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Originally published In Press as doi:10.1074/jbc.M006032200 on October 11, 2000

J. Biol. Chem., Vol. 276, Issue 1, 165-171, January 5, 2001
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Selective Resistance to Parathyroid Hormone Caused by a Novel Uncoupling Mutation in the Carboxyl Terminus of Galpha s
A CAUSE OF PSEUDOHYPOPARATHYROIDISM TYPE Ib*

Wei-I. WuDagger , William F. SchwindingerDagger , Luis F. Aparicio§, and Michael A. LevineDagger

From the Dagger  Division of Pediatric Endocrinology and the Ilyssa Center for Molecular and Cellular Endocrinology, Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287 and § Metabolic Disease Associates, Erie, Pennsylvania 16507

Gs is a heterotrimeric (alpha , beta , and gamma  chains) G protein that couples heptahelical plasma membrane receptors to stimulation of adenylyl cyclase. Inactivation of one GNAS1 gene allele encoding the alpha  chain of Gs (Galpha s) causes pseudohypoparathyroidism type Ia. Affected subjects have resistance to parathyroid hormone (PTH) and other hormones that activate adenylyl cyclase plus somatic features termed Albright hereditary osteodystrophy. By contrast, subjects with pseudohypoparathyroidism type Ib have hormone resistance that is limited to PTH and lack Albright hereditary osteodystrophy. The molecular basis for pseudohypoparathyroidism type Ib is unknown. We analyzed the GNAS1 gene for mutations using polymerase chain reaction to amplify genomic DNA from three brothers with pseudohypoparathyroidism type Ib. We identified a novel heterozygous 3-base pair deletion causing loss of isoleucine 382 in the three affected boys and their clinically unaffected mother and maternal grandfather. This mutation was absent in other family members and 15 additional unrelated subjects with pseudohypoparathyroidism type Ib. To characterize the signaling properties of the mutant Galpha s, we used site-directed mutagenesis to introduce the isoleucine 382 deletion into a wild type Galpha s cDNA, transfected HEK293 cells with either wild type or mutant Galpha s cDNA, plus cDNAs encoding heptahelical receptors for PTH, thyrotropic hormone, or luteinizing hormone, and we measured cAMP production in response to hormone stimulation. The mutant Galpha s protein was unable to interact with the receptor for PTH but showed normal coupling to the other coexpressed heptahelical receptors. These results provide evidence of selective uncoupling of the mutant Galpha s from PTH receptors and explain PTH-specific hormone resistance in these three brothers with pseudohypoparathyroidism type Ib. The absence of PTH resistance in the mother and maternal grandfather who carry the same mutation is consistent with current models of paternal imprinting of the GNAS1 gene.


* This work was supported in part by United States Public Health Service Grant DK34281 (to M. A. L.) and by General Clinical Research Center Grant RR0035 from the National Institutes of Health.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

To whom correspondence should be addressed: Division of Pediatric Endocrinology, Johns Hopkins University School of Medicine, Park Bldg., Rm. 211, 600 N. Wolfe St., Baltimore, Maryland 21287. Tel.: 410-955-6463; Fax: 410-955-9773; E-mail: mlevine@jhmi.edu.


Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.
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