[Different expression of the Asn264LysfsX35 mutation of the GNAS gene in a family with pseudohypoparathyroidism]

An Pediatr (Barc). 2011 Feb;74(2):116-21. doi: 10.1016/j.anpedi.2010.09.024. Epub 2010 Dec 18.
[Article in Spanish]

Abstract

Pseudohypoparathyroidism (PHP) is a heterogeneous group of endocrine diseases characterised by hypocalcaemia, hyperphosphataemia and resistance to PTH. There are different forms of PHP. PHP-Ia is the most frequent form and shows multi-hormonal resistance, GNAS (Gs(α)) mutations and signs of Albright́s hereditary osteodystrophy (AHO). PseudoPHP (PPHP) have isolated AHO without hormonal resistance and it is also caused by GNAS mutations. We present a family that share the same inactivating GNAS mutation (Asn264LysfsX35); the mother being affected with PPHP and the two daughters with PHP-Ia. We discuss the different clinical phenotypes and the dominant mode of inheritance with genetic imprinting where the phenotype of the offspring depends on the sex of the parent affected.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chromogranins
  • Female
  • GTP-Binding Protein alpha Subunits, Gs / genetics*
  • Humans
  • Infant, Newborn
  • Mutation*
  • Pseudohypoparathyroidism / genetics*

Substances

  • Chromogranins
  • GNAS protein, human
  • GTP-Binding Protein alpha Subunits, Gs