title: The molecular basis of disorders caused by defects in G proteins.
abstract: G proteins couple receptors for many hormones to effectors that regulate second messenger metabolism. G protein dysfunction could involve gain or loss of function. For Gs, the G protein that couples receptors to stimulation of cAMP formation, examples of both types have already been defined. Germline loss of function mutations in the Gs(alpha) gene are responsible for a form of inherited hormone resistance termed pseudohypoparathyroidism (Albright hereditary osteodystrophy). Conversely, somatic gain of function mutations cause constitutive stimulation of cAMP, independent of receptor activation, in acromegaly, in hyperfunctional thyroid nodules, and in the McCune-Albright syndrome. Future work is likely to uncover additional disorders caused by defective G proteins with implications for diagnosis and treatment.
authors.affiliation: Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Md. 20892, USA.
authors.forename: A M
authors.initials: AM
authors.lastname: Spiegel
mesh_terms: D000172:Acromegaly / Q000235:genetics / Q000378:metabolism; D000242:Cyclic AMP / Q000096:biosynthesis; D005359:Fibrous Dysplasia, Polyostotic / Q000235:genetics / Q000378:metabolism; D020558:GTP Phosphohydrolases / Q000378:metabolism; D019204:GTP-Binding Proteins / Q000737:chemistry / Q000235:genetics* / Q000378:metabolism*; D006801:Humans; D006980:Hyperthyroidism / Q000235:genetics / Q000378:metabolism; D015394:Molecular Structure; D009154:Mutation; D009755:Night Blindness / Q000151:congenital / Q000235:genetics / Q000378:metabolism; D011487:Protein Conformation; D011547:Pseudohypoparathyroidism / Q000235:genetics / Q000378:metabolism; D016606:Thyroid Nodule / Q000235:genetics / Q000378:metabolism
chemical_list: D000242:Cyclic AMP; D020558:GTP Phosphohydrolases; D019204:GTP-Binding Proteins