title: Identification of novel mutations confirms PDE4D as a major gene causing acrodysostosis.
abstract: Acrodysostosis is characterized by nasal hypoplasia, peripheral dysostosis, variable short stature, and intellectual impairment. Recently, mutations in PRKAR1A were reported in patients with acrodysostosis and hormone resistance. Subsequently, mutations in a phosphodiesterase gene (PDE4D) were identified in seven sporadic cases. We sequenced PDE4D in seven acrodysostosis patients from five families. Missense mutations were identified in all cases. Families showed de novo inheritance except one family with three affected children whose father was subsequently found to have subtle features of acrodysostosis. There were no recurrent mutations. Short stature and endocrine resistance are rare in this series; however, cognitive involvement and obesity were frequent. This last finding is relevant given PDE4D is insulin responsive and potentially involved in lipolysis. PDE4D encodes a cyclic AMP regulator and places PDE4D-related acrodysostosis within the same family of diseases as pseudohypoparathyroidism, pseudopseudohypoparathyroidism, PRKAR1A-related acrodysostosis and brachydactyly-mental retardation syndrome; all characterized by cognitive impairment and short distal extremities.
authors.affiliation: Department of Medical Genetics, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Danielle C
authors.initials: DC
authors.lastname: Lynch
authors.forename: David A
authors.initials: DA
authors.lastname: Dyment
authors.forename: Lijia
authors.initials: L
authors.lastname: Huang
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Nikkel
authors.forename: Didier
authors.initials: D
authors.lastname: Lacombe
authors.forename: Philippe M
authors.initials: PM
authors.lastname: Campeau
authors.forename: Brendan
authors.initials: B
authors.lastname: Lee
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Bacino
authors.forename: Jacques L
authors.initials: JL
authors.lastname: Michaud
authors.forename: Francois P
authors.initials: FP
authors.lastname: Bernier
authors.forename: Jillian S
authors.initials: JS
authors.lastname: Parboosingh
authors.forename: A Micheil
authors.initials: AM
authors.lastname: Innes
mesh_terms: D000328:Adult; D000595:Amino Acid Sequence; D002648:Child; D002675:Child, Preschool; D054684:Cyclic Nucleotide Phosphodiesterases, Type 3 / Q000737:chemistry / Q000235:genetics*; D054703:Cyclic Nucleotide Phosphodiesterases, Type 4; D004252:DNA Mutational Analysis; D004413:Dysostoses / Q000235:genetics*; D005192:Family Health; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics*; D006801:Humans; D008607:Intellectual Disability / Q000235:genetics*; D008297:Male; D008958:Models, Molecular; D020125:Mutation, Missense; D010009:Osteochondrodysplasias / Q000235:genetics*; D010375:Pedigree; D017434:Protein Structure, Tertiary
chemical_list: D054684:Cyclic Nucleotide Phosphodiesterases, Type 3; D054703:Cyclic Nucleotide Phosphodiesterases, Type 4; C517376:PDE4D protein, human