title: Functional characterization of GNAS mutations found in patients with pseudohypoparathyroidism type Ic defines a new subgroup of pseudohypoparathyroidism affecting selectively Gsα-receptor interaction.
abstract: Pseudohypoparathyroidism type Ia (PHPIa) is caused by GNAS mutations leading to deficiency of the α-subunit of stimulatory G proteins (Gsα) that mediate signal transduction of G protein-coupled receptors via cAMP. PHP type Ic (PHPIc) and PHPIa share clinical features of Albright hereditary osteodystrophy (AHO); however, in vitro activity of solubilized Gsα protein is normal in PHPIc but reduced in PHPIa. We screened 32 patients classified as PHPIc for GNAS mutations and identified three mutations (p.E392K, p.E392X, p.L388R) in four unrelated families. These and one novel mutation associated with PHPIa (p.L388P) were introduced into a pcDNA3.1(-) expression vector encoding Gsα wild-type and expressed in a Gsα-null cell line (Gnas(E2-/E2-) ). To investigate receptor-mediated cAMP accumulation, we stimulated the endogenous expressed β(2) -adrenergic receptor, or the coexpressed PTH or TSH receptors, and measured the synthesized cAMP by RIA. The results were compared to receptor-independent cholera toxin-induced cAMP accumulation. Each of the mutants associated with PHPIc significantly reduced or completely disrupted receptor-mediated activation, but displayed normal receptor-independent activation. In contrast, PHPIa associated p.L388P disrupted both receptor-mediated activation and receptor-independent activation. We present a new subgroup of PHP that is caused by Gsα deficiency and selectively affects receptor coupling functions of Gsα.
authors.affiliation: Department of Pediatrics and Adolescent Medicine, University of Lübeck, Germany. thiele@paedia.ukl.mu-luebeck.de
authors.forename: Susanne
authors.initials: S
authors.lastname: Thiele
authors.forename: Luisa
authors.initials: L
authors.lastname: de Sanctis
authors.forename: Ralf
authors.initials: R
authors.lastname: Werner
authors.forename: Joachim
authors.initials: J
authors.lastname: Grötzinger
authors.forename: Cumhur
authors.initials: C
authors.lastname: Aydin
authors.forename: Harald
authors.initials: H
authors.lastname: Jüppner
authors.forename: Murat
authors.initials: M
authors.lastname: Bastepe
authors.forename: Olaf
authors.initials: O
authors.lastname: Hiort
mesh_terms: D000293:Adolescent; D000595:Amino Acid Sequence; D002460:Cell Line; D002648:Child; D002675:Child, Preschool; D002864:Chromogranins; D000242:Cyclic AMP / Q000378:metabolism; D005260:Female; D005359:Fibrous Dysplasia, Polyostotic / Q000235:genetics; D019205:GTP-Binding Protein alpha Subunits, Gs / Q000235:genetics* / Q000378:metabolism*; D006801:Humans; D007223:Infant; D008297:Male; D008969:Molecular Sequence Data; D009154:Mutation; D011547:Pseudohypoparathyroidism / Q000235:genetics*; D043562:Receptors, G-Protein-Coupled / Q000235:genetics / Q000378:metabolism; D015398:Signal Transduction / Q000235:genetics
chemical_list: D002864:Chromogranins; D043562:Receptors, G-Protein-Coupled; D000242:Cyclic AMP; C406732:GNAS protein, human; D019205:GTP-Binding Protein alpha Subunits, Gs