title: Study of the multiple endocrine neoplasia type 1, growth hormone-releasing hormone receptor, Gs alpha, and Gi2 alpha genes in isolated familial acromegaly.
abstract: Familial acromegaly may occur as an isolated pituitary disorder or as a feature of hereditary syndromes, such as multiple endocrine neoplasia type 1 (MEN1) or the Carney complex. Herein, we characterized a newly identified kindred with isolated acromegaly and searched for germline mutation in genes that have been associated with endocrine tumors [i.e. MEN1, Gs alpha (GNAS1), and Gi2 alpha (GNAI2)], as well as the GHRH receptor (GHRH-R) gene. Genomic DNA was used to amplify exons 2-10 of MEN1, followed by dideoxy fingerprinting mutation analysis and direct sequencing. The GHRH-R gene was analyzed via direct sequencing of PCR-amplified fragments representing the coding exons and intron-exon junctions. To exclude mutation at hot spot areas of GNAS1 and GNAI2, exons 8 and 9 of GNAS1 and exons 5 and 6 of GNAI2 were amplified and screened for mutation via denaturing gradient gel electrophoresis. No mutations were detected in any of the four genes. The present data extend prior reports of the absence of mutation in MEN1, GHRH-R, and GNAS1 and describe the first family with isolated acromegaly in which germline mutation in GNAI2 has been searched.
authors.affiliation: Endocrine Genetics Unit (LIM-25) and Hormone and Molecular Genetics Laboratory, Endocrinology Section, Department of Medicine, University of Sao Paulo School of Medicine, Sao Paulo SP 01246-903, Brazil. beatrizjorge@hotmail.com
authors.forename: B H
authors.initials: BH
authors.lastname: Jorge
authors.forename: S K
authors.initials: SK
authors.lastname: Agarwal
authors.forename: V S
authors.initials: VS
authors.lastname: Lando
authors.forename: R
authors.initials: R
authors.lastname: Salvatori
authors.forename: R R
authors.initials: RR
authors.lastname: Barbero
authors.forename: N
authors.initials: N
authors.lastname: Abelin
authors.forename: M A
authors.initials: MA
authors.lastname: Levine
authors.forename: S J
authors.initials: SJ
authors.lastname: Marx
authors.forename: S P
authors.initials: SP
authors.lastname: Toledo
mesh_terms: D000172:Acromegaly / Q000235:genetics*; D000328:Adult; D005260:Female; D051960:GTP-Binding Protein alpha Subunit, Gi2; D019206:GTP-Binding Protein alpha Subunits, Gi-Go / Q000235:genetics*; D019205:GTP-Binding Protein alpha Subunits, Gs / Q000235:genetics*; D006801:Humans; D008297:Male; D018761:Multiple Endocrine Neoplasia Type 1 / Q000235:genetics*; D009679:Nuclear Family; D016133:Polymerase Chain Reaction; D011518:Proto-Oncogene Proteins / Q000235:genetics*; D018013:Receptors, Neuropeptide / Q000235:genetics*; D018017:Receptors, Pituitary Hormone-Regulating Hormone / Q000235:genetics*
chemical_list: D011518:Proto-Oncogene Proteins; D018013:Receptors, Neuropeptide; D018017:Receptors, Pituitary Hormone-Regulating Hormone; C498015:GNAI2 protein, human; D051960:GTP-Binding Protein alpha Subunit, Gi2; D019206:GTP-Binding Protein alpha Subunits, Gi-Go; D019205:GTP-Binding Protein alpha Subunits, Gs; C048250:somatotropin releasing hormone receptor