem. 1994;  269 25387-25391
  • 22 Shapira H, Mouallem M, Shapiro MS. et al . Pseudohypoparathyroidism type Ia: two new heterozygous frameshift mutations in exons 5 and 10 of the Gs alpha gene.  Hum Genet. 1996;  97 73-75
  • 23 Warner DR, Gejman PV, Collins RM. et al . A novel mutation adjacent to the switch III domain of G(S alpha) in a patient with pseudohypoparathyroidism.  Mol Endocrinol. 1997;  11 1718-1727
  • 24 Warner DR, Weng G, Yu S. et al . A novel mutation in the switch 3 region of Gsalpha in a patient with Albright hereditary osteodystrophy impairs GDP binding and receptor activation.  J Biol Chem. 1998;  273 23976-23983
  • 25 Weinstein LS. et al . Mutations of the Gs alpha-subunit gene in Albright hereditary osteodystrophy detected by denaturing gradient gel electrophoresis.  Proc Natl Acad Sci USA. 1990;  87 8287-8290
  • 26 Weinstein LS, Gejman PV, de Mazancourt P. et al . A heterozygous 4-bp deletion mutation in the Gs alpha gene (GNAS1) in a patient with Albright hereditary osteodystrophy.  Genomics. 1992;  13 1319-1321
  • 27 Wilson LC, Oude Luttikhuis ME, Clayton PT. et al . Parental origin of Gs alpha gene mutations in Albright's hereditary osteodystrophy.  J Med Genet. 1994;  31 835-839
  • 28 Yu D. et al . Identification of two novel deletion mutations within the Gs alpha gene (GNAS1) in Albright hereditary osteodystrophy.  J Clin Endocrinol Metab. 1999;  84 3254-3259
  • 29 Yu S. et al . A deletion hot-spot in exon 7 of the Gs alpha gene (GNAS1) in patients with Albright hereditary osteodystrophy.  Hum Mol Genet. 1995;  4 2001-2002
  • 30 Mantovani G. et al . Mutational analysis of GNAS1 in patients with pseudohypoparathyroidism: identification of two novel mutations.  J Clin Endocrinol Metab. 2000;  85 4243-4248
  • 31 Landis CA. et al . GTPase inhibiting mutations activate the alpha chain of Gs and stimulate adenylyl cyclase in human pituitary tumours.  Nature. 1989;  340 692-696
  • 32 Kozasa T, Itoh H, Tsukamoto T. et al . Isolation and characterization of the human Gs alpha gene.  Proc Natl Acad Sci USA. 1988;  85 2081-2085
  • 33 Masters SB, Stroud RM, Bourne HR. Family of G protein alpha chains: amphipathic analysis and predicted structure of functional domains.  Protein Eng. 1986;  1 47-54
  • 34 Yu S. et al . Variable and tissue-specific hormone resistance in heterotrimeric Gs protein alpha-subunit (Gsalpha) knockout mice is due to tissue-specific imprinting of the gsalpha gene.  Proc Natl Acad Sci USA. 1998;  95 8715-8720
  • 35 Mantovani G. et al . Growth hormone-releasing hormone resistance in pseudohypoparathyroidism type ia: new evidence for imprinting of the Gs alpha gene.  J Clin Endocrinol Metab. 2003;  88 4070-4074

Correspondence

D. FuhrerMD PhD 

Department of Internal Medicine

Division of Endocrinology and Nephrology

University of Leipzig

Liebigstraße 18

04103 Leipzig

Phone: +49/341/971 33 01

Fax: +49/341/971 33 89

Email: Dagmar.Fuehrer@medizin.uni-leipzig.de

    >