title: A mouse model for the Carney complex tumor syndrome develops neoplasia in cyclic AMP-responsive tissues.
abstract: Carney complex is an autosomal dominant neoplasia syndrome characterized by spotty skin pigmentation, myxomatosis, endocrine tumors, and schwannomas. This condition may be caused by inactivating mutations in PRKAR1A, the gene encoding the type 1A regulatory subunit of protein kinase A. To better understand the mechanism by which PRKAR1A mutations cause disease, we have developed conventional and conditional null alleles for Prkar1a in the mouse. Prkar1a(+/-) mice developed nonpigmented schwannomas and fibro-osseous bone lesions beginning at approximately 6 months of age. Although genotype-specific cardiac and adrenal lesions were not seen, benign and malignant thyroid neoplasias were observed in older mice. This spectrum of tumors overlaps that seen in Carney complex patients, confirming the validity of this mouse model. Genetic analysis indicated that allelic loss occurred in a subset of tumor cells, suggesting that complete loss of Prkar1a plays a key role in tumorigenesis. Similarly, tissue-specific ablation of Prkar1a from a subset of facial neural crest cells caused the formation of schwannomas with divergent differentiation. These observations confirm the identity of PRKAR1A as a tumor suppressor gene with specific importance to cyclic AMP-responsive tissues and suggest that these mice may be valuable tools not only for understanding endocrine tumorigenesis but also for understanding inherited predispositions for schwannoma formation.
authors.affiliation: Human Cancer Genetics Program, and Division of Endocrinology, Department of Internal Medicine, The Ohio State University, Columbus, Ohio 43210, USA. Kirschner-1@medctr.osu.edu
authors.forename: Lawrence S
authors.initials: LS
authors.lastname: Kirschner
authors.forename: Donna F
authors.initials: DF
authors.lastname: Kusewitt
authors.forename: Ludmila
authors.initials: L
authors.lastname: Matyakhina
authors.forename: William H
authors.initials: WH
authors.lastname: Towns
authors.forename: J Aidan
authors.initials: JA
authors.lastname: Carney
authors.forename: Heiner
authors.initials: H
authors.lastname: Westphal
authors.forename: Constantine A
authors.initials: CA
authors.lastname: Stratakis
mesh_terms: D000483:Alleles; D000818:Animals; D001859:Bone Neoplasms / Q000201:enzymology / Q000235:genetics / Q000473:pathology; D000242:Cyclic AMP / Q000502:physiology*; D054756:Cyclic AMP-Dependent Protein Kinase RIalpha Subunit; D004195:Disease Models, Animal; D005260:Female; D016147:Genes, Tumor Suppressor; D020022:Genetic Predisposition to Disease; D008297:Male; D051379:Mice; D009377:Multiple Endocrine Neoplasia / Q000201:enzymology / Q000235:genetics* / Q000473:pathology; D009442:Neurilemmoma / Q000201:enzymology / Q000235:genetics* / Q000473:pathology; D010006:Osteoblasts / Q000166:cytology / Q000502:physiology; D011506:Proteins / Q000235:genetics*; D012583:Schwann Cells / Q000166:cytology / Q000502:physiology; D013577:Syndrome; D013950:Thymus Gland / Q000166:cytology / Q000502:physiology; D013964:Thyroid Neoplasms / Q000201:enzymology / Q000235:genetics / Q000473:pathology
chemical_list: D054756:Cyclic AMP-Dependent Protein Kinase RIalpha Subunit; C517835:Prkar1a protein, mouse; D011506:Proteins; D000242:Cyclic AMP